Posted in Avascular Necrosis, Bone Health, Bone Marrow, Bone Marrow Edema, Diagnosed, Osteonecrosis

Understanding Bone Marrow Edema-Linked To Osteonecrosis

Good Morning Pain Warriors Around The World

It is time to educate on the various causes of

Avascular Necrosis-Osteonecrosis

So twice a week we will post some educational info on a cause with links

Today Its Bone Marrow Edema

What is Bone Marrow Edema?

Bone marrow edema is a condition when excess fluids in the bone marrow build up and cause swelling. It is often caused by a response to an injury, such as a broken bone or a bruise, or a more chronic condition such as osteoporosis. Bone marrow edema most commonly occurs in the hips, knees and ankles. In this case, bone marrow edema of the knee is a main cause of localized knee and joint pain, and is only diagnosable via a Magnetic Resonance Imagining test (MRI).

It is usually caused by the following scenarios:

  • Avascular necrosis, or “bone death”. This is when a small portion of the bone dies, and can result in a painful bone marrow edema
  • Any type of knee bone trauma, including broken bones and bone bruises.
  • Joint disorders such as osteoarthritis or osteoporosis. In this case, the knee joint is lacking the cushion that cartilage provides, which can lead to easier fracture and wear on the bone. Subsequently, if a fracture of the bone occurs, the injured area becomes susceptible to edema..
  • Knee ligament injuries.
  • A condition such as synovitis (an inflammation of the lining the joints, called synovial membranes).
  • In rare conditions, bone tumor.

Symptoms of Bone Marrow Edema in the Knee

Bone marrow edemas may not bother you at all, or they may be painful and inconvenient. They can feel more intense than a muscular injury (for example, a muscle bruise) at times due to the nature of the bone. A muscle is capable of swelling, which increases blood flow to heal the area. Unfortunately, bones are not capable of swelling, and thus the fluid (edema) that collects in the marrow can create intense pressure within the bone, resulting in more intense pain. In fact, in many osteoarthritic patients, it isn’t the lack of cartilage that’s causing them pain, but rather the pressure due to the edema.

 

Some of the most common symptoms of bone marrow endema include:

  • Varying degrees of pain, from mild to moderate, depending on the severity and Trauma.
  • Swelling of the knee area.
  • Inability to put full pressure on the knee to walk.
  • Recurrent pain and tenderness.
  • Bruising.

Treatment of Bone Marrow Edema in the Knee

Thankfully, most bone marrow edemas will settle down and heal on their own after the injury has subsided. For example, in some cases of osteonecrosis the bone will regenerate itself and heal the edema but note : not all cases of osteonecrosis or spontaneous osteonecrosis of the knee will have the ability to heal itself. Unfortunately, though, in the case of osteoarthritis, the edema may only get worse over time. In this circumstance, treatment options may be explored.

Traditional treatments for bone marrow edema usually involve rehabilitation through physiotherapy and rest. Ice, medications such as ibuprofen or acetaminophen, and even a crutch or a cane can help as well. There is one drug-facilitated treatment that uses a bisphosphonate and vitamin D mixture to help increase bone density. When this treatment is delivered via intravenous, it is found to be quite effective in reducing pain and increasing density. Other drugs that usually treat the vascular system have been found effective for bone marrow edema, in that they encourage blood flow and treat any vascular abnormalities that may exist in the bone and marrow.

In some more challenging cases, core decompression may be used. This is a type of surgery where a surgeon drills a hole into the affected part of the bone allowing that area of the bone to experience increased blood flow, form new blood vessels, and heal.

Another option is subchondroplasty, which can be especially effective for osteoarthritis patients. In this procedure, an x-ray determines where the edema is. The patient is then sedated, and a small needle injects a paste into the area of the edema. The paste then hardens and provides more strength and density to the bone. By improving the strength of the bone, it will enable the bone to deal with the pain of the edema and of the osteoarthritis.

http://louisvillebones.com/understanding-bone-marrow-edema/

 

Knee

https://www.g2orthopedics.com/bone-marrow-edema-in-the-knee/

https://www.researchgate.net/…/7224238_Bone_marrow_edema_in…

https://www.researchgate.net/…/7224238_Bone_marrow_edema_in…

https://www.hindawi.com/journals/crirh/2018/7657982/

 

Hip Study

https://academic.oup.com/jcem/article/94/4/1068/2596208

 

https://www.ajronline.org/doi/10.2214/AJR.05.0086

 

https://www.ncbi.nlm.nih.gov/pubmed/15049532

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972799/

 

Shoulder

https://www.sciencedirect.com/…/veterinary-sc…/osteonecrosis

 

Ankle

https://www.ncbi.nlm.nih.gov/pubmed/21189186

https://www.footanklesurgery-journal.com/…/S1268-7…/abstract

https://wordpress.com/post/avascularnecrosiseducation.wordpress.com/128

 

If you have #Osteonecrosis feel free to join our #group

Avascular Necrosis / Osteonecrosis Support Int’l.

 

Priceless – King & Country  

king and country

 

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Posted in Avascular Necrosis, Awareness, Bone Health, Bone Marrow, Diagnosed, The Human Body

What Is Bone Marrow & What Does It Actually Do?

Ever since I was diagnosed with several bone problems I have become fascinated by the human body and the bones are just a small portion of just how marvelous our body is.

Science is  constantly making new discoveries about the human body.

Fact: Did you know The Smallest Bone in the Human Body is in your ear- The Stirrup Bone located in your middle ear; it measures 2-3 millimeters.

Biggest (and Strongest) Bone in the Human Body: Femur – The femur is the strongest bone in the human body. It extends from the hip to the knee.  It can resist a force of up to 1,800 to 2,500 pounds. Only events of a large amount of force can cause it to break, such as by a car accident or a fall from an extreme height, taking months to heal.

Body Part with the Most Bones: The Hands – The hands have the most bones — 27 in each hand.The hands and feet together make up more than half the bones in the human body. There are 206 bones in the human body; 106 of these are in the hands and feet (27 in each hand and 26 in each foot).

Most Fragile Bone in the Body: The Toe Bones – The small toe bones break the easier and most often.

Most Commonly Broken Bone: The Ankle -Even more common than breaking a toes is spraining or breaking your ankle.

The Most Complex  parts of the body – The knee is one of the largest and most complex joints in the body. The knee joins the thigh bone (femur) to the shin bone (tibia).

Now whats cool is learning about the marrow in the bones………

Bone marrow is a nutrient-rich spongy tissue located mainly in the hollow portions of long flat bones like the sternum and the bones of the hips. There are two types of bone marrow: red marrow and yellow marrow. Yellow marrow has a much higher amount of fat cells than red marrow. Both types of marrow contain blood vessels.
Stem Cells
The bone marrow works like a ‘factory’ that
produces all of the cells that are found
in the bone marrow and in the peripheral blood stream.

This factory is dependent on the function
of the pluripotent stem cells.

Pluripotent refers
to the ability of a cell to become many different
types of cells

Pluripotential is derived from the Latin

pluri meaning more and potential meaning power.

Fact :  Did You Know?
At birth, all bone marrow is red. As we age,
more and more of the marrow converts to
yellow bone marrow. In adults, about half of
the bone marrow is red and half is yellow.

marrow

The bone marrow has two types of stem cells, mesenchymal and hematopoietic. This
process of development of different blood cells from these pluripotent stem cells is
known as hematopoiesis.

Pluripotent hematopoietic cells say that 3 times real fast Pluripotent,Pluripotent,Pluripotent the Pluripotent hematopoietic cells can become any type of cell
in the blood system. Under the influence of tissue and hormonal factors these cells
develop into specific blood cell lines. When these cells differentiate or mature they
become the cells that we can recognize in the blood stream.

The majority of  our Red Blood Cell’s (RBCs),platelets, and most of the White Blood Cell’s (WBCs) are formed in the red marrow while only very  few of them are formed in the yellow marrow.

Everyone needs a continuous production cycle of blood cells from our bone marrow throughout our lives since each blood cell has a set life expectancy.

Healthy bone marrow produces as many cells as your body needs. Red
cell production is increased when the body needs additional oxygen, platelets increase when bleeding occurs, and white cells increase when infection threatens.

Fact: Did You Know?
Red blood cells live an average of
120 days and platelets live 8 – 10
days. Some white blood cells are
very short lived and live only hours,
while others can live for many years

As RBCs age, they become less active and become more fragile. The aging red cells are
removed or eaten up by white blood cells (macrophages) in a process known as phagocytosis and the contents of these cells are released into the blood. The iron from the hemoglobin of the destroyed cells is carried by the blood stream to either the bone marrow for production of new RBCs or to the liver or other tissues for storage.
Normally, a little less than 1% of the body’s total RBCs are replaced every day. The number of red blood cells produced each day, in the healthy person, is about 200 billion cells.

Importance of the Circulatory System
The circulatory system touches every organ and system
in your body. Red cells flow in the blood circulation
to transport oxygen. Every cell needs access to the
circulatory system in order to function since oxygen is
essential for proper cell function.

Hemoglobin
Hemoglobin (Hgb) is a protein that is found within
red blood cells. This protein is what makes ‘red cells’ red. Hemoglobin’s job is to pick up
oxygen in the lungs, carry it in the RBCs, and then release oxygen to the tissues that need
it like the heart, muscles, and brain. Hemoglobin also removes CO2
or carbon dioxide and
carries this waste product back to the lungs where it is exhaled.

Fact: Macrophage is derived from the Ancient Greek:
‘macro’ meaning big and ‘phage’ meaning eat.

Platelets
Platelets are produced in bone marrow by a process known as thrombopoiesis.
Platelets are critical to blood coagulation and the formation of clots to stop
bleeding.
Sudden blood loss triggers platelet activity at the site of an injury or wound.
Here the platelets clump together and combine with other substances to form fibrin.

Fibrin has a thread-like structure and forms an external scab or clot.

Platelet deficiency causes you to bruise and bleed more easily. Blood may not clot well at an open
wound, and there may be a greater risk for internal bleeding if the platelet count is very low.

Fact: Did You Know?
Healthy bone marrow normally manufactures
between 150,000 and 450,000 platelets per
microliter of blood, an amount of blood that fits
on the head of a pin

The majority of RBCs, platelets, and most of the WBCs are formed in the red marrow while only a few of them are formed in the yellow marrow. Everyone needs a continuous production cycle of blood cells from our bone marrow throughout our lives since each blood cell has a set life expectancy. Healthy bone marrow produces as many cells as your body needs.

Repeating Because This Is Important To Know : Red cell production is increased when the body needs additional oxygen, platelets increase when bleeding occurs, and white cells increase when infection threatens.

Iron
Iron is an important vital nutrient for  the body. It combines with protein to make the hemoglobin in red blood cells and is essential in the production of red blood cells (erythropoiesis). The body stores iron in the liver, spleen, and bone marrow. The storage form of iron is known as ferritin.
Ferritin can be measured through a blood test. Most of the iron needed each day for
making hemoglobin comes from the recycling of old red blood cells.

Red Blood Cells
The production of red blood cells is called
erythropoiesis. It takes about 7 days for a
committed stem cell to mature into a fully
functional red blood cell. Red blood cells
have a limited life span of approximately
120 days and must be continuously
replaced by the body.
Erythropoiesis is stimulated by a lack of oxygen (hypoxia) in the body. This lack of oxygen tells the kidneys to produce a hormone, erythropoietin (EPO). EPO then stimulates the bone marrow to produce RBCs.

Erythropoietin does this by entering the blood stream and traveling
throughout the body. All the body’s cells are exposed to erythropoietin, but only red bone
marrow cells respond to this hormone. As these new red cells are produced they move into the blood stream and increase the oxygen-carrying ability of the blood. When the tissues of the body sense that oxygen levels are enough, they tell the kidneys to slow the secretion of erythropoietin. This ‘feedback’ within your body ensures that the number of RBCs remains
fairly constant and that enough oxygen is always available to meet the needs of your body.
As RBCs age, they become less active and become more fragile. The aging red cells are
removed or eaten up by white blood cells (macrophages) in a process known as phagocytosis
and the contents of these cells are released into the blood. The iron from the hemoglobin of
the destroyed cells is carried by the blood stream to either the bone marrow for production of
new RBCs or to the liver or other tissues for storage.
Normally, a little less than 1% of the body’s total RBCs are replaced every day. The number of
red blood cells produced each day, in the healthy person, is about 200 billion cells.

White Blood Cells
The bone marrow produces many types of white blood cells, which are necessary for a healthy
immune system. These cells both prevent and fight infections. There are five main types of
white blood cells, or leukocytes:
Lymphocytes
Lymphocytes are produced in bone marrow. They make natural antibodies to fight
infection caused by viruses that enter your body through your nose, mouth, or cuts.
They do this by recognizing foreign substances that enter the body and then sending a
signal to other cells to attack those substances. The number of lymphocytes increases
in response to these invasions. There are two major types; B- and T-lymphocytes.
Monocytes
Monocytes are also produced in the bone marrow. Mature monocytes
have a life expectancy in the blood of only 3-8 hours, but when they
move into the tissues, they mature into larger cells called macrophages.
Macrophages can survive in the tissues for long periods of time where
they engulf and destroy bacteria, some fungi, dead cells, and other
material foreign to the body.
Granulocytes
Granulocyte is the family or collective name given to three types of white blood cells: neutrophils,
eosinophils and basophils. The development of a granulocyte may take two weeks, but this time
is shortened when there is an increased threat like a bacterial infection. The marrow also stores
a large reserve of mature granulocytes. For every granulocyte circulating within the blood, there
may be 50 to 100 cells waiting in the marrow to be released into the blood stream. As a result,
half the granulocytes in the blood stream can be available to actively fight an infection in your body within 7 hours of recognizing that an infection exists!

Once a granulocyte has left the blood it does not return. It may survive in the tissues for as long as 4 or 5 days depending
on the conditions it finds, but it only survives for a few hours in the circulation.
Neutrophils
Neutrophils are the most common granulocyte. They can attack and
destroy bacteria and viruses.
Eosinophils
Eosinophils are involved in the fight against many types of parasitic
infections and against the larvae of parasitic worms and other
organisms. They are also involved in some allergic reactions.
Basophils
Basophils are the least common of the white blood cells and respond to various allergens
that cause the release of histamines and other substances. These substances cause
irritation and inflammation in the affected tissues. Your body recognizes the irritation/
inflammation and widens (dilates) the blood vessels allowing fluid to leave the circulatory system and enter the tissue in an effort to dilute the irritant. This reaction is seen in hay fever, some forms of asthma, hives, and in its most serious form, anaphylactic shock.

So you see the body is such a marvelous complicated system we run it like its  a machine but its not a machine.

There is nothing  built today that runs as well as the human body and there is nothing more fascinating than the human body.

More Fun Facts:

If you use an average of 80 beats per minute, your heart beats about 4,800 times per hour. That’s a whopping 115,200 times per day. Over the course of a year, your heart would beat about 42,048,000 times! If you live to be at least 80 years old, your heart would have beaten approximately 3,363,840,000 times!

Your nose can remember 50,000 different scents.

An adult human being is made up of around 7,000,000,000,000,000,000,000,000,000 atoms.

• A human baby has over 60 more bones than an adult.

• There are 100,000 miles of blood vessels in an adult human body.

Pretty Cool 😎

Posted in Ahlbacks Disease, Arthritis, Avascular Necrosis, Awareness, Bone Health, BreakThroughCrew, Chronic Pain, Clinical Trials, Diagnosed, Eat Healthy, Factor V Leiden, Hashimoto, Hypothyroidism, Life, osteoarthritis, Osteonecrosis, Pain, SPONK, Stem Cell, StopTheClot, Support Group, Hope, The Mighty, WegoHealth, WEGOHealthAwards, wellness

WEGOHealth Awards and How to Nominate Others

I’m honored to say I’ve been nominated for the #WEGOHealthAwards! These awards seek to recognize Patient Leaders who are making an impact with their advocacy. Learn more – nominate today.

Here’s how you can also nominate others who educate, advocate and make a difference!

Click link below

WEGOHealth Awards and Nomination Info

WEGOHealth Awards Link To Information

Think about the advocates and influencers you see leading Facebook groups, blogging about their health journey, speaking up and giving insights to healthcare companies, presenting on national stages, and running Twitter chats.

Patient Leaders have started non-profits, published podcast episodes, and authored books – there is no shortage of Patient Leaders’ contributions to the world, so let’s recognize as many of them as we can for their talents, contributions, and commitment.

Feel free to add their names and web info also in my comment section! And they can get some recognition here to !

Have a Great Day Everyone

Posted in Adrenals, Ahlbacks Disease, Arthritis, Awareness, Bone Health, Cardiovascular, Chronic Pain, Coping with Stress, Delicious, Diagnosed, Eat Healthy, Hashimoto, Hypothyroidism, Inflammation, osteoarthritis, Osteonecrosis, SONK, SPONK, Uncategorized, Vegetables, WegoHealth, wellness

Healthy Eating

Developing healthy eating habits isn’t as confusing or as restrictive as many people imagine. The essential steps are to eat mostly foods derived from plants—vegetables, fruits, whole grains and legumes (beans, peas, lentils)—and limit highly processed foods.

 

For most of my life, I ate the standard American diet and meals that were heavy in meat and processed foods. I went to a vegetarian lifestyle in high school for a couple years then back to the old way.

When i was diagnosed with Osteonecrosis, Osteoarthritis HBP etc and especially when my husband had a heart attack in 2016 I thought enough was enough.

I got rid of a lot of processed foods, potato chips, convenience meals, and loved Oreo’s and Nutter Butter cookies. There was a lot of sugar, oil, and junk in my diet.

We quit smoking 2 years ago almost. and we as a team decided to go part time but mostly vegan .

Me having a few issues from Osteonecrosis, Osteoarthritis, Hashimot’s and Hypothyroidism and Adrenal Fatigue left me in pain and always exhausted.

I had been dealing with pain in my knee and back for a few years. My mind wants to go go go like it did 25 years ago, my knees say oh hell no slow down woman. And this extra weight is just hard on the bones. But when your limited by many bone issues its really hard to just walk 3-4 miles a day. I bike 3-4 miles a day but its not the same as a good hike in the woods. I do go now and then walking in the woods but hiking I’m afraid for now all that has been on hold.

Going to mostly plant based has helped my pain. And my energy.

So its working and I am feeling better slowly …..

Its a process…

Don’t just go all I went to 65 percent of eating all veggies daily  then added more from there. Some days i eat no meat or fish and some days i will. I Slowly cut out animal products, starting with the easiest and leaving barrier foods to the end. Slowly lessened  my consumption of animal products while simultaneously increasing the number of plant-based foods in our diet.

I spoke to my doctors and I will post tomorrow just how i got started

 

 

plantsz

Posted in Adrenals, Awareness, Chronic Pain, Coping with Stress, Diagnosed, Ease your Stress, Endocrinologist, Hashimoto, Meditation, Mindfulness, Naturopath, Thoughts, Uncategorized, WegoHealth, WEGOHealthAwards

Adrenal Fatigue

I find that more I learn about Naturopath’s the more I trust them. They explain things better, they take time to listen to you,they think outside the box.

My Naturopath Dr Danni is great she listens, actively listens when you talk to her.

My endocrinologist hears but doesn’t really listen. This happens often.

He finally listened to me when I asked for a Thyroid Antibody rest because I had a feeling for years I had Hashimoto and hypothyroidism. I mean you can’t feel this exhausted and foggy for no reason.

But many just snubbed me thinking they knew more than I did.

I was also told by many MDs adrenal fatigue doesn’t really exist……really?

So I did some checking…..

What Is It?

The term “adrenal fatigue” was coined in 1998 by James Wilson, PhD, a naturopath and expert in alternative medicine. He describes it as a “group of related signs and symptoms (a syndrome) that results when the adrenal glands function below the necessary level.” He says it’s usually associated with intense stress and often follows chronic infections like bronchitis, flu, or pneumonia.

Wilson says people with it may not have any physical signs of illness but still may feel tired, “gray,” and have fatigue that doesn’t get better with sleep. They also crave salty snacks.

The Theory Behind It

Your body’s immune system responds by slowing down when you’re under stress. Your adrenal glands, which are small organs above your kidneys, respond to stress by releasing hormones like cortisol. They regulate your blood pressure and how your heart works.

According to the theory, if you have long-term stress (like the death of a family member or a serious illness), your adrenal glands can’t continuously produce the extra cortisol you need to feel good. So adrenal fatigue sets in.

There’s no approved test for adrenal fatigue. Blood tests can’t detect a small drop in adrenal production.

The suggested treatments for healthy adrenal function are a diet low in sugar, caffeine, and junk food, and “targeted nutritional supplementation” that includes vitamins and minerals:

• Vitamins B5, B6, and B12

Vitamin C

Magnesium

Probiotics and a variety of herbal supplements are also recommended to help your body make more cortisol.

Is It a Myth?

There’s no science to back it up. The Endocrine Society, the world’s largest organization of endocrinologists (people who research and treat patients with diseases related to glands and hormones), flatly says that adrenal fatigue is not a real disease. And it says the symptoms of adrenal fatigue are so general, they can apply to many diseases or conditions (depression, sleep apnea, fibromyalgia) or stem from everyday life.

And the society says some of the treatments can be dangerous. Improving your diet will probably make you feel better, no matter what ailment you have, but taking supplements to help your body produce extra cortisol if you don’t need them may cause your adrenal glands to stop working, it warns

What Else Could It Be?

Symptoms such as being tired, lacking energy, and sleeping all day long could be signs of depression, sleep apnea, fibromyalgia, or a condition called adrenal insufficiency.

What Is Adrenal Insufficiency?

Unlike adrenal fatigue, this is a recognized disease that can be diagnosed. There are two forms of this condition, and both are caused by damage or problems with your adrenal glands that result in them not making enough of the hormone cortisol.

Symptoms of both forms include chronic fatigue, loss of appetite, muscle weakness, weight loss, and stomach pain. You might also have nausea, vomiting, low blood pressure, diarrhea, depression, or darkening of the skin.

Adrenal insufficiency is diagnosed with a blood test that checks to see if your cortisol levels are too low. If you have it, you’ll need to take a hormone replacement.

This taken from Web MD

Hmmmm so I personally don’t agree with all of that.

*Let’s read what a Naturopath says*

Adrenal Fatigue Explained

By Catherine Clinton, ND, Clinic of Natural Medicine

Questions about fatigue are some of the most common that naturopathic physicians hear from patients. We all become run-down now and then due to the stresses of everyday life and the demands of our busy schedules. Over extended periods this can overburden our bodies, creating a situation that’s not so easy to bounce back from. In particular the adrenal glands, being in charge of the release of various stress hormones, can become exhausted and unable to effectively do their job. This is referred to as “adrenal fatigue.” When this happens our fatigue can become chronic and be joined by other symptoms such as pain and inflammation.

The adrenal glands have many functions, including the secretion of cortisol and other hormones in response to stress. Stress can come from an emotional trigger like a fight with a loved one, trouble at work or a physical trigger like an injury or motor vehicle accident. When prompted by pain or inflammation cortisol is released from the adrenal glands into the blood. Cortisol modifies the inflammatory pathways resulting in a decrease in inflammation and pain. When a drop in blood sugar occurs cortisol is secreted to help balance the levels of sugar in the blood. Cortisol is also released from the adrenal glands in a 24 hour daily rhythm with a burst in the morning to help us awake and a decrease in the evening to help us sleep. When adrenal glands are required to secrete at high levels for extended periods of time due to prolonged stress, pain, or blood sugar imbalances, they can become fatigued or begin to secrete cortisol at lower levels. When this occurs it is common to see an increase in fatigue, pain and/or inflammation.

Naturopathic physicians usually test adrenal function with a salivary cortisol test. From this test naturopaths can effectively diagnose and treat adrenal issues. Some common treatments for the adrenal glands include:

• Rhodiola: This botanical has been extensively researched in Russia for its ability to increase physical stamina and increase the body’s resistance to stress. It is categorized as an adaptogen by Russian researchers due to its observed ability to increase resistance to a variety of chemical, biological, and physical stressors. Naturopathic doctors use it in adrenal fatigue treatments to combat stress and increase energy.

• Ginseng: The three ginsengs; Siberian, American and Asian, are all used to treat adrenal issues. Research shows that they increase energy, stamina, and reduce stress. A recent study in 2003 demonstrated how ginseng can effectively help to maintain healthy blood sugar levels as well.

• Stress management: With adrenal issues stress management is vital to any treatment. Proper sleep, stress reduction techniques such as deep breathing or meditation and exercise can all increase the body’s ability to handle stress.

• Nutrition/Blood sugar regulation: Eating a diet rich in fruits, vegetables, whole grains and legumes that provides antioxidants and nutrients is essential for adrenal health. The adrenal glands need a good diet rich in B vitamins, vitamin C, zinc and magnesium. Eating quality protein at each meal allows the body to maintain healthy levels of blood sugar without taxing the adrenals. Treating adrenal fatigue must address the diet and nutrition of the patient.

Addressing adrenal issues can have profound effects in patient’s lives. As with any medical treatment you should contact your local naturopathic physician to receive a treatment plan that fits your individual needs.

•Adrenal Fatigue

by Jennifer Abercrombie ND | Mar 11, 2013 | Articles By Our Doctors |

Do you feel exhausted in the morning or all day long, gain weight despite good diet and exercise habits, have difficulty sleeping, can’t get through the day without caffeine, have chronic gastrointestinal infections, retain excess water, have difficulty concentrating, suffer from multiple allergies, feel run down or worn out, have heart palpitations, or experience severe PMS? All of these can be caused by adrenal fatigue.

What are the adrenals?

You have probably heard about the adrenals as they are getting a lot of press lately, and for good reason. The adrenals are a big regulator in the body. They control stress and inflammation; they release hormones that control blood pressure (aldosterone), and DHEA and pregnenolone that convert to cortisol and sex hormones. Our bodies are designed as if we were still living in the era of cavemen. The stress response is designed to be a fight or flight response. Imagine you were just seen by a tiger in the wilderness, your adrenals release a relatively short burst of adrenaline that gives you heightened awareness and prepares your body to start springing if needed. But adrenaline is short lived in the blood so the adrenals then release cortisol to give you the capability to have a longer sustained muscle capacity and mental acuity to evade the tiger. Because the release of adrenaline and cortisol dramatically affect all systems in the body for the goal of saving your life from an acute threat, the body requires a period of rest and relaxation for the stress response to relax and for normal physiology to resume. This system isn’t created for the modern era where we have consistent stressors on a daily basis that do not allow the stress response to relax and recover.

What is “stress”?

Stress is more than just emotional and psychological. It can be physical such as inflammation, environmental toxins, and infections (viral or bacterial). Triggers for creating a stress response results from a poor diet that is high in simple carbohydrates and sugars, low or high blood sugar, lack of sleep, lack of exercise, menopause or andropause, environmental toxins, hormonal birth control, long term steroid use (they suppress the adrenals), street drugs, consistent stimulant use (coffee), hypothyroid state, and genetics. If your parents at conception had depleted adrenals and especially if your mother had adrenal dysfunction while she was carrying you in utero, you may be predisposed to having adrenal issues.

When stress becomes chronic

If any of the stressors become chronic and persist without giving the adrenals and the body a chance to recover, a sustained amount of cortisol is released. Too much cortisol suppresses the immune system. This is a natural defense as you don’t want to be exerting precious energy to fight off a viral infection while you are running away from the tiger.  The side effect is that you are left more susceptible to infection. When the stress stays for weeks to months, cortisol starts to get depleted as your adrenals burn through the nutrients that make cortisol. Too little cortisol from exhaustion, allows the immune system to run unchecked, resulting in increased inflammation. A heightened state of inflammation is implicated in advanced aging, hypertension, irritable bowel disease, high cholesterol, heart disease, depression, chronic disease, any autoimmune disease triggers, progressing cancers, and it creates a rocky transition into menopause.

Basic Treatments

Because everyone is an individual and the factors that create adrenal fatigue are a unique combination for each person, there is no one perfect treatment. Each person is going to require a different treatment plan. With that said, here are some basics:

• A modified GAPS/Paleo/Anti-Inflammatory diet that is specific to you

• Minimize simple carbohydrates, sugar, caffeine, and recreational drugs. Marijuana may relax you, but when used for stress management you don’t learn how to process stress properly and may become dependent on it and use it as a crutch.
• B Vitamins: whole grains, beans, peas, nuts, dark leafy greens
• Vitamin C: Fruits and veggies, especially papaya, cantaloupe, strawberries, bell peppers, broccoli, tomatoes, dark leafy greens
• Magnesium: Dark leafy greens, whole grains, nuts, seeds, legumes
• Zinc: Meats, seafood, poultry, pumpkin and sesame seeds, nuts, whole grains
• Fat: Good fat (including saturated fat) is needed to make cholesterol which makes DHEA, pregnenolone, and cortisol. Good sources are: organic meats, coconut oil, nuts, seeds, organic unsalted butter, avocado, and olive oil
• Water: Stay hydrated with clean, filtered water
• Sleep: A regular, consistent sleep pattern
• Light and exercise: Go outside, feel the sunshine, and to move the body
• Re-assess: Re-evaluate the stress in your life and any negative relationships. Find out how you can make changes to lower stress
• Connect with others: Foster and build strong, supportive relationships in your life
• Don’t over do it: Even when you are starting to feel strong, don’t burn yourself out with too many daily tasks, too much on the social calendar, or over-exercising
• Release: Find a way to release your stress. Examples include meditation, journaling, hiking, surfing, beach combing, walking barefoot in the sand, etc.

What bothers me the most is that MDs think that Naturopathic medicine is new , however most people don’t understand how long it’s been around.

I will write in this in the next few days.

Reference links

http://www.nawellness.com/adrenal-fatigue/

https://www.naturopathic.org/content.asp?contentid=314

https://www.webmd.com/a-to-z-guides/adrenal-fatigue-is-it-real

Posted in Ahlbacks Disease, Ancestry, Arthritis, Awareness, Blessed, Bone Health, Chronic Pain, Coping with Stress, Diagnosed, God, Life, Mindfulness, Opinions, Positivity, Thoughts, Uncategorized, Vision

Walking With God

Make sure you are doing what is important to God—not just what is important to everyone else you know.

We gave a tendency to worry more about what other people think vs what God thinks

From an early age we work to get the approval from others,whether it was proving to our parents that we could ride a bike without training wheels, or struggling to get that C to an A.

Through the years it can become a problem for us as it can cripple us emotionally and spiritually.

We need to get to the point where we don’t care what the media says, how colleagues feel about us, or live in state of constant fear or agony of what others think.

The other person is not going to worry about it, or stay awake at night upset that you’re offended. You can’t be responsible for other people’s words, actions, or decisions as hurtful as they can be.

We all want to be congratulated for a job well-done from even acquaintances, but what happens when they don’t, or you are not acknowledged in some way.

Some think it’s painful not to always be told great job ….. for me personally I learned a long time ago you can’t please everyone and more often it’s our family and friends that seem to be the most critical.

They always feel the need to judge you in some way.

But learn to regroup, refocus, and rise above petty people, sin, and caring what others think of you.

They don’t really know your story, but Christ does.

So, where do we begin and do we need to take ownership?

Look if you are working hard doing or trying to do the right thing , being a good citizen, being kind, respectful to all people. And taking good care of yourself . Be proud of yourself and always strive to do better. But realize you will never please everyone.

Maybe just don’t worry so much about those critical people in your life and certainly lose those who are bad for you. You know those few co workers or friends that egg you on to do shit that you know is wrong or unproductive or unprofessional.

It’s really better to mind your own business and focus on work or school verses having to be someone your not.

In Philippians 4:6-7, we are told to relax, and go to God for relief and strength. “Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.”

Our minds can dictate our feelings and vice-versa, so every time we are worried about what others think switch to a scripture, prayer or praise.

You can say “I trust the God not my feelings.”

Add your name to a scripture. It can really personalize it and help you grow closer to the Lord.

1 Peter 5:7: “Cast all your [insert your name] anxieties on Him, because He cares for you [insert your name].”

Worrying about what others think is human, but when it’s to a point where our joy is being choked, then we need to become proactive, not reactive.

Take people out of your courtroom of justice, and offer them to God, and also humble yourself.  It’s simply not worth it for your health, or hindering your walk

Posted in Arthritis, Avascular Necrosis, Awareness, Blessed, Bone Health, BreakThroughCrew, Cardiovascular, Chronic Pain, Coping with Stress, Diagnosed, Eat Healthy, Energy, exercise, Factor V Leiden, Food Is Thy Medicine, Heart Disease, Hypothyroidism, Inflammation, Life, Mindfulness, osteoarthritis, Osteonecrosis, Positivity, SONK, StopTheClot, Thoughts, Uncategorized, Vision, Weather, WegoHealth, Winter, Women

1 year ago I decided to take my health back

Happy Anniversary To My Health….

I was always pretty healthy ….until I wasn’t.

I gained weight , injured my knee gained more weight was diagnosed with one thing after another and it was really exhausting.

First osteoarthritis and hypothyroidism at age 45

They torn meniscus age 51

Then thanks to the meniscus tear Osteonecrosis set in my knee….

Then she 53 diagnosed officially with spondylolisthesis and a bilateral pars fracture

I had the spondylolisthesis before but my former PCP never told me I had it. But I seen it on an old Mri.

The pain every where was exhausting and some days it still is.

But I decided the heck with all these doctors and I decided to eat mostly plant based but I do still eat chicken fish or turkey now and then and rarely beef.

I ride my recumbent bike 2x a day and I walk when I can. And some days even when I should rest I go walk anyway.

Today’s pictures and videos are from my morning walk : and it’s also one year ago I quit smoking……so it’s a great day !

Pain or no pain I’m not going to just sit around.

Sitting is death

Moving is life

And ya know after I’m done I feel so much better.

1 year since I’ve quit smoking after being a smoker for 40 years. My lungs are feel better my walking speed has improved my distance has improved

1 year since I started eating a healthy mostly plant based but I’m not a vegan and it’s good clean healthy real colorful food . I am using food as medicine in a way to fight pain and inflammation . Now sure I eat a cookie or 2 now and then just not every day. And all my other choices are good so I don’t deprive myself of a treat now and then.

And for having Osteonecrosis,Osteoarthritis, Spondylolisthesis with a bilateral pats fracture in my L5 S1 I feel pretty darn good today even in this cold weather.

Just need to drop some weight one step and one day at a time.

I have taken my life back and no one is going to stop me !

Tomorrow I may be in pain and that’s ok. I can accept that but as long as I know I am doing all I can to combat my pain and keep my body moving and providing it with the best nutrients possible(most of the time)

It’s a win win for me ,one day at a time !

Keep your meds , keep your cigarettes keep your junk fast food.

Body Heal Thy Self

Posted in Ahlbacks Disease, Ancestry, Arthritis, AtomicBlonde, Avascular Necrosis, Awareness, Blessed, Bone Health, BreakThroughCrew, Chronic Pain, Clinical Trials, Diagnosed, Eat Healthy, Factor V Leiden, Food, Happiness, History, Inflammation, Life, Mindfulness, OA, osteoarthritis, Osteonecrosis, Osteoporosis, Pain, SONK, SPONK, Stem Cell, StopTheClot, Uncategorized, WegoHealth

Bone & Joint Action Week October 12-20

Bone and Joint Action Week is held annually October 12-20 with activities focused on disorders including arthritis, back pain, Osteonecrosis,Osteoarthritis trauma, pediatric conditions, and osteoporosis. The themes and their related activities are designed to raise awareness worldwide about prevention, disease management and treatment.

Statistics on Avascular Necrosis (AVN, Osteonecrosis, Aseptic Necrosis, Ischaemic Necrosis, Femoral Head Necrosis)

Frequency depends on the site involved. The most common site is the hip; other locations include the carpals, talus, and humerus. In most countries, exact figures on incidence and prevalence are unknown.

One Japanese survey estimated that 2500-3300 cases of AVN of the hip occur each year; of which, 34.7% were a result of corticosteroid abuse, 21.8% to alcohol abuse, and 37.1% to idiopathic mechanisms. A French study reported AVN in 4.3% of allogenic bone marrow transplant recipients.

Race: No racial predilection exists except for AVN associated with sickle cell disease and hemoglobin S and SC disease, which predominantly are diagnosed in people of African and Mediteranean descent.

Sex: The male-to-female ratio depends on the underlying cause, although primary AVN is more prevalent in men. The overall male-to-female ratio is 8:1.

Age: Age at onset depends on the underlying cause. Primary AVN most often occurs during the fourth or fifth decade and is bilateral in 40-80% of cases. On average, women present almost 10 years later than men.

Risk Factors for Avascular Necrosis (AVN, Osteonecrosis, Aseptic Necrosis, Ischaemic Necrosis, Femoral Head Necrosis)

Avascular necrosis has several causes. Loss of blood supply to the bone can be caused by an injury (trauma-related avascular necrosis or joint dislocation) or by certain risk factors (nontraumatic avascular necrosis), such as some medications (usually steroid basesd), steroid abuse in general, blood coagulation disorders like sickle cell, Factor V, FactorViii, MTHFR, eNOS and more, chemo and radiation infections in the Bone vascular issues such as vascularitis or alcohol abuse. Increased pressure within the bone also is associated with avascular necrosis. The pressure within the bone causes the blood vessels to narrow, making it hard for the vessels to deliver enough blood to the bone cells.Many deep sea divers get Avascular Necrosis from a condition known as the bends. Gaucher disease.

Progression of Avascular Necrosis (AVN, Osteonecrosis, Aseptic Necrosis, Ischaemic Necrosis, Femoral Head Necrosis)

Hip Stages of avn-on

1-4

The natural history of osteonecrosis is directly linked to the size and level of the necrosis. Very small lesions (involvement of less than 15% of the femoral head) may resolve without any further treatment. Conversly, lesions involving greater than 50% of the femoral head progress to collapse, and ultimately require in total hip arthroplasty.

Symptoms of Avascular Necrosis (AVN, Osteonecrosis, Aseptic Necrosis, Ischaemic Necrosis, Femoral Head Necrosis)

In the early stages of avascular necrosis, patients may be asymptomatic. However, as the disease progresses most patients will begin to experience joint pain; at first, only when putting weight on the affected joint, and eventually even when resting. Pain usually develops gradually and may be mild or severe.

If the level of necrosis progresses further and the bone and surrounding joint surface collapse, pain may develop or dramatically increase.

The pain may be severe enough to limit the patient’s range of motion in the affected joint.

In some cases, particularly those involving the hip, disabling osteoarthritis may develop.

The period of time between the first symptoms and loss of joint function is different for each patient, ranging from several months to more than a year.

How is Avascular Necrosis (AVN, Osteonecrosis, Aseptic Necrosis, Ischaemic Necrosis, Femoral Head Necrosis) Diagnosed?

In the earliest stages of Avascular necrosis plain x-rays are often normal. A magnetic resonance image (MRI) is the key that allows us to detect AVN at its earliest stage.

Osteonecrosis develops when the blood supply to a segment of bone is disrupted. Without adequate nourishment, the affected portion of bone dies and gradually collapses. As a result, the articular cartilage covering the bone also collapses, leading to disabling arthritis.

Osteonecrosis of the knee can affect anyone, but is more common in people over the age of 60. Woman are three times more likely than men to develop the condition.

Risk Factors

It is not always known what causes the lack of blood supply, but doctors have identified a number of risk factors that make someone more likely to develop osteonecrosis.

Injury. A knee injury—such as a stress fracture or dislocation, meniscus tear, bruised patella or combined with some type of trauma to the knee, can damage blood vessels and reduce blood flow to the affected bone.

Oral corticosteroid medications.

Many diseases, such as asthma and rheumatoid arthritis, are treated with oral steroid medications.

Although it is not known exactly why these medications can lead to osteonecrosis, research shows that there is a connection between the disease and long-term steroid use. Steroid-induced osteonecrosis frequently affects multiple joints in the body.

Medical conditions.

Osteonecrosis of the knee is associated with medical conditions, such as obesity, sickle cell anemia, and lupus.

Transplants. Organ transplantation, especially kidney transplant, is associated with osteonecrosis.

Excessive alcohol use.

Overconsumption of alcohol over time can cause fatty deposits to form in the blood vessels as well as elevated cortisone levels, resulting in a decreased blood supply to the bone.

Chemo therapy and radiation Non-traumatic osteonecrosis of bone is recognized as a potential complication in solid-tumour cancer patients receiving treatment with cytotoxic chemotherapy.

Regardless of the cause, if osteonecrosis is not identified and treated early, it can develop into severe osteoarthritis. And for some with osteoarthritis before avn the disease is even more painful.

Knee stages of avn-on

1-4

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Together we can make a difference and help so many Men ,Women and Children.

Have a blessed and Pain-free Day.

Posted in Ahlbacks Disease, Arthritis, AtomicBlonde, Avascular Necrosis, Awareness, Baking, Blessed, Bone Health, Breakthrough Crew, BreakThroughCrew, Candy, Cardiovascular, Chronic Pain, Clinical Trials, Croatian Family, Delicious, Desserts, Diagnosed, Disclaimer, Eat Healthy, Endocrinologist, Factor V Leiden, Family Tradition, Opinions, Thoughts, Uncategorized

Blogs

I think I will be starting a new blog just for recipes

Opinions? I really want your opinions

Since I am a health leader and advocate who lives with several chronic conditions

Should I focus on just that or have a mix

Posted in Ahlbacks Disease, Avascular Necrosis, Awareness, Bone Health, Diagnosed, Pain, SONK, SPONK, Uncategorized, WegoHealth

SPONK-SONK

Spontaneous Osteonecrosis of the Knee, also known as Ahlback’s disease is the result of vascular arterial insufficiency to the medial femoral condyle of the knee resulting in necrosis and destruction of bone. It is often unilateral and can be associated with a meniscal tear.

I was diagnosed in 2014 after I suffered a medial meniscus tear and ended up with SPONK Spontaneous Osteonecrosis of the Knee, also known as Ahlback’s disease

Posted in Arthritis, Avascular Necrosis, Awareness, Blessed, Bone Health, BreakThroughCrew, Clinical Trials, Diagnosed, Eat Healthy, Eye Exam, Factor V Leiden, Flush not Blush, Inflammation, Life, Meditation, Mindfulness, osteoarthritis, Osteonecrosis, Recipes, Stem Cell, StopTheClot, Uncategorized, Vision, WegoHealth, WEGOHealthAwards

Would appreciate your vote.

Just 2 days left to cast your vote , you can vote for each category I was nominated for. I would appreciate it very much.

Please take a moment to vote for me.

Link to vote.

WEGOHealthAwards

Blog

https://chronicallygratefuldebla.com/2017/08/20/2002/

Posted in Awareness, BreakThroughCrew, Clinical Trials, Diagnosed, Positivity, Uncategorized

Join The Breakthrough Crew

Become A member!

Who can participate?

Anyone and everyone! Patients, caregivers, healthcare professionals, and individuals who believe in the power of research to transform lives.

What does participation entail?

As an official Breakthrough Crew Ambassador, your role is to help achieve the above three core goals through the following (please note that completing each of the following is not a requirement; think of these as a list of friendly suggestions!):

Raising awareness via social media

Sharing your story via a blog, video, pictures, art, performance, etc.

Representing the Breakthrough Crew at local healthcare events

Proudly wearing your #BreakthroughCrew swag

Participating in #BreakthroughCrew Twitter chats

For more information

Breakthrough Crew

Posted in Arthritis, Avascular Necrosis, Awareness, Blessed, Bone Health, Cardiovascular, Chronic Pain, Diagnosed, Disclaimer, Eat Healthy, Factor V Leiden, Flush not Blush, Food, Homemade Syrups,Tinctures,Rubs, Inflammation, Life, Meditation, Mindfulness, OA, osteoarthritis, Osteonecrosis, Pain, Positivity, Rosacea, Stem Cell, StopTheClot, Support Group, Hope, Uncategorized, Vegetables, Vision, WegoHealth

I Am A Patient Leader to Help and Empower Others ~ WEGOHealth Awards 2017

 I would really appreciate your vote. Please read my story and why I became a patient leader and advocate. ThankYou.

I am so excited to announce that I have been nominated for several of the WEGO Health Awards in the

6th

Annual WEGO Health Awards.

WEGO Health is a mission driven company connecting healthcare with the experience, skills, and insights of patient leaders. They are the world’s largest network of patient leaders, working across virtually all health conditions and topics.

Click link below to learn more about their

Patient Leader Network.

https://awards.wegohealth.com/nominees/12801

The WEGO Health Awards were created to celebrate those who tirelessly support the mission of WEGO Health: to empower the patient voice.

With 16 award categories, the WEGO Health Awards are the only awards across all conditions and platforms, that recognize the over 100,000 yep one hundred thousand inspiring Patient Leaders who raise awareness, share information, and support their communities but often without recognition.

I was diagnosed with osteonecrosis also known as avascular necrosis in late 2014. I was told it was due to the trauma I suffered to my knee(medial meniscus tear)

I remember how I felt, I remember how afraid I was and also a feeling of hopelessness.

If doctors couldn’t help or fix me or even try what was I to do.

I never want anyone to feel that way starving for answers to questions about a new diagnosis and no place to go and no one willing to take the time to explain your new diagnosis. I new others had to be feeling the same way as I was and what an awful feeling that was . Sure I have support from my family but they don’t really understand the pain no one can unless you have it.

So I started the support group Avascular Necrosis/Osteonecrosis Support Int’l to be a safe haven if you will, for anyone that suffers from the disease. On occasion we also allow a family member in the group if the member is comfortable with that so they can also see how this disease/disorder effects people, so they can learn from awareness and education, to have an idea just the type of pain their family member has.

The physical and psychological effects can be debilitating and isolating. Especially when you have what I refer to as a flare up of pain. You can’t plan to go to that wedding next month, you don’t know how you’ll feel in an hour.

The pain can be constant day and night pain or come at any time out of nowhere or in waves and they’re quite perturbing. It’s like a hot lightning bolt and a sledge hammer hitting you at the same time and it can be shocking to those around you,because you end up maybe screaming or yelling,sometimes swearing or just overall mood change because the pain is so intense words truly cannot describe. Some words are hot stabbing shooting debilitating and yet frozen , tourniquet like cutting off your blood supply cold pain that’s what we feel.

Its not just the pain that affects us , but also the sadness or depression that can often come with it. When we think about the future and pain gets in the way of all our plans expectations, it’s a bit shattering.

Everything seems to sort of fall apart and right now you can see only the broken image of the new you .

It’s like looking in a shattered mirror all these different fragments that no longer make you whole.

My life became very fragmented and it was a moment to moment thing because I didn’t know how I would make it through that particular day or make it through what’s going to happen tomorrow. When I was first diagnosed my mind was all over the place.

I’m not terminal but I felt like I was , because my life as I once knew it was done…over.

No doctor I saw had any plan of action to help me in fact I was told we will wait until the joint collapses then replace the knee . Talk about mind blowing!

Osteonecrosis took my career in optical which I loved. It took my hiking in the woods away which I enjoyed. It limits me which I hate. But it’s also given me a new purpose and that is spreading awareness, discussing new treatments, the chance to educate , and reaching out to others. I am a patient leader and activist. Making the invisible, visible

If you allow it, the pain and mental shit you go through when you live in pain and with a rare disorder to boot whether it’s constant or sporadic it can be toxic to the mind and soul sucking.

God forbid don’t ask for pain meds.

When I was first diagnosed my first Ortho said the pain will get intense as if it wasn’t already but I don’t give pain meds. I wondered how bad will it get? I’m already in such pain I can barely stand it. Thankfully my family doctor gave me some pain medicine.

It helped but I don’t want to take it. I’d much rather find out how to fix me.

I’m not some junkie looking for a fix, hell I don’t even want to be at a doctors office.

I would much rather be working or frankly doing anything but sitting in a doctors office.

There is so much stigma that goes along with having chronic pain .

The generalization that everyone is claiming they are in pain just to get drugs is unfair and incorrect, and I think we have to be very careful because pain for most of us is invisible,to others.

When we are out of balance mind ,body , and spirit it makes it so hard to focus.

It makes anything and everything worse.

So we have to change our mind set,respect and do what we can to help our body,and interact with others.

Usually I think people will find that in a support group even if they don’t talk they can listen to people who have the similar experiences, frustrations , challenges,pain, treatments or lack of treatment availability or just simple acknowledgement of I know what your going through, many days is a great help.

And it’s very hard to find that outside a support group.

I never insist a new member speak unless they want to. Some are just so devastated by the diagnosis that they have no words. When I see a new member especially a newly diagnosed one, my heart just knows how much fear they have and how afraid they are. I always let them know that can say anything here and it will remain here. But if they are not ready that’s fine to.

I also offer to send them a copy of a booklet I wrote about avn/on.

I know later their words will come. Right now they need to know they are not alone.

I also raise awareness by several

FB pages

Instagram

Twitter

Personal Blog on word press and blogger

Chronicallygratefuldebla.com

That’s why I am a patient leader and activist.

Here is the link to my WegoHealth profile.

I would appreciate your vote.

You can vote daily up until September 1, 2017.

Here is link

https://awards.wegohealth.com/nominees/12801

Thank you

Current Nominations in The 6th annual WEGO Health Awards

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What is osteonecrosis?  The term literally means bone death -osteo =bone necrosis=death.