My name is Dr. mark wolf. I'm an orthopedic surgeon at Arlington orthopedic associates and I performed hip and knee replacement surgery there's my main emphasis of care. Today's topic is to talk about when it's time to do a hip or knee replacement. The three major categories of hip pain can be from your lower back or from the hip joint itself, which is the ball and socket or the outside part of your hip, which we call the purr. The three main sources of knee pain are the knee joint itself, referred pain from your lower back, or referred pain from the hip joint itself, typically when we do a thorough history and physical and x-rays the answer is clear where the pain is coming from. However, in certain cases we'll still need an MRI. What goes into that decision is the main theme of today's talk. The main thing to consider is quality of life. How does this affect my day-to-day existence? What are the things that I want to do or enjoy doing that I can't do anymore? Then what are my expectations for how a new hip or a new knee is going to help my quality of life? We need to talk about what alternative treatments could be used short of surgery, which may be very beneficial. These would include anti-inflammatory medicines, exercise program, the use of a cane or a walker temporarily, and injections for therapeutic reasons into the hip or knee to help the reason that weight is an important issue. If your hip or knee is hurting, many times significant weight loss will diminish your pain enough where surgery's not necessary every time you step on your hip or knee five times your body weight is transferred through that joint. So, even...
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