June 2017

Download the Full June 2017 Issue PDF

Subscribers Only — lasting less than 12 weeks the ACP recommends nondrug treatments, such as application of heat, massage, acupuncture or, possibly, spinal manipulation by a chiropractor or osteopathic physician. If this is not successful, you can add medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen (Advil®, Motrin®) and naproxen (Aleve®), or muscle relaxants, including cyclobenzaprine (Flexeril®).   More...

Hand Arthritis & Swimming for Exercise

Both osteoarthritis (OA) and rheumatoid arthritis (RA) can affect the joints in the hands, but usually in a different distribution. OA develops when the cushioning cartilage that covers the ends of bones at the joints deteriorates, leading to pain and stiffness. RA is an autoimmune disease, in which the body’s immune system mistakenly attacks tissues around joints. Like running and bicycling, swimming is a good aerobic exercise.   More...

Medication Management during Hip and Knee Replacement

Subscribers Only — Total hip or knee replacement surgery can be life-changing for many people with severe arthritis, allowing them to return to a high level of function free of pain. But for people with rheumatoid arthritis or another form of inflammatory arthritis (rather than osteoarthritis), there are some added concerns.   More...

Stop Worrying and Start Walking

Subscribers Only — There’s no doubt that movement helps joints. But pain, weakness and fear of falling may get in the way of being physically active. If that happens, consider getting some support—from a cane, walker or rollator. People with osteoarthritis, which is the wearing away of the cushioning material (cartilage) in joints, need to exercise. Movement helps to circulate synovial fluid across the joint, which provides much-needed lubrication and nutrition to the joint.   More...

Hand Pain May Be Carpal Tunnel Syndrome

Pain and numbness in your wrist and hand may be a sign of arthritis, but it could also be carpal tunnel syndrome (CTS). The classic symptom that separates CTS from arthritis is waking up at night with numbness and tingling mainly in the thumb and index and ring fingers, but not the little finger.   More...

Treating Low Back Pain

Subscribers Only — For longstanding low back pain, the guidelines suggest exercise (guided by a physical therapist), acupuncture, mindfulness-based stress reduction, tai chi, yoga, progressive relaxation, cognitive behavioral therapy, spinal manipulation and other such modalities. The authors advise getting these therapies from appropriately trained professionals, such as physicians, physical therapists, chiropractors, licensed acupuncturists, and psychotherapists.   More...

In the News: June 2017

he prevalence of arthritis among adults in the United States is growing, according to new data published by the Centers for Disease Control and Prevention (CDC) in the monthly report Vital Signs (March 2017). Using data from the 2013 to 2015 National Health Interview Study, the CDC estimated that 54.4 million adults (about one in four) have doctor-diagnosed arthritis, including osteoarthritis (the most common type of arthritis) and others, such as rheumatoid arthritis, gout and fibromyalgia.   More...

The Challenge of Fibromyalgia

Even though no blood, imaging or other test can confirm a diagnosis of fibromyalgia, it is a real medical condition, afflicting about four million Americans. This chronic pain syndrome causes pain all over the body, fatigue, sleep problems and difficulty with memory and concentration. While there are   More...