A review of 47 .studies on 22,037 patients with knee osteoarthritis treated for at least 12 months showed no clear difference in controlling long-term pain between medications and placebos. With the exception of immune suppressants that have lots of serious side effects, medications and health supplements do not prevent progressive damage to joints and are used only to help lessen pain.
An article in the New England Journal of Medicine showed that spinal manipulation is at least as effective in controlling low-back pain as the standard medical treatments of ultrasound, antiinflammatory drugs, anti-pain drugs, diathermy heat treatments, hot or cold packs, use of a corset or transcutaneous nerve stimulation.
On April 9, 2019, the U.S. Food and Drug Administration approved a new osteoporosis drug called Evenity. Bones are constantly changed by bone cells called osteoblasts that grow new bone and osteoclasts that remove old bone cells. Evenity is a monoclonal antibody that blocks the effects of the protein sclerostin that encourages the growth of osteoclasts that remove old bone cells.
People who run or walk regularly have healthier and stronger spinal discs than non-exercisers do (Scientific Reports 7, April 19, 2017). This is very reassuring because some doctors tell patients with back pain not to run because they think that the jarring of the foot striking the ground will damage discs and injure backs,.
The Women's Health Initiative showed that an inflammatory diet is associated with increased hip fracture rates in women ages 50 to 63 and an anti-inflammatory diet is associated with less bone density loss in this same group of postmenopausal women.
Your bones weaken progressively after age 30, and between ages 35 and 50, about 28 percent of North American men and women suffer from bone weakening called osteopenia. Just one year of lifting weights can strengthen the bones enough to help protect people from fractures.
The majority of people with arthritis are inactive, overweight, diabetic or pre-diabetic. The CDC Morbidity and Mortality Weekly Report found that 32 percent of adults with arthritis have pre-diabetes or diabetes, 56.5 percent are physically inactive and 50.1 percent are obese. Anything that causes inflammation can damage joints, and inflammation is a more common cause of arthritis than wear-and-tear injuries.
If you have rheumatoid arthritis or any other type of arthritis, anti-inflammatory lifestyle habits should be an important part of your treatment program. For many years, exercise has been recommended as part of the treatment for rheumatoid arthritis, and a recent summary of studies confirms that vigorous exercise is beneficial. An anti-inflammatory diet high in plants and low in meat and sugar, and weight control, also reduce symptoms of rheumatoid arthritis.
Your choices for treatment of back pain are surgery, steroid injections, pain medications, exercise strengthening and stretching programs, or techniques that place external force on the back such as deep massage, manipulation and passive stretching. Because surgery has such a high failure rate, it is usually recommended only when there is danger of permanent injury such as loss of feeling, loss of muscle control or intractable pain.
With aging, a person wears away the shock-absorbing cartilage in the knees, which increases risk for pain and swelling. Many studies present overwhelming evidence that surgery for torn knee cartilage (torn meniscus) does not reduce knee pain or swelling in the long run.
If your back is stiff and hurts when you move, if it hurts to touch two points at the side of the top of your pelvis where it joins your spine (the sacroiliac joint), and if your back x ray shows signs of this disease, you probably suffer from ankylosing spondylitis. You may also...
Several recent articles suggest that inflammation associated with a faulty diet, lack of exercise, overweight and lack of vitamin D increases risk for autoimmune diseases. There is no strong evidence yet to show that any diet will cure auto-immune disease.
Eighty percent of North Americans have X-ray evidence of osteoarthritis by age 65, and 60 percent have significant joint pain. Researchers at Surrey University in England reviewed 68 studies on the effects of diet on osteoarthritis and found that osteoarthritis is associated with everything that increases inflammation, and that the joint pain can be reduced by everything associated with the control of inflammation.
Even the most outrageous quacks sometimes end up as prophets when many years later, a scientific study supports theories that were previously scorned. An article from respected researchers in Berlin showed that cod liver oil helped to relieve pain and suffering in some people with rheumatoid arthritis. This is the same remedy proposed by...
Eighty percent of North Americans have X-ray evidence of osteoarthritis by age 65, and sixty percent have significant joint pain. More than 700,000 people in the United States have their knees replaced each year. It now looks like inflammation, lack of exercise and being overweight are the major causes of knee joint pain.
When all the cartilage in your knee is gone, the only effective treatment is to replace the whole knee. The ends of bones are soft, so they must be covered with a thick white gristle called cartilage. Once damaged, cartilage can never heal or re-grow. Small holes in cartilage can be repaired, but usually once cartilage is damaged the person spends the rest of his or her life losing cartilage until it is completely gone and the knee hurts 24 hours a day.
Eighty percent of North Americans have X-ray evidence of osteoarthritis by age 65, and sixty percent have significant joint pain. A recent study compared the size of knee cartilage in skeletons, and the researchers found that the incidence of knee osteoarthritis (loss of cartilage) has risen at a frightening rate over the last 50 years.
Eighty percent of North Americans have X-ray evidence of osteoarthritis by age 65, and sixty percent have significant joint pain. Recent research suggests that osteoarthritis may be caused by inflammation, the same overactive immunity that causes heart attacks and auto-immune diseases.
Research from the Medical University of Vienna shows that most cases of osteoarthritis are caused by an overactive immunity, just like rheumatoid arthritis and reactive arthritis. Patients with osteoarthritis have raised tissue levels of galectins, carbohydrate-binding proteins that turn on a person's immunity to break down cartilage in joints in the same way that a person's immunity attacks germs when they invade your body.
I have said repeatedly that surgery to trim cartilage in the knee is worthless. I have seen many patients who have had cartilage removed by surgeons for an average charge of $5000 and then they must have a knee replacement several years later.
Twenty-eight million North Americans have osteoporosis that puts them at high risk for breaking bones. People who suffer osteoporotic hip fractures have a 20 percent chance of dying within the next year. You can help to prevent osteoporosis or slow its progression by exercising, maintaining a healthful weight and eating an anti-inflammatory diet.
Until recently, the only effective treatment has been to cut out the ends of the bones of the knee and replace the entire knee joint. Now for some people, a simpler procedure may be effective: partial knee replacement, called unicompartmental knee arthroplasty.
If you suffer from severe back pain and your doctor has not found a cause, ask him or her if you need a bone density test to determine if you have osteoporosis. All women and most men will suffer osteoporosis if they live long enough.
Reports have shown that pills containing chondroitin sulfate and glucosamine, two components of cartilage, may help alleviate the pain of arthritis.
Strengthening leg muscles helps to control pain in osteoarthritic knees. Isometric and range-of-motion strength programs help to control pain and increase range of motion in people who have osteoarthritis. The patients had less pain on moving their knees and were able to perform motor tasks faster.
Hundreds of stem cell clinics in the United States are promoting stem cell treatments for knee osteoarthritis without solid evidence that they help to relieve pain or repair broken cartilage. Stem cells are primordial cells that can become any tissue such as bone, muscle, cartilage and so forth. Very promising research is being done now at several medical schools in which the DNA in stem cells is altered to make them become cartilage cells.
Osteoarthritis affects almost 30 million North Americans, making it the most common joint disease. It damages cartilage most often in the knees, hips, fingers and spine and is associated with aging, trauma, and obesity, but its primary cause now appears to be an overactive immunity that damages joints.
A study presented at the Annual Meeting of the American Academy of Orthopedic Surgeons showed that Synvisc injections are as effective as steroid (cortisone) injections in controlling the pain of damaged cartilage in the knee. Synvisc costs about $5000, compared to five dollars for cortisone.
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