Many times we will see patients following a hip replacement surgery or a knee replacement surgery who have continued pain. There are many reasons for this continued pain as outlined in the articles highlighted above. Another reason for continued pain after replacement surgery is lower hormone levels leading to bone loss and a loosening of the artificial knee or hip.
Hormone replacement therapy (HRT) taken regularly for six months after a knee or hip replacement seems to cut the risk of repeat surgery by around 40%, indicates a large population based study published online in the Annals of the Rheumatic Diseases.
Doctors say Hormone Replacement Therapy cuts risk of repeat knee/hip replacement surgery by 40 percent
Osteolysis (bone weakening or loss following joint replacement) and subsequent prosthesis loosening is the most common cause for revision following total knee arthroplasty (replacement) or total hip arthroplasty (replacement). Hormone replacement therapy (HRT) could reduce osteolysis.
In this study 1 doctors looked at female participants undergoing a primary knee or hip replacement from 1986 to 2006.
Women with at least 6 months of HRT (Hormone Replacement Therapy) were identified as HRT users. Those with higher adherence and therapy duration were associated with lesser need of secondary or revision joint replacement surgery.
bio-identical hormones
At the Magaziner Center for Wellness, we use bio-identical hormones (BHRT). Bio-identical hormones are different than synthetic hormones because they are structurally and chemically the same as the three estrogens naturally produced by the body – Estriol, Estradiol and Estrone and natural progesterone, testosterone and others, depending on the needs of the patient. Synthetic hormones – namely conjugated estrogens feature a manipulated form of the three estrogens while Medroxyprogesterone Acetate (MPA), which is found in Provera, is a synthetic form of progesterone. To learn more about our Bio-Identical Hormone program please visit this page on our site Bio-Identical Hormone Replacement.
1. D. Prieto-Alhambra, M. K. Javaid, A. Judge, J. Maskell, C. Cooper, N. K. Arden, M. Mullee, J. Rafferty, A. Carr, A. Price, K. Javaid, D. Beard, D. Altman, N. Clarke. Hormone replacement therapy and mid-term implant survival following knee or hip arthroplasty for osteoarthritis: a population-based cohort study. Annals of the Rheumatic Diseases, 2014; DOI: 10.1136/annrheumdis-2013-204043
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