Cleveland Clinic

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Hip Pain

Surgeons perform more than 90% of hip replacements on adults older than 50.

You might be a good candidate for a hip replacement if symptoms in your hip are making it hard (or impossible) to participate in your daily routine or if pain and other symptoms in your hip affect your ability to stand, walk and move. Most people who get a hip replacement try other, more conservative treatments like medication, physical therapy or using a cane or walker before needing surgery.

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Our care options in Ohio aren’t limited to the Cleveland area – learn about our locations in Akron, Canton, Dover and more.

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Knee Pain

The knee is one of the most used joints in the body. Unfortunately, that means it can be overused to the point of injury. The good news is that it can be treated.

“If pain is affecting your ability to do things you want or need to do on a daily basis, it may be time to see a specialist,” says Amar Mutnal, MD, an orthopaedic surgeon at Union Hospital.

According to Dr. Mutnal, “Surgery may be an option if you have long-lasting knee pain that does not lessen with medication or physical therapy and exercise.”

Different surgical options include:

Arthroscopy: A surgeon makes two or three small incisions over the joint. An arthroscope (a thin, flexible fiber-optic scope) and specialized surgical tools can then access the joint to repair a torn meniscus, trim damaged cartilage, or remove bone chips in or near the joint.
Joint replacement: If other treatments do not help, surgery may be needed to replace the joint once the cartilage that cushions and protects the ends of the bones gradually wears away. This can be done for many joints; hip, knee and shoulder replacements are the most common.

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Thomas Teater, MD

What causes joint problems?

According to Thomas Teater, MD, an orthopaedic surgeon who treats patients at Cleveland Clinic Union Hospital, the most common causes of the joints not working properly are osteoarthritis and rheumatoid arthritis. While nobody is certain what causes arthritis, several things may contribute to joint weakening and lead to arthritis.

These include:

Heredity (runs in the family).
Problems with the development of the joint.
Genetic (inherited) tendency to problems with the cartilage (the cushioning tissue at the end of the bones).
Minor repetitive injuries.
Severe trauma to the joint cartilage.

While being overweight does not necessarily cause arthritis, it can contribute to early joint problems that can get worse quickly.

Nonsurgical treatment options

Fortunately, there are a variety of nonsurgical treatment options available to help relieve chronic pain and restore range of motion in your joints. Nonsurgical treatment for joint pain can include:

Weight loss.
Activity modification.
Supportive aids, such as a brace, a cane, or an orthotic device in the shoe.
Injections or cortisone shots to temporarily relieve pain and inflammation in your joints.
Viscosupplementation injections to lubricate joints.
Physical therapy.
Acetaminophen (Tylenol®) or anti-inflammatory drugs (e.g., ibuprofen).
Topical treatments such as ointments or gels.
Exercise, such as walking, swimming, other low-impact aerobic exercise and gentle stretching. (Check with your doctor before beginning or continuing any exercise program.)

If nonsurgical treatment options no longer help alleviate pain and you can no longer do the things you want, like and need to do, it may be time to consider joint replacement surgery.

Amar Mutnal, MD

Hip Pain

Surgeons perform more than 90% of hip replacements on adults older than 50.

You might be a good candidate for a hip replacement if symptoms in your hip are making it hard (or impossible) to participate in your daily routine or if pain and other symptoms in your hip affect your ability to stand, walk and move. Most people who get a hip replacement try other, more conservative treatments like medication, physical therapy or using a cane or walker before needing surgery.

“Most hip replacements are outpatient surgeries, which means you can go home the same day. Although some patients may need to stay in the hospital overnight,” says Dr. Mutnal.

Most people who have a hip replacement experience a dramatic decrease in their symptoms — especially pain and stiffness.

Once you’re fully recovered, you should have increased mobility and range of motion (how well and how far you can move your hip). A hip replacement usually makes it easier to walk, climb stairs and do other physical activities.

According to Dr. Mutnal, “The prosthetic hips used in hip replacements usually last a long time. Lots of people who have a hip replacement keep the implant for the rest of their lives.”

John Idoine III, DO

Shoulder Pain

Shoulder pain, stiffness or weakness can make it difficult to carry out everyday tasks, like reaching for something on a high shelf, driving a car or even brushing your hair. Figuring out what’s wrong with your aching shoulder is the first step toward making it better. Unfortunately, there’s a hefty list of potential causes.

Rotator cuff problems are among the most common shoulder issues, affecting more than two million Americans every year. Rotator cuff tears affect people of all ages and genders, but the problem is more common in adults.

“Your shoulder rotates with a greater range of motion than any other joint in your body,” says John Idoine III, DO, an orthopaedic surgeon who treats patients at Union Hospital. “If overuse or injury causes pain to the point that you can’t reach into a cabinet or sleep, you may need surgery.”

Shoulder replacement surgery is done to replace damaged parts of the shoulder joint with artificial components.

A total reverse shoulder replacement is an option primarily for those with a chronic rotator cuff tear who have developed arthritis. It may also be beneficial for those with severe arthritis that has led to bone loss, bone fractures that can be repaired, and when a previous shoulder replacement needs to be revised.

“The goal of treatment is to enable patients to get back to things they love, from sports to everyday tasks,” says Dr. Idoine.

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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Roy Miler, MD

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