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Physical Therapy for a Rotator Cuff Tear

Physical therapy is often recommended as an initial treatment for a rotator cuff tear. However, physical therapy doesn't help the torn rotator cuff tendon heal. Why is this often used as the first treatment?

More About Rotator Cuff Tears

Orthopedics Blog with Jonathan Cluett, M.D.

How to Wear a Backpack

Sunday October 5, 2008
Backpacks are an easy way for children and teenagers to carry their books and school supplies. The purpose of a backpack is to evenly distribute the weight of these items to the large muscles that support our bodies.

Backpacks that are too heavily loaded or improperly worn can cause problems and even lead to injuries. Learn a few basic steps to keep in mind when selecting and wearing a backpack.

Related: Is your backpack too heavy? | Find a backpack that fits

Photo © Carmen Martínez Banús

Post Knee Replacement Rehab

Monday September 29, 2008
Knee replacement surgery is an effective treatment for severe knee arthritis. During the procedure, an artificial knee made of metal and plastic is inserted into the knee joint.

After knee replacement surgery, it is important to perform therapy to resume normal activities. The goal of the procedure is to restore pain-free motion and to allow patients to resume their daily activities. Understanding the rehab from knee replacement surgery will aid in your recovery from this procedure.

Related: How to know when you're ready for knee replacement? | Motion Machines After Knee Replacement

Image © Medical Multimedia Group

Bad Orthopedic Travel Advice

Thursday September 25, 2008
I read a column on the Internet today advocating patients with implanted metal bring x-rays to the airport to assist the TSA in screening. My opinion: Dumb idea.

Many patients with implanted metal will set off airport metal detectors. Implants including plates, screws, rods, and joint replacements can all set off airport metal detectors. However, the TSA is staffed by security specialists, not doctors. Taking x-rays to the security personnel is a waste of your time and effort. Here are the problems:

  • Identity Issues
    Security personnel cannot (and should not) assume that an x-ray belongs to the person holding it. If that were the case, anyone could simply bring an x-ray of a metal implant as their reason for setting off the metal detector.

  • Hospital Records
    X-rays are part of your hospital record, and removing them makes your record less complete. If those x-rays get lost on your trip it could affect your medical care down the road. Sometimes having previous x-rays for comparisons is essential, especially when dealing with implants.

  • Cost
    Every time an x-ray is taken, and printed, medical costs go up. If patients are constantly getting extra x-rays taken and printed for travel purposes, this wastes medical resources.
I think this column has great tips for travel security--except the advice to bring your x-rays to the airport. Instead, use the advice of the TSA, and leave your x-rays at your doctor's office.

Related: Do metal implants cause metal detectors to go off? | TSA Recommendations

Photo courtesy of Rayman/Getty Images

Keeping Fit With Arthritis

Sunday September 21, 2008
Exercise is important for people with arthritis and for people who have had a joint replacement. Keeping your weight down and your muscles strong can help to delay joint replacement and improve your surgical result from joint-replacement surgery. Learn different ways to exercise so that you are pain-free, despite your arthritis.

Related: Knee Arthritis | Hip Arthritis | Preparing For Joint Replacement

Image © Medical Multimedia Group

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