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Thread ID: 143720	2017-03-26 06:19:00	capsaicin as pain relief	pctek (84)	PC World Chat

Post ID	Timestamp	Content	User
1433323	2017-03-28 07:54:00	Do you really think a change of government will get your hip done any sooner Dave? I am not being political or anything about this, just pragmatic. Ken	kenj (9738)
1433324	2017-03-28 07:58:00	Do you really think a change of government will get your hip done any sooner Dave? I am not being political or anything about this, just pragmatic. Ken Not really Ken, but we must all have something to hope for.	KarameaDave (15222)
1433325	2017-03-28 09:08:00	You know, I've seen surgeons too. One took the time to go over things with me very thoroughly. It's not magic. Surgery is usually a last-option choice. Any type of major orthopedic surgery causes disruption to the rest of your body. In all likelihood, whatever your body has been doing to compensate for your hip pain or malfunction has also been causing problems all on its own. A large bulk of physical therapy focuses on loosening those large muscles and allowing the joint to settle properly. The new hip can push the pelvis out just slightly, causing the femur to bear weight differently. There is a potential risk of nerve injury with any type of hip replacement approach The surgical area is located near the lateral cutaneous femoral nerve, which runs down the front of the pelvis and past the hip to supply sensation to the outer thigh It's important to remember that an artificial hip isn't as good as a natural hip. It has some limitations; for example, extreme positions such as squatting aren't recommended because of the risk of dislocation. About 1 in 10 people have some pain around the hip that won't go away after the operation. And most people who have hip replacements don't have continuing pain. After the operation you may find that one leg is slightly longer than the other. Other risks that accompany joint replacement surgery include infection, injury to a blood vessel, and loosening of the new joint over time. The most common later complication of hip replacement surgery is an inflammatory reaction to tiny particles that gradually wear off of the artificial joint surfaces and are absorbed by the surrounding tissues. The inflammation may trigger the action of special cells that eat away some of the bone, causing the implant to loosen. Medical scientists are experimenting with new materials that last longer and cause less inflammation. However, because more people are having hip replacements at a younger age, and wearing away of the joint surface becomes a problem, replacement of an artificial joint, which is also known as revision surgery, is becoming more common. It is more difficult than first-time hip replacement surgery, and the outcome is generally not as good, so it is important to explore all available options before having surgery. It is often not commonly known that there is a limit on the number of revision surgeries, each time more of your bone is removed and there will be not enough left to do further procedures. The problem with hip replacements is that they don’t last long. It is best to hold off on THP as long as one is able, because it is only safe to do a total of three replacements in a lifetime. Yes, it can improve pain levels but you may pay for it with a poor life quality at later life, if you’ve had the first replacement too soon. If you are at the point they will consider it then by all means. But be aware it's not just waiting lists and funding that influences them. It's the qualifying criteria as well. You can self assess:	pctek (84)
1433326	2017-03-28 09:09:00	Criterion Category Descriptions – Assign patient to highest scoring category that applies Pain Points No Pain 0 Episodic activity-related pain 4 May use occasional analgesics 4 Daily pain with weight-bearing activity 10 2-3 times/week pm use of simple analgesics/NSAIDs 10 Pain which cannot be ignored with activity and at rest 19 Sleep disturbance 2-3 times / week due to pain 19 Daily analgesics/NSAIDs 19 Dominates life and interferes with sleep every night 27 Pain poorly controlled by analgesics 27 Personal Functional Limitation No Limitation 0 Minimal restriction of personal activitiese.g. trouble reaching toes 3 Walking stick used for longer walks 3 Moderate restriction of personal activities e.g. requires help with socks/shoes 9 Requires help cutting toenails 9 Use of walking stick indoors and outdoors 9 Severe Restriction of personal activitiese.g. requires help with dressing or showering 18 Consistently uses 2 crutches or wheelchair 18 Social Limitation No Limitation 0 Mild Restrictione.g. can’t walk >1 hour 4 Some limitation of leisure activity e.g. golf or tennis 4 Moderate Restrictione.g. can walk 15-60 mins 10 Significant limitation of leisure activity 10 Can manage garden or bowls 10 Severe Restriction e.g. can’t walk > 15 mins - slow 19 Difficulty with steps or stairs 19 Severe limitation on leisure activity – can’t maintain garden 19 Requires help with shopping 19 Some limitation to work 19 Profound Restrictione.g. confined to the property 23 Shopping done by others 23 Requires meals or other domestic help 23 Can’t work due to orthopaedic condition 23 Potential to Benefit from Operation Small Improvement Likely – significant residual symptoms +/or functional limitation 0 Moderate Improvement Likely – some residual symptoms +/or functional limitation 6 Return to near normal likely – asymptomatic + full return of function 6 Consequence of delay >6 months Little risk will deteriorate over next 6 months 0 Considerable risk will deteriorate and result in increased disability during next months 7 Likely to progress to major complication during next 6 months , e.g. impending fracture or structural failure 24 CPAC 65+ Up to 4 months Waiting CPAC below 64 Not Accepted	pctek (84)
1433327	2017-03-28 14:45:00	I totally agree with PC here - and now we know the area of expertise PC has. That information is exactly as my doctors have told me: When your quality of life is impacted, then is the time to do something about it. But the biggest consideration is the age of the pt. I know that MOST men will die WITH an enlarged prostate gland - not die BECAUSE of it. Not saying that it cannot cause trouble at a younger age - but there is a point where it isn't indicated as a 'better lifestyle' improvement. I've seen THRs on 95 y/o totally bedridden, cancerous and mentally addled patients that were just surgery for a cash grab by a doctor as there's NO WAY it was to improve a lifestyle for that pt. Cataracts are one counter-consideration. In days of old - the pt was advised to wait for the cataract to 'ripen' correctly. That was nonsense. I had my eyes repaired at 50 - 'cause that's when it impacted my life significantly. I do not regret that intervention at all. It was timely, it improved my lifestyle and it was necessary for me to drive and generally interact with society (think: "JOB"). But again - I totally agree with PC here. Good on ya.	SurferJoe46 (51)
1433328	2017-03-28 21:18:00	When your quality of life is impacted, then is the time to do something about it. Yeah. If you can. Friend of mine is 40 in a couple of months. She just asked be to look some stuff up for her. For the last 12 years she has had problems with her spine. Spines are not fixable really. She was in IT, earned mega-money, got married, bought house, had kid (that was a contributing factor to the mess). She went from that to divorced (cause he couldn't handle it all), back home with her dad and on the DPB. Things are better now, she remarried, but she will never work again. She has had 12 surgeries already. She just saw one of the surgeons again yesterday (private as the public ones have dumped her). So having looked it up, the news is depressing. She has significant nerve damage, she has a fusion in lumbar and titanium discs in cervical. Thoracic is munted too but not yet an "issue". This means it is, but when it becomes an "issue" she will be paralysed. So they have said. She has some dead spots, right side pretty much, from waist down to feet. Not total but pretty messed up. She has continual pain, burning, stabbing, inability to use various parts of her self etc. She is incontinent partly. So things will and are getting worse. From what I have looked up for her, there isn't much else they can do - or should try. That's why public won't see her now. She risks more nerve damage if they do, and will get more if they don't. The sort of good part is eventually the nerves die. That will kill the pain and stuff. It will also kill her ability to use the affected parts. Not sure which is worse. She has been to pain clinics, had all sorts of alternative treatments, all sorts of medication. She lives on morphine now. It helps, but of course it zonks her out. Partly why I am looking stuff up today for her. My mum has spinal arthritis, I'd say she is approaching my friend in terms of damage. But mu mum is 85 this year, not 40. I have lumbar arthritis too. Mine is minor. One day it won't be but my bits, compared to my friend, I have nothing to complain about at all. Not all of it can be "fixed" like hip or knee replacements. Her surgeries helped some earlier on. But ultimately? And now she pretty much can't have anything else done. Bloody depressing for her.	pctek (84)
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