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The use of anabolic steroids in elderly patients after knee replacement could therefore have beneficial effects on postoperative development of muscle strengthand function as well as bone mineralization,” according to the report.
The study was published in the Clinical Journal of Sports Medicine.
The U.S. Surgeon General’s report on drugs and sports concluded, “Although all individuals should ensure that their performance does not impinge on the health of others, the extent to which an athlete may use performance-enhancing drugs could have a great deal to do with his or her performance during competition, his or her career, and even his or her death.”
“It’s a little scary to think about how important it is to understand the consequences that come with your performance,” said the U.S. Surgeon General, Dr. Thomas Frieden. “If you use performance-enhancing drugs for medical reasons, you can have these potentially devastating side effects.”
In the study, 11.6 percent of the men and 23.6 percent of the women in the study who used performance-enhancing steroids in the 12 years preceding their knee replacement used nonsteroidal antiinflammatory drugs, or NSAIDs, to regulate inflammation in the joints.
“I think there is a difference between inflammation when you have an infection and inflammation in a joint that doesn’t allow for the ability to exert the full range of motion to perform the activity,” said Dr. George B. Meyers, the vice chair of the department of orthopedics at the University of Tennessee of Medicine and Science. “I think that is the key difference.”
“In the study of the elderly men, we saw lower-than-expected muscle damage caused by nonsteroidal antiinflammatory drug use,” Meyers said.
In addition to bone mineralization, research has shown an association between anabolic steroids and knee and hip pain that can be reduced by steroid supplements.
The study is scheduled for publication at the International Journal of Clinical Practice, in the October issue of the American Journal of Physical Medicine and Rehabilitation.
According to the U.S. Surgeon General’s office, about 1.9 million people in the U.S. use anabolic steroids. In addition, the National Institute on Drug Abuse reports at least 2.4 million adults may be using anabolic steroids across the nation.
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