Author: Mokhtar

  • Top health benefits of walking on earth

    Top health benefits of walking on earth

    “The foot feels the foot when it feels the ground.” – The Buddha

    Now that winter is finally over – after what seems like forever – more and more of us are going outside and being active. It is a time when I like to go for a walk and watch the world awaken from its long sleep.

    Walking is one of the most useful exercises we have because it offers us So many important health benefits, as listed by many, many studies:

    • Even one hour per week at an average pace reduces the risk of hip fracture by 6% in postmenopausal women, while at least four hours of walking per week is associated with a 41% lower risk of fracture (Feskanich et al., 2002).
    • Walking reduces the tendency for high blood pressure, the risk of blood clots and stroke, and multiple cardiovascular risk factors (Murtagh et al., 2015).
    • In older adults, more walking correlates with a lower risk of depression and a higher quality of life (Arrieta et al., 2018).
    • Brisk walking improves oxygen intake, cardiovascular fitness and muscle tone while alkalizing the body.

    But I would say that simply hopping on a treadmill for 10 to 15 minutes every other day, while providing all these benefits and more, somewhat misses the point. To walk outdoors gives us the chance to reconnect with the world around us – ideally in a soothing natural setting such as a park or trail, or at least a tree-lined sidewalk. Research shows that people who walk in parks tend to gain more benefits because they have fewer interruptions when walking due to traffic or other hazards to overcome [Sellers et al., 2012]).

    When we walk outside, we can enjoy the wind, the rain, the sun, the leaves – everything the world has to offer. And it reconnects us ourselves in a very useful way: walking upright on two legs is the trait that defines human ancestry. Although today we are more accustomed to sitting than standing, regular walking on two legs is considered a unique human trait. Taking the time to walk—to put our feet on the ground and feel them, as the Buddhist saying goes—can offer us a kind of inner realignment that few other methods of practice offer.

    As we approach summer, we have the opportunity to celebrate all the positive things that walking brings us. If you can, take that opportunity in a park or garden path; let your feet touch the ground, aware of all the good that walking in the open air can bring you.

    But if you can’t, don’t worry! It doesn’t matter how you want to do it – in groups, alone, fast or slow, listening to music or meditating – just walk. Do it on a regular basis. Do it 30 minutes a day, add some weight from a weighted vest or weighted belt for even more impact and your bones and entire body will thrive.

    References

    Arrieta H, Rezola-Pardo C, Echevarria I, et al. Physical activity and fitness are associated with verbal memory, quality of life, and depression among nursing home residents: preliminary data from a randomized controlled trial. BMC Geriatr. March 27, 2018;18(1):80. doi:10.1186/s12877-018-0770-y.

    Feskanich D1, Willett W, Colditz G. Walking and leisure activities and risk of hip fracture in postmenopausal women. JAMA. November 13, 2002; 288(18):2300-2306.

    Murtagh EM, Nichols L, Mohammed MA, et al. The effect of walking on cardiovascular disease risk factors: an updated systematic review and meta-analysis of randomized control trials. Previous Med. March 2015; 72:34-43.

    Sellers CE, Grant PM, Ryan CG, et al. Taking a walk in the park? A crossover pilot trial comparing brisk walking in two different environments: park and city. Previous Med. 2012 Nov;55(5):438-43.

    Dr.  Susan BrownI am Dr. Susan E. Brown. I am a clinical nutritionist, medical anthropologist, writer and motivational person speaker. Learn my proven 6-step natural approach to bone health in my online courses.



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  • The story of chronic traumatic encephalopathy is not as simple as it seems

    The story of chronic traumatic encephalopathy is not as simple as it seems

    Neuropathological and clinical findings in young contact athletes exposed to repetitive head impacts

    McKee AC, Mez J, Abdulmohammad B, et al. JAMA Neurology. Published online 2023. doi:10.1001/jamaneurol.2023.2907
    Full article available for free

    Take home message

    Less than half of young adults exposed to repetitive head impacts through sports and who suffered from mental health and cognitive disorders before death met clinical criteria for a diagnosis of chronic traumatic encephalopathy (CTE). Other factors may contribute to CTE-like symptoms in this group.

    Background

    The sports community is increasingly concerned about the long-term consequences of repetitive head impacts (e.g. CTE). CTE can cause cognitive impairment, mental health problems and mood disorders. Very few studies have examined the presence of CTE in a large group of young adults, which could provide insight into CTE in former youth athletes without other age-related brain changes.

    Study aim

    The authors sought to understand the pathological brain changes and symptoms of former contact athletes under the age of 30 at death.

    Methods

    The authors used donated brains from 152 young individuals (13 to 29 years) with a known history of repeated head impacts. These brains come from the Brain Bank Understanding Neurologic Injury and Traumatic Encephalopathy (UNITE). Researchers contacted next of kin to conduct cognitive and mental health assessments of the donor. A team of four neuropathologists diagnosed CTE or other neurodegenerative diseases based on established evaluation criteria.

    Results

    Overall, based on the 152 brain samples, 41% of donors had CTE. Of these, all but three brains had only mild CTE. Older donors and former American football athletes with a longer history of participation in contact sports were more likely to develop CTE. Clinical cognitive and mental health problems were common among participants regardless of CTE diagnosis.

    Viewpoints

    The authors found that ~41% of people under the age of 30 with a history of contact sports and cognitive and mental health problems have CTE. Thus, for individuals under age 30 at death, their cognitive and mental health problems may be caused by something other than CTE (e.g., life stressors, genetics, and other underlying mental health problems). It is important to avoid applying these findings to the broader athletic population because most, if not all, brains were donated due to observed pathology before death. Additionally, this study group was predominantly male (93%) and white (73%), further limiting interpretation.

    Clinical implications

    In practice, this research suggests that CTE may be just one of many causes of cognitive and mental health problems after exposure to repetitive head impacts through sports. As a result, physicians must be prepared to support patients with mental health needs and promote timely referral to mental health professionals for further care. We must also educate our patients that not all cognitive and mental health problems in athletes are due to CTE and that it remains unknown how many people have CTE among those with or without a history of sports participation.

    Questions for discussion

    What other factors may contribute to CTE-like symptoms in former contact athletes? What experiences have you had with former/current athletes suffering from CTE or CTE-like symptoms?

    related posts

    1. Few definitive CTE cases have been detected with and without history of brain injury and collision sports
    2. Most military service members don’t have to worry about CTE
    3. Treatable conditions should be explored in former athletes with CTE-like symptoms

    Written by Cade Watts
    Reviewed by Jeffrey Driban

    9 EBP CEU courses

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  • What causes carpal tunnel?  – Bone and joint specialists

    What causes carpal tunnel? – Bone and joint specialists

    Carpal tunnel treatment

    Carpal tunnel, also called carpal tunnel syndrome, is a condition that affects the connective tissue and joints of the wrist. It can cause tingling, numbness, weakness, pain and even swelling. You’ve probably heard of carpal tunnel syndrome and its connection to things like typing or using a computer for too long. However, carpal tunnel syndrome is much more complex than that. Let’s explore the common causes of carpal tunnel syndrome so you understand your carpal tunnel treatment options.

    What causes carpal tunnel?

    To understand why these different things cause carpal tunnel syndrome, it’s best to understand what causes the symptoms to occur. Carpal tunnel occurs when pressure is placed on the median nerve. Pinching or compressing these nerves leads to the symptoms people are familiar with. Irritating or inflaming the surrounding connective tissue causes the tissue to swell. This can compress the median nerve. Basically, the cause of carpal tunnel is anything that irritates the connective tissue surrounding the median nerve. Let’s look at the most common causes of that irritation.

    Sex

    As a woman, you are biologically susceptible to carpal tunnel syndrome. This is because the area through which the median nerve passes is much smaller compared to men. This allows irritated tissue to compress the nerve more easily.

    Injury

    Any type of injury, such as a wrist fracture, drastically increases your chance of experiencing carpal tunnel. This is because the connective tissue is probably already inflamed or swollen. You will likely experience carpal tunnel due to a wrist injury, especially if you further irritate the wrist.

    Repetitive wrist movements

    Repetitive wrist movements can place disproportionate pressure and strain on a particular ligament or tendon in your wrist. This leads to irritation for extended periods of time and can compress the median nerve. This is where the stereotype of typing or using a mouse causing carpal tunnel comes from. It is entirely possible to develop carpal tunnel from using a mouse and keyboard for extended periods of time.

    Seek treatment

    Carpal tunnel often goes away on its own over time. However, chronic carpal tunnel may be present if the irritation persists. Fortunately, our staff at the Bone and Joint Specialists can help you with carpal tunnel treatment. Our team of doctors consists of experts in their field who can help you determine the cause of your wrist irritation and treat it at the source. If you are suffering from carpal tunnel, contact Bone and Joint Specialists today at 219-795-3360.

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  • Why did I lose all my muscle after my ACL surgery?  Video

    Why did I lose all my muscle after my ACL surgery? Video



    Document

    After anterior cruciate ligament surgery or ACL surgery, you experience loss of muscle mass. You may have spent a few weeks or months building up your muscles after your ACL injury, so you may have assumed that your muscles would be strong and healthy after surgery. However, there are many reasons why you may lose muscle mass after ACL surgery. When you first wake up after your ACL surgery, you may notice that the muscles around your surgical leg already look smaller! The main reasons for this are that your activity level has generally decreased, your nervous system reduces the contraction of the muscles around the knee, and new swelling occurs in your knee joint as a result of the surgery. Read this blog for more information about muscle loss after ACL surgery.

    Below, listen to Andrew Veley, a physiotherapist, talk about why you may lose muscle mass after ACL surgery.

    Listen to Andrew Veley, physiotherapist, explain why muscle loss occurs after ACL surgery.

    After watching the video above, you may be wondering if there is a way to track your progress as you regain muscle mass after ACL surgery. A simple method called “thigh circumference measurements”, which you can learn more about by reading this blog on how to measure the difference between your two legs by taking a thigh circumference measurement. If you need a video explanation of what thigh circumference measurements are and how they can be used to track your progress, watch this short video.

    Here is Andrew’s full blog on muscle loss after ACL surgery.

    Read all 6 Andrew’s blogs here!

    If you are recovering from an ACL injury or ACL surgery and want to regain your muscle mass, download our Curovate physiotherapy app from the links below. Curovate offers daily video-guided strength exercises, the ability to measure knee range of motion, in-app chat with a physical therapist to answer your questions about surgery and recovery, and educational blogs and webinars.

    If you need more tailored help during your ACL recovery, check out our Virtual Physiotherapy page to book your 1-on-1 video session with a physiotherapist.

    acl knee physical therapy 1080x1080 2
    Download it on Google Play



    Document

    Other blogs related to ACL surgery and rehabilitation

    References

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  • American Hip Institute Research Foundation (AHIRF) – Clinical Research Internship 2023-2024

    Description: American Hip Institute is a successful sports medicine practice supported by a very active Research Foundation led by Dr. Dumb. As a Clinical Research Intern you will have the opportunity to be responsible for a variety of clinical, surgical and research roles including: maintaining a comprehensive surgical database, writing or acting as a medical assistant in the clinic, assisting with the writing of research studies and supporting research processes such as journal publication, conference submissions and prospective study management. The skills acquired in clinical, surgical and research environments offered at this institute provide participants with an excellent foundation for their medical career.

    Duration and reimbursement: This position is offered for a period of 10 months and includes a stipend of $800 per month. Clinical Research Assistants are asked to begin immediately in Summer 2023 and end in July 2024.

    If you are interested in applying, you can send a motivation letter and CV to:

    Benjamin Hill, MD This email address is being protected from spambots. You need JavaScript enabled to view it.

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  • Researchers call for urgent improvements in pain management in patients with inflammatory arthritis

    Researchers call for urgent improvements in pain management in patients with inflammatory arthritis

    Arthritis

    Researchers from Keele University’s School of Medicine have found that painkilling drugs – commonly known as ‘analgesics’ – are being widely prescribed across England to people with inflammatory arthritis, despite little research evidence that they improve pain in these patients, and studies which show that they can cause serious side effects. -Effects.

    The study, funded by the National Institute for Health and Care Research (NIHR) and published in the journal RheumatologyResearch found that all types of painkillers were widely prescribed: About two-thirds of patients with inflammatory arthritis received a prescription painkiller in 2020, and one in four patients received long-term prescription opioids. Many of these long-term prescriptions for opioids started around the time people were diagnosed with inflammatory arthritis.

    Worryingly, many types of painkillers were more likely to be prescribed to people with inflammatory arthritis who were older (and therefore most at risk of side effects from medicines), were women, lived in deprived areas and in the north of England. This suggests there is unfairness about pain, or the way pain is managed in people with inflammatory arthritis in the NHS.

    Inflammatory arthritis groups together conditions that cause joint pain and swelling. Its three main types – rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis – affect more than 1% of adults in England. Pain is a major challenge for patients with inflammatory arthritis, with most patients suffering daily pain and viewing pain as the area of ​​their health they most want to see improved.

    The crucial first step in improving NHS pain care for these patients is understanding how it is managed. To address this, the research team looked at data from a large GP database – the Clinical Practice Research Datalink Aurum – which currently contains information from more than 1,400 GP practices across England.

    They looked at data from 2004 to 2020 to understand how different types of painkillers are prescribed to patients with inflammatory arthritis, and how this varies between people based on their age, gender, ethnicity and where they live.

    Lead author Dr Ian Scott said the findings show there is an urgent need to improve the way pain is treated in patients with inflammatory arthritis in the English NHS. He described the fact that one in four patients were prescribed long-term opioids, and in 2020, one in ten patients were prescribed gabapentinoids, despite these medications having many potential side effects and no clinical trials showing they help when taken on be used this way. , as “very worrying”.

    There are better ways to treat pain in patients with inflammatory arthritis that have been shown to help in clinical trials. These include reducing joint inflammation using specialized disease-modifying medications and exercise. We need to shift the focus of pain care from the long-term use of ineffective painkillers to the use of treatments that have been shown to help.”


    Dr. Ian Scott, lead author

    Source:

    Magazine reference:

    Scott, I.C., et al. (2023) Painkiller prescribing in patients with inflammatory arthritis in England: observational studies in the Clinical Practice Research Datalink. Rheumatology. doi.org/10.1093/rheumatology/kead463.

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  • Bone Turnover Markers with Dr.  McCormick

    Bone Turnover Markers with Dr. McCormick

    Hello friends of bones:

    I am pleased to present my Bone Turnover Marker PDF from my interview with Dr. McCormick.

    We discussed:

    What are bone markers?

    Why are they necessary?

    What’s the best way to get an effective test?

    My gift to my community is the easy-to-navigate, clickable transcript.

    Bone turnover markers:

    “Therapeutic targets provide medical information that a physician can use to monitor physiological improvements with repeated testing. These can improve assessment of bone loss and are critical to management of therapy. Just as you would practice hitting the bullseye To improve your skills as a competitive shooter, we can refine treatment by targeting abnormal physical signs, symptoms and laboratory test results and then applying therapy to correct those abnormal findings.”

    R. Keith McCormick, DC from his upcoming book:
    Great Bones: Control Your Osteoporosis.

    This transcript will be your guide in understanding the need for bone turnover markers, what they are, and the importance of “test, don’t guess.” These tests can be done in between your bone density testing (DXA). The Bone Marker PDF is a clickable guide to make navigating the document easier.

    Strongly recommended:

    Click below to get a copy of my PDF guide to bot turnover marking.

    The link asks for your email address so the guide can be emailed to your inbox.

    This promotion will add your name to my email list that I email bi-monthly at “All things bone related”.

    You can unsubscribe at any time.

    Please enjoy the transcription below.

    Interview PDF

    This PDF is clickable. You can select a bone marker you want to learn more about and then return to the table of contents.

    Do you already know you want to work with my team?

    It is best to start with a comprehensive private session where a plan is designed specifically for you and your bones.

    Investment in your bones:

    $200, includes next steps and follow-up notes via email.

    Let me support your bones

    Receive an in-depth, tailor-made private session

    Book a Private Coaching with Irma


    Join our amazing Bone Tribe community

    Get the support and information you need to live fearlessly with your bone diagnosis

    From my bones to yours,

    Irma Jennings, INHC

    Your holistic bot coach

    [email protected]

    30 Essential Foods for Bone Health

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  • Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr.  Tricia Pingel + BoneCoach™ – BoneCoach™

    Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr. Tricia Pingel + BoneCoach™ – BoneCoach™

    Are you one of the 80% of adults suffer from adrenal fatigue?

    Worried about how stress can silently sabotage your bones and contribute to osteoporosis?

    Ready to discover one groundbreaking, cost-free strategy that would revolutionize your bone health?

    Then you shouldn’t miss this episode!

    Come with me as I sit down Dr. Tricia Pingel, a licensed naturopathic doctor known as the Adrenal Whisperer. Delve deep into the mysteries of adrenal gland healthdiscover the surprising ties with stress and osteoporosisand find out how restore your bone strength and revive your vitality.

    Episode timeline

    0:00 – Episode begins

    1:37 – Introduction to Dr. Tricia Pingel

    3:08 – Dr. Pingel’s journey to tackling adrenal fatigue and stress

    5:06 – Identifying adrenal gland problems in men and women aged 50-70+ with osteopenia and osteoporosis

    6:40 – Recommended tests for suspected adrenal gland problems

    8:15 – The link between stress, adrenal glands and bone health

    11:39 – Everyday stressors that affect health

    15:14 – Actionable steps for self-assessment and improvement

    17:54 – The profound impact of intentional breathing on reducing stress, improving bone health and promoting overall well-being

    20:15 – Connection between thyroid and bone health

    24:02 – Dancing for healthier bones and better mental health

    30:05 – Simple ways to return to the present moment

    34:30 – Where to meet Dr. Pingel and how she can help you on your journey to better bone health

    Sources mentioned

    **Show notes @ https://bonecoach.com/drpingel-adrenal-fatigue-bone-health-connection

    Below you will find resources from Dr. Tricia Pingel!

    >> Read more about Dr. here. Tricia on her website!

    >> Connect with Dr. Tricia on Facebook

    >> Follow Dr. Tricia on Instagram

    >> Follow Dr. Tricia on TikTok

    >> Connect with Dr. Tricia on LinkedIn

    What can you do to support your bone health and this podcast?

    1. Press the “Subscribe” button on your respective podcast player (i.e. Apple, Google, Spotify, Stitcher, iHeart Radio and TuneIn). Never miss an episode that can help improve your bone health.

    2. Leave a review. The more positive ratings and reviews and the more subscribers we have, the more people can find us and get the answers to the questions they need. Thank you! 🙂

    3. Tell a friend about The Bone Coach Podcast or share via text, email or social. Do you know of a Facebook group where people can benefit from this information? Feel free to hit any of the share buttons below.

    About Dr. Tricia Pingel:

    Dr. Pingel, a certified naturopathic doctor, is known as the Adrenal Whisperer. She has dedicated almost 15 years of her career as an adrenal gland and stress expert.

    She helps Rockstar women look and feel great by restoring their adrenal glands without the use of drugs. Her specialty is identifying the cause of health problems and restoring health and youthful energy.

    Since learning that she was one of the 80% of adults suffering from adrenal fatigue, Dr. Pingel passionately taught about the impact that stress has on the adrenal glands. She has helped thousands of people restore their adrenal glands, resulting in the reversal of many other health symptoms, including perimenopause. Her greatest joy is guiding people to return to their happy, vibrant and energetic selves.

    Dr. Pingel has appeared in nearly a dozen television shows, including: The Dr. Ax Show, Ask the Expert with JJ Virgin, Good Morning Arizona, The Arizona Daily Mix with Brad Perry and many others.

    She has contributed to many publications, most notably: Mind Body Green, Prevention Magazine, Yoga Journal, Eat This Not That, MSN.com, Vitamin Shoppe, Health Central, Birdie and Livestrong.

    Dr. Pingel, affectionately known as The Hip Hop Adrenal Doc, can often be found on social media cheering on her two boys at soccer, making healthy vegan recipes in her kitchen, and cuddling her three dogs and cats at home with her husband. Phoenix, Ariz.

    Medical disclaimer

    The information shared above is for informational purposes only and is not intended as medical or nutritional therapy advice; it does not diagnose, treat or cure any disease or condition; it should not be used as a substitute or substitute for medical advice from physicians and trained medical professionals. If you are under the care of a healthcare professional or are currently taking prescription medications, you should discuss any changes in your diet and lifestyle or possible use of nutritional supplements with your doctor. You should not stop prescribed medications without first consulting your doctor.



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  • What you need to know so they don’t hold you back – ACL Strong

    What you need to know so they don’t hold you back – ACL Strong

    Do you know how many people walk around with a torn meniscus without knowing they have a tear?

    💥About 5% of young people and up to 67% of older people have asymptomatic (non-painful) meniscus tears! 💥

    How is that possible?

    Depending on the type of injury and how it is treated, the symptoms of a meniscus tear may resolve within days to weeks or months; and you may not even know the tear exists!

    The initial injury may not even have been severe enough to warrant a visit to an orthopedist or ordering an X-ray or MRI, especially if the knee only hurt for a few days before the pain went away.

    Here’s what you need to know about meniscus injuries so they don’t hinder your favorite activities…

    Where is the meniscus?

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    The meniscus is a “C”-shaped disk made of cartilage that is located in the knee, between the shin bone and the femur. It sits on the weight-bearing surface of the tibia, or tibia, in the joint capsule.

    There are two menisci, one on the lateral (outside) of the knee and one on the medial (inside). A healthy meniscus provides space, cushion and lubrication to the joint so that the knee can bend, straighten and bear weight comfortably.

    The meniscus is located deep in the knee, along with the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Due to their deep location, the menisci do not have a very good blood supply, so certain areas are not likely to heal from an injury.

    💥 🤯 However, the fact that the meniscus does not heal properly on its own does not mean that a tear always needs to be repaired!

    What does the meniscus do and why is it so important?

    Shock absorption: The meniscus acts as a shock absorber for shocks that occur during daily activities, such as walking, running, jumping and sports. As we move, force travels through the foot and through the shin bone to the knee, where the meniscus absorbs and disperses that force through the knee, so the impact is spread out and not concentrated in one area.

    Stability: The meniscus also acts as a wedge that supports the front and back of your knee, keeping the knee from going beyond a certain range of motion, such as hyperextension, which puts you at risk for other injuries.

    How does the meniscus become injured?

    The meniscus is most commonly injured during twisting of the knee when the foot is planted on the ground. Rotational stress or “shearing” can cause the femur and tibia to rotate beyond what the meniscus can handle, resulting in a tear in the cartilage.

    Meniscal tears are common in athletes who exert a large amount of force on one leg and twist their body in a different direction, such as football 🏈, soccer ⚽️, lacrosse 🥍, tennis 🎾, or basketball 🏀. Field and field athletes often put their feet down to stop and change direction; and in a split second the knee rotates with enough force to cause a meniscus tear.

    Snow sports, such as skiing ⛷ and snowboarding 🏂, also carry a high risk of meniscus injuries. The edge of a ski or board can unexpectedly hit the snow, causing a sudden rotation of the leg. The long lever arm can quickly generate a high-speed rotational force, strong enough to cause meniscus injury.

    Meniscal tears occur in people of all ages, including athletes and non-athletes. In middle-aged and older adults, meniscus tears can occur due to wear and tear on the knee joint. As the body ages, degeneration of the cartilage tissue occurs as the joints are exposed to force for years.

    Osteoarthritis, a condition in which cartilage wears away over time, is common in older adults and is often accompanied by a torn meniscus. A meniscus tear earlier in life can also make the knee more susceptible to earlier-onset osteoarthritis. That’s why it’s so important to learn the right moves and exercises to protect your knees!

    I have a meniscus tear. What now?

    image

    Depending on the type of meniscus tear, you may experience symptoms such as pain, swelling, locking, or locking of the knee. Although a meniscal injury cannot be detected on X-rays, it can be diagnosed through a careful examination or an MRI.

    Most meniscal tears are initially treated conservatively (without surgery); although an orthopedic doctor may recommend surgery if symptoms persist and daily activities are limited.

    Meniscectomy: The most common surgery for a meniscus tear is called a menisectomy, in which the surgeon removes the torn piece of cartilage and cleans up the surrounding ragged tissue. Although it is a surgical procedure, recovery after a meniscectomy is relatively short. Most people can resume daily activities within a few weeks and exercise within a few months.

    It is important to add that everyone responds to surgery differently; and a ‘minor’ surgery for one person may be a more stressful experience and longer rehabilitation for someone else.

    Meniscus repair: An alternative surgery is a meniscus repair, which is performed when the orthopedic surgeon believes the torn cartilage structure can be sewn together, saving cartilage to prevent osteoarthritis in the future. This procedure is typically performed more in younger people to preserve the cartilage rather than remove it. Recovery from a meniscus repair takes longer than a menisectomy and involves close monitoring of range of motion, weight bearing, and activity progression during rehabilitation.

    Non-surgical treatment A meniscus tear is very common and results in great results in most cases! A diagnosis of a meniscus tear does NOT mean that surgery is always necessary!

    Although a meniscus tear will not heal itself, you can strengthen the knee and improve movement patterns to disperse forces and reduce stress at the site of the tear, which will help resolve symptoms.

    💪 With the right exercises and learning to move properly, most meniscus tears can be treated conservatively WITHOUT surgical intervention.

    💥It’s important to remember that you are not your MRI result; and a meniscus tear should not determine the rest of your life.

    How can you treat a meniscus injury without surgery?

    A meniscus injury must be properly guided through the healing phases. Pain and inflammation are likely to be early symptoms, while stiffness and weakness may be the main complaints after a few weeks. Dealing with injuries with “PEACE & LOVE” is a good reference for dealing with acute injuries.

    To return to normal activities, follow the guidance of your physical therapist, who will develop a care plan for strengthening, balance training, improving mobility, and returning to exercise.

    👉Doing the right exercises with good form and consistency will significantly increase your ability to recover from a meniscus tear and prevent future injuries.

    If you’re ready to start strengthening at home, ACL Strong has courses that include all the necessary components of exercise and movement to train your body and brain to protect your knees now and for the long term.

    Whether you have a torn meniscus or not, doing the right exercises the right way will keep your knees strong and stable, so you’ll be less prone to further injury and better equipped to maintain an active lifestyle for as long as you want. to lead!

    You can LIVE with a torn meniscus….

    And you can also PREVENT them!



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  • Inflammation in rheumatoid arthritis: unraveling the mechanisms

    Inflammation in rheumatoid arthritis: unraveling the mechanisms

    Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects millions of people worldwide. It is characterized by joint inflammation, pain and stiffness, which can significantly affect a person’s quality of life. Understanding the mechanisms behind inflammation in rheumatoid arthritis is crucial for developing effective treatments and improving patient outcomes.

    Introduction

    Rheumatoid arthritis is a chronic inflammatory disease that mainly affects the joints. It is an autoimmune disease in which the body’s immune system mistakenly attacks its own tissues, leading to inflammation and damage. This chronic inflammation can lead to joint deformity, loss of function and disability if left untreated. Therefore, gaining insight into the mechanisms that drive inflammation in rheumatoid arthritis is crucial.

    What is inflammation?

    Inflammation is a natural process that occurs when the body’s immune system responds to injury or infection. It involves the release of various chemical signals and the activation of immune cells to protect the body and promote healing. While acute inflammation is a temporary response to a specific trigger, chronic inflammation, as seen in rheumatoid arthritis, persists for an extended period of time. It is this inflammation that causes the symptoms seen in RA.

    Inflammation in rheumatoid arthritis

    Rheumatoid arthritis is characterized by persistent inflammation in the synovial joints, mainly affecting the hands, feet and wrists. The synovium, a thin membrane that lines the joints, becomes inflamed, leading to pain, swelling and stiffness. If left untreated, this inflammation can gradually damage the joints, cartilage and surrounding tissues.

    Inflammatory mechanisms in rheumatoid arthritis

    The inflammatory process in rheumatoid arthritis involves a complex interplay of immune cells, cytokines and genetic factors. Initially, immune cells such as macrophages and dendritic cells are activated, causing an immune response. These cells produce pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-alpha), interleukin-1 (IL-1), and interleukin-6 (IL-6), which play an important role in promoting inflammation and joint destruction . .

    The role of the immune system

    In rheumatoid arthritis, the immune system plays a crucial role in causing inflammation. T cells and B cells, two types of lymphocytes, are mainly involved in the inflammatory process. T cells recognize specific antigens and release cytokines that further activate immune cells and enhance the inflammatory response. B cells produce autoantibodies that target the body’s own tissues, contributing to tissue damage and inflammation.

    Inflammatory mediators

    Several inflammatory mediators contribute to the persistent inflammation that occurs in rheumatoid arthritis. Prostaglandins, leukotrienes and cytokines are among the key players in the inflammatory cascade. Prostaglandins and leukotrienes are lipid mediators that promote vasodilation, increase vascular permeability, and recruit immune cells to the site of inflammation. Cytokines, such as TNF-alpha, IL-1 and IL-6, enhance the immune response and support the inflammatory process.

    Inflammation and joint damage

    The chronic inflammation in rheumatoid arthritis can lead to irreversible joint damage. The continued presence of inflammatory mediators and immune cells promotes the destruction of cartilage and bone. Over time, this can result in joint deformities, loss of mobility and functional limitations. Early intervention to control inflammation is crucial in preventing or minimizing joint damage.

    Inflammation and systemic effects

    Inflammation in rheumatoid arthritis not only affects the joints, but can also have systemic consequences. Chronic inflammation increases the risk of developing cardiovascular diseases, such as heart attack and stroke. Additionally, it can lead to osteoporosis, a condition characterized by weakened bones, making people more susceptible to fractures. Controlling inflammation in rheumatoid arthritis is therefore essential for overall health and well-being.

    Current treatment methods

    Treatment for rheumatoid arthritis aims to reduce inflammation, relieve symptoms and prevent joint damage. Conventional medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and corticosteroids, are often prescribed to control inflammation and manage pain. Biological therapies, such as TNF inhibitors and interleukin blockers, target specific inflammatory pathways and have revolutionized the treatment of rheumatoid arthritis.

    Possible future directions

    Research into inflammation in rheumatoid arthritis is constantly evolving, leading to the development of new treatment methods. Emerging therapies, including Janus kinase (JAK) inhibitors and small molecule inhibitors, show promise in targeting specific molecules involved in the inflammatory process. Personalized medicine, based on an individual’s genetic profile, is also an area of ​​active research, aimed at optimizing treatment outcomes and minimizing side effects.

    Lifestyle and diet adjustments

    In addition to medical interventions, lifestyle changes can play an important role in controlling inflammation in rheumatoid arthritis. Regular physical activity, tailored to individual capabilities, helps reduce joint stiffness and maintain joint flexibility. Following an anti-inflammatory diet rich in fruits, vegetables, whole grains and omega-3 fatty acids can provide essential nutrients and possibly ease symptoms.

    Conclusion

    Inflammation is a major cause of rheumatoid arthritis and contributes to joint damage and systemic effects. Understanding the complicated mechanisms involved in inflammation can help develop targeted therapies and improve the lives of people with rheumatoid arthritis. By controlling inflammation, maintaining joint function, and taking a comprehensive approach that includes lifestyle changes, people with rheumatoid arthritis can live fulfilling lives with a reduced burden of disease.

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