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Check out these newly released Special Health Reports from Harvard Medical School
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New Releases

You can't buy good health but you can buy good health information. Check out these newly released Special Health Reports from Harvard Medical School:

Knees and Hips: A troubleshooting guide to knee and hip pain

Your knees and hips are your largest joints. They support your body's weight and must work in close coordination to provide the mobility most people take for granted, until injury, arthritis, or other problems interfere.

Depending on the cause of your pain, the solution might be a set of exercises, pain relief medication, minor surgery, or some combination of these. But for many people, knee and hip problems become so intractable that the best solution is to replace a worn-out knee or hip with a mechanical joint.

This Special Health Report from Harvard Medical School will walk you through the most common knee and hip ailments, discuss the symptoms you're likely to experience with each, and describe how your doctor might diagnose your condition. Inside Knees and Hips: A troubleshooting guide to knee and hip pain, you'll discover:

  • Why joints hurt
  • How to deal with overuse injuries
  • Solutions to common problems
  • Exercises for pain relief and prevention
  • Indications for surgery
  • Knee and hip replacement options         
  • Alternative approaches

This report also includes a Special Bonus Section: Knee and hip replacement which can help you determine if a joint replacement is right for you. It outlines the procedures, describes the different types of implants, and details the various surgical options available to you.

Whether you've just started to experience pain or have been battling it for years, this Special Health Report is a must-read. It can help you make informed decisions about maintaining your mobility and independence for years to come. Order your copy of Knees and Hips: A troubleshooting guide to knee and hip pain today.

Prepared by the editors of Harvard Health Publications in consultation with, Scott David Martin M.D., assistant professor of orthopedic surgery, Harvard Medical School and Attending Orthopedic Surgeon, Brigham and Women's Hospital, Boston, Mass. 49 pages. (2012)

  • Knees in motion
    • Evaluating knees
    • Overuse injuries of the knee
    • Tears in supporting tissues
    • Kneecap problems
    • Osteoarthritis of the knee
  • Hips on the ball
    • Evaluating hips
    • Overuse injuries
    • Hip fracture
    • Osteoarthritis of the hip
  • Testing for knee and hip problems
    • Imaging techniques
    • Laboratory tests
  • Nonsurgical treatments for knees and hips
    • RICE
    • Pare off pounds
    • Heat
    • Ultrasound, phonophoresis, and iontophoresis
    • Therapeutic exercise
    • Medication
    • Alternative approaches
    • Supplements
    • Arthroscopy
  • Special section: Knee and hip replacement
  • Back on track after joint replacement
    • Guidelines for recovery from knee or hip replacement
  • Living with a replacement joint
    • Revision surgery
  • Resources
  • Glossary

If you are reading this report, you probably have knee or hip pain. That’s not surprising. When responding to a 2010 national health survey, almost a third of Americans 55 or older complained of having knee pain in the previous four weeks. Eleven percent reported having hip pain. Truth be told, nearly everyone will have some deterioration in these joints at some point in life.

Your knees and hips are your largest joints. While supporting your full weight as you stand upright, they must work in close coordination to provide the mobility most of us take for granted until injury, arthritis, or other conditions interfere. Of course, it’s possible to sidestep or delay some of these problems. For example, paring off excess pounds literally takes a load off knees and hips. Starting new activities gradually and progressing slowly rather than dramatically boosting activity levels helps, too. So does avoiding exercises that could harm these joints, such as deep squats and deep lunges.

Even the best laid plans may go awry, however. If you experience pain in your knees or hips, physical therapy, pain-relief medication, minor surgery, or some combination of these strategies may help ease it. Ultimately, though, many people find knee and hip problems become so intractable that the best solution is replacing a worn-out knee or hip with a mechanical joint.

Joint replacement can help people remain independent and active. In the United States, doctors perform about 676,000 knee replacements and 327,000 hip replacements annually. Many people, young and old, gain pain relief and mobility from these procedures.

Medical care is constantly changing. Doctors used to follow these surgeries by immobilizing the joint with a plaster cast. Today, you can begin rehabilitating your knee by starting physical therapy not long after waking up from surgery. More surgeries are performed through tiny incisions using a tool called an arthroscope, often on an outpatient basis. Pain relief has progressed to include drugs that tackle the twin problems of pain and inflammation.

These advances translate into vastly improved lives. Recently, after performing a rotator cuff repair on a patient’s shoulder, I reminded him to come in for a follow-up visit for his hip replacement. Looking surprised, he admitted that he’d completely forgotten he’d had a total hip replacement four years earlier. He’d since returned to an active lifestyle and the new hip had become a part of him.

The proper care can help you reclaim the life you enjoy, too. Whether you’ve just started to experience pain or have been battling it for years, this report will help you make informed decisions about staying active and independent for years to come.

The following reviews have been left for this report. Log in and leave a review of your own.

Excellent summary. Contained everything I wanted to know. Outstanding writing and illustrations as I've come to expect in these Special Health Reports.
I found it quite helpful with a large amount of technical knowledge that was easily understood, and many useful treatment advisories.
I have used this publication for several years, just got a new copy because I gave my other one away. I have an artificial hip, may soon need a new knee, and I find this booklet the single best, most informative source for everything you would want or need to know if you have deteriorating hips or knees. It explains the various procedures well and gives you a good understanding of how to weigh your options.
Learned things I was not aware of . Worth the cover price.
Had far more detail than expected - not only about the causes, but the various surgical procedures available, what to expect afterwards and interim pain control options.
Good review of what is going on with knees and hips and how to keep them working for us rather than against! I wish there had been more exercises offerred with those that are contraindicated as well.
The publication took a long time to reach me. As a matter of fact, your request for a review came at the same time I received the publication. After I have a chance to read the materials, I will be in a better position to rate the information, etc.
While the contents were helpful I was disappointed in an understanding of the state of the art regarding hip replacement surgery. I recently had my hip replaced at Greenwich Hospital by a surgeon that trained at Mayo clinic. The procedure was done with a nerve block preceeded by a sedative with no need for general anethesia catheters etc. and and Iwas taking my first step with a walker the next day. No need for having my leg in a sling. Four days later I was walking with a cane I am 80 years old
I've rated it one star since it's been over a month since I placed my order and I still don't have the book. Two weeks after the order was placed I received the wrong publication -- correct on the packing list but wrong enclosure. Called and received the auto apology and assurance that the replacement would get here soon. Well, another two weeks and still waiting -- good thing my surgery has been set out 2 months. May be a good pub but the worst customer service and order fulfillment. And yes, I am in the lower 48.
Excellent, clear explanations and examples of exercises to stretch & strengthen. I work in an ICU and appreciate the comprehensive approach. This will also be helpful for encouraging my mom who will be getting double knee replacements in the next few months.

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