Ask The Doctors: April 2018

How can I strengthen my core muscles? Any machines at the gym I should use? Ive had one cortisone shot in my arthritic knee. Its hurting again. How many of these can I safely get?
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Download the Full April 2018 Issue PDF

Cleveland Clinic, along with other healthcare institutions, has put new practices and policies into place to deal with the opioid epidemic. We spoke with Lisa Yerian, MD, Medical Director of Continuous Improvement at Cleveland Clinic, and Cleveland Clinic psychiatrist Mohsen Vazirian, MD, about the problem and the response. In this and future issues of Arthritis Advisor we will continue the discussion.
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What Is Arthritis?

Arthritis, which affects over 54 million adults in the United States, is often misunderstood. It can be confusing because it is not one single disease. There are about 100 types of arthritis, and treatment differs.
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Understanding Opioid Addiction

With all the attention being paid to the problem of opioid abuse, you might hesitate to take these medications for any reason, fearing you might become addicted. While drug abuse is a serious problem, not everyone who takes opioids becomes addicted.
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Relief for Neck Pain

Do you sometimes have a painful neck? If so, you are in good company. About half of us will experience neck pain some time during our lifetimes. The good news is most neck pain is mild and will go away on its own or with simple treatment. It may be caused by a strained muscle or ligament, poor posture or repetitive stress.
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In The News: March 2018

A study published in the American Journal of Epidemiology (October 2017) found that regular exercise lowers your risk for low back pain, a condition that affects about 80 percent of adults some time in their lifetimes. Low back pain is often caused by pulling a muscle, overstretching a ligament, or mechanical problems resulting from poor posture, weak core muscles and poor flexibility.
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Omega-3 Fatty Acids: Theyre Essential

Are you eating enough fish? Youve probably heard the recommendation to eat fish at least two to three times a week to get omega-3 fatty acids. Not only are omega-3 fatty acids good for you, they are essential. And there are other sources besides fish. Omega-3 fatty acids are essential because the body needs them to function properly but cant make them. They must come from food. Omega-3 fatty acids have a role in brain function, growth and development, inflammation and heart health.
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Ask The Doctors: March 2018

Topical pain relievers can be one part of a multipronged approach to treating osteoarthritis. Some are available without a prescription. They may provide temporarily relief, especially if pain is not too severe. We talk a lot about cartilage in Arthritis Advisor because it is a key player in osteoarthritis. Cartilage is a tough, yet flexible, substance that covers the ends of bones everywhere there is a joint in your body.
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Update on Biosimilars

If you are on a biologic drug for an inflammatory form of arthritis, such as rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis, you may have heard of biosimilars. The first biosimilar agent for the treatment of inflammatory arthritis was approved by the Food and Drug Administration (FDA) in April 2016.
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Ask The Doctors: February 2018

Osteoarthritis may seem like something we have to put up with as we age. It may not be possible to completely stop the underlying cause of osteoarthritis, but that does not mean theres nothing you can do. Both calcium and vitamin D are essential for bone health. The body needs calcium for other functions as well, including those involving muscles, nerves, blood vessels, and the release of hormones and enzymes.
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Painful Joints? It Could Be Rheumatoid Arthritis

If youve developed pain and stiffness in your joints, you may think you are getting arthritis, and you could be right. If so, is it osteoarthritis or rheumatoid arthritis? The chances are it is osteoarthritis.
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Ask The Doctors: January 2018

I just had my first gout attack. Do I need to take chronic medication to prevent the next attack? I would like to avoid the next one. It was painful. When I was diagnosed with rheumatoid arthritis my doctor gave me methotrexate and a 10-mg dose of prednisone. Since then the prednisone was reduced to 5 mg. Should I be worried about any effect on my bones?
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