Osteoarthritis Probably Caused By Inflammation
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.
Slim Evidence for Stem Cell Treatment of Arthritis
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.
T’ai Chi for Arthritis
People with arthritis should exercise to strengthen their muscles. This helps to stabilize their joints so they are not so loose that every movement chips off more cartilage. Exercises that put hard force on joints break cartilage, so the best exercise for people with arthritis is one that strengthens muscles without applying great force on joints. In T'ai Chi, a person moves very slowly for extended periods of time. Slow movements put great force on muscles to cause significant gain in strength without putting much force on joints.
Everyone loses bone with aging. A review of 40 studies on almost 80,000 subjects found that more than 35 percent of people over 60 suffer from osteoporosis that increases risk for bone fractures and death. People who suffer osteoporotic hip fractures have a 20 percent chance of dying within the next year. If you have suffered bone fractures with minimal trauma, the odds are strong that you have osteoporosis.
Ankylosing Spondylitis (Reactive Arthritis of the Spine)
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...
Manipulation for Low Back 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.
Lifestyle and Drugs to Treat Osteoporosis
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.
Diet and Arthritis Pain
A diet loaded with cooked vegetables and olive oil helps reduce the pain, swelling and discomfort of rheumatoid arthritis, according to a study from Harvard School of Public Health.
Exercise for Osteoarthritis
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.
Synvisc Injections Equal Cortisone for Knee Pain
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.
Treatment of Low Back Pain
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.
Osteoarthritis has Doubled in the Last Fifty Years
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.
Inactivity Linked to Arthritis
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.
Nonsteroidals Can Delay Healing
Doctors often prescribe aspirin and nonsteroidal medicines to people who suffer pain from surgery and injury, but they do not help you recover faster from muscle injuries (1,2,3) , broken bones, joint damage, surgery including joint replacement (12) or muscle soreness after hard exercise (4)/ and they can cause diarrhea, belly pain and bleeding. What you gain in pain control, you may lose in actually delaying healing
Arthroscopic Knee Surgery is Usually Useless
I have said repeatedly that surgery to trim attached cartilage in the knee is usually 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.
Knee Osteoarthritis: Exercise Therapy More Effective than Surgery
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.
Auto-Immune Diseases and Inflammation
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.
Cod Liver Oil for Arthritis
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...
Running and Walking May Be Good for Your Back
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,.
Strength Training to Help Prevent and Treat Osteoporosis
All men and women will develop osteoporosis if they live long enough and the best way to prevent this increased risk for breaking bones may well be a resistance exercise program. A study from Romania found that a resistance training program markedly increased the bone density of osteoporotic women, average age 56 years, in just six months.
How Excess Weight Can Cause Arthritis
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.
Anti-Inflammatory Lifestyle to Treat Many Diseases
Many types of arthritis are believed to be caused by inflammation, where a person’s own immune system attacks and damages joints and other tissues in the body. An anti-inflammatory diet may help to control arthritis ) as well as giving its well-established benefit of helping to prevent heart attacks.
Height Loss with Aging
The bones of your spine are separated by pads called discs. As you age, these discs dry out and become smaller. However, regular exercise compresses and relaxes these discs as you move up and down. This helps to keep the discs from shrinking and maintains your height.
Osteoporosis and Diet
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.
Osteoarthritis Linked to Inflammation
Eighty percent of North Americans have X-ray evidence of osteoarthritis by age 65, and sixty percent have significant joint pain. Osteoarthritis may be caused by inflammation, the same overactive immunity that causes heart attacks and auto-immune diseases.
Partial Knee Replacement
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.
Inactivity Increases Risk for Knee Pain
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.
Arthritis and Colon Bacteria
A study of 1,388 women with hand arthritis, average age 61, showed that they had higher levels in their colons of the bacteria Bilophila and Desulfovibrio that try to invade their colon cells, as well as a lower level of the genus Roseburia that do not invade colon cells. An anti-inflammatory lifestyle has been shown to help grow healthful bacteria in your colon, which can help to treat arthritis.
Total Knee Replacement
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.
Exercise to Treat Arthritis
If you have joint pain, you should still keep moving. There is increasing evidence that exercise can help to treat and prevent osteoarthritis of the hips and knees. Low-intensity sessions of walking or cycling offered pain relief after just 2-12 weeks (BMC Musculoskeletal Disorders, Feb 3, 2022;23(113)), and after joint replacement surgery (Sport Sci Rev, 2021;49(2):77-87).
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