Northwestern Medicine - Empower Health

Winter 2017

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ARE YOU SUFFERING FROM DEBILITATING HIP PAIN? A NEWER, MORE EFFECTIVE, LESS INVASIVE HIP SURGERY JUST MIGHT BE THE TICKET. Like Night and Day In February 2015, a local chiropractor referred 61-year-old Glen Janeway to Dr. Jain for increasingly debilitating pain he had been experiencing in both hips for several years. The pain was extensive, reaching deep into his back. In April— just two short months after Glen's consultation—Dr. Jain performed total hip replacement surgery on Glen's left hip, which was in worse condition than his right, using a traditional approach. It took some time and great effort, but Glen recovered and had a favorable outcome. However, his right hip, which was continuing to worsen, was still in need of repair. A year later, in April 2016, Dr. Jain replaced Glen's right hip via an anterior approach. "The second surgery was so much easier," Glen says. "By no means is hip surgery easy, but the anterior approach allowed me to get up and walk—and even climb stairs—mere hours after surgery. I was doing so well after surgery that I was able to go home the same day of the procedure. The pain wasn't near what it had been with the first surgery, and I recovered much faster. The difference between the two approaches is simply amazing. "I can't say enough good things about Dr. Jain and his team," Glen continues. "They are absolutely phenomenal— they completely changed my life." CONSERVATIVE, NONSURGICAL TREATMENTS are certainly more favorable than having surgery. However, when those treatment options have been exhausted and little to no relief has been found, surgery may be the only option. Traditional hip replacement surgery is invasive, involving a long incision either on the side of the hip, a lateral approach, or on the back of the hip, a posterior approach. "Both of these traditional techniques involve detaching the muscles and tendons surrounding the hip, which causes considerable pain after surgery as well as a longer recovery time and reduced functioning of the hip," says Dave Smith, DC, PT, joint care coordinator at Northwestern Medicine Kishwaukee Hospital Joint Center. "Until recently, these techniques were the most widely used for total hip replacements." In the last several years, however, a direct anterior approach—a minimally invasive technique involving a smaller incision on the front of the hip, allowing the joint to be replaced without detaching any muscle—has become increasingly available to patients across the country. "The anterior approach is a superior technique by far," says Orthopedic Surgeon and Medical Director of Northwestern Medicine Kishwaukee Hospital Joint Center Rajeev Jain, MD, who is fellowship trained and specializes in this innovative surgical technique. "It's a muscle-sparing approach that allows surgeons to restore the joint in a much less invasive manner, which helps considerably reduce post-surgical pain, speed recovery time, and restore more normal function after surgery. "Furthermore, the anterior approach enables patients to go directly home the same day of surgery—or worst case, the next morning—without needing to stay at a rehabilitation facility," Dr. Jain says. Northwestern Medicine Kishwaukee Hospital Joint Center is the first in Illinois to receive The Joint Commission's Gold Seal of Approval ® for Advanced Certification for Total Hip and Total Knee Replacement. HIP REPLACEMENT Se Dy Hoe the AND Glen with Dr. Jain 10

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