Showing posts with label osteoarthritis knee. Show all posts
Showing posts with label osteoarthritis knee. Show all posts

Friday, March 7, 2014

How Joint Injections Help Athletes


Joint injections are common procedures in medicine where medications are injected into the joint space. This procedure is uncommon in younger athletes, due to their normal and healthy joint functions. However, this is one of the most reliable methods of managing degenerative arthritis or osteoarthritis in many older athletes.

Benefits of joint injections

The procedure is given to treat inflammatory joint issues such as gout, rheumatoid arthritis, tendonitis, psoriatic arthritis, bursitis and sometimes osteoarthritis. Corticosteroids are used for this medical procedure because of its anti-inflammatory capability as well as its ability to slow down the build-up of cells which causes the inflammation in the joint space. If present, joint fluid will be aspirated or removed prior to joint injection. This also eases the pain and swelling of the join and helps in the diagnosis of joint pathology.

While corticosteroids may successfully relieve osteoarthritis, the mode of action as to whether this will aggravate or alleviate the issue is unclear. In many knee-joint injection procedures, Hyanluronic acid, a viscous lubricating substance, is commonly used to relieve the symptoms of osteoarthritis of the knee.

What Comprises Joint Injection Medications

The anti-inflammatory medication corticosteroid is mostly utilized in this procedure. Cortisone is a kind of steroid that it naturally produced by the body and released when you are under stress. Injectable cortisone is synthetically produced and it's a close derivative of the natural cortisone. Unlike natural cortisone, corticosteroids are injected to specific inflamed areas instead of being released into the bloodstream. This synthetic cortisone is also more potent and provides relief for a long period of time.

Apart from synthetic cortisone, a lubricant such as hyaluronic acid injections works to lessen the inflammation and lubricate the affected joint. It helps the joint lining to produce substances to feed the joint cartilage. This actually helps in early arthritis can is effective up to 6 months. Patients are given joint injections once a week for the next three to five weeks and this process maybe repeated after six months if needed.

Which joints are injected?

The most commonly injected joints are the ankle, knee, shoulders, elbows, wrists as well as the small joints of the hands and feet. You may need an x-ray called fluoroscopy to guide hip-joint injections.

Unlike oral steroids which are mostly abused and misused by athletes, joint injections using corticosteroids can lessen healing time and help lessen pain and inflammation. This procedure is mainly used to treat inflammation of the joints in sports injuries and aging athletes with their arthritis. Despite its many benefits, injection and these steroids also have corresponding side effects depending on the amount and location of the joint injection as well as the condition of the patient.

Thursday, March 6, 2014

Knee Braces For Running - Support For Really Hurt, Bad, Or Just Plain Aching Knees - Pain Relief


Your Knees & Running

Your knees take the brunt of the force that comes from the impact of running. Whether you are an avid runner, or like to casually enjoy the sport, you may have experienced discomfort or pain in your knees.

1.) A Well Designed Knee Brace

Any runner is aware of the constant stress that is placed on the knees and the injuries that can keep you from your favorite pastime. As a result, you may be looking right now for a way to address your pain so that you can continue on with running. A well designed knee brace can help support your knee while running and can help greatly reduce your knee pain. These supports do not have to be astronomically priced, and can be the answer that you are looking for.

Runners have unique needs when it comes to knee braces. Not only does the brace need to be low profile, but it also needs to address common knee issues. Our advice is that you should not just focus on the sport of running, although this is important. We suggest that you should think about your knee injury first, and second comes the sport of running. (After speaking with your physician, you will know what your knee injury level is)

2.) A Running Knee Brace

Often times people will get confused, thinking that there is just one kind of running knee brace, when in actuality there are many that primarily focus on the severity of your knee pain or knee injury. Usually, runners will complain of pain from a form of arthritis, meniscus, or ligament injury.

For example, osteoarthritis can prevent your knee from being in proper alignment. The pain from this malalignment can be especially noticeable when you run. OA (osteoarthritis) knee supports can help this issue by maintaining proper knee alignment.

3.) Injury Types

Meniscus injuries are also common problems for runners, as well as injuring your ACL (anterior cruciate ligament), or MCL (Medial collateral ligament). Injuring your ACL, MCL, or meniscus can be very painful, and usually requires a good running knee brace to help promote healing. Most likely, if you have one of these knee injuries, you will need a knee brace that has a hinge, as well as medial and lateral uprights. These will help prevent excessive side to side movements that can be painful. A well designed knee support can help prevent any future damage or tearing from occurring as well.

4.) Custom vs. Non-custom Bracing

Non-custom knee braces for running can provide exceptional support as well. Sometimes people think that the only knee brace that will serve them is a custom one. We are here to tell you that this is not always the case. Usually, the only time you will need a custom knee brace is if you do not have normal knee anatomy. This is usually not a problem for most people. The biggest difference between custom and non-custom knee braces is usually the price. Non-custom supports can serve you well without costing you an arm and a leg (ie. you can several hundred dollars with non custom knee braces).

Sunday, March 2, 2014

Osteoarthritis Prevention


With Osteoarthritis, prevention is preferable to a cure. If we follow this maxim we can alleviate some of the pain and discomfort through healthy-living strategies and self-care techniques. Osteoarthritis is a degenerating disease affecting the cartilage of joints over the years. Osteoarthritis is generally an age related condition inconveniencing American men and women who are 40 years old or older. It can be genetic or caused by injury or trauma.

If Osteoarthritis runs in the family, the best preventive measure would be to follow a healthy lifestyle and a regular exercise program. This will help slow the onset of the disease by strengthening muscles around arthritic joints. Consult a doctor or work with a physical therapist to design an exercise program suited to your body weight and medical condition. Walking is the best exercise, and riding a stationary exercise bicycle or doing aquatic exercises is also helpful. Another option is tai chi for strengthening and relaxation techniques and improving balance. Exercise should be done in moderation and you should consult a doctor if you experience excessive pain.

For Osteoarthritis patients, obesity is a major cause of worry. Along with age, any excess weight puts added stress on back, hips and knee joints and makes joint surgery risky. A healthy diet of fruits, vegetables, and whole grains helps in controlling weight and also in effective treatment of Osteoarthritis. Another way to prevent further worsening of Osteoarthritis is appropriate footwear for walking, exercising, and evening wear that will put less strain on your weight-bearing joints or back.

Osteoarthritis affects the activities of everyday life. To cope with increasing demands on the body, we need to practice relaxation techniques or yoga and meditation to develop a positive attitude. Even if you cannot prevent Osteoarthritis, it is a good idea to learn the limits of your body so that you can modify your lifestyle to avoid unnecessary pain.

Saturday, March 1, 2014

Joint Pain - A Symptom Of Osteoarthritis


Osteoarthritis is one of the common infections that have negative effects on the joints of the body, as it causes the joint's cartilage to break down over a period of time. In the case of osteoarthritis, the cartilage is usually torn. The major symptom of this disease is joint pain. Osteoarthritis often affects the back, knees, fingers, hips, neck and toes. The nature of pain associated with osteoarthritis could be mild, moderate or severe. Millions of people are victims of osteoarthritis and its associated joint pains due to age related-wear-and -tear. At the early stage of osteoarthritis, the symptom of may be indistinct and then develop gradually. Yet most people may not even experience the early symptoms at all.

Joint pain cause by osteoarthritis can lead to difficulties in moving as well as disability. Unfortunately, there is no definite cure for osteoarthritis but it is possible to delay or reduce joint injuries and complications of disease with proper exercises, adequate rest and physical therapy. This article does not support the ideal of medication and surgery for the treatment of osteoarthritis, because most of the prescribed medications for joint pain resulting from osteoarthritis are not only very expensive but they end up hiding the pain. Even if the brain does not recognize the pain, it is still there and continues to damage and disfigure the joint. But with nutrition, rest, natural therapy and most importantly simple exercises, you can treat osteoarthritis and at the same time save hundreds of dollars.

Treatment of osteoarthritis.

Body flush: juice fasting and adequate water intake will help to flush out alkaline in your body system, thereby reducing your chances of suffering from osteoarthritis and its associated pains. As water drains the impurities and toxins in your body, the symptoms of osteoarthritis will naturally begin to disappear. Therefore, you are advised to take 10-12 glasses of water daily. Also liquids like soda, tea, coffee and all sorts of ready-made juices with high content of sugar and flavor should be strictly avoided, as they will not only worsen your health problems but they can also lead to severe joint pain.

Nutrition: Nutrition is one of the major factors that can determine whether you will be able to treat the symptoms of osteoarthritis or not. Fresh and raw foods with little or no processed foods will be of great help in relieving pains associated with osteoarthritis. Consumption of more water-soluble fiber like fresh foods and raw vegetables are also recommended for the treatment of osteoarthritis. Processed foods, fast foods and foods with high sugar content must be avoided if you really want to be free from joint pain that comes from osteoarthritis.

Exercise: exercise is the most effective way of treating osteoarthritis. It will assist in re-building your muscle mass and body tissue, and as well increase your immune system helping your body get rid of the free radicals in your joint. The following simple exercises are very relevant in the treatment of osteoarthritis and its associated pains; swimming and water exercise, squatting exercise, walking and stationary bike.

Joint pain is one of the symptoms of osteoarthritis. This pain can cause discomfort and disability if not properly taken care of. But with simple exercises like swimming and water exercises, squatting exercises etc, you can effectively treat osteoarthritis and its associated pains.

Friday, February 28, 2014

Osteoarthritis of the Knee - Focus on Treating the Cause


One of the most common forms of knee pain that people experience is osteoarthritis in the knee. Arthritis pain is very common for people who age. As you get older, your body begins to wear down. One particular thing that can happen inside your knee is the wearing down of your cartilage. Once your cartilage is reduced, you will often find that you will have swelling and pain that is in your knee.

People who have osteoarthritis pain in their knee should focus on trying to strengthen the surrounding muscles. By building up the muscles around your knee, you can help the knee stabilize. This will often work to reduce some of the pain that you are experiencing. Your quadriceps muscles in particular are very effective in stabilizing your knee.

A good exercise to strengthen your quads is the stationary bike. It is a good way to build strength, while at the same to taking the pressure off of your knees. People who focus on exercise as a way to cure there knee pain will often find it very effective in relieving some of the pain symptoms.

If you are looking to find relief for osteoarthritis of the knee, you need to ensure that you use a comprehensive program that treats both the cause and the symptoms of your pain. Getting a good program together can usually result in drastically reducing the amount of pain that you experience in your knee area. It can also allow you to become more active with less pain in your knee joints.

Monday, February 24, 2014

Symptoms of Osteoarthritis - What You Should Do and What You Shouldn't For Permanent Pain Relief!


The symptoms of osteoarthritis vary depending on factors such as lifestyle, age, etc. Preventing further deterioration of cartilage and osteoarthritis pain relief are two of the main goals of treatment. Find out the expert facts on the best treatment methods in this article.

Pain is a common characteristic in all the types of arthritis. Therefore, a proper diagnosis should be done by a doctor before the use of any medication. Progressive stiffness without fever and pain are some of the early symptoms of osteoarthritis, but they are also found in other types of arthritis.

Among the symptoms of osteoarthritis, pain free intervals are also seen for a temporary period which may last even up to a few years, while there are others who do not find even the slightest osteoarthritis pain relief for a single day.

Among the most common symptoms of osteoarthritis, is joint pain after repetitive use. It occurs due to the grinding of joints as a result of destruction in the cartilage that plays the role of a shock absorber. For example, the occurrence of knee pain that is not associated with any sprain, injury, etc. for those who have a history of mountain climbing, heavy sports, etc. is a common example of osteoarthritis.

The pain generally worsens with the passage of the day. Among the symptoms of osteoarthritis that occurs in weight bearing joints such as hips, ankles, knees etc. a limping outward curvature is seen.

A "joint replacement" operation is suggested when the cartilage has deteriorated to such a point that no osteoarthritis pain relief is found even during period of rest. In fact, osteoarthritis is the biggest reason for knee replacement in USA.

In the spine, symptoms of osteoarthritis include neck and low back pain. In osteoarthritis of the big toe, painful swelling of the bursa of the first joint or bunions are seen.

In osteoarthritis of finger joints, the joints become swollen and enlarged. Even simple tasks such as buttoning a shirt also become difficult in advanced stages of the disease.

Most people often use over-the-counter medications such as acetaminophen for osteoarthritis pain relief. But, care should be taken that it can cause heart diseases in the form of side effects. Other prescription based pain relievers also have a lot of serious side effects.

Omega-3 fatty acids and green lipped mussel extract found in New Zealand form part of the best natural treatment for effective osteoarthritis pain relief. It has no side effects and in fact is very beneficial for vital body functions and overall health. Their benefits include improved cardiovascular health, brain health, radiant skin, better digestive system and many more.

Omega-3 fatty acids help to reduce joint stiffness, pain and inflammation, improve grip strength and help to enhance joint mobility in osteoarthritis patients. Unfortunately, the average Western diet has become highly deficient in Omega 3 fatty acids, which have natural anti-inflammatory properties and play an excellent role in the symptoms of osteoarthritis.

Research studies also show that omega-3 fatty acids inhibit the functioning of those enzymes that play a role in destroying cartilage. In this way, they prevent any further deterioration in the cartilage cushions. Fish oil supplements are one of the best sources of omega-3 fatty acids.

Regular exercise and light physical activity, proper weight maintenance, adequate rest and a healthy diet with purified high quality fish oil omega-3 supplements can help to alleviate the symptoms of osteoarthritis and prevent it from occurring and serve as the best means of osteoarthritis pain relief naturally.

Sunday, February 23, 2014

Which Knee Brace Size is Best For You? - Knee Bracing Overview


Have you ever wondered how to get the best one for your needs? - Well we will discuss that here, so read on for more free information on the subject.

In this article we will describe how a knee brace should feel when you got the right size and then at the very end we will discuss how to get the right one for your knee (or knees).

The Best Size For You

Many times people will need to take three measurements to get the right size knee brace for their needs. We will discuss that here first:

1.) Take a circumference measurement 6" proximal, or above your knee center (6" = 15cm).
2.) Next take the same type of circumference measurement at your knee center.
3.) Lastly, take a circumference measurement 6" below your knee center.

These are the three basic measurements. However, if you are getting a custom knee support (expensive) you will need to seek the help of a professional orthopedist to take an impression (or a cast) of your leg, and then you will have to wait for it to be fabricated and then arrive for your second appointment. What this usually means is that you will have to spend a lot of time waiting.

How Does The Best Knee Brace Size Feel?

Braces are to be worn snug. Not tight. There is a difference. Usually, when you first get a support you should be able to monitor the way it feels naturally. If for some reason your sensation is impaired you should also monitor your skin because it will tell you how you are feeling. Either way, it is best to monitor your skin when you put a brace on. Not because you are destined to get a rash, but it is always good to know if you are wearing it too tight or not. Your skin won't lie to you.

Your New Brace Provider

When you have questions either before or after the purchase of your new brace you should always be able to speak with a person about them. You do not want to waste money on shipping and find out you could have gotten a better brace. - If a knee brace provider really cares about your well being, and is concerned about you they will make it obvious on their site, offering to answer any of your questions. If they do not;run!

Glucosamine and Chondroitin Side Effects - Results From 5 Scientific Studies


Are there any side effects of glucosamine and chondroitin?

Do glucosamine and chondroitin supplements cause any adverse reactions?

Is there anything unpleasant about taking this supplement?

I have been looking into these questions for the past 3 years or so. That's how long I've been taking glucosamine and chondroitin for my formerly-aching knees.

Recently I updated my research on the subject, and I am very glad to be able to say that expert studies are still finding no serious side effects from taking glucosamine and chondroitin.

Five of the larger studies and their results are:


1 - GAIT -The Glucosamine/Chondroitin sulfate Arthritis Intervention Trial, a $12.5 million National Institutes of Health study, found that adverse events were generally mild and evenly distributed among the glucosamine, chondroitin, glucosamine and chondroitin, placebo, and celecoxib groups.

In essence, the GAIT report, through the American College of Rheumatology (2005), says that the same number of participants reported mild side effects regardless of whether they were taking sugar pills, the G/CS supplement, or the medication.



2 - The Osteoarthritis Research Society International studied one specific formula of glucosamine and chondroitin in the management of knee osteoarthritis.


What they determined was that adverse events such as constipation, indigestion, gas, bad taste, and fatigue were equally reported by those receiving the placebo and by those receiving glucosamine and chondroitin.

They noted that the studied combination of glucosamine and chondroitin have no known serious side effects.

3 - An American Diabetes Association study found that glucosamine, at typical doses, does not effect blood sugar control in those with diabetes.

4 - Published in 2003, an exhaustive systematic research of clinical assessments of glucosamine and chondroitin, performed between 1980 and 2002, found that safety was excellent for both compounds.

5 - A 2003 study showed that FCHG49 glucosamine hcl does not effect blood sugar control in people with Type II Diabetes Mellitus.

In summary, among the people taking glucosamine and chondroitin in 5 scientific studies:


  • No serious side effects occurred.

  • No adverse reactions were found.

  • Among participants with Diabetes, blood sugar control was not effected.

  • Reports of any unpleasant effects were as likely to be reported by those receiving the placebo as by those actually receiving the glucosamine and chondroitin.

What Does The Research On TENS Units Show?


TENS units are small battery operated devices that deliver an electrical current to the skin by way of surface electrodes. These units are inexpensive (usually less than $100), safe, and are non-invasive.

In 1965 Melzack and Wall published their pain gate theory which proposed that a gate existed in part of the spinal cord which could regulate the traffic of painful sensations. When administering the current with TENS, the objective is to activate the non-painful fibres which can then inhibit transmission of painful information. TENS modulates the method by which patients process the pain sensations from the anatomical area, and potentially help release endorphins that act as natural painkillers.

With regards to adverse effects of TENS units, most studies show no adverse effects at all. Some, however, showed an incidence of nausea, bradycardia, and dizziness. Some patients experienced pain, burning, and tingling at the electrode site. It does not interact with medications, and it does not make people drowsy. It is easy to put on, and can be worn during most physical activities. One contraindication is pregnancy, and another one is if the person has a pacemaker.

In a comprehensive review of published studies on TENS units, it has been shown that the quality of research over the past 2 decades has overall been poorly done. So it is difficult to make scientific conclusions. There have been well over 100 studies performed looking at the efficacy of TENS units, however, very few actually contained sufficient numbers to achieve any sort of statistical significance.

Even though most of the studies were of poor quality that were looked at, some showed excellent results for low back pain, arthritis pain, postsurgical pain, neurogenic pain, and sympathetically medicated pain.

There was one study looking at TENS usage after surgery in the 2003 Journal of Pain. It showed excellent results utilizing TENS after abdominal surgery. TENS allowed increased activity and decreased pain during patient's walking and breathing exercises. A lot of studies have shown no statistical difference between TENS unit effects and placebo.

The Osteoarthritis Research Society International recommends TENS units for short term pain relief of hip and knee osteoarthritis. They looked at seven research trials prior to making this recommendation.

When practitioners are asked how well TENS works for patients with musculoskeletal pain, the anecdotal reports are very promising. With it being so low-risk, it is a very prominent treatment option that gets utilized frequently for acute and chronic painful issues.

Saturday, February 22, 2014

Labrador Retrievers - Beautiful, Popular and Prone to Joint Problems


Intelligent. Patient. Tolerant. Mild mannered. Loyal.

With traits like these, is it any wonder the Labrador Retriever is the most popular breed of dog in the world? Since 1991, the Labrador Retriever has been the most popular registered breed in the United States, as well. They are gentle, affable and intelligent and considered by many to be the perfect family pet. They're also known for their working ability and are the most popular breed of working and guide dog in the United States, as well!

With good medical care and proper feeding, you can expect your Lab to live upwards of 13 years. It is a healthy breed with relatively few major problems... but, like other full-breed dogs, they are susceptible to certain inherited disorders, particularly those of the hip, elbow and knee. While not as common in Labs as in other breeds, dysplasia is also a concern.

Labs are somewhat prone to dysplasia of the hip and elbow, especially in larger dogs. Indeed, hip dysplasia is the most common genetic problem affecting dogs of all breeds. Canine hip dysplasia is a general term for the malformation of the hip joint that eventually leads to arthritis. This malformation occurs when the two parts of the hip joint - the ball (femoral head at the top of the upper leg bone) and socket (the "dented" area of the pelvic structure) are misaligned or misshapen. Dogs suffering from dysplasia are not as active as they could be due to significant pain. Often, the only cure for dysplasia is costly surgery to replace the dysplastic hip joint.

Labs also suffer from the risk of knee problems. A "luxating patella" is a common occurrence in the knee that results in the leg being "bow "shaped. This abnormality can cause abnormal wear and tear on the joint, resulting in the development of painful osteoarthritis for some Labs.

The only way to decrease the prevalence of these disorders is through conscientious breeding practices. However, even the most vigilant breeders cannot eliminate these genetic disorders altogether. There's no way of knowing whether an animal will develop a joint disorder later in life.

Regular trips to the veterinarian can play an important role in early detection and early treatment of problems. Unfortunately, the most commonly prescribed treatment for animals suffering from genetic disorders such as hip dysplasia is non-steroidal anti-inflammatory drugs. As in humans, these medications provide temporary relief by decreasing inflammation, but not without a host of potential side effects.

There is an alternative, however.

Supplementation with glucosamine and chondroitin - the natural building blocks of healthy cartilage - offers relief from pain with long-term healing and little risk of side effects. Like NSAIDs, glucosamine and chondroitin decrease inflammation but they also give damaged joints the raw materials needed to build new cartilage, resulting in true relief from pain.

Wednesday, February 19, 2014

Osteoarthritis Vs Rheumatoid Arthritis


Your doctor just diagnosed the pain in your knees as arthritis and prescribed some over-the-counter pain relievers, cold compresses, and rest. After leaving the office, several questions may come to mind.

  • What does this diagnosis mean?

  • Is the arthritis just temporary, or is it going to be chronic?

  • How will it impact your life going forward?

  • Will you still be able to jog, ride your bicycle, or continue gardening?

  • Will you have to give up your job and go on disability?

The word arthritis means "acute or chronic inflammation of a joint" according to Dictionary.com, and can be accompanied by pain or changes in the joint. But this simple definition does not tell the entire story. There are many types of arthritis-type illnesses, and further diagnosis by your doctor may be necessary to establish an effective treatment plan. The purpose of this article is to give you some basic information on two types of arthritis: osteoarthritis and rheumatoid arthritis.

Osteoarthritis is an illness that is characterized by cartilage wearing away in a joint. It is quite common and usually diagnosed in the older members of the population. The person can have osteoarthritis in a single joint (such as a knee or elbow) or multiple joints (such as the finger joints in a hand). As the osteoarthritis progresses, the joint may not fit together correctly and develop bone spurs, thereby causing the person pain when they use the joint. If pain is in the knee or hip joints, the person may have difficulty walking or when they use the stairs. If the arm or shoulder joint is affected, there may be difficulty getting dressed or other routine activities.

Rheumatoid arthritis (also called RA) is less common, but it also causes pain and inflammation of a joint. The cause is not worn out cartilage. It is caused by a change in the immune system that causes the person's body to attack the tissue lining the joint, which is called synovium. The attacks cause a fluid build up in the joint space and produces pain. The joints are usually affected in pairs, meaning that it could be in two knees or ankles at the same time. RA is a chronic illness, and may come and go over time. Many people feel fatigued when the illness is active, and experience flu-like symptoms. Over time the person can have damage to the joints and, in very rare, severe cases, damage to internal organs.

There are many web sites that have a great deal of information on these two types of arthritis. Two good sites are the Arthritis Foundation at http://www.arthritis.org/index.php and WebMD at http://www.webmd.com/. Check out these sites out to become more informed on arthritis, and work with your doctor to set up an effective treatment. It is the best way to preserve your joints and continue leading a good life.

Legg-Calve-Perthes Explained


Legg-Calve-Perthes disease, also known as ischemic avascular necrosis, is a condition that results in transient loss of blood supply to the hip joint. It is usually seen during childhood and is more prevalent in boys. The disease can disrupt normal blood flow to the bones in the hip joint, particularly to the head of the femur. This can lead to deterioration of the hip joint causing it to heal poorly or possibly break.

The indicating signs and symptoms to look out for include limping, decreased mobility in the hips, stiffness and pain in around the hip, thigh, groin and knee. Some children may even have a short leg on the affected side. Presently, the cause of Legg-Calve-Perthes remains unclear. What doctors do know is that boys are five times more likely to have this condition compared to girls. Also, this disease is more commonly seen among Caucasian males.

A physical exam as well as diagnostic studies such as x-rays, MRI and bone scans can help to properly diagnose this condition. If Legg-Calve-Perthes disease is detected at an early age, the chances of correcting the condition are favorable. However, if left untreated, it may cause permanent hip deformity due to the deterioration of the hip joint. In addition, leaving Legg-Calve-Perthes disease untreated may increase the chances of developing osteoarthritis as an adult.

This condition is usually addressed through a medical specialist such as a pediatric orthopedist. Depending on the severity of the condition, the doctor may recommend treatment that includes physical therapy, anti-inflammatory medication, braces, crutches or a cast. The goal of therapy is to prevent any damage or stress to the hip joint. If conservative treatment does not help, your doctor may suggest surgery to correct the condition. Unfortunately, doctors cannot prevent Legg-Calve-Perthes from occurring since the cause is still unknown. However, with time and patience, doctors can treat the condition and get children back to their normal daily activities.

Saturday, February 15, 2014

Arthritis Treatment: Is Osteoarthritis Just Wear and Tear? No, And Here's Why!


Osteoarthritis (OA) is the most common form of arthritis affecting, according to the latest statistics from the Arthritis Foundation, about 28 million Americans.

OA has been primarily felt to be a disease of hyaline articular cartilage with secondary involvement of the synovium (lining of the joint), and subchondral bone (the bone underneath the cartilage.)

The antiquated notion of OA being a "wear and tear" disease has been supplanted by the new theory that OA is a combination of a mechanical wear process as well as an inflammatory process.

This has been supported by the fact that cartilage has no blood vessels nor does it have any nerves. Yet OA causes pain. This pain is felt to be due to inflammation involving the synovium. Cellular changes in flamed synovium in OA are not that dissimilar to the findings seen in rheumatoid arthritis.

In fact, it is the synovium that appears to drive much of the inflammation seen in OA. The synovium is lined by macrophages, cells that are potent producers of inflammatory cytokines- proteins that drive inflammation. The synovium is also rich in blood vessels and nerves.

Recent evidence though also supports the notion that chondrocytes (cartilage cells) also have a role in inflammation, this despite being relatively sparse, and located far away from blood vessels and nerves.

In fact, inflammation at the chondrocyte level might have a permissive effect on the inflammation involving the synovium... a sort of "ping-pong effect."

The question then becomes, what causes the chondrocyte inflammatory response to start in the first place. There have been reports that perhaps debris from dead cells or other protein based material originating from degraded cartilage might serve as antigens (protein triggers)to induce an inflammatory response by chondrocytes. Technically, this would be an autoimmune response by cartilage. This idea of OA being an autoimmune disease was described in an excellent editorial. Read this: (Konttinen Y, Sillat T, Barreto G, Ainola M, Nordstrom DC. Arthritis Rheum. 2012. 64: 613-616).

So why is this important to treatment? It may be that OA should be viewed in the same light as other autoimmune forms of arthritis. This might drive the investigation for OA specific therapies.

In addition, it is also recognized that cartilage has a limited ability to heal itself. It may be the newer techniques of providing mesenchymal stem cells to osteoarthritis cartilage as a method for helping cartilage to recover from injury might not be such a bad idea after all. It may be the underlying inflammation involving cartilage could actually help with the repair process.

Finally, a recent study showed that perhaps neurotransmitters can modulate the metabolic activity of chondrocytes. These substances might prove to be helpful in cartilage regeneration. An excellent discussion of this intriguing idea was recently published. For more details, read this: (Opolka A, Straub RH, Pasoldt A, Grifka J, Grassel S. Arthritis Rheum. 2012; 64: 729-739)

Thursday, February 13, 2014

A Stiff Knee in the Morning - Does it Have You Waking Up on the Wrong Side of the Bed?


How do your knees feel in the morning?

Do you have pain when you wake up, or does the pain come on during the A.M. hours?

If you suffer from a stiff knee in the morning, you may have the onset of osteoarthritis, a condition that commonly affects the knees and causes the deterioration of the joint. Osteoarthritis is an incurable condition that can strike anyone at any age, although it is more common in older individuals.

Here are a few things you should do if you have a constant stiff knee in the morning:

1.) Talk to your doctor
2.) Maintain a healthy weight
3.) Stick with an anti-inflammation diet
4.) Remain active
5.) Take painkillers when needed
6.) Wear a knee brace when active

While you cannot cure osteoarthritis, you can ease the pain from this condition as well as keep yourself active longer. Osteoarthritis is not a life threatening condition, although it can be crippling. If you experience a repeated stiff knee in the morning, you can stave off the effects and symptoms of this condition by taking the right steps.

Talk to your Doctor

Only your doctor can diagnose osteoarthritis. You should not make the mistake of trying to diagnose this condition on your own. Your doctor will most likely do a clinical examination, ask you some questions and ask you to do an x-ray or MRI. This is nothing to be alarmed about and can help give you a firm diagnosis.

Maintain a Healthy Weight

If you are overweight, you will want to trim down in order to keep the stress off your knees. Most people who experience a stiff knee in the morning do so because they have osteoarthritis and are overweight. Maintaining a healthy weight can keep the stiff knee from acting up and keep inflammation down.

Maintain an Anti-Inflammatory Diet

There are certain foods that are high in fiber and antioxidants, such as fatty fish and nuts that are good for conditions that cause inflammation, such as osteoarthritis. By eating an anti-inflammatory diet, you can help keep this condition in check. Because the foods that are included in an anti-inflammatory diet are good for you, this will also most likely help you manage your weight. Remember, the healthier you are the more fit you will be and the better you will respond to treatment.

Remain Active

If the doctor has diagnosed arthritis or osteoarthritis of the knee, then it is important that you remain active. (Speak with your physician about the best ways to remain active.) While you may be tempted to stay off the knee because of pain, this may not help the condition and can hasten joint deterioration. Swimming and walking are two good exercises that can help your knee. Wearing a knee brace and proper shoes will help. Braces can really help you maintain proper knee alignment and the support that they provide can really help reduce your knee pain.

Take Painkillers but Only When Needed

Painkillers can be addictive and cause a tolerance in the system. Moreover, pain killers can hurt your stomach. You should only take this kind of medication when absolutely necessary and if the pain is unbearable.

Wear a Knee Brace

A knee brace will support your knee by helping to keep it straight. Although even walking can be painful, becoming inactive because of osteoarthritis can worsen the condition. An affordable and low profile brace can help keep your knee from getting stiff and can help give you instant relief from the pain.

If you believe that you can benefit from pain reduction and increased stability due to the symptoms of osteoarthritis then you should consider a knee support today. Many OA or "unloader" knee supports can be very effective.

Sharp Or Shooting Knee Pain When Climbing Stairs? - Painful Knee Joints and the Benefits of Braces


Do you ever wish you could climb the stairs with ease, like other people seem to do?

Do other people get frustrated with you when you want to take the elevator, instead of taking the stairs? Maybe one flight of stairs might not be a problem for them, but for you it might be a larger problem...

If you look at a stair climber at the local gym, do you start to think about how you could never use that piece of equipment?

Introduction: If you have knee problems related to climbing the stairs, then you are definitely not alone. You might feel OK while you stand or walk, but when you begin climbing some stairs, then that sharp knee pain might kick in! - So now what? - You know you do not want it to stay like this all your life!

1.) Sharp Knee Pain

Knee problems when walking up a flight of stairs can be a serious issue. This might even be an understatement for some of us that have knee pain issues. You might have a degenerative knee issue or another type of knee ailment that is causing the pain, and this can become a constant source of frustration for you...

2.) Self Diagnosis

While we recommend that you speak with your physician about medical advice, a person can still ask themselves some important subjective questions. First, you can evaluate for yourself how intense your knee pain or instability is... You are probably going to be the one to know that you have a knee problem before your doctor does and a quick evaluation about knee pain and instability levels can start to get you on the right track.

3.) Climbing Stairs: Knee Braces For Support, Pain Reduction & Protection

When you climb stairs, you can usually benefit from the use of a well designed knee brace. The support that one of these braces can provide can help you to reduce your knee discomfort and feel more stable in every step you take. - The good thing is that knee supports these days are not very heavy or cumbersome. They do not have to be bulky to be strong or effective for you. You should seriously consider supporting your knees if you have knee pain or instability before, during, or after climbing a set of stairs. They can be a conservative treatment option that can make a big difference for you!

Tuesday, February 11, 2014

Locking Joints in Yoga Will Cause Premature Wear


You have heard it a thousand times: "Don't lock your knees." or "Keep your elbows soft." Locking joints, while performing Yoga, means you are overextending the joint and putting yourself at risk for potential injuries. When you lock your knees, the muscles surrounding the joint become passive in the pose, which puts the strain on the ligaments instead.

By continually putting extra strain on the ligaments, cartilage, and connective tissues, instead of the muscles, they will begin to wear faster than they should. Yoga practitioners must be careful to keep all of the joints actively engaged during poses, to avoid premature wear and tear.

Some Hot Yoga teachers have caused a bit of confusion involving the term, "lock the knee." If you have ever taken a Hot Yoga class, you probably heard the instructor encouraging students to "lock the knee," while you are in a balancing posture. Perhaps, you wondered why you would be encouraged to put extra strain on the joints.

This is a classic misunderstanding between teacher and student. What they actually mean when they tell students to "lock the knee," is to tighten the quadriceps muscle of the leg, which slightly draws the kneecap up. This actively engages the muscles surrounding the knee and provides great support for the rest of the body during standing poses. This can take a bit of practice to get it just right, but once you figure it out, without locking the knee joint, it will not cause harm. However, the knee joint itself should have a very slight crack when using this technique and is never to be locked. A Yoga teacher, who feels it is fine to hyper-extend any joint, needs to attend anatomy classes immediately.

Once you damage a joint, the domino effect begins to take place within the body. Joint capsules hold the lubricant, which allow the joints to move freely and smoothly. When a joint becomes injured, the body sends a message to the muscles that control the joint to contract. This results in a locked joint. If the locked joint is in the back, other joints around it will begin to overcompensate for the injured one. This can result in further wear, and undo strain, on those surrounding joints. Over time, this domino effect can also cause osteoarthritis.

It is important to keep the joints active and strong to avoid these potential problems. When practiced properly, Yoga postures help keep the joints lubricated and smooth. Yoga instructors should always remind students to not lock the knees, or other joints, by keeping them slightly bent, or by engaging the surrounding knee muscles. Practitioners can also avoid joint locks by being extremely conscious and aware of their bodies and how they feel during each pose.

穢 Copyright 2012 - Aura Wellness Center - Publications Division

Friday, February 7, 2014

Osteoarthritis Back Pain


Osteoarthritis back pain is one of the most commonly diagnosed sources of chronic dorsopathy, especially in the lumbar and cervical spinal regions. Arthritis comes in many varieties ranging from normal and asymptomatic to terrible and debilitating, but the osteo variety is particularly interesting to back pain scholars. Osteoarthritic change is virtually universal in the spine of every adult human and is one of the greatest back pain scapegoats in the medical industry. It is the goal of this article to provide an objective view of this condition and how it relates to the way chronic pain is treated in the healthcare sector.

Osteoarthritis describes a condition that affects many of the joints in the body. It most commonly occurs in the hands, hips, knees, elbows, shoulders and spine, although it can strike virtually anywhere. The signs of the condition include a wearing away of the protective mechanisms in the joint capsules, as well as the growth of bone spurs called osteophytes. As the protective cartilage is worn down between bones, friction occurs, causing bone spurring to begin where one bone touches another. Spurring can be seen on diagnostic x-ray, although MRI technology will provide a far more comprehensive view of the actual joint deterioration.

All this sounds really bad, but the reality clearly shows that osteoarthritis is universal, normal and expected to experience as we get older. Most arthritis truly begins to kick in around middle age, although genetic and lifestyle factors can make it commence later or far earlier. Abnormal wear and tear on the joints can make arthritis take hold at unusually early ages in some cases. Widespread research shows that arthritis can certainly be responsible for minor discomfort and some occasional pain. However, there is no evidence linking mild to moderate arthritic change to the types of chronic back pain most commonly associated with the condition. Despite these findings, osteoarthritis continues to be the second most common back pain scapegoat, bested only by intervertebral disc concerns, such as degeneration and herniation.

When a patient complains of back pain, doctors virtually always look for a structural source on which to blame the symptoms. This is an inherent practice of Cartesian medical philosophy. The advent of advanced diagnostic imaging technologies has made it simple to look into the joints and find evidence of arthritic changes which are subsequently blamed for enacting pain. In my experience, when arthritis is found in the spine, it is almost always cited as a primary causation or partial contributor to back pain, even though there is absolutely no reason to see it as a malignant factor.

In fact, doctors rarely inform diagnosed patients of the complete picture when it comes to osteoarthritis. Here are some lesser known facts that may surprise you if you have been diagnosed with spinal pain blamed on bone spurs, facet joint changes or vertebral degeneration common to arthritic processes:

* Arthritis is found in almost every adult. Most people do not have pain, despite varying degrees of arthritic evidence. The degree of arthritic change has little or no bearing on whether a person may complain of pain or not. Many patients with minor arthritic change have severe pain, while some people with extreme conditions have no pain whatsoever.

* Regardless of whether a condition actually causes pain or not, the typical treatments used for spinal arthritis will do nothing to resolve symptoms, if indeed they are caused by the condition treated. Physical therapy, chiropractic, pharmaceutical treatment, epidural injections and a host of others will not change spinal anatomy or do anything to resolve arthritic evidence.

* Often symptoms are obviously affecting soft tissues, such as muscles or ligaments, or involve neurological tissues. This is not consistent with arthritis, although the diagnosis usually stands firm if structural evidence is found.

I hope to have provided a different view on arthritis in the spine and possibly provided the groundwork for affected patients to do more research on their own diagnoses. As a final thought, the only treatment typically effective at ridding the body of arthritic alteration is spinal surgery. Although the supposed structural reasons sourcing the pain can certainly be eliminated using invasive interventions, the facts show that back surgery is the least effective and most risky of all treatments possible. If arthritis was truly to blame for all the pain, then an objective observer would expect the exact opposite to occur.

Osgood Schlatters Disease Treatments


There happens to be various methods to deal with Osgood Schlatters disease however, a few tend to be far more beneficial compared to others. One of the more typical treatment options is RICE (Rest, Ice, Compression, and Elevation) and taking some kind of pain reliever like Ibuprofen or Advil. In the event you go to a doctor they may explain to you some type of this specific treatment. They might also tell you to make sure you take around a weeks' time off from performing anything which places stress upon your knees and slowly begin to work out more. Carrying out this particular treatment method might do the job however, the discomfort will certainly not end up being eliminated, merely lessened. The only method for the pain to go away completely is for you to wait for the growth plate to stop growing.

A far more extreme measure can be for you to have surgery done and have the bone pieces of which didn't heal taken out. Surgery really should only be done on adults of which are completely developed mainly because it is taking away some of the growth plate during surgery which kids need to have in order to develop. Getting this form of treatment performed is only required when the pain is chronic and additional treatment methods don't do the job. According to one study anybody who had this specific surgery performed ended up with excellent results and were able to get back to regular exercising within just a short amount of time. The residual pain was also determined to be extremely minimal which in turn suggests the surgery is extremely effective.

The following treatment plan isn't actually a treatment but more of a solution to reduce the discomfort while performing physical exercises. A really helpful method is to purchase a jumper's knee band which and place the band right across your leg where the lump is. This places even and gentle compression on the lump which in turn puts less strain on the tibial tubercle. Doing this is going to help make it so the pain is manageable and you will be able to still exercising. An additional brace which oftentimes helps is a knee brace. This supports the entire knee and therefore placing significantly less strain on the knees. Both of these kinds of braces help with the pain when performing exercises however won't help the pain go away long term. Like I said previously the only solution to help make the pain disappear permanently is to wait until the growth plate is finished growing.

There are a large number of methods to cure Osgood Schlatters disease and you have to discover what one will work best for you. At this time there isn't anything that is going to magically cure you however there are options to assist with the pain. The options I went over above are the most effective and will yield the best results. If you have any other treatment methods, please comment below.

Thursday, February 6, 2014

Degenerative Osteoarthritis


Osteoarthritis is a degenerative disease. The cartilage, which is a protein that cushions the joints, faces an eventual loss, causing this disease. There are more than 100 types of arthritic conditions but degenerative arthritis is by far the most common. The spine, feet, hands and other areas that bear the load of the body like the knees and the hips are most affected by this condition.

When the cause of arthritis is not known it is called primary arthritis, like erosive osteoarthritis, and after the cause is known it is called as secondary arthritis. The common example of which would be traumatic or post-traumatic arthritis.

Primary osteoarthritis is mostly caused due to aging. Secondary osteoarthritis on the other hand, maybe caused due to another disease or condition. Obesity, diabetes, gout, repeated surgery or trauma may cause this condition. The disease does not affect any organ of the body other than the affected joints. The main symptom of the disease is constant pain in the joint, especially during the later part of the day. Certain patients become greatly enfeebled due to pain, while in other cases there might be a greater case of degeneration of bones without as much pain.

X-ray is the most important method for the diagnosis of osteoarthritis. An x-ray is always followed by blood tests to find out if the condition is the consequence of any other disease. According to the x-ray reports, a decision regarding surgery is taken. Other effective means of diagnosis are arthrocentesis and arthroscopy. Arthrocentesis involves the extraction of fluid from the joint for analysis. It also helps relieve inflammation, pain and swelling. In arthroscopy, a viewing tube is inserted into the joint space by the doctors.

Avoiding exerting activities and reduction of weight are the only two ways that can slow down the process of cartilage degeneration, besides the use of medication and surgery.

Osteoarthritis Lead to More Knee Pain


The latest study on foot pain revealed that patient suffering from osteoarthritis of knee and other joint pain problems may feel greater foot pain. Patients with lower back pain and foot pain might suffer from increased foot pain.

Currently, knee osteoarthritis affects over 4.3 million adults in United States, specifically in age group of more than 60. Further it has been reported that presently 59 million people suffer from low back pain, due to which large number of people have difficulties in carrying out their daily activities. A test was conducted on 1,389 patients in age group of 45 to 79, who are suffering from knee osteoarthritis in at least one of the knee and also patients who have pains in lower back, shoulder, neck, hand, wrist, elbow, ankle or knee or other areas. An index called Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)?was used to measure the level of pains ranging from a scale of 0 to 20. Low score on the scale indicates low inflammation and higher score indicates high inflammation. Lower back pain was reported among 57.4 percent of patients. Low back inflammation had a score of 6.5 and those without pain in the lower back scored 5.2. Reports revealed that those persons with low back pains also reported increased pains the knee.

Researchers came to the conclusion that having pains in more than one area lead to greater amount of knee inflammation. Knee pain is a severe problem that tends to paralyze normal activities in human beings. So it is very essential that one should undergo knee treatment at the right time. Various health providers are now employing advanced technologies to heal pain as soon as possible, so that one can return to normal life. Knee pain is curable provided you undergo treatment or surgery at the right time.