Osteoarthritis 

Osteoarthritis 
Pain is the arguably the most distressing feature of osteoarthritis, osteonecrosis spondylolithesis affecting quality of life and ability to carry out daily routines sometimes 


But today I’m going to focus on my Osteoarthritis 
Why osteoarthritis is sometimes very painful and others painless is yet to be explained.
Efforts to develop disease modifying drugs that could, as a consequence of disease reversion, also alleviate pain have not yet been particularly successful. 
While such therapies are not available, pain management remains the main clinical concern in many osteoarthritis patients.
By the time a patient seeks medical help, probably due to pain, osteoarthritis will most likely have been developing for a long time.
I’m a firm believer in prevention  medicine and I wish doctors and insurance companies would get on board 

I think getting bone density tests starting at age 25-30 should be mandatory.
I also am a firm believer in genetic testing for blood disorders. You shouldn’t have to beg your doctors, especially when others in your family also have it.
**In addition to hereditary factors (genes) and other forms of arthritis, several other risk factors increase the risk for developing osteoarthritis, including other hereditary disorders, and obesity, and injuries to or around the joint. However, repetitive trauma which may result from overuse does increase that risk.**
Now that last paragraph I just wrote also sounds like underlying causes of Osteonecrosis 

So early testing and diagnosis is critical 
I also think Ancestry DNA and 23andme are cool
I am waiting on my results on Ancestry DNA

As my maternal grandmother was adopted in early 1900s and I want to find out her biological info. 

I’ve called Orphanage and they need a birth name

Hell if I had the birth name I wouldn’t be calling
But she had Osteonecrosis but she was in amazing health for most of her 94 years 
And she walked miles daily 

My mother had Osteoarthritis in her hand

And I have it in knees, back, hand

And Osteonecrosis in Rt knee

If you’re dealing with osteoarthritis (OA) of the knees, here’s some good news: research published in Nutrition Research says that a diet rich in fruits and vegetables has been shown to help reduce inflammation and pain in your joints. 

This is true as I follow a mostly plant based diet  about 50 percent raw, 25 percent cooked veggies, 15 percent nuts seeds beans,  and 10 percent fish or chicken or beef. 

I will eat meat 1-2xs a week it’s not a large portion.

Inflammation produces free radicals, the cell-damaging molecules that are formed in response to toxins and natural bodily processes. 

The synovium (the cushion between knee joints) is as prone to free radical damage as the skin, eyes, or any other body tissue. 

Antioxidants protect the body from free radicals Research published in the Proceedings of the National Academy of Sciences and Clinical Rheumatology has shown that certain antioxidants may help prevent arthritis, slow its progression, and relieve pain. 
Being at a healthy weight is a critical component to managing OA of the knees.

Avoiding extra fat doesn’t just take weight off your knees. Body fat is metabolically active, capable of producing hormones and chemicals that actually increase levels of inflammation.

Try these calorie-controlling strategies: 

1. Dine in instead of out.

2. Eat large  portions of raw and cooked veggies skip the butter

3. Don’t buy high calorie foods.

4. Stay away from processed garbage

The antioxidant vitamin C is necessary for cartilage development. 
A lack of vitamin C can lead to weakened cartilage and increase osteoarthritis symptoms.

Include these items in your shopping cart: 

* tropical fruits like papaya, guava, and pineapple

* citrus like oranges or grapefruit

* cantaloupe

* strawberries

* blueberries 

* kiwi

* raspberries

* cruciferous vegetables like cauliflower, broccoli, and spinach 

* bell peppers

* tomatoes

Research is mixed about vitamin D, but some studies in Arthritis and Rheumatism show that vitamin D can help prevent the breakdown of cartilage, and decrease the risk of joint space narrowing. 

Enjoy these vitamin D-rich foods: 

* seafood like wild caught salmon, cod, sardines, and shrimp

* eggs

Look for other Vitamin D (and calcium) fortified foods such as orange juice, tofu, and yogurt.

Beta-carotene is another powerful antioxidant that helps destroy free radicals before they can cause excessive damage to joints. Beta-carotene is easy to identify because it gives fruits and vegetables, such as carrots, their bright orange color. Other excellent sources include: 

* cruciferous veggies like kale, Brussels sprouts, broccoli, collard greens, mustard greens, and chard

* sweet potatoes

* winter squash

* cantaloupe

* greens like Romaine lettuce and spinach

* parsley

* apricots

* peppermint leaves

* tomatoes

* asparagus

The healthiest fats for people with osteoarthritis (or other inflammatory disorders) are omega-3 fatty acids. While some foods increase levels of inflammation in the body, omega-3’s actually work to decrease inflammation by suppressing the production of cytokines and enzymes that breakdown cartilage. 

Foods with the highest amount of omega-3 fatty acids are: 

* salmon (wild, fresh or canned)

* herring

* mackerel (not king)

* sardines

* anchovies

* rainbow trout

* Pacific oysters

* omega-3-fortified eggs

* flaxseed (ground and oil)

* walnuts

Bioflavonoids such quercetin and anthocyanidins are both forms of antioxidants. The anti-inflammatory effects of quercetin may be similar to those of nonsteroidal anti-inflammatory medications (such as aspirin and ibuprofen). Good sources of quercetin include:

* onions (red, yellow, white)

* kale

* leeks

* cherry tomatoes

* broccoli

* blueberries

* black currants

* lingonberries

* cocoa powder

* green tea

* apricots

* apples (with skin)
Vitamin D. Vitamin D can become trapped in fat cells and levels may be too low in people who are overweight. A blood test can be done to check your vitamin D levels  if they’re low, talk to your doctor about taking over-the-counter vitamin D supplements.

Vitamin C, vitamin E, selenium, zinc, and copper. These antioxidants are all helpful in lowering the amount of cytokines in your blood, which help reduce pain caused by inflammation.
Some spices have anti-inflammatory effects, too. Among the most promising are ginger and turmeric. Grate fresh ginger into stir fries, add to salad dressings, sip ginger tea, and add to high-fiber, low-fat muffins.

Turmeric (sometimes called curcumin) is a mustard-yellow spice from Asia that’s the main ingredient in yellow curry. 

Ginger is also excellent I grind some in my tea 

Scientific studies cited in the Journal of Natural Productshave shown that turmeric may help arthritis by suppressing inflammatory body chemicals.
Osteoarthritis is not a systemic condition – it does not spread throughout the body, but instead affects only the joint or joints where the deterioration has occurred. The joints most commonly affected are the knees, hips, spine, hands and toes.
Causes & Symptoms
Osteoarthritis can result from trauma or from repetitive use, although there is often no single identified cause. It is typically divided into two broad categories:
Primary osteoarthritis commonly occurs with aging, as the water content in the cartilage increases and the protein portion degenerates.

Secondary osteoarthritis is usually due to another disease or condition, such as repeated trauma, infectious disease, gout or surgery on a joint. Obesity is a frequent contributor, as excess weight puts additional stress on the cartilage, particularly on the joints in the knees and hips.

Some standard physical therapy exercises target quadriceps, hamstrings and gluteal muscles, all of which contribute to healthy knee function and help prevent injury, the Arthritis Foundation says.
Tai chi, on the other hand, is a traditional Chinese mind-body practice that combines meditation with slow, gentle, graceful movements; deep breathing; and relaxation. The tai chi philosophy and practice date back at least 5,000 years.

I’ve not tried Tai chi but studies say it’s excellent.
You might be tempted to sit still to ease knee pain from osteoarthritis. A better move is to get moving with the right osteoarthritis exercises to build up the muscles around the joint. I love my recumbent bike
Exercise helps osteoarthritis of the knee by strengthening the muscles surrounding the joint. These stronger muscles provide better support to the joint and also act as shock absorbers, deflecting some of the day-to-day strain caused by walking and other activities.
Learn the symptoms of osteoarthritis, a common cause of joint pain.

Osteoarthritis can affect any joint in the body.
The most commonly affected joints include:
Knees

Hips

Hands and fingers

Spine

Most people with osteoarthritis are middle-aged or older. Symptoms typically begin after age 35
Osteoarthritis Symptoms
Osteoarthritis symptoms can vary from person to person.
Symptoms also may vary depending on the joints involved. For instance, arthritis of the spine can cause feelings of weakness, tingling, or numbness in the arms and legs.
Common symptoms of osteoarthritis include:

Joint pain often gets worse with activity and better with rest (though exercise is an important part of arthritis therapy). Painful joints may be tender to the touch.

Stiffness People most commonly experience stiffness associated with osteoarthritis in the morning.
The stiffness usually goes away within about 30 minutes of getting out of bed, but it may come back throughout the day, especially after long periods of sitting.
Swelling Excess fluid in the joints may cause swelling.
Crackling or crunching feeling You may experience a crackling or grating sensation when moving an affected joint. This is called crepitus.
Bony knobs You may experience bony protuberances (outgrowths) under the skin near joints. In many patients, these protuberances grow bigger over time.
Osteoarthritis Diagnosis
Your doctor will use a number of tools to help determine whether you have osteoarthritis.
These tools may include:
Medical history Your doctor will ask you when your symptoms started, how they’ve changed over time, and any other medical conditions that you or close family members might have.
Physical examination Your doctor will examine the painful joints and look for signs of osteoarthritis or other ailments.
Imaging and laboratory tests Several tests can help your doctor confirm a diagnosis or rule out other conditions that could be causing your symptoms.
Specific imaging and laboratory tests used to diagnose osteoarthritis include:
X-rays X-rays can help determine how much joint damage there is, and how the joint is changing over time.
They can also show problems such as cartilage loss, bone damage, and bone spurs. X-rays may appear normal during the early stages of osteoarthritis.
Magnetic resonance imaging (MRI) This is another type of imaging used to examine cartilage, ligaments, and tendons for damage that can’t be seen on an X-ray.
Joint aspiration In this test, your doctor will numb the painful area and insert a needle into the joint to take a fluid sample.
A laboratory technician will examine the fluid for signs of crystals or joint deterioration.  This test can be used to help rule out other medical conditions or forms of arthritis, such as gout.
Now some of the the stats and clinical info. 

The prevalence of symptomatic osteoarthritis is generally lower than that of radiographic osteoarthritis. For example, one study showing a prevalence of radiographic knee osteoarthritis of 19% among adults aged over 45 years also showed that the prevalence of symptomatic knee osteoarthritis was of 7%. 

Worldwide, according to the World Health Organization, it is estimated that about 10% of the population over 60 years of age suffers from osteoarthritic pain. The risk of developing symptomatic knee osteoarthritis during lifetime is estimated to be of 40% in men and 47% in women. The overall risk increases 60.5% among persons who are obese, a well-known risk factor. A rise in osteoarthritis prevalence in the last years has been estimated, most likely due to aging of the population and increasing prevalence of obesity.

Patterns of pain

Pain in osteoarthritis is generally considered to be insidious in onset and exacerbated by activity, mostly by movement and by weight bearing on the affected joint. It can often have a diurnal pattern, being relieved by rest, but night pain and pain during inactivity are also reported. 

Although symptoms are predominantly experienced in or surrounding the affected joint, referred pain and tenderness may also occur. 
Patients’ description of osteoarthritis pain often include terms such as ‘aching’ and ‘throbbing’, intercalated with moments of ‘sharp’ and stabbing’ pain associated with activity.
Joints are richly innervated, containing an array of sensory nerve fibers that convey information to the central nervous system about position and motion of the joint and of forces exerted on articular tissues. 
Under normal circumstances, joints are fairly insensitive to noxious stimuli. 
Following the development of osteoarthritis, increased sensitivity to load bearing and to normal movement of the joint can be experienced (allodynia), as well as increased sensitivity to further noxious stimulation (hyperalgesia). Under these circumstances, pain can arise in such innocuous situations as standing or walking. 
Changes in the joint environment can lead to altered mechanical sensitivity of articular nerves, leading to a reduction of the mechanical activation threshold, such that normal movements of the joint become sufficient to induce pain.

Treatments

Current pharmacologic treatment of osteoarthritic pain with analgesics and nonsteroidal anti-inflammatory drugs is often unsatisfactory because of lack of efficacy and of adverse effects. 
Despite treatment with therapeutic doses of such drugs, many patients still have osteoarthritic pain and acquire all the side effects of those drugs, such as nausea, constipation, dizziness, somnolence, and vomiting. In the case of opioid therapy, side-effects also include tolerance, dependence, and respiratory suppression in cases of overdosing or intoxication.

Recently, the classical view of osteoarthritis as an inflammatory disease has been shifting towards the possibility of the existence of a neuropathic component in osteoarthritis-associated pain. As a consequence, new approaches have been emerging; antidepressants and anticonvulsants, commonly used to treat neuropathic pain, have shown some promising effects in osteoarthritis. Non-pharmacological treatments such as transcutaneous electrical nerve stimulation or acupuncture have also shown some short-term effects without major side effects. 
However, there is still little clinical evidence, with studies showing a high variability in their efficacy.

A better understanding of the pathophisiology of osteoarthritis is crucial, but most importantly, due to the morbidity and incapacity induced by osteoarthritis-associated pain, understanding its mechanisms is of paramount relevance, so that better therapeutic strategies can arise.

I get so tired sometimes trying to control all the pain I get from all the shit that I’ve been diagnosed with

Osteoarthritis 

Osteonecrosis 

Spondylolithesis 
Recently ad umbilical hernia to the list. 

It’s just unbelievable somedays I feel pretty good very little pain 

Then BAM out of the blue I’m on the sofa. 

Cold weather is the worst and NE Ohio gets bitter 
No matter the pain you have to exercise 
Just 45 minutes a week of moderate to vigorous exercise may help improve or maintain a high level of function for people with osteoarthritis (OA), according to study published online recently in Arthritis Care & Research.

Current guidelines from the Department of Health and Human Services for adults recommend a minimum of 150 minutes per week of physical activity, which has been shown to help prevent heart disease, depression, osteoporosis, diabetes and colon and breast cancer as well as to prolong life. 
Fewer than half of Americans meet these standards, however, and many people with arthritis are even less physically active than people in the general population, according to senior study author Rowland Chang, MD, a professor of rheumatology and epidemiology at Northwestern University Feinberg School of Medicine, in Chicago.

Well hands are cramping so I will add recipes tomorrow on a new page.

Recipes ……..Coming Tomorrow!!!

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