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  1. Josephine

    The History of Bone Smart Forum

    BoneSmart was conceived in 2005 by Richard Warner when he found he needed a hip replacement and realized what dreadfully poor and biased info there was on the internet and that much of what there was, terribly hyped by the manufacturers. So he set to work developing an organistation called...
  2. Josephine

    Revision TKR Jo's revision arthroplasty

    hmm - thought I'd started a new thread for this but it appears not. So I'll start the saga again. You all might remember that I had a revision for a loose tibial implant back in Sept 6th. I wasn't too frazzled as I reckoned I'd already had two TKRs so how bad could it be! WRONG! Turned out a...
  3. Josephine

    No exercising: what does that really mean?

    When it is said here on BoneSmart that you should do "no exercising" what is NOT meant is "do nothing at all"! There are what we call ADLs or activities of daily living and these you should do, always. These are the ADLS Personal hygiene and grooming Dressing and undressing Functional...
  4. Josephine

    Hip Resurfacing Great news about Andy Murray!

    Britain's Andy Murray came through his first match since a career-saving hip operation with an impressive victory in the Queen's doubles. Murray, 32, was seemingly set for retirement before having his hip resurfaced in January. Five months later the Scot was back on court alongside Spain's...
  5. Josephine

    Great news about Andy Murray!

    Britain's Andy Murray came through his first match since a career-saving hip operation with an impressive victory in the Queen's doubles. Murray, 32, was seemingly set for retirement before having his hip resurfaced in January. Five months later the Scot was back on court alongside Spain's...
  6. Josephine

    Stages of wound healing

    Wound Healing Product Manager, Wound Care, Shield HealthCare December 18 2015 The body is a complex and remarkable machine, and the dynamic process of wound healing is a great example of how our body’s different systems, along with the proper wound care products, work together to repair and...
  7. Josephine

    Penicillin allergic patients - alterntive antibiotics

    Most antibiotics used in surgery these days are not penicillin based. They are things like gentamicin, ceftriaxone, clindamycin, vancomycin, cefazolin and vancomycin and are actually more effective for bone related infections. Tetracyclines (e.g. doxycycline), quinolones (e.g. ciprofloxacin)...
  8. Josephine

    Mixing drugs - why it shouldn't be done

    When patients are given prescription pain medications, they trust their doctors to make sure that what they are prescribed is safe. However, there are increasing incidents of patients having other problems such as excessive pain and tightness in the muscles and anxiety and/or depression. It’s...
  9. Josephine

    swelling/pain comparisons

    Swelling has implications as regards to pain. Swelling is a manifestation of pain. Roughly speaking, this is how it works Slight swelling: adds 2 points of pain Moderate swelling: adds 4 points of pain Heavy swelling: adds 7 points of pain Huge swelling: adds 9-10 points of pain
  10. Josephine

    Revision of 3½ year old TKR**

    Thought I'd should 'fess' up and let you all know that I am facing a revision in my 2nd TKR which was done in Jan 2015, just 4 years ago. It all started last summer when I started getting aches and pains just below the joint. Eventually I asked my GP to refer me to my surgeon and was mightily...
  11. Josephine

    Bone scan - how is it done?

    A bone scan is a nuclear medicine test. This means that the procedure uses a very small amount of a radioactive substance, called a tracer. The tracer is injected into a vein. There are two parts to a nuclear medicine bone scan. In the first part, you receive an injection into a vein in your arm...
  12. Josephine

    Lateral release in a knee

    Here is a picture of the knee under the skin. You can see that the patella is surrounded by a number of ligaments whose job it is to keep the patella in place. The one concerned here is that broad ligament called the lateral retinaculum. In the second image, it shows how, when the retinaculum...
  13. Josephine

    Fitbit steps

  14. Josephine

    Fitbit steps to miles

    This was taken from the Fitbit website
  15. Josephine

    Muscle guarding, Delayed Onset Muscle Soreness and Trigger points

    Preview Most post-op pain is caused by guarding which is why it's never a good idea to take pain meds in order to tolerate PT. Guarding happens when the muscle - which, believe it or not, has a memory - goes into spasm when you are doing things, or having things done to you, which it knows it...
  16. Josephine

    Nerve damage after hip surgery

    Nerve damage after hip surgery Science Daily May 5, 2014 Summary: A recent article links some nerve damage after hip surgery to inflammatory neuropathy. Historically, nerve damage from hip surgery has been attributed to mechanical factors caused by anesthesiologists or surgeons, such as...
  17. Josephine

    Acromioclavicular impingement

    A very common cause of shoulder pain is impingement. This is where there is a narrowing of the space between the acromioclavicular (ac) joint and the top of the joint which at that point is covered by the rotator cuff, specifically the supraspinatous ligament. This is often worse then the arm is...
  18. Josephine

    Slings and braces for immobilising the shoulder

    Immobilization for the shoulder very much depends upon the reason for it. It can be a simple resting sling for a mild injury or undisplaced fracture or it could be needed to immobilize the entire arm after a procedure such as a rotator cuff repair. The following are shown in the order of...
  19. Josephine

    Range of movement in the shoulder

    The range of movement in a shoulder is somewhat more complex than in, for instance, a knee. This chart shows the basics fairly comprehensively. Good study on shoulder rotation: http://shoulderarthritis.blogspot.com/2022/01/reverse-total-shoulder-how-to-get.html
  20. Josephine

    The structure of the shoulder

    In order to understand the various conditions and injuries that can occur in a shoulder, it's useful to first understand how the shoulder is constructed. This will be done under these headings: bones muscles ligaments The bones that are involved in the make up of the shoulder joint are the...

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