264 ‒ Hip, knee, ankle, and foot: common injuries, prevention, and treatment options

ℹ️ EPISODE INFO

Released

July 31, 2023

Duration

2h 18m

Channel

Peter Attia MD

Watch on YouTube

▶ Open ↗

📝 EPISODE DESCRIPTION

Watch the full episode and view show notes here: https://bit.ly/3O6uzSF Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ Adam Cohen is an orthopedic surgeon with expertise in sports medicine. In this episode, Adam breaks down the anatomy of the lower extremities: the hip, knee, ankle, and foot. He explains in detail the common injuries, sources of pain, and what leads to the development of arthritis. He lays out the non-surgical and surgical treatment options as well as the factors that determine whether surgery is appropriate. The discussion includes various procedures like hip replacement, knee replacement, ACL reconstruction, repair of meniscus tears, and more. Additionally, Adam sheds light on the utility of biological therapies like stem cells and platelet-rich plasma (PRP) and how they compare to more traditional approaches. We discuss: 0:00:00 - Intro 0:00:30 - Anatomy of the hip, hip dysplasia in infants, and the development of arthritis 0:09:52 - Diagnosing hip pain in people under 50, stress fractures in the femoral neck, and more 0:18:49 - Common hip injuries, gender differences, and problems that occur when the hip isn’t formed normally 0:25:26 - Advancements in hip replacement surgery 0:28:04 - Common hip problems in people over age 60 0:31:20 - The importance of muscular strength around the hips for injury prevention 0:37:16 - Hip fractures due to osteopenia and osteoporosis 0:42:27 - The utility of biological therapies like stem cells and platelet-rich plasma (PRP) 0:59:27 - Cortisone as a treatment to delay the need for surgical intervention 1:00:34 - Anatomy of the knee 1:04:09 - Are activities like running that amplify forces bad for the knee? 1:08:39 - Risk of future knee issues and arthritis following an ACL tear or other substantial knee injury 1:14:09 - How the ACL injury happens and how it is repaired 1:25:52 - Arthritis of the knee 1:28:22 - Meniscus tears: how they happen and when surgery is appropriate 1:38:16 - Total knee replacement: when it’s appropriate and how the recovery process compares to hip replacement 1:49:41 - Surgical vs. non-surgical approaches to various knee injuries 1:53:42 - Achilles tendon: tendinitis, rupture of the Achilles tendon, and prevention strategies 1:58:50 - Anatomy of the ankle and foot 2:01:32 - Common injuries to the ankle and foot 2:13:17 - Tips for finding a good orthopedic surgeon -------- About: The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 70 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more. Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: https://peterattiamd.com/terms-of-use/

🎤 SPEAKERS

• Adam Cohen

  guest

  Orthopedic surgeon specializing in lower-extremity (hip, knee, ankle, and foot) injuries and treatments.

• Peter Attia

  host

  Physician and host of The Drive Podcast (Peter Attia MD).

🧾 EPISODE SUMMARY

In this episode of Peter Attia MD, featuring Adam Cohen and Peter Attia, 264 ‒ Hip, knee, ankle, and foot: common injuries, prevention, and treatment options explores orthopedic surgeon explains lower-body injuries, prevention, biologics, surgery and choosing a surgeon Cohen explains that many hip problems, including arthritis in young adults, trace back to how the socket formed early in life (developmental dysplasia) or to bony bumps causing impingement, and that stress fractures of the femoral neck must be ruled out in endurance athletes with groin pain.

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