Tuesday, September 9, 2025

BLOG 546 HIP REPLACEMENT

BLOG 546 HIP REPLACEMENT

Nearly 7 million Americans have either a hip or knee replacement. The hip is a ball and socket joint, so just like the knees or shoulders, it seems as though the wear and tear over time catches up with many people. The synovial fluid starts to run low or better said, it “goes away”. That’s when arthritis likes to creep its way in.

We are in constant use of our hips and for many, when simply walking becomes too painful, something must be done to alleviate this disruption to daily living. For some, this pain can even disrupt sleep. Walking upstairs becomes too hard and even getting out of a chair, or even worse, out of bed, just becomes misery. Becoming more sedentary and limited doesn’t have to be the final answer. A hip replacement may be the best option. An artificial joint can be surgically placed into the body. Damaged areas/parts of the hip are replaced with new artificial parts.

A person may need hip surgery due to osteoarthritis, rheumatoid arthritis, osteonecrosis, or because of broken bones from trauma or disease. Nearly 300,000 adults over the age of 65 fracture their hip each year. Thus, hip replacement can be a common occurrence among seniors. Falling when older, primarily due to poor balance can be a major cause of hip fractures. This is particularly true for women who fall more than men and are at higher risk for osteoporosis. Osteoarthritis, aka “wear and tear”, is a threat to the hips because it causes damage to the cartilage that covers the ends of bones that assist the joints to move smoothly. Rheumatoid arthritis is related to the immune system which causes inflammation that erodes cartilage, even bone, and then deteriorates the joints. Osteonecrosis occurs when there isn’t enough blood being supplied to the ball part of the joint. This usually happens from a fall complication.

Hip replacement is not the immediate answer. Most doctors will recommend possible medications or physical therapy to address problems first. Just like any type of surgery, there are possible risks. Fortunately, today’s hip replacements have a much longer lifetime than previous years when the possibility of having a second hip replacement could happen. Some of the risks include blood clot, the chance that one limb can become longer than the other due to the change in length, never damage, and/or infection.

There are a couple ways to prepare for success when having a hip replacement. First, having a healthy body weight is recommended. Shedding extra pounds will put less stress on the new joint. It can take six weeks or longer to recover from hip surgery, mainly because the new joint must sync with the body and become strong to perform movement patterns. This is where physical therapy and proper exercise can help. Don’t be fooled though, you will be walking within 24 hours of surgery.

Your hips don’t lie when it comes to communicating to the body that something isn’t right. Be proactive and be careful of wear and tears that isn’t necessary. Movement is medicine but putting stress on the body by asking you to do much more than is intended, won’t last forever. You need your hips, and your hips need you to take care of them.

 


Wednesday, September 3, 2025

BLOG 545 CAUSES OF CANCER

BLOG 545 CAUSES OF CANCER

Cancer. It's a word that carries weight because it’s a diagnosis that affects millions of lives. But what actually causes cancer? While cancer is a complex disease with many contributing factors, understanding its root causes is one of the most powerful tools we have in prevention, early detection, and treatment.

Having some background knowledge about what cancer actually is can help with understanding. Cancer is the uncontrolled growth of abnormal cells in the body. These cells can form tumors, invade surrounding tissues, and sometimes spread (metastasize) to other parts of the body. Normally, the body has checks and balances to keep cell growth in line. But when something goes wrong in that system, cancer can develop.

One of the primary causes of cancer is damage to DNA, the genetic code that tells cells how to function. These mutations can happen for several reasons. Some people are born with genetic mutations that increase their cancer risk (e.g., BRCA1 and BRCA2 for breast and ovarian cancer). Most cancers are caused by mutations that accumulate over a person’s lifetime, often due to environmental or lifestyle factors. Examples would be smoking, for instance, causes mutations in lung cells, increasing the risk of lung cancer over time.

Certain habits and choices are well known to increase cancer risk. These include tobacco use which is the leading preventable cause of cancer, linked to lung, throat, mouth, bladder, and many other cancers. Poor diet and obesity compounded with processed foods, excessive red meat, and high sugar intake are associated with several cancer types. Lack of physical activity contributes to weight gain and hormone imbalances that may trigger cancer growth. Alcohol consumption increases the risk of cancers of the liver, breast, esophagus, and more.

We live in a world filled with chemicals and substances that can be carcinogenic (cancer-causing). Examples include air pollution like diesel exhaust, asbestos, and radiation.

Some viruses, bacteria, and parasites are linked to specific cancers. These include Human Papillomavirus (HPV) which is linked to cervical, throat, and other cancers. Hepatitis B and C can lead to liver cancer. Helicobacter pylori (H. pylori) is associated with stomach cancer. Epstein-Barr Virus (EBV) is linked to certain lymphomas and nasopharyngeal cancer.

The risk of cancer increases as we age because we've had more time for mutations to accumulate in our cells. Hormonal factors can also play a role, especially in breast, ovarian, and prostate cancers. For example, estrogen exposure is a known risk factor for breast cancer, particularly in people with early menstruation, late menopause, or hormone replacement therapy use.

People with weakened immune systems are at higher risk for certain cancers. That’s because the immune system normally helps detect and destroy abnormal cells before they grow uncontrollably. While not all cancers can be prevented, understanding the causes helps empower us to make informed decisions and reduce our risk wherever possible. Cancer doesn’t happen overnight, and sometimes it strikes without clear cause. But knowledge is powerful and small choices made daily can have a big impact over time.