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Orthopedic Services
Glendale Adventist Medical Center
1509 Wilson Terrace
Glendale, CA 91206
Ph: (818) 409-8000






Ankle
Elbow
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I am a 75-year-old senior with degenerative arthritis of the hips and knees. My grandson is a nurse and he really wants me to go see a physical therapist. I don't want to sound ignorant but what can they do for me that my grandson can't do?

Degenerative arthritis (also known as osteoarthritis) often affects the hips and/or knees in aging adults. Having good medical care whether from a physician, nurse, or physical therapist is important. Each one has something to offer that can ease your pain, improve your symptoms, and increase your functional abilities. All of those are important in maintaining your independence. Physicians can offer a wide range of pharmacologic (drug therapy) and surgical treatment options. Many patients start out taking a simple pain reliever such as Tylenol and doing just fine for quite a while. Adding physical therapy early on can also provide some insurance against future disability. Physical therapy can be very helpful in getting a patient headed in the right direction. The therapist can get you set up with an individual program that works best for your situation and personal preferences. The therapist can provide exercises to help with strengthening muscles that support and offload the joints. If necessary, weight loss can be accomplished using exercise without aggravating joints and increasing pain and stiffness. The therapist can provide a postural assessment and advice or suggestions about ways to improve posture to reduce stress on the joints. The therapist may advise changes in footwear or sleeping habits that help manage symptoms. In some cases, the therapist has a role in providing appropriate braces insoles or walking aids to help improve patient function. When symptoms are at their worst, modalities such as heat or electrical stimulation may be used to get control of symptoms before moving forward with the rest of the program. Sometimes family members who are health care providers prefer that their loved ones see someone beside themselves for care. Staying objective about the best way to treat a condition isn't always easy when it's someone you love. Your grandson may be trying to look out for your best interests by getting another expert's advice and counsel. You can also talk with your physician about what he or she thinks might be best for you at this time. Seeking medical help may relieve your grandson's worry about you and won't hurt you -- in fact, it will probably prove to be very helpful in the long run.

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