July 2019

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Subscribers Only — The abnormal bending of the toes known as hammertoes is a common foot deformity, especially for women. The end of the toe bends down and the middle joint sticks up. Hammertoes mainly cause difficulty fitting into shoes and corns and calluses from pressure and rubbing.   More...

Ask The Doctors: July 2019

In general, side effects of corticosteroid injections, such as infection or bleeding, are rare. However, corticosteroids can increase blood sugar levels, which is a concern for people with diabetes. A study published in Sports Health (July 2017) reviewed results from 10 studies of people with diabetes who received steroid shots, mostly in the knee, shoulder, wrist or ankle. All of the studies showed there was an increase in blood sugar levels in the first few days after a steroid injection. Levels returned to normal within one to 10 days. People with type 1 diabetes and people with type 2 diabetes who use insulin had higher spikes in blood sugar than people with type 2 diabetes who didn't require insulin. There were no reports of serious adverse effects from the increased blood sugar levels.   More...

Relief for Sciatica

The sciatic nerve, the largest and longest nerve in the body, originates in the low back. It goes through the buttocks, down the back of the thigh, and continues down to the foot. Sciatica is a group of symptoms (such as shooting pain, numbness and tingling) that occur when this nerve is compressed or irritated.   More...

Keep Your Garden Green and Your Joints Pain-Free

Subscribers Only — Spending time in the garden is a great way to interact with nature. It can bring great satisfaction, but it can also be hard work. If gardening has become too difficult because of the aches and pains of arthritis or other musculoskeletal problems, you may think you have to abandon it. With a few modifications and adaptations you shouldn't have to.   More...

Keep Your Garden Green and Your Joints Pain-Free

Subscribers Only — Spending time in the garden is a great way to interact with nature. It can bring great satisfaction, but it can also be hard work. If gardening has become too difficult because of the aches and pains of arthritis or other musculoskeletal problems, you may think you have to abandon it. With a few modifications and adaptations you shouldn't have to.   More...

Guide to Ankle Sprains

Subscribers Only — One reason to see a doctor if the symptoms of an ankle sprain persist is the possibility that something else is wrong. For example, the cartilage (the cushioning material covering the ends of bones in joints) in the ankle may be injured. "You can knock off a piece of cartilage when you have a sprain," says Dr. Berkowitz.   More...

In The News: July 2019

The Food and Drug Administration (FDA) approved the drug romosozumab (Evenity®) for osteoporosis in April 2019. Evenity joins two other anabolic agents (teriparatide [Forteo®] and abaloparatide [Tymlos®]), which treat the bone-thinning disease osteoporosis by stimulating bone formation. Evenity has a new mechanism of action. In head-to-head studies, Evenity increased bone mass more than Forteo. The anabolics differ from other osteoporosis drugs, which work by preventing bone from breaking down. (Bone undergoes a natural cycle of breaking down and building back up.) In one of the studies that led to the approval of Evenity, the drug lowered the risk for a spine fracture by 73 percent compared with placebo after one year. Evenity is approved for postmenopausal women with osteoporosis who are at high risk for a bone fracture. Evenity is given as a monthly injection for 12 months by a healthcare provider in a doctor's office.   More...

Surgery for Hammertoes

The abnormal bending of the toes known as hammertoes is a common foot deformity, especially for women. The end of the toe bends down and the middle joint sticks up. Hammertoes mainly cause difficulty fitting into shoes and corns and calluses from pressure and rubbing. "These can generally be managed by accommodating for the deformity," says Georgeanne Botek, DPM, Head of Podiatry in the Department of Orthopaedic Surgery at Cleveland Clinic.   More...