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Hip event to focus on healthy choices, treatment

Summit Orthopedic Specialist physicians are the featured presenters at a free Hip Health event to educate attendees about healthy hips and care and treatment options.
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Later this week, you might find a few skeletons knocking on your front door in search of candy — but in real life, paying attention to the skeletal system is an important component of health.

A variety of skeletal conditions can cause serious problems and a lot of pain. Arthritis is chief among them, and the Centers for Disease Control reports that by 2030 about 67 million adult Americans will have doctor-diagnosed arthritis.

That’s one reason Dignity Health Sierra Nevada Memorial Hospital is hosting a free Hip Health event from 5:30 – 7 p.m. on Tuesday, Nov. 18, at the Alta Sierra Country Club.



It will feature Summit Orthopedic Specialist physicians Paul Sasaura, M.D., and Robert Cameto, M.D., both orthopedic surgeons. The event is designed to help educate participants about how to keep hip joints healthy and will provide information about options available when things start to go wrong.

The most common type of arthritis is osteoarthritis, according to Sasaura.




“This is known as ‘wear and tear’ arthritis,” he said. “This is a degenerative joint disease in which the cartilage cushioning the joint slowly wears away.”

The condition may result in bones that rub together, unprotected, causing pain and eventually leading to acute discomfort even when a patient is not moving.

Another major cause of hip pain is rheumatoid arthritis, a chronic, inflammatory form of the disease where the body’s immune system actually attacks the joint lining, causing swelling.

“Common myths about arthritis,” according to Cameto, “are that it is associated with aging, is not serious, and that there is nothing much that can be done about it.”

None of that is true, he said.

Stephanie Kreiter is someone who knows this first hand. At age 34 she began experiencing intense pain and limited mobility in one hip, which made being the mother of a 3-year-old challenging.

An MRI showed osteoarthritis and a possible tear in the cartilage that lines the hip socket.

“The first doctor just said, ‘I’m so sorry,’” Kreiter shared.

She was referred to Dr. Greene at Summit Orthopedics, who performed outpatient hip arthroscopy. Three and a half months after surgery, Kreiter was able to walk in a fashion show in Sacramento, and has since taken horseback riding lessons and joined Crossfit.

“I couldn’t be more grateful for this surgery,” she said

The two doctors will explain arthritis and describe a variety of treatments ranging from injections of anti-inflammatory agents to surgeries that may include arthroscopy, total or partial joint replacement or revision joint procedures.

Their discussion will cover other aspects of hip pain, including avascular necrosis, where the “ball” at the end of a bone is not getting its necessary blood supply, hip dysplasia, or improperly formed bones, and degenerative joint disease in general.

“For hip pain, non-surgical treatment options are often the first line of defense,” Sasaura said. “A variety of non-surgical approaches to managing arthritis exist, including resting, maintaining a healthy weight, gentle exercise, physical therapy, walking aids, medications, cortisone injections and more.”

When total hip replacement is required, surgeons may replace the joint’s natural socket with a metal cup protected with a plastic liner, or a metal femoral stem and head, Sasaura explained.

“The goal of total hip replacement is to increase mobility and the ability to perform daily activities,” he added.

The Summit group was among the first to employ MAKOplasty Partial Knee Resurfacing, a rapid recovery alternative to total knee replacement for people with early to mid-stage osteoarthritis, now available at the hospital.

Sasaura and Cameto and their Summit colleagues are only one of the orthopedic surgery teams serving Grass Valley and Nevada City. Long-time local orthopedic surgeons Roland Dutton, M.D. and Frank Minor, M.D. also provide orthopedic surgery and related health services.

Although the Hip Health seminar is free, space is limited and reservations are required. Reservations and additional information about the event may be obtained by calling 530-274-6146.

All physicians providing care for patients at SNMH are members of the medical staff and are independent practitioners, not employees of the hospital.


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