Statins are commonly-used drugs to lower cholesterol. Some studies have found that these drugs may also have a positive effect on bones. According to a recent study, the effect may depend on the dose. The study, published in the Annals of the Rheumatic Diseases (September 2019), examined the relationship between statins and the bone-thinning disease osteoporosis. Researchers analyzed health data on 353,502 people who took statins, 11,701 of whom were diagnosed with osteoporosis. They were compared with over 7 million people who did not take statins. Overall, those who took statins were more likely than nonusers to have osteoporosis. However, the effect depended on the dose. Those who took a low statin dose of 10 milligrams (mg) a day actually had up to a 60% reduced risk of osteoporosis. Taking 40 mg or more of simvastatin or 20 mg or more of atorvastatin or rosuvastatin increased risk.
For most older adults, Dr. Hashmi recommends starting with acetaminophen (Tylenol). "It is weaker than an NSAID, but you can compensate for that by taking a higher dose," he says. A potential side effect is liver damage, but you can safely take up to 3 grams a day. Tylenol typically comes in pills of 325 or 500 milligrams (mg). "You can take up to two 500-mg pills three times a day without fear it will affect the liver," he says.
Your spine is a column made of a stack of small bones (vertebrae) with the spinal cord running through it. Each vertebra has a cylindrical part (inside is the spinal cord and nerve roots), on the back of which is a bony ring with spiky projections (called the spinous process). The cylinders are stacked on top of one another and separated with shock-absorbing cushions (disks).
When you think about hip pain, osteoarthritis in older adults may be what comes to mind. Osteoarthritis is a common cause of hip pain. But the hip joint is susceptible to many other conditions as well, and they can affect people of all ages.
A: The short answer to your question is no. But that doesn't mean there's nothing you can do about it. Osteoarthritis is caused by the degeneration of cartilage, and it cannot be reversed. Where two bones meet to form a joint the ends of the bones are covered with cartilage, which is a tough slippery material that allows the bones to glide smoothly over each other. At the most mobile joints (called synovial joints), which are the hips, knees, shoulders, elbows, wrists, fingers, ankles and toes, the cushioning cartilage can wear down. The reasons are not known, but it is partly a function of aging. Close to 50% of Americans ages 65 and over have arthritis.
Uric acid is a waste product of natural processes in the body. It is eliminated through the gastrointestinal tract and kidneys. If not enough uric acid is removed, it can accumulate in the blood. Once levels exceed 6.8 milligrams per deciliter (mg/dL), uric acid can leave the bloodstream and settle in joints, tendons and under the skin.
To strengthen the calf muscles and small muscles of the ankles and feet, try this simple exercise: Stand up tall and rise straight up on your toes. Try to stay stable for three seconds. Have your hands hovering over a surface (close but not touching) for safety. Work up to doing this 20 times. Eventually, try doing this on one foot. Start with five repetitions.
A short course of non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin) or naproxen (Aleve), can be used as long as there are no reasons not to take them. NSAIDs should be used cautiously in certain people, including those with a history of stomach ulcers, kidney disease, heart disease or stroke. Talk to your doctor to ensure you are taking the drugs safely. Your doctor also may prescribe a stronger NSAID.
Anyone can get the flu. It usually lasts about a week and often requires bed rest for a few days. Some people are at high risk for developing flu-related complications, such as pneumonia. They include children, older adults and people with some chronic diseases (including rheumatoid arthritis and psoriatic arthritis). During the 2017-2018 flu season, close to 1 million people were hospitalized for the flu, and there were 79,400 deaths from the flu.
NSAIDs are effective because they block an enzyme called cyclooxygenase (COX), which exists in two forms-COX-1 and COX-2. These enzymes make chemicals called prostaglandins, which contribute to inflammation in the body.
COX-2 inhibitors were developed to avoid the stomach problems that can occur with traditional NSAIDs. The COX-1 enzyme protects the stomach lining from corrosive effects of stomach acid, so it was thought that inhibiting just COX-2 would be easier on the stomach. But COX-2 also has a protective effect. The risk for stomach issues is about 50% lower with COX-2 inhibitors than with nonselectiveNSAIDs.
The plantar plate is a fibrous structure underneath the foot that supports and stabilizes the joints between the toe bones and the bones of the foot. (These are the metatarsophalangeal joints [MPJ].) The plantar plate, which is made of collagen, consists of bands that provide attachments for ligaments that go to each toe and that go between toes. These keep toes straight (preventing them from drifting up) and also in alignment (preventing the toes from separating).