Surgery Archive

People with knee arthritis who don't feel ready for joint replacement can take a number of steps as they ponder the possibility. These include getting knee injections or wearing a brace to reduce pain, modifying activities (such as exercise) that aggravate knee pain, losing weight to take pressure off the knee joint, exercising more to help with weight control, seeking physical therapy, getting underlying health conditions under control, doing research about knee replacement, and talking to an orthopedic surgeon.

A pre-surgery consultation with the surgeon can feel overwhelming. Many people are anxious and have questions about what's to come. Setting the right expectations on both sides can ease anxiety and help define a successful outcome.

Pain in the shoulder, elbow, or wrist without obvious injury is common. Possible causes include arthritis, bursitis, frozen shoulder, rotator cuff tear, tendinitis, or nerve compression in the carpal tunnel or the cubital tunnel. Home remedies include rest, ice, compression, or elevation; over-the-counter anti-inflammatory pain relievers; and devices such as a splint or brace. Other treatments include physical therapy or steroid injections. Surgery is usually a last resort.

A 2022 study found that physical therapy works as well as surgery for degenerative meniscal tears in the knee, an injury related to tissue aging that can lead to osteoarthritis. This approach offers an alternative for people concerned about surgery's costs and possible complications.

Groundbreaking cancer treatments continuously emerge from labs and research trials. Three Harvard oncologists share what stands out in their respective fields of prostate, lung, and colon cancer, the most common cancers among men. Examples include greater roles for immunotherapy, targeted therapy, and intensive hormonal treatments.

Weight-loss surgery is now viewed as a way to both prevent and treat health problems linked to extreme obesity, such as diabetes, heart disease, and sleep apnea. Annually, more than 250,000 Americans undergo bariatric procedures, which can help extend their lives. Weight-loss procedures include sleeve gastrectomy, gastric bypass, and gastric banding, which reduce stomach size and change the way the body absorbs food. The surgery adds to other weight-loss measures such as diet, exercise, and medications.

After surgery unrelated to the heart, a diagnosis of atrial fibrillation (afib) may be more common than previously thought. These cases, which may constitute 13% of new afib diagnoses, appear to be undertreated.

Anti-clotting medications have a well-known and fairly common effect: a heightened risk of bleeding. Being older, having certain health conditions, and taking certain drugs (including popular over-the-counter pain relievers) can increase this risk. Minor bleeding includes bleeding gums after toothbrushing or flossing and nosebleeds that take longer than usual to stop. Signs of more serious bleeding (which requires immediate medical care) include tea-colored, pink, or red urine; blood in the stool or black, tarry stools; or a sudden, severe headache.

Benign prostatic hyperplasia, also known as an enlarged prostate, occurs in about 50% of men by age 60. It can lead to urination problems like a hesitant, interrupted, or weak urine stream; dribbling after urinating; a feeling that the bladder does not completely empty; and more frequent urination, especially at night. Medication and lifestyle changes are the first-line treatments, but if these don't work, men can choose from several types of surgery or less-invasive procedures to help manage symptoms.

There are many choices for lenses to replace a cataract. Examples include lenses that allow a person to see clearly at a single distance, or at several distances. Some types can correct astigmatism. When deciding which lens to choose for cataract surgery, people should consider costs, daily vision needs, existing vision problems, and pros and cons; for example, some lenses have more vision range than others, but also have risks of glare at night; some lenses still require a person to use glasses for up-close or distance vision.