April 2017

Download the Full April 2017 Issue PDF

Subscribers Only — The key to treating gout is to lower the uric acid level in the blood until it is consistently less than 6 milli- grams (mg)/deciliter (dL). Chang- ing your diet can help, but even the strictest low-purine diet will only reduce uric acid levels by 1 mg/dL. “If your level is 12 mg/dL, you’ll never get it low enough with diet alone,” says Cleveland Clinic rheu- matologist Elisabeth Ray, MD.   More...

Methotrexate Side Effects & Sudden Knee Pain

While there are numerous drugs to treat rheumatoid arthritis, the first disease-modifying antirheumatic drug (DMARD) used by most physicians is methotrexate. Knee pain can have several possible causes. The most common causes of acute onset knee pain are gout and pseudogout.   More...

Osteoporotic Spine Fractures

Subscribers Only — For people with the bone-thinning disease osteoporosis, the greatest concern is a broken bone. Once the bones of the spine (vertebrae) become fragile from osteoporosis they can fracture even without a traumatic injury, like a fall. This is called a vertebral compression fracture.   More...

Diet Advice for Gout Sufferers

Subscribers Only — Many people mistakenly believe that gout is caused by overindulging in rich foods. But this is not true. What you eat and drink doesn’t cause gout. But people with gout do need to pay attention to their diet and lifestyle, both to prevent flare-ups and for general good health.   More...

Diabetes and Osteoarthritis Often Overlap

Subscribers Only — If you have diabetes, osteoarthritis (OA) or both, you are in good company. Many people have these health conditions, and they become even more common with age. Almost 26 percent of Americans age 65 and older have diabetes and close to 34 percent have OA (the wearing down of cartilage in joints). Not surprisingly, diabetes and OA often co-exist. Almost half of people with diabetes also have OA.   More...

Three-Pronged Approach to Easing Knee Pain

Subscribers Only — Achy, creaky knees from osteoarthritis (caused by the wearing away of cartilage at joints) can be bothersome. It can also limit mobility to the point that you avoid activities you enjoy. You also may hold back on exercising for fear of making pain worse. But the right kind of exercise is exactly what you need to ease pain, keep weight under control and improve your quality of life.   More...

In The News: April 2017

Painful arthritic joints can make it difficult to exercise, yet physical activity is a cornerstone of treatment for arthritis. People with rheumatoid arthritis (RA) have historically had somewhat shorter lifespans than the general population, but that may be changing. Everyone needs exercise to stay healthy, and federal guidelines specifically recommend a minimum of 150 minutes of moderate-intensity aerobic activity (such as brisk walking) every week. Psoriatic arthritis (PsA) and ankylosing spondylitis (AS) are types of arthritis caused by inflammation.   More...

Troubleshooting Hip Pain: Part I

If you tell your doctor you have hip pain, you’ll probably be asked to be more specific. “Hip pain may be felt in the front of the hip, the outside of the hip, the inner thigh or the back of the hip, and there may be other symptoms,” says Cleveland Clinic orthopaedic surgeon Ronald Zipper, DO. A more detailed understanding is needed to identify the source of pain. The top three causes are bursitis, osteoarthritis and hip fracture. But there are others.   More...