Orthopaedic and Spine Institute
Texas Center for Athletes
21 Spurs Lane Suite 245
San Antonio, Tx.78240
210.48.SPINE
(210.487.7463)
Fax: 210.487.7468
Directions to
our facility
Take a Tour of the Orthopaedic and Spine Institute Facility
Click here to send an inquiry
San Antonio Weight Loss Center - Obesity & Joint Pain
Obesity causes joint pain- Our San Antonio weight loss center will help you lose weight!
Obesity is clinically defined as body mass index (BMI) greater than 30. Overweight is defined as a BMI greater than 25. This is calculated by measuring height and weight. If you don’t have a BMI calculator you can estimate a BMI of 30 if you are about 30 pounds overweight. It is becoming increasingly clear through ongoing research that obesity is hazardous to your health. In orthopaedics, the musculoskeletal system most effected is the joints. This is simply a matter of weight versus joint surface area to bear this weight (e.g. pounds per square inch). As body weight increases, the pressure on the joint surfaces increases as well. This leads to premature wear and tear on these joints which we call osteoarthritis, which eventually leads to the need for joint replacement. There is strong evidence linking excessive body weight to degenerative joint disease of the knee.
Obesity is an epidemic in North America. According to recent statistics, there has been a large and steady increase in the number of obese people in North America. More of these obese patients have been seen to require joint arthroplasty, confirming an association between obesity and the development of arthritis. For example, in 2005 24% of the general population in the US was obese, whereas 52% of arthoplasty patients were obese. In Canada according to their Joint Replacement Registry 87% of all patients receiving total knee replacement and 74% of patients receiving total hip replacement were obese or overweight. Additional studies from the registry data have indicated that a morbidly obese individual is thirty-three times more likely to require a total knee replacement than is a patient with a normal body mass index.
In addition to being a major factor in the development of arthritis in the general population, obesity also is hazardous to your health once you have undergone joint replacement with many studies demonstrating less than optimal outcomes for obese patients after total joint replacement to include early failure of the implant for various reasons and three times the surgical site infection rate after surgery.
For these reasons we at the Orthopaedic and Spine Institute (OSI) are taking weight loss seriously, both as a a potential treatment for joint pain and as a means to prepare and optimize our patients health prior to surgery. Please talk to your OSI physician about weight loss options.
References:
1. Coggon D, Reading I, Croft P, McLaren M, Barrett D, Cooper C. Knee osteoarthritis
and obesity. Int J Obes Relat Metab Disord. 2001;25:622-7.
2. Felson DT, Anderson JJ, Naimark A, Walker AM, Meenan RF. Obesity and
knee osteoarthritis. The Framingham Study. Ann Intern Med. 1988;109:18-24.
3. Hart DJ, Spector TD. The relationship of obesity, fat distribution and osteoarthritis
in women in the general population: the Chingford Study. J Rheumatol.
1993;20:331-5.
4. Manninen P, Riihimaki H, Heliovaara M, Makela P. Overweight, gender and
knee osteoarthritis. Int J Obes Relat Metab Disord. 1996;20:595-7.
5. Sturmer T, Gunther KP, Brenner H. Obesity, overweight and patterns of osteoarthritis:
the Ulm Osteoarthritis Study. J Clin Epidemiol. 2000;53:307-13.
6. Hart DJ, Doyle DV, Spector TD. Incidence and risk factors for radiographic
knee osteoarthritis in middle-aged women: the Chingford Study. Arthritis
Rheum. 1999;42:17-24.
7. Leach RE, Baumgard S, Broom J. Obesity: its relationship to osteoarthritis of
the knee. Clin Orthop. 1973;93:271-3.
8. Aglietti P, Rinonapoli E. Total condylar knee arthroplasty. A five-year follow-up
study of 33 knees. Clin Orthop. 1984;186:104-11.
9. Ahlberg A, Lunden A. Secondary operations after knee joint replacement.
Clin Orthop. 1981;156:170-4.
10. Dannenmaier WC, Haynes DW, Nelson CL. Granulomatous reaction and cystic
bony destruction associated with high wear rate in a total knee prosthesis.
Clin Orthop. 1985;198:224-30.
11. Mont MA, Mathur SK, Krackow KA, Loewy JW, Hungerford DS. Cementless
total knee arthroplasty in obese patients. A comparison with a matched control
group. J Arthroplasty. 1996;11:153-6.
12. Stern SH, Insall JN. Total knee arthroplasty in obese patients. J Bone Joint
Surg Am. 1990;72:1400-4.
13. Tauber C, Bar-On EB, Ganel A, Malkin C. The total condylar knee prosthesis:
a review of 71 operations. Arch Orthop Trauma Surg. 1986;104:352-6.
14. Griffin FM, Scuderi GR, Insall JN, Colizza W. Total knee arthroplasty in patients who were obese with 10 years followup. Clin Orthop. 1998;356:28-33.
16. Strauss RJ, Wise L. Operative risks of obesity. Surg Gynecol Obstet. 1978;
146:286-91.
17. Bray GA. Complications of obesity. Ann Intern Med. 1985;103:1052-62.
18. Pritchett JW, Bortel DT. Knee replacement in morbidly obese women. Surg
Gynecol Obstet. 1991;173:119-22.
19. Winiarsky R, Barth P, Lotke P. Total knee arthroplasty in morbidly obese patients. J Bone Joint Surg Am. 1998;80:1770-4.
20. Lobstein T, Jackson-Leach R. Child overweight and obesity in the USA: prevalence rates according to IOTF definitions. Int J Pediatr Obes. 2007;2:62-4.
21. Vandegrift D, Yoked T. Obesity rates, income, and suburban sprawl: an analysis of US states. Health Place. 2004;10:221-9.
22. Fehring TK, Odum SM, Griffin WL, Mason JB, McCoy TH. The obesity epidemic: its effect on total joint arthroplasty. J Arthroplasty. 2007;22(6 Suppl 2):71-6.
23. Bourne R, Mukhi S, Zhu N, Keresteci M, Marin M. Role of obesity on the risk for total hip or knee arthroplasty. Clin Orthop Relat Res. 2007;465:185-8.
24. CANTU¨ RK, ZEYNEP, NUH ZAFER CANTU¨ RK,BERRIN C¸ ETINARSLAN, NIHAT ZAFER UTKAN,AND ILHAN TARKUN. Nosocomialinfections andobesity in surgical patients. Obes Res. 2003;11:769-775.
At the Orthopaedic & Spine Institute's San Antonio weight loss center, we truly strive to maximize outcomes without the use of surgery. In an effort to optimize conservative treatment, we have begun offering medically supervised weight loss programs. These programs will be designed to decrease body weight, increase physical fitness (strength and flexibility), and patients' awareness of techniques to improve their chances of improving without surgical intervention.
Damos la bienvenida a pacientes de hablar español. Muchos miembros de nuestro personal son bilingües. Por favor no vacile en solicitar la ayuda bilingüe cuando usted telefonea a nuestra oficina.
Orthopaedic and Spine Institute
Texas Center for Athletes
21 Spurs Lane Suite 245
San Antonio, Tx.78240
888.40.BACK.NOW