Health Alerts The Ouch Factor

Keep Moving to Keep Your Joints Healthy.

After having my motorcycle crash in 2008 my quality of any physical active life has all but come to an end. I have had several knee operations, physical therapy, and just finished up my rehab from June-October at Physical Medicine of the Carolinas in Kernersville, NC which has been a great help. I did learn a lot about my knees and wanted to share this with every that has knee problems.

   

Synovial fluid makes up about 80% of the volume of cartilage, and this fluid is needed to support weight and lubricate joint surfaces. When less synovial fluid is present in cartilage, it can result in a reduction in cartilage thickness and an increase in friction, bone degradation, and joint pain. Researchers found synovial fluid naturally leaks out of cartilage but is reabsorbed with motion. Their finding suggests increased movement/exercise can benefit joint health by stimulating the cartilage to reabsorb synovial fluid, thus lubricating the joint. 

American Vacuum Society (AVS) 62nd Symposium, October 2015

Less Costly for Spinal Care. 

Photo Caption: physical medicine of the carolinas

Chiropractors have long suggested their approach to managing spinal pain is less costly than traditional medical treatment. A new study suggests they may be correct. A systematic research review comparing costs for patients with spinal pain who received chiropractic care and care from other healthcare providers revealed that overall healthcare costs were lower for those who received chiropractic treatment. 

BMC Health Services Research, October 2015

Ad: Physical Medicine of Carolinas 2015

Dietary Supplements Send Many to the ER. 

A first-of-its-kind study finds an average of 23,000 people visit the emergency room (ER) each year due to harm caused by dietary supplements. 

According to investigators, supplements for weight loss and energy are the most dangerous, and heart issues were the most common problem with those types of supplements. 

Study leader Dr. Andrew Geller writes, "People may not realize that dietary supplements can cause… adverse events, but every year thousands of Americans are treated in emergency rooms for symptoms attributed to dietary supplements." However, Dr. Duffy Mackay, the senior vice president of scientific and regulatory affairs for the Council for Responsible Nutrition, points out that over 150 million Americans take dietary supplements each year, which means less than one-tenth of one percent of supplement users will visit the ER due to supplement use.

New England Journal of Medicine, October 2015

How Are Fibromyalgia Exercises Different?

For some people, fibromyalgia (FM) can make life miserable. In some cases, it can be so bad a person will spend the majority of the day in bed! When FM is this intense, exercises MUST be tailored accordingly – like starting out with exercises that can be done in bed! Initially, you may only be able to exercise for one to two minutes, but slowly, your tolerance will improve! Here are some “steps” that one may consider for implementing exercise into the FM sufferer’s lifestyle.

STEP 1: POSITIVE ATTITUDE: It’s easier said than done to have a “positive attitude” about anything, much less exercise when FM has its grip on you! In fact, depression is a BIG problem with most FM patients. Both studies and experience have shown that exercise is one of the most effective ways to treat FM. This is because exercise benefits ALL of our bodily functions from the brain to the heart, lungs, muscle/joints, and gut! It even benefits symptoms like fatigue, depression, and sleep problems. It helps bone density, improves balance, increases strength, controls weight, and reduces stress! As one FM patient said, “…this may be the last thing you feel like doing, but you have to believe that it really does help.”

STEP 2: START SLOWLY: Just like training for a marathon, you DON’T begin with a ten-mile run! You have to increase the distance and pace gradually. With FM, a person needs to steadily work into exercise because the post-exercise pain (that you should expect initially) may scare them away from continuing and/or make them even more hesitant about trying it again. Consider an initial one-to-two minute routine and gradually add more time and distance to that, ramping up the intensity and duration of exercise over time! Remember, it may take 15 weeks to reach a 30-minute goal of treadmill walking, elliptical use, or swimming. Consider taking stairs, doing household chores, grocery shopping, and gardening/yard work as part of your fitness routine. It doesn’t have to be a formal exercise program!

STEP 3: LISTEN TO YOUR BODY: Even if you were very active before FM entered your life, you must learn not push it beyond the “reasonable boundaries” of your usual activity tolerance. Take breaks when necessary and closely monitor how you feel. Your goal is to AVOID FRUSTRATION by NOT over-exercising! Keep track of what you do and how you feel so that you can refer back to such information when needed.

STEP 4: EXERCISE DAILY: Make it a point to walk. Walk the dog (or your neighbor’s), take the stairs, park further away from stores, and INCLUDE these activities as part of your workout! When you say, “I worked out today,” you don’t have to explain yourself to everyone! Consider cycling, walking/running, low-impact yoga or Palates classes, or light weight-lifting. A local gym or class may be a perfect match for what you are looking for!

STEP 5: MODIFY THE WORKOUT: Mix it up so it’s not boring! Figure out when you feel best and exercise then. For many FM patients, this is between 10am and 3pm. Include some stretches, balance tasks, vary the stride and/or speed, ease into strength training, pace yourself, and rest when needed.

STEP 6: BE PATIENT: This cannot be overemphasized as it’s easy to get frustrated. It can take up to six months before the FM patient may start to feel a change in their symptoms! Patiently work towards realistic goals – Exercise is the #1 best long-term FM treatment method!

Cranberry Juice May Protect Heart. 

Photo Caption: Ray Publishing

Researchers have discovered a potent, dose-dependent relationship between cranberry juice and improved vascular function, which appears to indicate drinking cranberry juice may help protect against cardiovascular disease. Principal investigator Dr. Ana Rodriguez-Mateos comments, "Our results lay the groundwork to better understand the array of potential vascular and cardiovascular health benefits of cranberry polyphenols. Significant improvements in vascular function from drinking two cups of cranberry juice suggest an important role for cranberries in a heart-healthy diet."
Cranberry Health Research Conference, October 2015