In the News: Exercise; Better Sleep; Vitamin D; Pseudogout

Exercise Reduces Risk for Falling Among Older Adults About one-third of adults ages 65 and older fall each year. A fall can have serious consequences, including bone fractures and head injuries. Exercise to improve strength, flexibility and balance is recommended to prevent falls. A study published in the British Journal of Sports Medicine (December 2019) […]

Choose the Right Shoes

Exercise is an important part of a comprehensive treatment approach for people with osteoarthritis. Walking is a great form of exercise. But before you head out the door, consider what you are putting on your feet. Choosing the best shoes can make a difference in getting the most out of your walk. “Shoes are important […]

Osteoporosis Drug Builds Bone

Evenity is different. The idea for it came from research on a group of people in South Africa with a rare disease that causes them to have extremely high bone density and bones that grow too much. They were found to have a gene mutation that blocks the production of a protein called sclerostin.

Ask The Doctors: June 2019

The number of osteoporosis drugs and the different ways they are taken can be confusing. There are pills, injections and infusions, taken weekly, monthly or at other intervals. Your doctor chooses the best drug based on a variety of factors. A small percentage of people who take bisphosphonates have gastrointestinal problems, such as nausea, stomach pain, constipation, diarrhea and gas. This may be one reason your doctor prescribed Prolia, which is given as an injection and is easier on the stomach.

Neck Arthritis Is Common

If you have neck pain, modify your activities for a few weeks to avoid putting additional strain on your neck. To relieve more severe pain, you can take an over-the-counter non-steroidal anti-inflammatory drug (NSAID) or get a prescription from your doctor. The drug gabapentin (Neurontin) may help with nerve-related neck pain. If you don't improve on these medications, your doctor might suggest an epidural steroid injection to decrease inflammation around and inside the nerve.

Simplify Healthy Eating

Achy, stiff joints from osteoarthritis get more common as we age. Your genes also contribute to the likelihood that cartilage in joints will wear down. Osteoarthritis occurs when cartilage, which covers the ends of bones, deteriorates, causing inflammation and structural changes in the joint. This can result in varying degrees of pain and reduced function. Weight-bearing joints, such as the knees and hips, are especially vulnerable.

Ask The Doctors: November 2018

The spine is a complex structure, the core of which is a stack of small bones (vertebrae). Cushioning disks separate each vertebral body, and the bones are connected to each other at small joints (facet joints) between bony protrusions at the back of each vertebra. The spinal cord runs through the center of the spine. Nerves exit this spinal canal through openings at most levels of the spine. Layers of muscles, ligaments and tendons surround the spine.

Treat Low Back Pain Right

The reality is that most pain that is felt in the low back actually comes from stress and strain on the muscles, and other mechanical problems. People can spend too much time working in the garden, cleaning the house, lifting heavy objects or otherwise overworking their bodies. The next day they cant move because of muscle spasms, and it has nothing to do with the structures of the spine, explains Dr. Rosenquist. Muscle pain can feel really severe.

9 Ways to Ease Foot Pain

Joints in the foot provide stability, support and movement. If they are compromised by arthritis, it helps to have something rigid between the bottom of the foot and the ground. Look for shoes with a firm, solid sole. They will help to bear some of the stress on feet. Hold the heel of a shoe in one hand and the toe in the other and squeeze. It shouldnt bend. Some people with arthritis in the big toe get relief with shoes that have a rocker sole, which has a thicker than normal sole and rounded heel. They propel you with less stress on toes.

In The News: August 2018

Low back pain is a common problem and a leading cause of disability. A variety of treatments are used to address it. Recent guidelines from the American College of Physicians recommend nondrug treatment first, including heat, massage, acupuncture and spinal manipulation by a chiropractor or other healthcare provider. Findings from a study published in JAMA Network Open (May 2018) back up the effectiveness of spinal manipulation. The study included 750 active-duty service members aged 18 to 50 with low back pain. Half of them received usual medical care, including medications, physical therapy and referral to a pain clinic. The other half also received up to 12 visits with a chiropractor for spinal manipulation and other therapies. After six weeks, the group receiving usual care plus chiropractic care had greater improvements in lowering pain intensity and disability than those getting usual care alone.

Ask The Doctors: July 2018

Like all drugs, bisphosphonates have possible side effects. These may include gastrointestinal problems, such as nausea, stomach pain, constipation, diarrhea and gas. Only a small percentage of people who take the drugs will have side effects. When they happen, its best to talk to your doctor rather than stop the medicine. Often, there is an alternative.

Safeguard Your Bone Health

Millions of Americans, both women and men, have low bone density, putting them at risk for bone fractures. According to the National Osteoporosis Foundation (NOF), about one-half of women and one-quarter of men over age 50 have a fracture during their lifetime.