1-800-4BAYLOR January 2010 Her Heart - I f you have osteoarthritis in your knees and hips, you may find,

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  • 1-800-4BAYLOR January 2010

    Visit BaylorHealth.com for informative videos, interactive quizzes, online event registration, and much more.

    5 pains you should never ignore! page 2

    Joint replacement surgery gets you back on your feet page 3

    In a heart emergency, count on Baylor Irving page 4

    Could cherries help ease the pain of arthritis? page 5

    As Becky Drake learned, the signs of a heart attack can be subtle for women page 6

    Her Heart

    FdBL011005_Irving.indd 1 11/10/09 9:20:14 AM

  • Sore shoulders. Aching hips. Throbbing knees. Just a few of life’s little reminders that your age is catching up with you, right? Maybe not. Many of those aches and pains you’re living with may be signs of an underlying, treatable condition. And ignoring that pain may only make the situation worse.

    Trouble Spots R. Mills Roberts, M.D., an orthopaedic surgeon on the medi- cal staff at Baylor Medical Center at Irving, says that swelling, unrelenting joint pain especially at night, and feeling a joint catch or give way are concerns. Here are some of the trouble spots he commonly hears about.

    1. ShoulderS. A lot of people think a sore shoul- der stems from tendinitis or arthritis, but it could also be a rotator cuff injury. If pain continues for more than two weeks, he sug- gests getting it checked out. In many cases, anti- inflammatory medications, steroids and physical ther- apy can help.

    2. hipS. If bursitis is causing your hip pain, anti-inflammatory medications, injections and physical therapy may be able to help. Some injections also help with arthritis pain.

    3. KneeS. For arthritis pain, joint injections can help cushion, lubricate and protect knee joints. Physical therapy can help with knee pain, too.

    4. Feet. For foot pain, your doctor will want to check for a stress fracture, which often heals with a walking boot and rest if it’s caught early.

    5. heelS. Heel pain is a common problem that shouldn’t be ignored. Plantar fasciitis—an irritation on the bottom of the heel—is often the cause. Stretching, shoe inserts and steroid injections can help. Untreated heel pain can lead you to change the way you walk, triggering knee, hip or back pain.

    Two to Tolerate Two types of pain you can probably tolerate without treatment:

    1. ArthritiS pAin that strikes multiple joints might be triggered by the weather, activity or your diet, so watching your diet—avoiding red meat and fatty foods can help ease joint pain—will help you know what to expect.

    2. MuScle SoreneSS after exercise is normal. l By Stephanie Thurrott

    Five Aches and pains … … you should never ignore and two you can

    pinpoint the pain If you need help determining whether or not your pain is serious and needs to be treated, see your doctor. To find an orthopaedic physician on the medical staff at Baylor Irving, please call 1-800-4BAYlor or visit Finddrright.com.

    2 BaylorHealth January 2010 l For a physician referral, visit FindDrRight.com Cover photograph by Tadd Myers; hair and makeup by Dane Nelson

    Baylor Medical center at irving 1901 N. MacArthur Blvd. Irving, TX 75061 • 972-579-8100

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    BaylorHealth is published six times a year by McMurry. © 2010 Baylor Health Care System.

    The material in BaylorHealth is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

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    If you are receiving multiple copies, need to change your mailing address or do not wish to receive this publication, please send your mailing label(s) and the updated information to Robin Vogel, Baylor Health Care System, Marketing Department, 2001 Bryan St., Suite 750, Dallas, TX 75201, or e-mail the information to robinv@baylorhealth.edu.

    FdBL011005_Irving.indd 2 12/10/09 9:32:38 AM

  • If you have osteoarthritis in your knees and hips, you may find, as time goes by, that you can no longer control your pain, and the difficulty walking can take a toll on the activities you enjoy. That’s when you might want to consider knee or hip replacement.

    Your doctor will evaluate your condi- tion, examine X-rays of your joint and decide whether joint replacement is right for you.

    If you decide to have a joint replaced, the first step will be a pre-op class, where physical therapists and nurses explain what the process will be like. You’ll also be screened for MRSA (methicillin-resistant Staphylococcus aureus), and if you test positive for the germ, you’ll follow a pro- tocol to try to eliminate it and decrease the likelihood of a surgical infection.

    You’ll have all your paperwork done ahead of time, so on the day of surgery you won’t have to worry about those details. Your doctor will perform the operation, and most people who have a hip or knee replaced typically go home the third day after surgery.

    “We try to get patients up and walking, bearing their weight, on the day of sur- gery for patients who have surgery in the morning, and the next day for patients who have surgery later in the day,” says Robert Bayless, M.D., an orthopaedic surgeon on the medical staff at Baylor Medical Center at Irving. “The quicker patients are up and out of bed, the less likely they are to have complications such as blood clots and stiffness.”

    While in the hospital, everyone who has had joint replacement has both individual and group physical therapy. “The group physical therapy helps build camaraderie and competition,” says Dr. Bayless. “When one patient sees another mov- ing their joint better or walking farther, it inspires them to do the same.”

    After three days in the hospital, the most active patients will be able to go home and have outpa- tient rehab. Most people will go home and have physical therapists and nurses visit their house. Those patients who are not ready to go home, typically the frail elderly, can be admitted to the hospital’s rehab unit for a week, or longer if needed. l By Stephanie Thurrott

    Walk This Way Joint replacement can get you moving without pain

    Take the Next Step To find out more about Baylor Irving’s orthopaedic pro- grams, call 1-800-4BAYLOR or visit BaylorHealth.com/ IrvingOrtho.

    Visit us at BaylorHealth.com l January 2010 BaylorHealth 3

    FdBL011005_Irving.indd 3 11/10/09 9:21:23 AM

  • Most people think of heart attacks as something that hap-pens to people in their 50s, 60s and beyond. And often, that’s the case. But if you just don’t feel right, it’s impor- tant to seek help. Just ask Paul Engele.

    Engele, of Lewisville, was only 39 years old and fi nishing up a game of basketball with friends when he had some trouble breath- ing. “No matter how hard I’d breathe, I just couldn’t catch my breath,” he says. And he felt tired, so exhausted, in fact, that he wanted to rest in his car before driving home. But he didn’t have any classic heart attack symptoms such as arm, shoulder or chest pain.

    Concerned, his friends called an ambulance, and when they arrived, the paramedics started treatment for a suspected heart attack and transported him to Baylor Medical Center at Irving. As he arrived at the hospital, he started to experience jaw and shoulder pain, and tests showed signs of a heart attack.

    Doctors discovered that two of his arteries were almost completely blocked, and they quickly threaded stents through a small groin incision to the sites to clear the blockage and get blood fl owing again.

    Engele was able to go home the next day and went back to work in a week or two. With quick treatment, his heart didn’t suff er any permanent damage, so once he healed he could go back to his exercise routine and basketball games. Because his fam- ily history puts him at high risk for heart disease (both his father and grandfather had heart attacks), he needs medication to help control his blood pressure and cholesterol levels, along with the healthy lifestyle he was already

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