stiffness

[Guest guest]

---Hi,

Many times the affected leg is a bit shorter than the good leg because

the cartilage is gone and the ball is nestled up into the acetabulum,

or socket. Doing a resurf can make the legs equal in length again.

I don't have any answers to the rest of your questions because I

haven't had my surgery yet.

Best of luck to you. ..... Maxine

In Joint Replacement , " vgammell "

<victorgammell@a...> wrote:

> I have a question for all you that are on the " other side " (post-op).

I

> still have a month wait for a THR. Resurfacing is out because my leg

is

> now shorter than the good one. I am really stiff and sore in the

> morning and it takes me quite awhile to get going. Do you think your

> stiffness is better or worse than before your surgery? I do quite a

bit

> of stretching in the morning and am concerned that I won't be able to

> stretch if it all needs to heal up first.

>

> I don't know yet what kind of replacement my doctor is recommending.

> Now that the breakage problem seems to be solved with ceramics, are

> there any other downsides to having ceramic-on-ceramic or metal-on-

> ceramic?

[Guest guest]

How much shorter is the " bad " leg?

I don't believe there are any ceramic-on-metal systems.

(48)

RC2K 48/54 Dr. Gross 3/24/04

> I have a question for all you that are on the " other side " (post-op). I

> still have a month wait for a THR. Resurfacing is out because my leg is

> now shorter than the good one. I am really stiff and sore in the

> morning and it takes me quite awhile to get going. Do you think your

> stiffness is better or worse than before your surgery? I do quite a bit

> of stretching in the morning and am concerned that I won't be able to

> stretch if it all needs to heal up first.

>

> I don't know yet what kind of replacement my doctor is recommending.

> Now that the breakage problem seems to be solved with ceramics, are

> there any other downsides to having ceramic-on-ceramic or metal-on-

> ceramic?

[Guest guest]

Max:

Exactly, that was why I was asking. A difference of 1/2 inch or so

may be due to the cartilage being gone.

> > I have a question for all you that are on the " other side " (post-op).

> I

> > still have a month wait for a THR. Resurfacing is out because my leg

> is

> > now shorter than the good one. I am really stiff and sore in the

> > morning and it takes me quite awhile to get going. Do you think your

> > stiffness is better or worse than before your surgery? I do quite a

> bit

> > of stretching in the morning and am concerned that I won't be able to

> > stretch if it all needs to heal up first.

> >

> > I don't know yet what kind of replacement my doctor is recommending.

> > Now that the breakage problem seems to be solved with ceramics, are

> > there any other downsides to having ceramic-on-ceramic or metal-on-

> > ceramic?

[Guest guest]

Do you think your stiffness is better or worse than before your surgery? I do quite a bit of stretching in the morning and am concerned that I won't be able to stretch if it all needs to heal up first.

>>> For me I still have stiffness but if you were to put it on a scale of 1~10. I had a 10 and dropped to a 2 or 3~ bad weather don't help but at least it's tolerable.

As to the stretching..... I did LOTS because my thigh was harder then a rock coming out of surgery due to my leg being lengthened... so I know U can do stretches~ But I would say it's baring doctor permits it and advised the "how to" of your list of "cans". I had great muscle tone going into surgery and my doc didn't worry about the rebuild of muscle to prevent dislocation so bad as the exercises I were given was more focused to strengthen gait, stride, step & balancing functions. I'd say if you explained the issue to your doc s/he could advise you as to what will help ya out.

Now that the breakage problem seems to be solved with ceramics, are there any other downsides to having ceramic-on-ceramic or metal-on-ceramic? Welp for me.... ceramic didn't permote bone growth to the implant for stablizing and was removed.

[Guest guest]

I don't believe there are any ceramic-on-metal systems Actually..... in August 2004 it started into clinial trails under the advisement of University of Leeds in United Kingdom, funding from the Engineering and Physical Sciences Research Council (EPSRC) December it was placed under patent.

Mine started complete ceramic implant set... socket did not stablize~ first revision 2 additional mounts were placed. Second revision they were talking about cementing (which doc didn't want to do because of my age etc.) but instead my socket was replacement with metal & stem was left untouched as it has done terrificly. So yes they do combinations.... they just don't like the mix match deals because there is a greater chance of complications. BEAT ON A PIECE OF WOOD~ I've not had any problems from the docs decision.... and I'm uncemented. I'm sure there has to be something more somewhere about it all. But hope this is helpful~

New type of artificial hip - ceramic-on-metal

http://www.news-medical.net/print_article.asp?id=4201

"Hip Action," Feature Article, December 2004

http://www.memagazine.org/backissues/dec04/features/hipaction/hipaction.html

[Guest guest]

It's about an inch shorter and, as a previous post suggested, it's

because the acetabulum is damaged, and the femoral ball is shot.

I've been pretty much bone-on-bone for about a year now. I was

getting shots, which helped a lot with the pain but probably hastened

the deteriation.

Since the joint is so loose, I've thought that the muscles are

working extra hard to try to hold everything together. That causes

the stiffness, especially in the morning. Sounds like that will be

better after replacement.

Thought I'd read somewhere about a ceramic/metal option. Must have

been mistaken. So the choices are: metal/metal, metal/polyethelene,

ceramic/ceramic?

> > I have a question for all you that are on the " other side " (post-

op). I

> > still have a month wait for a THR. Resurfacing is out because my

leg is

> > now shorter than the good one. I am really stiff and sore in the

> > morning and it takes me quite awhile to get going. Do you think

your

> > stiffness is better or worse than before your surgery? I do quite

a bit

> > of stretching in the morning and am concerned that I won't be

able to

> > stretch if it all needs to heal up first.

> >

> > I don't know yet what kind of replacement my doctor is

recommending.

> > Now that the breakage problem seems to be solved with ceramics,

are

> > there any other downsides to having ceramic-on-ceramic or metal-

on-

> > ceramic?

[Guest guest]

Hi there. I too am looking at the ceramic on metal option. According to my doctor, this is new. He has been using this combination for the past 15 months. The Stanford Lab report that this combination has 40 x less wear than the Ceramic on Poly option. I think this is the combination I will have in June with my surgery. If I find out more, I will let you know. JennHvgammell <victorgammell@...> wrote:

It's about an inch shorter and, as a previous post suggested, it's because the acetabulum is damaged, and the femoral ball is shot. I've been pretty much bone-on-bone for about a year now. I was getting shots, which helped a lot with the pain but probably hastened the deteriation. Since the joint is so loose, I've thought that the muscles are working extra hard to try to hold everything together. That causes the stiffness, especially in the morning. Sounds like that will be better after replacement. Thought I'd read somewhere about a ceramic/metal option. Must have been mistaken. So the choices are: metal/metal, metal/polyethelene, ceramic/ceramic?> > I have a question for all you that are on the "other side" (post-op). I > > still have a month wait for a THR. Resurfacing is out because my leg is > > now shorter than the good one. I am really stiff and sore in the > > morning and it takes me quite awhile to get going. Do you think your > > stiffness is better or worse than before your surgery? I do quite a bit > > of stretching in the morning and am concerned that I won't be able to > > stretch if it all needs to heal up first. > > > > I don't know yet what kind of replacement my doctor is recommending. > > Now that the breakage problem seems to be solved with ceramics, are >

> there any other downsides to having ceramic-on-ceramic or metal-on-> > ceramic?

[Guest guest]

Well now I am kind of confused, in regards

to the “new” of the ceramic on metal. I do have ceramic on metal

hips (no issues at all btw) have had them for a couple of years now, I don’t

know if I got them so darn early because it was through the military or what

lol. Anyway there strykers with 30mm balls (if I can remember right). Like I

said I have yet to have issues with them, I just went for a 3 year post op and

was told not to show up for a couple of years, and they where not showing any

form of ware anywhere. From what I can recall in what was used for these was

Titanium, Ceramic, and Copper screws. Only reason I can recall that was there

was this debate with a nero in regards to an MRI lol.

There is more information in regards to

Stryker Hips, Knee’s and Spines at: http://www.stryker.com/jointreplacements/

Tiffinee

From:

Joint Replacement [mailto:Joint Replacement ]

On Behalf Of H

Sent: Monday, May 09, 2005 8:13 AM

To:

Joint Replacement

Subject: Re:

Re: Stiffness

Hi there. I too am looking at the ceramic on metal option.

According to my doctor, this is new. He has been using this combination

for the past 15 months. The Stanford Lab report that this combination has

40 x less wear than the Ceramic on Poly option. I think this is the

combination I will have in June with my surgery. If I find out more, I

will let you know. JennH

vgammell

<victorgammell@...> wrote:

It's about an inch shorter

and, as a previous post suggested, it's

because the acetabulum is damaged, and the femoral

ball is shot.

I've been pretty much bone-on-bone for about a

year now. I was

getting shots, which helped a lot with the pain

but probably hastened

the deteriation.

Since the joint is so loose, I've thought that the

muscles are

working extra hard to try to hold everything

together. That causes

the stiffness, especially in the morning. Sounds

like that will be

better after replacement.

Thought I'd read somewhere about a ceramic/metal

option. Must have

been mistaken. So the choices are: metal/metal,

metal/polyethelene,

ceramic/ceramic?

> > I have a question for all you that are

on the " other side " (post-

op). I

> > still have a month wait for a THR.

Resurfacing is out because my

leg is

> > now shorter than the good one. I am

really stiff and sore in the

> > morning and it takes me quite awhile to

get going. Do you think

your

> > stiffness is better or worse than before

your surgery? I do quite

a bit

> > of stretching in the morning and am

concerned that I won't be

able to

> > stretch if it all needs to heal up

first.

> >

> > I don't know yet what kind of

replacement my doctor is

recommending.

> > Now that the breakage problem seems to

be solved with ceramics,

are

> > there any other downsides to having

ceramic-on-ceramic or metal-

on-

> > ceramic?

Be your own

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Be

your own advocate! The best patient is an informed patient!

[Guest guest]

Hi Osh,

I think it depends upon if the immobility is due to stiffness or actual joint

damage. My son was diagnosed with systemic onset JRA at age 3.  He would have a

lot of problems with his fingers – though I don’t recall him having a lot of

stiffness without some pain associated (though at times this could have been the

case.) He had a lot of problems at times with simple things – using scissors

in school, as well as fastening his own clothes (we switched to only pull-on

type pants and shorts to enable him to require less help when going to the

bathroom at pre-school and school). This was during a time when his JRA was not

in control and he was having many severe flares.  There were times in the midst

of these early, really bad years, that he had less stiffness and was able to use

his hands more freely.  He has no mobility problems with his hands – and

hasn’t for about 4 years. 

 

The stiffness associated with JRA isn’t limited to the mornings.  When

flaring it can be a pretty constant thing – at other times with it can

occur in the mornings as well as when he has been in the car for awhile, or

sitting for awhile (much like his old mom these days) – but generally the

stiffness seems to be arms, legs and back – not the hands.

 

You didn’t say what type of treatment your granddaughter is on – but this is

something her rheumy should be addressing.=C

2 Something like those “squeeze-balls†to exercise/strengthen the hands and

fingers may help & I would ask about other exercises that can help restore

mobility to the fingers before permanent loss of motion occurs.  Good luck!

 

Val

Rob’s Mom (10, systemic)

stiffness

i don't post much but read daily.

my 12 yr old granddaughter has systemic RA. she was here last night

and showed me that she can only bend her fingers less than a quarter of

what someone without this illness can. i've heard of morning

stiffness. i didn't know that the stiffness is always there like

this. i don't know how she manages to use a pencil.

is this normal? she said it wasn't because of pain - she simply

couldn't bend them anymore. (d'xd 6 mths ago) will this improve at

any time or is this permanent for her?

thank you in advance for your help.

~osh

[Guest guest]

Hi Osh,

        My daughter Maggie also has a lot of joint stiffness.  Not just in the

mornings either. In fact it can be almost any joint and can come and go

throughout the day lasting sometimes hours or can even last for days at a time. 

        She started playing the Violin at age two and took lessons up until last

year. Now she can no longer hold the Violin up in position, bring her wrist

around to push her fingers down on the strings or squeeze the end of the bow

tight enough to bow the strings.  She now plays the guitar.  She does have a lot

of joint erosion but it is the stiffness that keeps her doing the things she

wants to do.

        I realize that each person is different and their arthritis affects them

in different ways. What works for one won't even phase another.  At the same

time, a lot of the symptoms are the same for some people, but not all of them.

In fact I would guess that no two people have EXACTLY the same symptoms, even

those diagnosed with the same type of arthritis.  It is a very frustrating

disease!

        I would definately let her Rheumatologist know that there has been a

change.  Sometimes if they can catch something soon enough, they can slow down

the progression and prevent any further damage.

     Just my opinion. Hope it helps a little!

    

      Diane and Maggie age 11 (OI,CP,Systemic JIA,Uveitis, PIDD)

From: Osh <oshkanawa@...>

Subject: stiffness

Date: Tuesday, September 9, 2008, 11:52 AM

i don't post much but read daily.

my 12 yr old granddaughter has systemic RA. she was here last night

and showed me that she can only bend her fingers less than a quarter of

what someone without this illness can. i've heard of morning

stiffness. i didn't know that the stiffness is always there like

this. i don't know how she manages to use a pencil.

is this normal? she said it wasn't because of pain - she simply

couldn't bend them anymore. (d'xd 6 mths ago) will this improve at

any time or is this permanent for her?

thank you in advance for your help.

~osh

[Guest guest]

rob's mom~

thank you so much for your response.

sincerely,

~osh

[Guest guest]

diane~

thank you for your response. i had no idea that such loss of function

could happen in just six months...it's terrifying.

your advice helped more than a " little " .

sincerely,

~osh

[Guest guest]

Jody, I will send you what I have

Aletha

[Guest guest]

Wow thanks Althea!

I will sift and pass it on!

Very cool you sent me all that..

Jodi

[Guest guest]

Aletha,

Could you please send me any information you might have on stiffness? I have it very bad, sometimes its so hard just to stand up.

Thanks

Elena

From: Aletha Wittmann <Aletha@...>low dose naltrexone Sent: Tuesday, December 2, 2008 11:43:19 PMSubject: [low dose naltrexone] Re:stiffness

Jody, I will send you what I have

Aletha

[Guest guest]

Hey Elena,

Not sure of your health problems but Cod Liver Oil (best way for us to

get Vitamin A and D in) and supplementing D3 really helped some of the

stiffness. I have bouts of it now through-out the day but the episode

doesn't last all day long which is major relief for me. I am waiting

to get DLPA.

Jodi

[Guest guest]

There are some yoga techniques that may be beneficial for folks with

MS. Here's a link to explain:

http://www.yogajournal.com/practice/964

Best wishes,

Jann

[Guest guest]

Anybody have a supplement or vitamin that is for stiffness? Right now my

body is so stiff (legs a lot more) and I stretch but it does no good.

cooky

[Guest guest]

cooky, does hot tub or sauna help you? sally

rheumatic stiffness

Anybody have a supplement or vitamin that is for stiffness? Right now my

body is so stiff (legs a lot more) and I stretch but it does no good.

cooky

[Guest guest]

Cooky,

I have found that good quality fish oil (Omega 3s) help with stiffness. Research

shows you need at least 2000mg per day.

If you burp it up, you can store it in the freezer and take them cold. It helps

prevent you having to taste the fishiness. I take an oil extracted from squid

which I rarely taste. It is called Omega Q Plus from www.drsinatra.com. It also

contains Omega Q and other supplements that help with energy levels. If I miss

it for two or three days, I wake up stiff and realize how much it helps.

I've also heard that Nordic Fish Oil is a reliable brand, as well as Costco's

brand. That's from my husband's MD who is alternative...

Amy

>

> Anybody have a supplement or vitamin that is for stiffness? Right now my

> body is so stiff (legs a lot more) and I stretch but it does no good.

>

>

>

> cooky

>

>

>

>

[Guest guest]

Thanks Amy. I actually switched to Krill oil because they say some oils can

be rancid and Krill is not. Then found out Krill also has Omega 6 which I

don't need! I will look into what you suggested.

cooky

Subject: rheumatic Re: stiffness

Cooky,

I have found that good quality fish oil (Omega 3s) help with stiffness.

Research shows you need at least 2000mg per day.

If you burp it up, you can store it in the freezer and take them cold. It

helps prevent you having to taste the fishiness. I take an oil extracted

from squid which I rarely taste. It is called Omega Q Plus from

www.drsinatra.com. It also contains Omega Q and other supplements that help

with energy levels. If I miss it for two or three days, I wake up stiff and

realize how much it helps.

I've also heard that Nordic Fish Oil is a reliable brand, as well as

Costco's brand. That's from my husband's MD who is alternative...

Amy