Hips Archive

In the journals

If you are ever hospitalized for a hip fracture, using an anti-osteoporosis medication may protect you from another bone fracture. A study in the September 2020 issue of Bone examined data on almost 78,000 people ages 50 and older hospitalized with hip fractures. About 10,000 were given anti-osteoporosis medication — usually alendronate (Fosamax) — within one year.

People who began treatment 15 to 84 days after their fracture were less likely to be hospitalized for another kind of fracture in the future compared with people who began treatment later. Those who first took medication after 252 days had the highest risk. The researchers were not able to measure the participants' bone density, so it's possible some people had especially strong or weak bones, which may have influenced the outcome.

Research we're watching

People with chronic pain may be more likely to have a heart attack or stroke than those without chronic pain, according to a study published online May 7, 2020, by the journal Pain Medicine.

From 2001 to 2005, researchers identified 17,614 Taiwanese people who had used pain relievers for at least three months. The most common causes of pain were spinal disorders, arthritis, and headaches; the pain relievers included both over-the-counter drugs and prescription opioids. For the comparison group, researchers used 35,228 people without chronic pain who were matched by age and sex to those in the first group.

Some ideas seem reasonable, but that doesn't mean they'll help.

People increasingly consult the Internet about medical problems. If you're looking for approaches to relieve joint pain and inflammation caused by wear and tear (osteoarthritis) or an immune system attack (such as occurs in rheumatoid arthritis), you may find methods that sound promising and even sensible. But will they work? Here's advice on five pain relief methods commonly touted on the Internet.

1. Music therapy

Listening to music can evoke powerful emotions that help people relax or heal, which is the basis of music therapy. Research has found that music therapy is associated with less anxiety before surgery or during chemotherapy, and better functioning during physical rehabilitation.

Osteoarthritis pain can be debilitating. Strategies can help get you moving again.

Pain from osteoarthritis is more than just a nuisance. Knee pain, in particular, can not only keep people from exercising, but also have a chilling effect on their ability to participate in social activities, especially those that involve walking or traveling, says Elena Losina, the Robert W. Lovett Professor of Orthopedic Surgery at Harvard Medical School and co-director of the Orthopaedic and Arthritis Center for Outcomes Research at Brigham and Women's Hospital.

"In fact, the quality of life of a person with persistent pain due to knee osteoarthritis is similar to quality of life in women with metastatic breast cancer controlled by therapy," she says.

Autoimmune diseases occur when the body generates an immune response against itself. Some people with rheumatic or autoimmune diseases, such as rheumatoid arthritis or lupus, develop an autoimmune lung disease. Marked by lung inflammation and possible scarring, it’s easier to treat if detected early.

News briefs

On Feb. 14, 2020, the FDA announced that two popular symptom-relief drugs can now be sold without a doctor's prescription. One is diclofenac sodium topical gel, 1% (Voltaren Arthritis Pain), which is used to temporarily relieve arthritis. The other is olopatadine (Pataday), which comes in eye drop form (in two strengths, for once-a-day or twice-a-day dosing) to relive itchy or red eyes from pollen, ragweed, grass, or animal hair or dander. Even though these medications are now available over the counter, they still have risks and benefits, so talk to your doctor before using any new treatment.

Image: MJ_Prototype/Getty Images

Even the healthiest people can find it hard to stick with an exercise regimen — and if you suffer from the joint pain of arthritis, moving your body may be the last thing you want to think about. But regular exercise not only helps maintain joint function, it also relieves stiffness and reduces pain and fatigue.

If you have arthritis, you want to be sure your exercise routine has these goals in mind:

Addressing arthritis, hearing loss, and cataracts will help preserve your independence.

Older age brings lots of physical changes, like stiffer joints and difficulty seeing or hearing. Those developments may not cause disability, but they may have an effect — even a subtle one — on your driving. That's why it's smart to be proactive once you notice physical changes, to find out how each condition can jeopardize your driving skills, your safety, and the safety of others on the road.

Common ailments

There are many physical changes that can affect your driving skills. The following are among the most common.