Bariatric Surgery Information
Effects of Bariatric Surgery on Musculoskeletal Complaints

Pains in Neck, Shoulder, Spine, Hip, Knee, Foot After Gastric Bypass

Guide to Weight Loss Surgery - Research Into Gastric Reduction Surgery

Effects of Bariatric Surgery on Musculoskeletal Complaints

Over 18 months, researchers studied the frequency and prevalence of musculoskeletal (MSK) complaints in obese patients before and after undergoing gastric bypass surgery. The researchers concluded that the complaints, which involved joint and tendon pain, decreased significantly following surgery and initial weight loss, even in non-weight bearing areas of the body.

Study Method

The comprehensive review of MSK symptoms (neck, shoulder, spine, hip, knee, foot pain, fibromyalgia syndrome, etc.) before and after weight loss studied 54 patients recruited from University Hospitals of Cleveland's Bariatric Surgery Program, according to Michele Hooper, MD, the study's principal investigator and co-director of the Arthritis Translational Research Program at University Hospitals of Cleveland.

Patients

Of the 54 patients who were studied, there were 52 women and two men ranging in age from 35-53 years. For the female participants, the mean weight before surgery was 292 pounds. Many patients suffered from the following comorbid conditions before surgery: hypertension, sleep apnea, type 2 diabetes, asthma, bladder incontinence and gastroesophageal reflux disease.

Results

Dr. Hooper's findings, which will be presented in San Antonio at the American College of Rheumatology's annual meeting on October 21, 2004, demonstrated that there was decrease of 52% in the number of sites of musculoskeletal complaints and a 92% reduction in fibromyalgia syndrome pain (widespread pain and tenderness in muscles and soft tissue) between 6-12 months after surgery. There was significant improvement of function and quality life as well.

Musculoskeletal Indices Used

Using the Western Ontario and McMaster Universities Arthritis Index (WOMAC), a leading outcome measure of osteoarthritis-related disabilities in the hip and knee; as well as the London Fibromyalgia Epidemiology Study Screening (LFESSQ), an index that test pain and fatigue criteria, Dr. Hooper and colleagues found that there was a dramatic resolution of fibromyalgia pain after surgery, which may be due to a decrease in the above stated comorbid syndromes and an increase in physical activity. As weight loss continues, these benefits may improve further.

Conclusion

"The study clearly showed the benefit of weight loss in terms of pain, function and quality of life. We are now trying to understand why certain conditions such as knee osteoarthritis are so much more common than hip or ankle arthritis in people who are overweight," says Dr. Hooper.

Source:
News Medical Net

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources