Magazine

Magazine

Ask the Orthopedist – Is a Hip Replacement in My Future?

QUESTION: The osteoarthritis in my hip is getting worse. Is there a way to avoid a replacement?

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ANSWER: First let’s define osteoarthritis. Sometimes referred to as degenerative joint disease, osteoarthritis is the breakdown of cartilage in the joint and is a very common condition, especially as we age. It’s the result of wear and tear on our joints and can result in inflammation, stiffness and pain.

There are some factors that may increase the speed at which the joint develops osteoarthritis, such as overuse, an injury to the joint, previous surgeries, obesity and other health issues. The cartilage in the joint breaks down through a combination of time and any one of these factors. The severity of the arthritis will determine how much intervention may be required to ease pain.

TREATMENT OPTIONS

Osteoarthritis is first treated with over-the-counter or prescription pain medications. Physical therapy also can be helpful to strengthen the weakened joint and improve range of motion. Short-term relief may also be found through cortisone shots for pain and/or gel injections that lubricate and increase the shock absorption of the joint.

When these conservative measures are no longer helpful, surgical intervention through a joint replacement may seem like the only option. However, advancements in regenerative therapies are providing a new hope for many patients struggling with arthritis pain and can delay or possibly even prevent the need for a joint replacement. These newer treatments use biologic elements such as your own adult stem cells and platelets to ease pain. In many cases, they may regenerate lost cartilage and strengthen the joint.

Regenerative medicine procedures activate your body’s own stem cells to encourage healing and to speed repair for bone, muscle, joint, soft tissue and nerve injuries. With this treatment, doctors can concentrate a sample of your stem cells taken from your bone marrow and fat tissue.

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We Think We Love You

The older we get, the better the ’70s look.

“When We’re Singin’ — The Partridge Family & Their Music” is an extensively researched book with a full-color 64-page section of photos. The best part? It’s written by Canton-area author Johnny Ray Miller.

Miller spoke at length with the cast. David Cassidy wrote the Tiger Beat favorite David Cassidy foreword, his first ever.

The book is focused on the music of The Partridge Family but also features the essentials from the TV show, with fun stories from the set. Until now there have been only episode guides for the show.

Fans of the show, David Cassidy, and ’70s music in general have a comprehensive look at that era with this recently published book.

“I think we all have something from our childhood that we latch onto that serves as an escape for us when we need to get away from the craziness of today’s world,” Miller says.

“We like to reflect back on whatever that innocence was of that time in our childhood. For a ton of us out there, that innocence was ‘The Partridge Family.’”

“When we’re Singin’ — The Partridge Family & Their Music” is available online at whenweresingin.com.

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Bullet Journaling: No Pressure, No Weapons (We Promise!)

When we were kids, many of us owned (or tried to sneak a peek at) one of those cloth-covered diaries that  opened with a tiny, gold key.

So full of promise, of secrets, of — dare we admit — guilt.

We may have started our diary keeping with a sharp pencil and high hopes. We pledged to write our deepest secrets each day, the clean pages stacked with crisp potential.

Then we skipped a day, or two. And the diary became a tangible reminder of our failure to follow through. Who could plan for the future when we didn’t have the discipline to scribble a few thoughts on a diary page?

Diary keepers, you can skip this part. You’ve already made the transition to journaling with your stacks of leather-bound volumes detailing a life of reflection.

Bullet journaling is for the rest of us. Colored pens, gridded pages, tabs. This inspired list making/sketchbook/diary/calendar/to-do list is a mindful reflection of plans and dreams: no guilt required. If you write notes on a calendar, you’re already partway there.

Check out bullet journaling on Pinterest or go to bullet journal.com to get started. Toss the gold key and guilt and get a fresh start in the New Year.

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Pump It Up

February is American Heart Month. We all want to live longer. Thanks to heart health guidelines for preventing heart disease and stroke — the leading causes of death in the world — we now have a better understanding of how to do it.

“It doesn’t matter if you are 9, 29 or 79 — there is always a way to get your health on track,” says Sharon Minjares, director of the Wellness Institute at Lake  Health and an advocate for the American Heart Association. “Whether you want to lose weight, quit smoking, lower your stress or just feel better in general, when you make your health a priority, you can lower your risk of heart disease and stroke.”

Prevention begins with an assessment by your healthcare provider that considers your race, gender, age, heart, stroke risk and high blood pressure. Personalized treatment focuses on four critical areas: obesity, cholesterol, lifestyle, and assessing risk for heart disease, stroke and other cardiovascular diseases based on family history.

The AHA still promotes diet and exercise as key for keeping your weight in check, but now suggests a team-based weight-loss treatment plan and strategies for slimming down work better for most people.

Remember hearing about that “bad cholesterol number”? It is not a main factor in guiding treatment these days. Instead, your overall health status and risks are the guide.

Exercise and diet works. As a guideline, 40 minutes of exercise three to four days a week should become part of your lifestyle. Eating lots of fruits and vegetables daily promotes good overall health, too. Reducing salt intake helps reduce your blood pressure in most circumstances.

The AHA recommends at least 150 minutes per week of moderate exercise, or 75 minutes a week of vigorous exercise (or a combination of moderate and vigorous activity). You can divide that time into three or four segments of 10 minutes per day.

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No Job Left Behind

Gas station attendant or convenience store clerk. It’s a toss-up which was my all-time favorite job (besides being editor of this magazine, of course).

I worked at a Medina gas station during college break in the summer of 1979. It paid slightly more than minimum wage — a big selling point. I pumped gas, checked oil and washed windshields.

My boss was aggressively crazy but fiercely protective of her student employees. She encouraged us to make up cash shortages by “hanging the pumps” — dangling the handle in a way that didn’t reset the pump. The next customer’s sale then started at a slightly higher amount.

Tied for best job was my summer at the Stop N Go store in Hinckley. I worked the 3-to-11 p.m. shift; Slush Puppies and popcorn were free.

Never great at math, I soon got fast at figuring out change because the cash register tallied total sales but didn’t calculate cash back. A low point was when my underage brother and his friends came in just before closing, grabbed several cases of cheap beer from the back cooler and plunked a wad of cash on the counter. I spent weeks afraid that I’d be arrested and have to delay my return to Miami University.

I’ll save my worst jobs for another column, but cooking Roman Burgers at Mr. Hero is right up there.

Jobs, careers, whatever you call them, finding the right fit has a lot to do with luck, education and a certain amount of pluckiness. An open mind helps, too. Skills acquired from a job build on each other, putting together invaluable knowledge that comes in handy in unexpected ways.

If you’re looking for a change, regardless of the reason, check out our package of stories starting with our cover couple, Debbi and Rick Sands (page 22).

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Holiday Memories – How Local TV Took Christmas in a Great New Direction

Here’s one for you: Remember when the Christmas season started the day after Thanksgiving and ended Jan. 1? My wife, Janice, and I track the first mention of Christmas every year (a Wal-Mart ad on Labor Day this year) and then see how long it takes before every last decoration is taken down. Even so, we love the holiday season and all the memories that come with it.

Local TV and radio gener – ated a lot of those memories. WEWS was the first TV station in Ohio, and its first broadcast in 1947 was the annual Cleveland Press Christmas Show from Public Hall. They brought out the big guns, too. Jimmy Stewart, the star of “It’s a Wonderful Life,” hosted, and word is it was a spectacular show.

A TREE AND A KEY Those were the days when people went to downtown Cleveland for first-run movies, nightlife and shopping; the Christmas season kicked it into high gear. You saw the giant tree at the Sterling-Lindner Davis department store, got lunch in a little toy stove at Higbee’s Silver Grille, and then a visit to the “Keeper of the Keys,” Mr. Jingeling on Halle’s seventh floor.

Starting in the mid ’50s, Halle’s ran a Mr. Jingeling segment on Captain Penny’s show on WEWS every day beginning the day after Thanksgiving and usually ending a day or two before Christmas with an hour-long special.

It was a daily story with Mr. Jingeling and the Play Lady spinning some sort of a tale that involved the latest toy. Remember, this was live TV, and after the show, Max Ellis, Earl Keyes or one of the other actors who played Mr. Jingeling headed back to Halle’s to meet fans and hand out special paper keys.

It was so cool to be a kid in Northeast Ohio back then.

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Year-End Donations – Give Wisely – Don’t Get Scammed

As the holidays approach, people start thinking about making charitable donations. But take care with those well-meaning plans. Each year, crooks use scams to cheat people and to steal millions of dollars intended for charities.

The problem is that these scams are hard to identify. For example, the Federal Trade Commission in May filed a lawsuit against the Cancer Fund of America, the Children’s Cancer Fund of America and the Breast Cancer Society.

These charities, which have existed for years, have raised more than $200 million, yet only about 3 percent of their money went to cancer patients, research or treatment, according to the FTC. The trouble is that when someone gets a phone call from an organization such as the Children’s Cancer Fund of America, it sounds legitimate and well-meaning, so people donate money.

DOORSTEP SCAMS

Some scams are closer to home. A few years ago, a teenager along with an older gentleman, asked local business owners to contribute to a Muscular Dystrophy Association bike ride. In exchange, donors were promised discounted Cedar Point season passes. Instead, the scammers pocketed the cash.

This is a big problem with a solution. Look at the FTC and Ohio Attorney General websites to help identify scams targeting people who want to donate to charities. For example, the FTC recently issued a warning about charity scams in connection with recent floods in Louisiana.

SO WHAT SHOULD YOU DO IF YOU WANT TO CONTRIBUTE TO CHARITY?

Here are five steps to take to make sure your money goes to the charity you want

1 Research the Charity.

If you are not familiar with the charity you can research it on the FTC website, consumer .ftc.gov. You can also research on the Ohio Attorney General’s website, ohioattorneygeneral.gov, to find charities registered in the state.These websites have links to organizations such as Charity Navigator, Charity Watch and Guide Star, which provide valuable information about charities, including how much they spend on charitable activity versus payroll and other overhead.

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Ask the Orthopedist – Spinal Stenosis: More than a Pain in the Back

QUESTION: Why does my leg hurt and feel numb sometimes? Is this related to my lower back?

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ANSWER: Numbness or tingling sensations in the legs could definitely be related to your back. What you are describing sounds like lumbar spinal stenosis, but it’s important that you have your spine evaluated to determine the exact cause and course of treatment.

Another problem that can cause numbness is neuropathy, which is a complication from diabetes, or peripheral vascular disease. Seeing a spine specialist can help pinpoint the problem.

Stenosis is a medical term simply meaning narrowing, so essentially this is “spine narrowing.” The nerves of the spine are getting pinched as they exit from the spinal canal through the center hole between the bones, which is called the foramen.

This nerve compression can result in sciatic pain that radiates down through your leg. You may also feel a loss of strength and fatigue in the legs as the sciatic nerve is pressed and becomes inflamed and irritated.

Many find that leaning forward may relieve the pressure and stop the pain — this is referred to as the “shopping cart sign.” It’s also common for this type of pain to happen during specific activities, or it can come and go rather than being a constant sensation.

A combination of conditions can lead to spinal stenosis, including facet arthritis and disc degeneration, which occurs in everyone to some extent, through aging. As we get older, the height between the vertebral bodies is decreased, thus reducing the space available for the nerves to exit from the spine. Pinched nerves are a very common occurrence.

WHAT CAN YOU DO?

First, have your spine evaluated by an orthopedic surgeon to determine the severity of your condition. Although it is best to start with a surgeon, most cases will be treated non-surgically.

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