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Jaw clicking or popping? Learn about TMJ

Jaw clicking or popping? Learn about TMJ
Jaw clicking or popping? Learn about TMJ

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Have you noticed your jaw making a popping or clicking sound? Does it hurt to open your mouth widely at the dentist? Or maybe it’s sore when taking a large bite of something. If so, chances are good that you could be experiencing a TMJ disorder.

Temporomandibular disorders (TMD, often called TMJ) are very common, affecting an estimated 10 million Americans. Learn more about this uncomfortable jaw condition and the many ways it can be treated.

What is the temporomandibular joint (TMJ)?

TMJ stands for temporomandibular joint. You have two, one on each side of your face, just in front of your ears. These joints serve as the connection between your jaw and your skull, as well as the muscles in your face, enabling you to do everyday things like talk and chew.

What is TMD?

TMD (temporomandibular disorder) is a medical term used to include a wide range of conditions characterized by pain and/or dysfunction of the temporomandibular joints and associated structures (such as the chewing muscles, tendons and ligaments). But often the term “TMJ” is used to describe any problem with that particular joint.

TMJ can be painful for some people, while for others the bigger problem is loss of jaw functionality. In some cases TMJ doesn’t require any treatment interventions, but the condition can still be bothersome – interfering with everyday activities like talking, eating or even sleeping.

Signs of TMJ disorders

While each person is different, there are some telltale symptoms of TMJ disorders to look out for, including:

  • Jaw pain or facial soreness
  • Headaches
  • Difficulty opening mouth widely
  • Pain when chewing
  • Clicking or popping sounds
  • Jaw locking open or closed
  • Jaw misalignment (feeling of jaw coming unhinged)
  • Bite feeling off or misaligned
  • Tinnitus (ringing in the ears)
  • Tooth pain
  • Earaches
  • Swelling along sides of face
  • Neck or shoulder pain

What causes TMJ disorders?

TMJ disorders can happen for a variety of reasons. Sometimes it runs in the family, while other times it’s related to your environment and the habits you have. For example, if you chew gum after every meal or clench your jaw when you’re anxious.

Here are some of the most common causes for TMJ:

  • Genetics
  • Grinding or clenching your teeth
  • Stress and anxiety causing clenching or muscle tension
  • Sports injuries leading to jaw misalignment
  • Anatomical irregularities of the jaw

How is TMJ diagnosed?

Dentists or primary care doctors typically diagnose TMJ disorders by listening to your symptoms and doing a physical examination. Frequently dentists discover and diagnose TMJ dysfunction during a regular dental checkup.

During the physical exam, the clinician will watch you opening and closing your mouth. This helps them observe your jaw’s range of motion and look for any misalignment. They will also press their fingers to your face looking for any tender areas. And, of course, your dentist will take a look inside your mouth. If you’re someone who clenches or grinds your teeth, there can be signs of wear or damage on your teeth consistent with the habit.

Additionally, dentists may order an X-ray to look more closely at the structure of your bones and temporomandibular joints, or an MRI to examine the soft tissues around the joints and any areas of swelling.

After diagnosis, your dentist will recommend the best treatment options for you. They may refer you to other specialists if they think it’s needed, including an oral maxillofacial surgeon, in rare cases.

How can TMJ disorders be treated?

Depending on the severity of your symptoms, your doctor or dentist may recommend a variety of treatment options.

Lifestyle changes and home remedies for TMD

For nearly everyone with TMD, it’s important to make adjustments to your everyday life to lessen the strain on your jaw joints and allow them to heal and align properly. Here are some home remedies that doctors and dentists often recommend before, or in addition to, other treatment methods to help improve symptoms.

  • Eat softer foods
  • Avoid chewing gum
  • Avoid certain jaw movements (like wide yawns or resting your chin on your hand for long periods)
  • Learn relaxation or facial stretching techniques (your doctor or dentist can show you relaxation techniques and stretches)
  • Apply heat/cold to sore or swollen areas (Tip: Apply an ice pack to the area for 10 minutes to treat pain or swelling. Afterward, do some facial stretches, then apply a warm compress to the area to relax the muscles. Do this as often as needed.)
  • Focus on not clenching or grinding your teeth (Tip: To improve the tendency, make an “N” sound. This puts the tip of your tongue on the roof of your mouth, behind your front teeth, making it difficult to grind or clench. Practicing this can form a positive habit that counteracts the urge to clench.)

Wearing a splint or nightguard

For people who clench or grind their teeth during their sleep, wearing a splint can be a game changer. These plastic mouthpieces can be custom made or bought as a standard size. They fit over your teeth and provide a stable surface for your upper and lower teeth to close on to improve alignment, reduce pressure and prevent tooth damage. Your clinician can help you figure out what will work best for you.

Wearing a mouthguard while playing sports

Dentists – and sports trainers and coaches – often recommend that athletes wear a mouthguard to protect their teeth and jaw from sports injuries. An impact to the face can jostle your jaw and joints, leading to misalignment or more severe injury.

Medication

Doctors and dentists may recommend taking OTC medicines like ibuprofen (Advil or Motrin) or acetaminophen (Tylenol) for occasional relief from pain and swelling. They may also prescribe anti-inflammatories, low doses of antidepressants or muscle relaxers to help ease the muscle tension in your jaw, temple, neck and shoulders. It’s important to follow all use recommendations for medications.

Physical Therapy

When people have a more severe case, or if they don’t see improvement with initial treatment methods, they may be referred to a physical therapist. Physical therapists focus on evaluating the overall head and neck musculoskeletal system and providing treatment recommendations tailored to each individual patient.

Things that can make TMJ worse

Some things we do can make TMJ worse. To prevent worsening symptoms, or avoid developing TMJ in the first place, try to avoid:

  • Grinding or clenching your teeth
  • Chewing gum (or no more than 15 minutes per day)
  • Opening your mouth widely (such as yawning widely or biting into things like apples or tall sandwiches)

When to see a doctor or dentist about TMJ

Experiencing a twinge of jaw pain every now and then is a normal part of life. Like when you take a bigger bite than you had planned. But if you’re noticing persistent symptoms of pain, difficulty opening or closing your mouth, or difficulty while talking or eating, it’s time to bring it up to your doctor or dentist.

Your primary care doctor or your general dentist is a great person to ask as a first step. You probably see them at least once per year, and they can help you understand what you’re experiencing. They may recommend remedies to improve your symptoms, or they may refer you to an orofacial pain specialist for more specialized TMD treatment.

To make a dentist appointment, find a dentist or choose a location and then call to schedule.

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Minnesota Monthly names 2022 Top Doctors

Minnesota Monthly names 2022 Top Doctors
Minnesota Monthly names 2022 Top Doctors

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Minnesota Monthly names 2022 Top Doctors | HealthPartners Blog

You want the best health, so it makes sense that you want the best health care team, too. At HealthPartners, we have hundreds of incredible care providers, giving you many choices when looking for a doctor who fits your needs and care preferences.

Our doctors are often recognized for providing the highest level of care. In fact, more than 120 of our doctors were recently named to Minnesota Monthly’s 2022 Top Doctors list. For some, this is a repeat honor, having made the list of Minnesota Monthly Top Doctors in 2021 or previous years. Some are also among those named 2022 Rising Stars and Top Doctors by Mpls.St.Paul Magazine.

To create their yearly Top Doctors list, Minnesota Monthly contacts thousands of doctors in the Twin Cities metro area and Olmsted County. Each doctor is asked to share three doctors within each specialty area that they’d recommend to others. The Top Doctors for the year are those with the most votes.

If you’re looking for your own “top doctor” to be part of your care team, you want someone you’re comfortable with and trust to help you reach your health goals. Below, you’ll be able to meet this year’s Top Doctors and explore doctors across a variety of specialties.

Our 2022 Minnesota Monthly Top Doctor honorees

Select a specialty to learn more about top doctors and find your own top doctor.

Allergy and immunology

Depend on our top-rated allergists to help you get relief from seasonal, skin and food allergies.

Cardiology and cardiac surgery

Our board-certified cardiologists and cardiac surgeons provide complete heart health, including preventive care, managing chronic conditions and recovery support.

Colon and rectal surgery

Our award-winning colon and rectal surgeons provide expert care for colon cancer, rectal cancer, inflammatory bowel disease, hemorrhoids, fissures, fistulas and more.

Cosmetic surgery

If you’d like to enhance your appearance, our award-winning cosmetic surgeons can help.

Critical care medicine

Our award-winning critical care doctors provide compassionate care for life-threatening injuries and illnesses.

Dermatology

Depend on top-rated dermatologists to provide expert care for your skin, hair and nails, helping to manage conditions like acne and hair loss, and monitoring your skin for signs of cancer.

Endocrinology and metabolism

Our award-winning doctors care for a range of endocrine conditions, including diabetes, thyroid disease, bone and calcium disorders, adrenal disease and hypogonadism in both children and adults.

Family medicine

Find top-rated family medicine doctors to provide a range of care to people of all ages – everything from treating minor injuries to managing conditions like high blood pressure, diabetes and more.

Gastroenterology

Find award-winning digestive health care for celiac disease, gastric reflux, liver and pancreatic disorders, gastrointestinal cancers, irritable bowel syndrome and more.

General surgery

Our award-winning surgeons perform a range of surgeries. No matter what type of surgery you need, you’ll find compassionate expertise and a customized treatment plan.

Geriatric medicine

Our top-rated geriatricians help elderly patients receive the best health care at home and in the clinic.

Gynecologic oncology

Depend on our award-winning experts for compassionate care and guidance for gynecologic cancers such as uterine cancer, endometrial cancer and cervical cancer.

Hand surgery

Our award-winning hand surgeons provide expert care for hand, arm and elbow injuries, strains, defects, arthritis and more.

Hospice and palliative medicine

Our award-winning hospice and palliative medicine specialists help patients find expert care and peace of mind during serious or terminal illness.

Hospital medicine

Whether you’re in the hospital for a scheduled surgery or for emergency care, you can expect to receive compassionate and expert support from our award-winning hospitalists.

  • Natalia Dorf Biderman, MD | Park Nicollet Methodist Hospital, Saint Louis Park
  • Alison A. Eckhoff, MD | Park Nicollet Methodist Hospital, Saint Louis Park
  • Daniel J. Sullivan, MD | Park Nicollet Methodist Hospital, Saint Louis Park

Infectious disease

Our award-winning specialists help with rare or hard-to-treat infections, including HIV/AIDs and other bacterial, viral, fungal or parasitic infections.

Internal medicine

Our top-rated internal medicine doctors care for adults, providing preventive care, health screenings, condition management and treatment for illness and injury.

Maternal and fetal medicine

Our award-winning doctors provide expert care and support during complicated pregnancies, gestational diabetes, preeclampsia and birth defects.

Nephrology

Our top-rated nephrologists provide expert care for kidney disease, kidney failure, infections, cysts, dialysis and other kidney conditions.

Neurology

Our award-winning neurologists care for conditions such as stroke, dementia, epilepsy, Parkinson’s disease, multiple sclerosis, severe pain and more.

Neurosurgery

Depend on our top-rated neurosurgery specialists to provide expert guidance and treatment for back surgery, spine surgery and brain surgery.

Obstetrics and gynecology

Our award-winning OB-GYNs support women throughout their adult lives and provide guidance for pregnancy, birth control, periods and menopause.

Oncology and hematology

Depend on top-rated oncologists to provide award-winning cancer care that’s personalized to each patient, using the latest medical knowledge, advanced therapies and innovative treatments.

Ophthalmology

Find award-winning eye care, for everything from routine eye exams to treatments such as cataracts, macular degeneration, strabismus, amblyopia and chronic dry eyes.

Orthopedic surgery

Our orthopedic surgeons provide award-winning care for the entire musculoskeletal system – from head injuries to foot injuries and everything in between.

Otolaryngology

Our ear, nose and throat (ENT) doctors provide award-winning care for conditions such as chronic infections, tinnitus, vertigo, hearing loss, tonsillitis and sinusitis.

Pain medicine

If you have chronic pain, our award-winning pain specialists can work with you to develop a treatment plan that gets you back to enjoying life once again.

Pathology

Our award-winning pathologists use laboratory techniques to help find answers during the diagnosis or treatment of different diseases and medical conditions.

Pediatrics

Our pediatricians are known for providing award-winning care for children, including everything from routine checkups, illnesses and injuries to managing medical conditions.

Plastic surgery

Discover award-winning reconstructive surgery to help you achieve your goals.

Podiatry

Our top-rated podiatry specialists treat many different foot and ankle conditions, such as tendonitis, plantar fasciitis, heel pain, arch pain, bunions, ingrown toenails and more.

Psychiatry

Our award-winning psychiatrists provide compassionate mental health support for people of all ages.

  • Christine R. Stanson, MD | Regions Hospital, Saint Paul
  • In-Lin Tuan, MD | HealthPartners West Clinic, Saint Louis Park

Rehabilitation

Our award-winning rehabilitation specialists include speech therapists, physical therapists, occupational therapists and more.

Respiratory and pulmonary care

Our expert pulmonologists provide award-winning care for your lungs. We treat lung disease, pneumonia, infections, emphysema, asthma and other breathing problems.

Rheumatology

Our expert rheumatologists treat painful conditions that affect your joints, muscles and ligaments, including rheumatoid arthritis, lupus, gout, psoriatic arthritis, scleroderma and vasculitis.

Sleep medicine

Our award-winning sleep medicine experts treat sleep apnea, snoring, narcolepsy, shift work disorder, restless leg syndrome and other conditions.

Sports medicine

Get award-winning sports injury care, rehab, exercise training and nutrition advice from top-rated sports medicine specialists.

Thoracic surgery

Our top-rated thoracic surgeons provide chest surgery for heart disease, cancer and swallowing problems.

Urogynecology

Our award-winning urogynecologists provide expert care for female incontinence and pelvic floor concerns.

Urology

Our award-winning urologists are recognized for expert and compassionate treatment of bladder control problems, kidney stones, prostate cancer, erectile dysfunction and pelvic floor concerns.

Vascular surgery

Our top-rated vascular surgeons provide award-winning carotid artery surgery, varicose vein surgery, abdominal aortic aneurysm repair, dialysis access and more.

The best care for all your needs

These Top Doctors are just some of our expert primary care doctors and specialists across the Twin Cities and western Wisconsin. We have hundreds of doctors ready to provide personalized support for all your care needs.

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Lowering the Cost of Insulin Could Be Deadly

Lowering the Cost of Insulin Could Be Deadly
Lowering the Cost of Insulin Could Be Deadly

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When I heard that my patient was back in the ICU, my heart sank. But I wasn’t surprised. Her paycheck usually runs short at the end of the month, so her insulin does too. As she stretches her supply, her blood sugar climbs. Soon the insatiable thirst and constant urination follow. And once her keto acids build up, her stomach pains and vomiting start. She always manages to make it to the hospital before the damage reaches her brain and heart. But we both worry that someday, she won’t.

The Inflation Reduction Act, passed last month, aims to help people like her by lowering the cost of insulin across America. Although efforts to expand protections to privately insured Americans were blocked in the Senate, Democrats succeeded in capping expenses for the drug among Americans on Medicare at $35 a month, offering meaningful savings for our seniors, some of whom will save hundreds of dollars a month thanks to the measure. In theory, the policy (and similar ones at the state level) will help the estimated 25 percent of Americans on insulin who have been forced to ration the drug because of cost, and will prevent some of the 600 annual American deaths from diabetic ketoacidosis, the fate from which I’m trying to save my patient.

Indeed, laws capping co-payments for insulin are welcome news both financially and medically to patients who depend on the drug for survival. However, in their current version, such laws might backfire, leading to even more diabetes-related deaths overall.

How could that be true? Thanks to the development of new drugs, insulin’s role in diabetes treatment has been declining over the past decade. It remains essential to the small percent of patients with type 1 diabetes, including my patient. But for the 90 percent of Americans with diabetes who have type 2, it should not routinely be the first-, second-, or even third-line treatment. The reasons for this are many: Of all diabetes medications, insulin carries the highest risk of causing dangerously low blood sugar. The medication most commonly comes in injectable form, so administering it usually means painful needle jabs. All of this effort is rewarded with (usually unwanted) weight gain. Foremost and finally, although insulin is excellent at tamping down high blood sugar—the hallmark of diabetes and the driver of some of its complications—it is not as impressive as other medications at mitigating the most deadly and debilitating consequences of the disease: heart attacks, kidney disease, and heart failure.

Large clinical trials have shown that two newer classes of diabetes medicines, SGLT2 inhibitors and GLP-1 receptor agonists, outperform alternatives (including insulin) in reducing the risk of these disabling or deadly outcomes. Giving patients these drugs instead of older options over a period of three years prevents, on average, one death for about every 100 treated. And SGLT2 inhibitors and GLP-1 receptor agonists pose less risk of causing dangerously low blood sugar, generally do not require frequent injections, and help patients lose weight. Based on these data, the American Diabetes Association now recommends SGLT2 inhibitors and GLP-1 receptor agonists be used before insulin for most patients with type 2 diabetes.

When a young person dies from diabetic ketoacidosis because they rationed insulin, the culprit is clear. But when a patient with diabetes dies of a heart attack, the absence of an SGLT2 inhibitor or GLP-1 receptor agonist doesn’t get blamed, because other explanations abound: their uncontrolled blood pressure, the cholesterol medication they didn’t take, the cigarettes they continued to smoke, bad genes, bad luck. But every year, more than 1,000 times more Americans die of heart disease than DKA, and of those 700,000 deaths, a good chunk are diabetes-related. (The exact number remains murky.) Diabetes is a major reason that more than half a million Americans depend on dialysis to manage their end-stage kidney disease, and that about 6 million live with congestive heart failure. The data are clear—SGLT2 inhibitors and GLP-1 receptor agonists could help reduce these numbers.

Still, uptake of these lifesaving drugs is sluggish. Only about one in 10 people with type 2 diabetes is taking them (fewer still among patients who are not wealthy or white). The main cause is simple and stupid: American laws prioritize profits and patents over patients. Because SGLT2 inhibitors and GLP-1 receptor agonists remain under patent protections, drug companies can charge exorbitant rates for them: hundreds if not thousands of dollars a month, sometimes even more than insulin. Doctors spend hours completing arduous paperwork in the hopes of persuading insurers to help our patients, but we’re frequently denied anyway. And even when we do succeed, many patients are left with painful co-payments and deductibles. The most maddening part is that despite their substantial up-front expense, these medications are quite cost-effective in the long run because they prevent pricey complications down the road.

This is where addressing the cost of insulin—and only insulin—becomes problematic. Doctors are forced daily to decide between the best medication for our patients and the medication that our patients can afford. Katie Shaw, a primary-care physician with a bustling practice at Johns Hopkins, where I’m a senior resident, told me that plenty of her patients can’t afford SGLT2 inhibitors and GLP-1 receptor agonists. In such instances, Shaw is forced to use older oral alternatives and occasionally insulin. “They’re better than nothing at all,” she said.

If the cost of insulin is capped on its own, insulin will be more likely to jump in front of SGLT2 inhibitors and GLP-1 receptor agonists in treatment plans. That will mean more disease, more disability, and more death from diabetes.

Medicare patients might avoid some of these effects thanks to provisions in the IRA allowing Medicare to negotiate drug prices and capping out-of-pocket spending on prescriptions at $2,000 a year. The law also guarantees price negotiations for a handful of medications, but SGLT2 inhibitors and GLP-1 receptor agonists won’t necessarily be on the list. And most Americans are not on Medicare. Already, Shaw said, the patients in her practice who tend to be least able to afford SGLT2 inhibitors and GLP-1 receptor agonists are working-class people with private insurance. Some health centers, including the one Shaw and I work at, enjoy access to a federal drug-discount program that can make patent-protected medications, including SGLT2 inhibitors and GLP-1 receptor agonists, more affordable for the uninsured. But most Americans without insurance aren’t so lucky.

It would be cruel to choose between a world in which more people with type 2 diabetes are nudged toward a drug that won’t stave off the most dangerous complications, and one in which those with type 1 diabetes are priced out of life. In place of capping the out-of-pocket cost of just insulin, lawmakers should cap the out-of-pocket cost of all diabetes medications. This will both protect Americans dependent on insulin and smooth SGLT2 inhibitors’ and GLP-1 receptor agonists’ path to their revolutionary public-health potential.

The argument for lowering the cost of these drugs for patients is the same as the argument for insulin affordability: that it is both foolish and inhumane to make lifesaving diabetes medications unaffordable when their use prevents costly and deadly downstream complications.

Patients like mine need affordable access to insulin. But even more need access to SGLT2 inhibitors and GLP-1 receptor agonists. If the laws stop at insulin, many Americans could die unnecessarily—not from inadequate access to insulin, but from preferential access to it.

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VUNO transfers medical AI voice recognition product to Puzzle AI

VUNO transfers medical AI voice recognition product to Puzzle AI
VUNO transfers medical AI voice recognition product to Puzzle AI

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South Korean medtech company Puzzle AI is set to take on the medical AI voice technology assets of VUNO as part of a recently signed strategic agreement.

Established in 2018, Puzzle AI develops voice AI technology tools for the medical industry. Its portfolio of solutions includes VoiceEMR, which converts voice dictation into a medical record, and VoiceENR, a voice recognition tool for nurses.

WHAT IT’S ABOUT

The latest deal involves the transfer of VunoMed Deep ASR to Puzzle AI. The solution uses AI for automatic voice recognition and real-time and accurate documentation of dictated medical terms, even those that contain long and complex words or in mixed Korean and English languages. It has been adopted by over 20 major hospitals around South Korea since it was launched in 2019.

An internal performance test has found the solution to have over 98% speech recognition accuracy and conducts real-time medical documentation 1.5 times faster compared to conventional speed. 

According to a media release, VUNO will maintain the patent right for the technology, allowing it to receive license fees and sales commissions, while Puzzle AI will receive an exclusive license for the patent.

Following the transfer, Puzzle AI will handle the research and development of both companies’ medical AI solutions while VUNO will focus on sales and marketing.

WHY IT MATTERS

In a statement, VUNO said the turnover of its medical audio business to Puzzle AI will allow the company to focus on its medical imaging portfolio, which accounts for most shares of the company’s sales. It also plans to concentrate on research and development of health monitoring solutions, particularly its cardiac arrest prediction device, VunoMed DeepCARS.

MARKET SNAPSHOT

Last year, Nuance Communications, a US-based developer of conversational AI for healthcare, acquired Saykara, which specialises in mobile AI clinical documentation. Saykara’s flagship product called Kara is used for medical dictation and automatic clinical note creation during in-person or virtual visits. This mobile tool for iOS devices can be integrated with major EMR systems.

Meanwhile, Indian AI company Augnito launched last year its own AI-powered speech-to-text SaaS for producing clinical reports, such as radiology, histopathology and surgical notes. 

ON THE RECORD

“Through this deal, we have established a solid strategic partnership with Puzzle AI to continuously pursue profits related to medical voice business by enhancing business synergy effects, and at the same time, we have laid an important foundation for focusing our R&D capabilities on our main businesses, such as medical images and bio-signals,” said VUNO CEO Lee Ye-ha.

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Omicron boosters: Do I need one, and if so, when? : Shots

Omicron boosters: Do I need one, and if so, when? : Shots
Omicron boosters: Do I need one, and if so, when? : Shots

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Gearing up for fall, health officials are recommending a new round of booster shots.

Rogelio V. Solis/AP


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Gearing up for fall, health officials are recommending a new round of booster shots.

Rogelio V. Solis/AP

The Centers for Disease Control and Prevention is recommending updated COVID boosters, for people ages 12 and older.

These newly authorized shots are reformulated versions of the Moderna and Pfizer-BioNTech COVID-19 vaccines and they’re available at pharmacies, clinics and doctors’ offices around the country.

The boosters target both the original strain of the coronavirus and the two omicron subvariants which are causing most of the current infections. Vaccine makers have scrambled to rejigger the vaccines as they’ve become less effective against new variants.

“This virus has been mutating so quickly over the past two years,” says Judith Guzman-Cottrill, an infectious disease specialist at Oregon Health & Science University. “I feel like we’ve been playing catch up and finally we have caught up,” Guzman-Cottrill says.

Pfizer’s updated booster is available for anyone 12 and older. The Moderna booster is available for anyone 18 and older.

“If you are eligible, there is no bad time to get your COVID-19 booster,” CDC Director Rochelle Walensky told NPR. “I strongly encourage you to receive it,” she says.

But after talking to several infectious disease experts, we found there’s a whole range of opinions on who needs to boost and when. So, if you are navigating this decision, here are some things to consider:

Who needs a booster as soon as possible?

“I would recommend this booster shot for those who are immunocompromised or those who are 60 years [old] and above,” says Monica Gandhi, an infectious disease expert at the University of California, San Francisco. Gandhi says people in these groups are at highest risk.

According to CDC guidance, people are eligible if it’s been at least two months since they received their last COVID shot, either a booster or an initial vaccine, but some vaccine experts say it would be better to wait at least four months.

“I will get it,” says Physician Bob Wachter, who’s in his mid-60s and in good health. “I’m about eight months out from shot number four. And so my immunity has waned significantly,” Wachter says. He plans to get an updated booster as soon as it’s available as a hedge against serious infection, given COVID is still circulating widely with about 400 deaths per day.

“There’s no question that getting a booster increases the likelihood that you’ll have a benign case,” if you do get infected, he says.

Wachter also agrees with the CDC recommendation that younger adults get the booster. Boosting can protect against the risk of long COVID and helps protect the community at large by reducing transmission, if there’s another surge, he says.

“There are good reasons to get it, even for people that have a low chance of a super severe infection,” Wachter says.

When does it make sense to wait?

If you’ve had a recent COVID infection, it makes sense to wait.

Guzman-Cottrill and her children had mild infections in August, so she says she’ll wait until November to get boosted.

“Our natural antibody response will protect us against COVID for another few months. So I do think it makes sense to wait and get the updated booster about three months after our positive COVID test,” she says.

This is in line with the recommendation from CDC vaccine advisers — people who recently had COVID-19 may consider delaying a booster shot by three months. That’s what the country’s top infectious disease expert, Dr. Anthony Fauci says he plans to do. Fauci tested positive in mid-June and says he’ll wait three months before he gets his updated booster.

Guzman-Cottrill says both her teenagers will also get the new booster “to protect us from COVID this winter so we can avoid sick days from work and from school,” she says.

Can I time my shot for maximum protection at the holidays?

It won’t be a surprise if there’s another COVID surge this coming winter. Since the protection from boosters may only last several months, some people say they plan to wait to get the new booster in order to have maximum protection when the risk of infection is higher. “You can make a rational argument to wait until case rates are higher,” says Wachter.

If you’re trying to time it for the period of highest risk, he says, there are likely to be a ton more cases in December and January than there are in September and October.

However, Wachter says, this strategy is a bit like trying to time the stock market. It’s hard to predict exactly when the surge will happen, so there’s a risk in waiting.

“You are basically accepting a period of vulnerability that you don’t need to have,” he says. “And as I weigh all that, my thinking is I’d rather not do that.”

Another argument against waiting is that the protection from a booster shot is not instantaneous. “It does take a few weeks for our immune systems to be primed,” says Dr. Aniruddha Hazra, an infectious disease specialist at the University of Chicago. He says it could be risky to wait until a surge is already underway.

Hazra points out the vaccines can activate our immune systems in a few ways. Immune cells, known as B cells, help produce antibodies that fight off the virus in the short-term. Research shows COVID vaccines boost antibodies for several months, but then they begin to fade. After that, B cells and another type of immune cell, known as T cells, which can destroy infected cells, stick around to build a deeper immunity.

He says this deeper immunity was triggered and primed from the initial vaccines, so everyone who’s been vaccinated should have some protection against COVID But given the omicron subvariants circulating now are so different. “This [new] booster will definitely provide you with higher levels of antibodies, which are short term and short lived. It may also provide more deep-seated immunity,” he says.

Will the new booster shots prevent COVID infections completely?

No. There’s lots of enthusiasm for the updated boosters, but they are not a magic bullet

As SARS-CoV-2 has evolved, it’s become more transmissible, which is why delta and omicron led to such large surges, despite widespread vaccination in the U.S.

“The goal of this vaccine is to prevent severe illness,” says Paul Offit, director of the Vaccine Education Center at the Children’s Hospital of Philadelphia. He argues that many people who’ve already received three doses of vaccine remain well protected, so he doesn’t see a clear benefit to giving the new boosters to everyone 12 and up.

According to CDC data, people who have had one or two boosters have a 0.024% chance of being hospitalized with COVID-19. For people under 50, it’s even lower — 0.014%

Offit agrees that certain groups should receive the new booster including elderly adults, people who are immunocompromised and those with chronic conditions that put them at higher risk of serious illness. But he questions the value of another booster for healthy, younger people.

Offit says he had a mild infection in May that lasted a few days. He’s decided against getting the new booster. “I think I’m protected against serious disease.”

The new boosters offer a few months’ protection against infection, he says, but there’s no clear evidence of benefit beyond that.

NPR’s Rob Stein and Jane Greenhalgh contributed to this report.

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Networking platform for doctors in Asia scores $44M in Series C funding

Networking platform for doctors in Asia scores $44M in Series C funding
Networking platform for doctors in Asia scores M in Series C funding

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Docquity, a Singapore-based online networking platform for healthcare professionals, has snapped up $44 million in a Series C funding round led by Japanese general trading firm Itochu Corporation. The round was also participated by other investors, including iGlobe Partners, Alkemi, Global Brain, KDV and Infocom.

This brings its total funds raised since its inception to $57.5 million.

WHAT IT DOES

With the aim of helping doctors be more informed and make better clinical decisions, Docquity provides a platform for more than 350,000 doctors to learn, connect, and collaborate through knowledge exchange and verified content across specialties.

It has partnered with over 250 medical associations across Southeast Asia to develop learning modules and deliver millions of continuing medical education (CME) credits to help doctors meet their compulsory CME requirements. It also ties up with pharmaceutical, consumer healthcare and medtech companies to reach and educate healthcare professionals.

The startup has set up offices in India, Indonesia, the Philippines, Malaysia, Singapore, Thailand, Vietnam and Taiwan.

WHAT IT’S FOR

According to a media release, Docquity will use its fresh funds to reinforce its presence in its existing markets and further scale its operations in new target markets in East Asia, including Japan and Taiwan. It also plans to enter the Middle Eastern markets, starting with the United Arab Emirates, Saudi Arabia, and Egypt.

Moreover, the new funds will also support the launch of Docquity’s newest initiatives: Docquity Academy, cohort-based learning for doctors in partnership with universities and senior medical practitioners; Docquity Clinic, a virtual clinic offering telehealth services; and Docquity Insights, which will harness data to provide insights into doctors’ needs. 

MARKET SNAPSHOT

Other similar networking platforms for healthcare professionals have raised investments in recent years. In October last year, Barcelona-based Top Doctors, which helps doctors promote their visibility and brand awareness, raised $13 million in Series B funding. In the same year in June, Doximity debuted on the New York Stock Exchange, collecting almost $600 million in proceeds from its initial public offering. 

Meanwhile, early this year in India, health tech startup MedPiper Technologies went live with its web-based networking platform for doctors called MConnekt. It followed the launch of the first online healthcare network in India, DocsCampus.com, which is run by healthcare solutions provider HealWell24.

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Enzyme Fundamentals

Enzyme Fundamentals
Enzyme Fundamentals

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Enzymes are proteins composed of individual amino acids. They are necessary to speed up many cellular functions and biological processes. Your body secretes enzymes to catalyze biological reactions, making them vital to good health and longevity.1

Each enzyme has a different function, for example, superoxide dismutase, glutathione peroxidase and catalase have antioxidant functions.2 Digestive enzymes such as protease, lipase and amylase are needed for digestion and nutrient absorption and elimination,3 while molecular motor enzymes such as myosin and actin are needed for the activation of muscle contractions.4

The featured lecture reviews the fundamentals of what enzymes are, the main types of enzymes found in your body and in supplements, how enzymes are affected by environmental factors such as your body’s pH and temperature, and why they’re so important for health.

Enzymes 101

An enzyme’s shape is an important key to understanding the benefits of enzyme therapy, because the shape of the protein determines its function. You could liken enzymes to specialized keys cut to fit specific locks, with the locks in this case being biochemical reactions.

Considering the tens of thousands of biochemical reactions occurring in your body at any given time, it stands to reason there are tens of thousands of enzymes. An interesting feature of enzymes is that while they catalyze biochemical reactions, they’re not used up in the reaction. They merely assist and accelerate reactions.

By lowering the amount of energy needed for a reaction to occur, they allow for reactions that otherwise would not be possible, or would be too slow to keep up with your body’s demands. This is also why enzyme deficiencies are thought to contribute to more rapid aging.

Types of Enzymes and Their Functions

Enzymes can be broadly divided into the following categories:5

Digestive enzymes — These are involved in digestion, the breaking down of foods into nutrients and elimination of waste products. Digestive enzymes are extracellular, meaning they’re found outside your cells. There are five primary digestive enzymes, each designed to help break down different types of food:6

Protease — These enzymes break down protein

Amylase — Amylase breaks down carbohydrates, sugars and starches

Lipase — This enzyme breaks down fats (If you have IBS, cystic fibrosis, celiac disease, no gallbladder or gallbladder dysfunction and/or obesity, you may benefit from higher levels of lipase. Also, be aware that fluoridated water may decrease lipase and protease production7)

Lactase — This one breaks down milk sugar (lactose) in dairy products

Sucrase — Sucrase breaks down sucrose sugars

Metabolic enzymes8 These are involved in energy production and detoxification. Metabolic enzymes are intracellular, meaning inside your cells, where they help the cell carry out a variety of functions related to its reproduction and replenishment.

Food-based enzymes9 These are what you find in raw, uncooked/unprocessed foods such as fruits, vegetables and fermented foods and/or supplements.

3 Main Types of Enzyme Supplements

Enzymes found in enzyme supplements used for enzyme therapy are known as hydrolases. As the name implies, they use a water molecule to cut certain bonds along the amino acid chain. Supplemental enzymes can be divided into three basic types:

  1. Protease or proteolytic enzymes, which hydrolyze (break down) proteins into amino acids
  2. Lipases, which break down lipids (fats) into fatty acids
  3. Carbohydrases, which hydrolyze carbohydrates into simpler sugars

Enzymes for supplemental use can be sourced from animal, plant and microbial sources. Pancreatic enzymes, for example, which include all three types (protease, lipase and carbohydrase), are typically obtained from the pancreas of cows or pigs.

Proteolytic enzymes such as bromelain and papain are obtained from pineapple and papaya respectively. Enzymes can also be sourced from microbial or fungal sources. This group is the largest, as microbes and fungi can produce hundreds of different types of enzymes.

Digestive Versus Systemic Use of Enzymes

There are two primary ways of using an enzyme supplement: digestive or systemic, and the difference between them relates to timing. Taken with food, a digestive enzyme will help break down the food into smaller components.

When taken on an empty stomach, the enzymes will pass through your digestive system and enter your blood circulation, and when absorbed systemically, they serve as powerful proteases, dissolving things like fibrin and decreasing inflammation.

That said, whether you’re using enzymes digestively or systemically, enzyme therapy will improve assimilation and elimination of components. In other words, the enzymes will break things down to their smallest constituent parts, making both assimilation of necessary components, and elimination of components your body does not need, easier.

As explained in a report10 by nutraceutical researcher Jon Barron, director of the Baseline Health Foundation, proteolytic enzymes taken for systemic benefit, meaning on an empty stomach, can help eliminate pathogens, allergens and rogue cells by destroying and digesting their protein-based shield. Systemically, proteolytic enzymes also have the ability to interfere with enzyme production caused by certain cancers, thereby slowing down the cancer’s growth.

Systemic Use of Proteolytic Enzymes Combats Inflammation

In your gut, proteases or proteolytic enzymes, which break down dietary protein and protein-based foreign bodies, function as digestive aids. In your blood, however, they act as blood cleansers that combat inflammation and rebalance your immune system by:11

1. Breaking down foreign proteins in your blood that cause inflammation

2. Facilitating the removal of inflammatory proteins via your blood stream and lymphatic system

3. Reducing edema in inflamed region

4. Significantly increasing the potency of macrophages and killer cells

5. Removing fibrin that prolongs inflammation. Fibrin is a clotting material that restricts blood flow, found both in your blood stream and connective tissue such as your muscles. Cancer cells also hide under a cloak of fibrin to escape detection.12

Once the cancer cells are “uncloaked,” they can be spotted and attacked by your immune system. It is also thought that fibrin makes cancer cells clump together, which increases the chance for metastases.

Fibrin accumulation is also responsible for scar tissue in damaged muscle or at a surgical site. If the buildup is excessive, which can easily occur if your blood flow is poor due to low enzymatic activity, then the scar tissue may lead to chronic problems.

Excess fibrin in your blood may also raise your risk for a heart attack and/or stroke. Symptoms of excess fibrin include: chronic fatigue, poor healing ability, inflammation, pain and high blood pressure

How Enzymes Are Measured

Enzymes are measured13 in units called food chemical codex (FCC units) of some type of assay, such as hemoglobin unit tyrosine base (HUT). The FCC unit is essentially a measure of the enzyme’s functionality — how well it functions under a specific assay or test.

The example given in the lecture is protease having a measure of 50,000 HUT, which means the protease can break down 50,000 bonds of red blood cells under certain laboratory conditions.

This is important to look for when shopping for an enzyme, as the FCC units are a guarantee of a certain level of activity. Simply knowing the weight or mass of an enzyme doesn’t tell you anything about its functionality, as its activity could theoretically be zero.

Factors That Affect Enzyme Activity

As noted in the video presentation, environmental factors such as the pH level and temperature inside your body can affect the activity of enzymes. As your temperature rises, enzyme activity will typically increase. If the temperature gets too high, however, the enzyme will break down.

The reason for this is because the positive and negative charges of the amino acid bonds that give the enzyme its shape cause it to vibrate. As the temperature increases, this vibration speeds up, making the enzyme work harder. This is essentially what happens when you have a fever. As your temperature rises, your enzymes start going into overdrive to heal your body.

At a certain vibrational rate, however, it’s simply vibrating too quickly to remain stable, causing it to break apart. This is not a concern for most supplements though, as most remain viable up to 120 degrees Fahrenheit, and the inside of your body will never get that high. Improper storage, on the other hand, could inactivate the enzymes in the supplement if it gets too hot.

As you’d expect, with lower temperature, enzymatic activity decreases. Many will store their enzyme supplement in the refrigerator or freezer for this reason, but this actually isn’t a good idea. The reason? Because taking the bottle in and out of the fridge or freezer could introduce moisture, and this moisture (water) will activate the enzymes.

The best place to store your enzyme supplement is in a relatively cool, dry area such as a kitchen cabinet or pantry. Properly stored, an enzyme supplement will typically retain full potency for up to a year.

The other factor that affects enzyme activity is your body’s pH (acidity versus alkalinity), which changes throughout your digestive tract. As a result, a particular enzyme will be most active or effective in a particular part of your digestive tract, and less active in others.

For this reason, high-quality supplements will contain enzymes with a wide range of pH tolerance, thereby allowing the supplement to perform optimally all the way through your gastrointestinal tract.

Why Use Enzyme Supplementation?

As mentioned, your body naturally produces enzymes. So, why would you ever need an enzyme supplement? While it’s true your body continually produces enzymes, certain factors can limit this capacity:

Aging — Loss of enzyme activity is part of the aging process.

Genetics — The blueprints in your DNA instruct your cells on which enzymes to make and how much, so genetic anomalies can affect your body’s ability to produce certain enzymes. One example is lactose intolerance — the limited ability to hydrolyze or break down lactose, the sugar found in milk, due to an insufficiency of lactase, the enzyme that breaks down lactose.

Lifestyle choices — Examples of choices that affect your enzyme capacity include the types of foods you choose to eat (whole food versus junk food, for example, or a vegan versus carnivore diet), the amount of food you eat (too much or too little) and whether or not you choose to fast or smoke.

While aging is inevitable and genetics cannot be altered, you still have a great degree of influence over your enzymes via your lifestyle choices. The healthier your lifestyle, the better your enzymatic activity will be, even without assistance from a supplement.

For example, eating plenty of fresh, raw and/or fermented foods will supply your body with healthy enzymes. Sprouts are a particularly excellent source of live enzymes.

Fasting has also been shown to conserve enzymes. If you do not eat, you will not produce digestive enzymes, allowing metabolic enzyme production and activity to proliferate instead. A supplement can still be valuable, however, to counteract genetics, aging and a less than ideal lifestyle.

How Digestive Enzymes Impact Digestion

When you swallow a food, it first enters the upper portion of your stomach. Here, any enzymes inherent in the food itself start to activate, helping to break the food down. As you might expect, the more the food can be broken down here in the first stage of your gastrointestinal tract, the less labor intensive the digestive process will be later on.

The pH in this upper stomach portion typically ranges from 4 to 6, i.e., slightly acidic. As food enters your stomach, proton pumps lining the lower pyloric part of your stomach starts pumping in hydrochloric acid, and it does this in proportion to the amount of food that you eat. The more food you put in, the more hydrochloric acid is being pumped in to help break down and liquefy that food.

Importantly, hydrochloric acid does not actually help you digest your food. Rather, it activates an enzyme called pepsin, a proteolytic enzyme that helps digest protein. In this lower section of your stomach, the pH ranges from 2 to 4.

As the food is liquefied, it starts dripping into the duodenum, the upper part of your small intestine, triggering your pancreas to secrete alkaline bicarbonates, thereby neutralizing the acidity. The pH of your small intestine typically ranges from 8 to 9.

Pancreatic enzymes are also released, which continue the process of breaking the food down into even smaller constituent parts. In summary, digestion can occur in three areas — your upper stomach, lower stomach and small intestine — and your food choices can significantly influence where and how well digestion occurs in these areas.

Enzyme supplements can also influence digestion in each of these areas, and help optimize assimilation and elimination of the foods you eat. As mentioned, for optimal benefit, you want a supplement capable of working in a wide range of pH levels, as your stomach and small intestine ranges from 2 on the acidic side to about 9 on the alkaline side.

More often than not, taking a blend of enzymes is also beneficial, as no single enzyme can perform all the necessary functions throughout your digestive tract. As noted in the featured lecture, “the better the blend, the better the breakdown of the substrate” into single, di- and tri-chain amino acids.

Summary of What to Look for in an Enzyme Supplement

In summary, factors you want to look for when buying an enzyme supplement are:

  • Blends of enzymes rather than single enzymes
  • Enzymes that work across a wide range of pH levels
  • FCC measurements rather than just weight, as this guarantees potency (higher FCC units indicating higher enzyme activity)

Contraindications for Proteolytic Enzymes

While proteolytic enzymes are well-tolerated and safe for long-term use in most people, there are exceptions. If any of the following scenarios apply to you, you should not take proteolytic enzymes:14

You’re on prescription blood thinners such as Coumadin, Heparin or Plavix

You’re having surgery within two weeks (as they can increase surgical bleeding)

You have a stomach ulcer

You’re pregnant or lactating

You’re currently taking antibiotics

You’ve had an allergic reaction to pineapple or papaya

If you’re currently taking a nonsteroidal anti-inflammatory drug for pain and want to add a systemic enzyme, be sure to take them at least one hour apart from each other.

Systemic enzymes are in many ways preferable to painkillers since they effectively lower inflammation and support your body’s innate ability to heal itself, while pain medication simply masks the symptoms while raising your risk for addiction and death.



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What you should know about robotic knee replacement surgery

What you should know about robotic knee replacement surgery
What you should know about robotic knee replacement surgery

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For decades, robotic technologies have been changing medical procedures and health care for the better. Now, advanced robotic technology has come to knee replacement surgery. But what does this mean for you if you need a knee replacement? What does this mean for orthopedic surgeons?

Knee replacements are already one of the safest and most successful surgeries, with low risks of complications and quality-of-life improvements that can last for many years. Even still, it’s possible that robotic-assisted knee replacements may further improve patient outcomes and satisfaction.

We spoke to Dr. Christine Pui, an orthopedic surgeon at TRIA, to learn what robotic knee surgery is, when it’s used and the possible benefits compared to traditional knee surgery.

What is a robotic knee replacement?

When we talk about “robotic” knee replacements, we’re referring to how the procedure is done – not the type of artificial joint that’s implanted. In other words, you will not have a robotic knee joint after surgery.

Instead, robotic knee replacement is a procedure that uses a robotic technology to improve accuracy and precision during knee replacement. At TRIA, we use the ROSA® Knee System, a robotic surgical assistant.

And, if you’re wondering if the robot performs the surgery on its own, the answer is no.

“The robot assists me in performing the surgery – it doesn’t do the surgery itself,” said Dr. Pui.

In fact, the role of the robotic assistant is to provide surgeons with real-time information to make sure the new joint is precisely placed based on the patient’s unique anatomy. But while the robot provides a guide for greater precision, your doctor still needs to be a skilled surgeon. That’s why it’s so important to work with an orthopedic surgeon who’s experienced in total knee replacements.

Is robotic knee surgery new?

Robotic technology isn’t a new technology. In fact, back in 2006, surgeons performing a partial knee replacement were the first to use robotic-arm-assisted technology. Since then, millions of robotic-assisted procedures have been done on different parts of the body.

“They keep making refinements in terms of the technology,” Dr. Pui said. “We’ve been waiting for robotic technology to get to the point where it makes sense for our patients – and now it has.”

“By investing in this technology, we’re able to provide another option that’s not widely available within other health care systems,” she added.

What happens during robotic-assisted knee replacement?

“Fundamentally, a robotic-assisted knee replacement is the same procedure as traditional knee surgery,” Dr. Pui said. “The only difference is the technology we use.”

During all knee replacement surgeries, the damaged bone and cartilage is removed from the joint and kneecap before an artificial joint – which is made of metal alloys, high-grade plastics and polymers – is implanted.

Using robotic technology allows doctors to be more precise and accurate when making surgical bone cuts, releasing soft tissue and positioning the implant. This is because doctors have more information to work with.

Before a knee replacement using ROSA, X-rays of your knee are taken to get detailed information about your specific anatomy. These X-rays are used to plan out the procedure, including the best locations for the surgical cuts and knee implant.

Then, during the procedure, ROSA uses cameras and optical lens tracking to follow the exact position of your leg.

“If your leg moves – even just slightly – the robot adjusts so that the surgery is as precise and accurate as possible,” said Dr. Pui. “We can change the measure of the cuts by as little as one millimeter to achieve exactly what we want.”

Who is a candidate for robotic knee surgery?

If you’re a candidate for a total knee replacement, it’s likely that a robotic-assisted procedure is an option for you.

“Anybody can have a robotic knee surgery,” said. Dr. Pui. “But it’s especially good for patients with challenging needs, trauma or prior surgeries to their knees. Surgery in those situations can be very difficult, and I anticipate that the robot would be very helpful.”

In particular, a robotic-assisted knee replacement may be a great choice if you have:

  • Damage to the femur because of an injury
  • Advanced osteoarthritis due to normal age-related changes such as thinning cartilage
  • Damage on or surrounding the knee
  • Prior surgeries and hardware in the femur or tibia near the knee

Is robotic surgery better for knee replacement?

It’s too early to say if robotic-assisted knee replacement surgery delivers better results than traditional surgical methods. But what we can say is that we expect robotic technology to continue to improve.

“It’s kind of the wave of the future,” Dr. Pui said. “The more data we get from performing robotic-assisted surgeries, the more we’ll be able to refine the procedure. And hopefully, patient satisfaction levels will continue to improve, too.”

We’ve touched on a few of these things already, but here’s what we know so far about the possible advantages of robotic knee surgery:

Less invasive surgery

ROSA helps surgeons perform knee replacements with greater surgical precision, which means the surgery may disrupt less bone and tissue. This also means that it may take you less time to heal.

A better implant fit

Every person’s knees are unique. Systems like ROSA allow a surgeon to tailor the knee replacement for each person’s anatomy, which may result in a better fit and more natural feeling.

“One thing ROSA does is collect a lot of data which helps us gauge how the knee is going to function,” said Dr. Pui. “ROSA helps make sure the knee is a good fit with good balance. This can hopefully help the artificial knee feel more natural for the patient.”

Shorter recovery process

For both robotic-assisted knee replacement surgery and traditional surgery, you’ll need time to heal. You’ll also need physical therapy to help you regain strength and mobility. You might also take medication for a couple weeks to help manage pain while you recover.

With robotic-assisted surgery, it’s possible that you may have a shorter recovery time. With the traditional approach, it takes about 4-6 weeks for patients to resume normal activities like driving or going to work. But some of our patients who’ve had a robotic-assisted procedure were back to activities in about half the time.

Patient satisfaction

Knee replacement procedures have a very high success rate. In one study, 96% of implants lasted for more than 10 years with 90% lasting for 20 years. But patient satisfaction rates tell a slightly different story.

“The data out there shows that about 85% of people are really happy with their knee replacements versus total hips, which is more like 95%,” she said. “One of the things we’re trying to achieve through ROSA is to increase patient satisfaction with their knee replacements.”

Frances’ knee replacement story

Frances, who’s 74, lived with knee pain for about 10 years. But when she couldn’t walk for more than a few minutes, she made an appointment with Dr. Pui and they decided the best thing was a knee replacement – with the help of the robotic assistant.

Frances was a little worried about the recovery process. She thought it would take a long time to get back to normal activities and that she would be in pain.

But that wasn’t Frances’ experience. Instead, when she woke up after her knee replacement procedure, she was hardly in any pain. After 3-4 days she stopped taking the pain medication except at night.

She was much more mobile more quickly than anyone would have expected.

“When I would walk into places they were like, ‘Really you just had it done a week ago?’” said Frances.

She’s happy that she had a robotic-assisted knee replacement surgery and knows that her doctor is a huge part of her success.

“Every time I hear horror stories about the pain, I just want to find Dr. Pui and give her a hug,” said Frances.

These days, Frances is living life on her terms.

“Do I have pain? Yeah, every once in a while,” she said. “It will last maybe a few minutes, but it goes away. And I just feel like it’s healing.”

What are the risks of robotic knee surgery?

Robotic knee surgery has the same risks of traditional knee surgery, including infection, knee stiffness, ongoing knee pain or an implant that doesn’t work the way the patient and doctor hoped it would.

Complication rates with traditional knee replacement surgery are low – 95% of people don’t have problems. We don’t yet know if robotic surgery will further reduce your chance of complications.

Your friend in knee (and robots)

If you’re considering a knee replacement and wondering if a robotic-assisted surgery is right for you, make an appointment with an orthopedic doctor at TRIA.

During the appointment, your doctor will examine your knee, ask you about what you’re experiencing and how you’re currently managing your symptoms. They may also order tests like an X-ray or MRI to see what’s happening inside your knee.

Another big part of this appointment is discussing what your goals are, and if surgery may be the best way to help you meet them. For example, there may be nonsurgical treatment options for knee pain you haven’t tried yet.

If surgery seems like a good option, your doctor will talk to you about scheduling, risks and recovery. They may ask if you’re interested in robotic-assisted surgery. But, if they don’t, feel free to bring it up if you’re interested.

All health plans are required to cover robotic-assisted knee surgery. Still, it’s a good idea to check with your health plan to see how much of the procedure they’ll cover.

Deciding on a knee replacement is a big decision, and thankfully it’s not one you need to make alone. We’ll be there every step of the way, offering guidance and support – from your first consultation through recovery.

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