Diabetes is a serious, chronic disease that affects the ability of the body to produce or use insulin. Unless treated properly, this results in unstable blood glucose levels, and may lead to complications such as nerve damage. Another problematic aspect of diabetes is that it can complicate orthopaedic surgery . Diabetics will need more careful preparation before surgery than most other patients.
Potential Risks of Surgery
Your orthopaedic surgeon will help you understand the ways in which diabetes can affect your health during and after surgery. Due to inhibited blood circulation, diabetics tend to heal more slowly, and they may be at an increased risk of infections at the surgical site. There is also an increased risk of:
- Heart problems
- Kidney problems
- Fluid and electrolyte problems
- Poor blood glucose control before, during, and after surgery
Effective Approach to Blood Glucose Management
With careful planning, it’s possible to minimize these risks. Your surgeon may coordinate with your primary care doctor or endocrinologist to plan a safe surgery for you. You will need to:
- Inform the surgeon of all of your medicines
- Inform the surgeon of any diabetes complications you may have
- Discuss whether you need to temporarily discontinue diabetes drugs
- Follow a strict plan to control blood glucose during the week prior to surgery
- Take the recommended dose of insulin the night before or day of surgery
Expect to have your blood glucose checked when you arrive at the orthopaedic surgery center. If it’s too high, your surgery may need to be rescheduled. Otherwise, the anesthesiologist may give you insulin during your surgery, as needed.
Considerations for Post-Operative Recovery
Follow your doctor’s recommendations for checking your glucose after the surgery. During this time, the following factors can affect your blood glucose control.
- Nausea and vomiting
- Difficulty eating
- Reduced physical activity
- Post-operative medications
Call your doctor right away if you notice signs of an infection, or if you have problems with glucose control.
At MK Orthopaedics , the safety and well-being of our patients are our highest priorities. Our orthopaedic surgeons in Joliet have plenty of experience working with high-risk patients who have multiple medical issues, and we can develop a surgery plan that’s right for you. Get in touch at (815) 741-6900.
Rheumatoid arthritis is an autoimmune disease, and a chronic, inflammatory condition. It involves painful, debilitating symptoms of the joints and tissues throughout the body. Rheumatoid arthritis occurs when the immune system attacks healthy tissues, causing inflammation and damage that can grow progressively worse over time. There’s no cure for rheumatoid arthritis, but orthopaedic doctors recommend treating the disease as early as possible. Otherwise, patients run the risk of more severe, widespread damage.
The treatment recommendations for rheumatoid arthritis can depend on the exact stage a patient is in. During this earliest stage, the joint capsule is inflamed and the synovial tissue is swollen. Patients will experience joint pain with movement, stiffness, and swelling. Upon examining X-rays, doctors will generally not notice any signs of joint destruction, although there may be some bone erosion.
Stage two is moderate rheumatoid arthritis. Patients are diagnosed with stage two when the inflammation of the synovial tissue begins to spread and affect the cartilage of the joint. As the cartilage is destroyed, the joint pain is accompanied by loss of range of motion and mobility in that area.
Stage three is severe rheumatoid arthritis. Patients in stage three will experience worsening, debilitating pain. The affected joint can be severely swollen, and patients are likely to experience a loss of mobility, and perhaps poor muscle strength. The joint may start to look physically deformed. During stage three, the inflammation starts to destroy the bone, as well as the cartilage.
Stage four is terminal or end-stage rheumatoid arthritis. The inflammatory process ceases. Fibrous tissue forms, and the joints no longer function due to the severe damage. Nodules, or bumps, can be visible under the skin. Patients will still suffer from pain, stiffness, and loss of mobility in this stage.
Rheumatoid arthritis is one of the many conditions we can treat here at MK Orthopaedics. Our orthopaedic doctors in Joliet are committed to helping each of our patients live full, active lives without painful symptoms. Call (815) 741-6900 to request a consult with an orthopaedic doctor.
For most sports teams, there is an unseen team member who rarely makes the highlight reel: the team’s orthopaedic doctor. Having an orthopaedic doctor on the sidelines is essential for many sports teams, especially professional organizations that need fast, accurate care for their players.
When orthopaedic doctors are on the sidelines of games, they are able to instantly evaluate sports injuries and consult on RTP—return to play—decisions. They can also begin treatment immediately for injuries that happen during the game and coordinate post-game care when necessary. Orthopaedic doctors can also help teams comply with any league or organizational rules for injury evaluation and treatment and provide education for the coaching and training staff about reducing the risk of sports injuries.
MK Orthopaedics is proud to have our orthopaedic doctors on the sidelines for athletes through our Sports Team Partnership . Find out how to protect your team from injuries and how to get instant access to sports medicine care by contacting our office today at (815) 741-6900.
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