Health & Lifestyle

Is 93 is simply too outdated to get a brand new hip? DR MARTIN SCURR solutions your well being questions 

My 93-year-old mom is in fixed ache from osteoarthritis in her hip, however her age guidelines out joint substitute surgical procedure. Her GP advisable co-codamol nevertheless it impacts her digestion, so she takes paracetamol. Are there different medicine that may assist?

Wendy Thurley, by e-mail.

One in 4 of us develops osteoarthritis by our 80s. Your mom has now reached the purpose the place her mobility is restricted, and that is unhealthy for her general well being in addition to compromising her independence.

Paracetamol can work for some however not all sufferers. Adding codeine could assist (co-codamol is a mix of codeine and paracetamol), however the side-effects typically make it unacceptable, as your mom has discovered: drowsiness, constipation, nausea and headache are widespread. Dependency can also be a fear when codeine is taken usually for lengthy durations.

One in four of us develops osteoarthritis by our 80s. Your mother has now reached the point where her mobility is restricted, and this is bad for her overall health as well as compromising her independence

One in 4 of us develops osteoarthritis by our 80s. Your mom has now reached the purpose the place her mobility is restricted, and that is unhealthy for her general well being in addition to compromising her independence

Paracetamol can work for some but not all patients. Adding codeine may help (co-codamol is a mixture of codeine and paracetamol), but the side-effects often make it unacceptable, as your mother has found: drowsiness, constipation, nausea and headache are common

Paracetamol can work for some however not all sufferers. Adding codeine could assist (co-codamol is a mix of codeine and paracetamol), however the side-effects typically make it unacceptable, as your mom has discovered: drowsiness, constipation, nausea and headache are widespread

Other painkillers embody non-steroidal anti-inflammatory medicine (NSAIDs), resembling ibuprofen and diclofenac.

But reasonably than take them each day, it’s extra acceptable to take them when wanted, resembling earlier than your mom’s about to depart residence for purchasing or different related actions. Routine utilization is discouraged as a result of these medicine could trigger ulceration of the abdomen lining and enhance the chance of heart problems and kidney harm.

If your mom does take an NSAID, strive to verify it’s on the lowest efficient dose and for the minimal attainable length.

Non-drug remedies embody, surprisingly, train, and strolling aids. Ideally she would see a physiotherapist for an train programme, an strategy that’s been proven to enhance operate and cut back ache.

The goal is to enhance the vary of movement and strengthen the muscle tissues across the hip.

As for surgical procedure, hip substitute shouldn’t be dominated out on the grounds of her age alone.

This is a secure and efficient operation in older sufferers — the extra necessary consideration is whether or not the affected person is effectively sufficient to have the operation.

Hip substitute is among the most profitable procedures in orthopaedics — would possibly it’s value investigating as soon as extra if it will be appropriate to your mom?

I’ve had a fungal nail an infection for years, although previously month it has given me lots of ache. At my final appointment the chiropodist stated my nail is free and wished to tug it off! But is that the reply?

Mary Blackwood, by e-mail.

Experts — notably microbiologists — discover fungal nails fascinating as a result of they’ve such a spread of causes, together with yeasts and moulds.

But for GPs and sufferers there’s one most important focus: easy methods to beat this typically very difficult-to- deal with drawback.

In my expertise, it’s typically finest left alone until it’s inflicting ache, or so disfiguring to the nail that it turns into very unpleasant.

Pain isn’t widespread, however when it happens, it’s often as a result of micro organism have invaded and triggered an inflammatory response.

Experts ¿ particularly microbiologists ¿ find fungal nails fascinating because they have such a range of causes, including yeasts and moulds. But for GPs and patients there is one main focus: how to beat this often very difficult-to- treat problem

Experts — notably microbiologists — discover fungal nails fascinating as a result of they’ve such a spread of causes, together with yeasts and moulds. But for GPs and sufferers there’s one most important focus: easy methods to beat this typically very difficult-to- deal with drawback

In some sufferers who produce other situations, notably sort 2 diabetes, this could result in an infection spreading into the mushy tissues of the toe and foot, even the leg. Topical anti-fungal medicine aren’t terribly helpful — and whereas oral anti-fungal remedy is probably simpler, it might trigger disagreeable side-effects resembling nausea.

I wouldn’t oppose removing of the nail by your chiropodist. This is an easy process carried out below an area anaesthetic.

The ache you’ve gotten skilled shall be resolved, and there shall be a right away remedy.

There is a excessive likelihood the issue will recur as the brand new nail grows out — often as a result of microscopic traces of fungal spores stay within the space.

You can attempt to stop this by making use of an anti-fungal to the nail mattress — the usual therapy is with amorolfine (model identify, Loceryl). It’s prescription-only, so your GP might want to prescribe it or you may strive an internet pharmacy service.

 Write to Dr Scurr

Write to Dr Scurr at Good Health, Daily Mail, 9 Derry Street, London W8 5HY or e-mail: [email protected] — embody contact particulars. Dr Scurr can not enter into private correspondence. Replies must be taken in a common context. Consult your personal GP with any well being worries.

 In my view… Hidden dangers of our epidemic of tattoos

There’s one thing of an epidemic of tattoos sweeping the nation, amongst individuals of all ages: I feel I’m the one one at my health club who doesn’t have one.

My fear is the chance of infections, on condition that the method entails penetrating the pores and skin with needles, with specific concern about hepatitis B and hepatitis C.

This isn’t, I agree, a major drawback. But this type of transmission does occur.

While in the UK every tattoo artist must be licensed by their local council, regular inspection of equipment and premises is not mandatory. Sterilisation of equipment between clients is encouraged, and the use of disposable needles is essential. This all helps client protection. So if you¿re planning on getting a tattoo, check that these standards are observed

While within the UK each tattoo artist have to be licensed by their native council, common inspection of apparatus and premises isn’t obligatory. Sterilisation of apparatus between shoppers is inspired, and using disposable needles is important. This all helps consumer safety. So should you’re planning on getting a tattoo, test that these requirements are noticed

Recently it was reported that 21 individuals had been contaminated with monkeypox in a tattoo parlour in Spain — 9 of these contaminated had been below the age of 18. When investigators examined the premises, traces of the virus had been discovered on chairs, work surfaces and tools.

While within the UK each tattoo artist have to be licensed by their native council, common inspection of apparatus and premises isn’t obligatory.

Sterilisation of apparatus between shoppers is inspired, and using disposable needles is important. This all helps consumer safety.

So should you’re planning on getting a tattoo, test that these requirements are noticed.

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