September 2018

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Subscribers Only — 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.   More...

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.   More...

Guide to Acupuncture

Subscribers Only — An ancient form of Chinese medicine, acupuncture can be viewed from both an Eastern and a Western perspective, as discussed in the June 2018 issue of Arthritis Advisor . According to Chinese medicine, our bodies have pathways (called meridians), through which energy (Qi, pronounced “chee”) flows. “When there is an imbalance, we need to either reinforce flow or promote flow that is blocked,” says Starkey.   More...

How to Prevent Falling

In addition to aging, other factors can put you at higher risk for falling. Having fallen in the past raises the chances that you might fall again, especially if the fall resulted in an injury. Feeling unsteady when you walk or needing to hang onto something, such as furniture or the walls, makes you more likely to fall. “People come to rely on that support, which can change the way they walk,” says Bebb. They may lean forward or have a change of posture that can increase fall risk.   More...

Bone Health and Fracture Risk

Subscribers Only — 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   More...

Benefits of Beans

Subscribers Only — Hummus, which is traditionally made with chickpeas (also called garbanzo beans), is another easy legume-based food. It can also be made with other types of legumes, such as black beans or red lentils. Beans and other legumes can be added to salads or soups. If you’ve caught on to the instant pot craze, this is a great way to cookbeans.   More...

In The News: September 2018

Being overweight or obese can put added stress on joints. Every one pound of weight puts three to four pounds of pressure on your knees. For people with knee osteoarthritis (which occurs when the cushioning cartilage that covers the ends of bones in joints wears down), losing weight can ease pain by relieving some of the pressure. A study published in Arthritis Care & Research (June 2018) found that the greater the weight loss the greater the pain relief. The study included 240 overweight or obese adults with knee osteoarthritis who were in an 18-month weight-loss study. Participants who lost 10 percent or more of their body weight had a 50 percent reduction in knee pain. Those who lost the most weight (20 percent or more of their body weight) experienced the greatest reduction in pain, as well as improvements in function and quality of life.   More...

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 can’t 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.”   More...