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Drug Management of RA

Of the many different types of arthritis, rheumatoid arthritis (RA) is one that can be treated with medications that can actually keep the disease from getting worse. The word arthritis refers to diseases of joints. The cause of joint symptoms differs among the different types of arthritis. In the case of RA, a malfunctioning immune […]
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Adults Need Vaccines Too

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.
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Vitamin K for Bone Health

Some studies, many of them conducted in Japan, found that supplementation with vitamin K1 or vitamin K2 improved bone mineral density, and a few studies showed a decreased risk of bone fractures. Some subsequent studies found that vitamin K supplementation had no effect on bone mineral density. Many of the studies conducted thus far are limited by flaws in the design or a small number of participants.
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Treating Shoulder Impingement

"As you raise your arm up, the tendons or bursa can get pinched between the humerus and the collar bone (clavicle) on top of the scapula," says Cleveland Clinic physical therapist Kelly Kinsey PT. If this happens continuously over time, you can develop impingement syndrome. If it goes on for too long, the tendons can start to fray and potentially tear.
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The Right Way to Shovel Snow

"For some people, shoveling snow is the first strenuous physical activity they've done in a while," he says. "Preventive measures should be taken." Everyone should be getting regular physical activity, even when it's cold outside. This will keep your body in shape when it's time to do vigorous activities. It will also help to make sure your heart is up to the task.
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Don’t Fear Osteoporosis Drugs

Bone constantly renews itself. Older bone is broken down and removed (resorbed) and new bone forms. As we age, bone density decreases because more bone is broken down than is newly formed. The bisphosphonate drugs slow down bone resorption. Taking these medications can lower risk of spine fractures by about 50 percent and hip fractures by about 40 percent.
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Reminder: Get a Flu Shot

The flu is caused by the influenza virus, which circulates in the air when someone with the flu coughs, sneezes or talks. People nearby can breathe it in and get infected. The influenza virus can also be picked up by touching a surface (such as a doorknob) that was contaminated by someone with the flu. Any time you're around someone with the flu, you are at risk for getting it.
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What Is Nerve Pain?

This will likely be one of the first questions your doctor asks if you complain of chronic pain. Unless there is an obvious reason for pain, your doctor needs a lot of information to identify the underlying cause. This includes the location, type, intensity and frequency of pain. The doctor is partly trying to determine whether the pain is nociceptive or neuropathic (also called nerve pain), or possibly both.
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Ask The Doctors: October 2018

For a chronic pain condition, such as osteoarthritis, heat seems to work best. However, some people find that cold also helps to dull the pain. So the answer is, try them both and use whichever works best for you. Exercise is an important part of treatment for osteoarthritis. Heat and cold can also be used to make exercising a little easier. Try using heat before exercise to loosen up muscles and cold afterwards to minimize any achiness.
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Bone Health and Fracture Risk

Bone density is measured with a dual-energy X-ray absorptiometry (DXA) test, which provides a T-score that shows how much lower your bone density is than a typical healthy 30-year old adult. The two areas usually tested are the hip and spine. A T-score between -1 and -2.5 means your bone density is low and is called osteopenia. If the T-score is -2.5 or below, it means you have the bone-thinning disease osteoporosis. Both conditions increase the risk for bone fractures
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Ask The Doctors: September 2018

Hip arthritis is usually experienced as pain in the groin. It can also cause pain on the front of the thigh or even pain around the knee. Having achy joints can be frustrating. It may seem logical that resting the joint will help. But, in fact, the opposite is true. Joints are meant to move, and they need movement to be healthy. The mobile joints in the body are lined with a membrane that secretes synovial fluid, which provides nutrition and lubrication. Some form of compression (from walking or other physical activity) is needed to circulate the nourishing synovial fluid across the joint.
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Download The Full September 2018 Issue PDF

Imaging studies have a limited role during the early stages of back pain, yet more than half of people with low back pain receive an imaging study. People with back pain often are inappropriately told to rest and stop work. Only half of people with low back pain are prescribed exercise, which is the most effective treatment.
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