Posted in Arthritis, Awareness, Bone and Joint Health, osteoarthritis, Osteonecrosis, Osteoporosis, Rheumatoid Arthritis

Joint Pain and Our Government

It’s that damn pain that may creep up slowly on you with a dull, discomfort in one or several of your joints.

Or it might be like a raging inferno it like a thief in the night, to steal your joy or try to…. the pain comes on suddenly without any warning, bringing on that stabbing intensity as sharp as a knife.

The pain might come and go, or it may last hours, days, weeks…. This pain is arthritis, and it’s likely you know someone living with it or you may be living with it yourself.

It is not just a grandparents issue.

I have been living with arthritis for over 20 years, I think I was 35-36 when I was diagnosed with osteoarthritis, only years later to be diagnosed also with osteonecrosis in 2014 and spondylolisthesis for over 5 years. It can really be exhausting from always dealing with some sort of pain.

Arthritis can be crippling. Some people even need a stair-lift just so they can move freely around their house as they are in too much pain to walk up and down the stairs. Some end up in a wheelchair or using a walker.

Did you know that arthritis impacts more than 50 million adults and 300,000 children in the U.S. According to The Arthritis Foundation, the number of people affected by the condition is expected to increase to 65-68 million by 2030.

More research is needed to combat this health crisis, a disease and source of chronic pain for so many people that it is often marginalized by misinformed attitudes, old wise tales, and social stigma.

Our government officials are not helping us either. They are trying to tell doctors what to prescribe and how much and limit them on treating their patients.

I wish the government would stay out of my health and my doctors business.

My doctor went to school many years and I don’t want some politician giving me medical advice when they have no idea what I live with on a daily basis.Nor have they went to school to become a doctor either.

Many like myself cannot take NSAIDs and when you have osteonecrosis,you really don’t want to constantly be using steroids.

I avoid steroids at all costs.

Arthritis includes more than 100 different types of joint disease and related conditions. I have written previously about osteoarthritis, rheumatoid arthritis, psoriatic arthritis and juvenile arthritis.

In the most basic terms, arthritis is inflammation of the joints that causes swelling, stiffness, reduced range of motion, and pain that can become chronic. It can affect your knees,ankles and toes, back, hip, fingers, wrists, elbows, shoulders, or neck.

Did you know that the heart, eyes, lungs, kidneys and skin can sometimes also be effected?

Arthritis can also affect your muscles, resulting in muscle weakness or fatigue.

The extra weight from obesity can strain your joints if you are not eating well and exercising regularly.

Your bones are like a bridge and like with any other bridge it has a weight limit before it starts to damage the bridge.

So we have to try to keep moving remove excess weight to keep out bridge aka our bones and joints strong and able to support us.

So many people often dismiss arthritis as a condition of older adulthood, but arthritis can strike any age, gender or race, and it is the leading cause of disability in the United States.

Chronic pain sufferers fear they could become casualties in the war on Ohio’s opioid overdose epidemic.

Because it seems like those who suffer in pain real chronic pain are the only ones paying the price.

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What they ( our elected officials ) don’t understand is responsible people are the ones suffering, not the drug addicts who use heroin and get many of their drugs illegally.

In August 2019 Ohio Gov. Mike DeWine said that evidence recently made public makes clear that drugmakers were responsible for the deadly opioid crisis and that they had lied about the addictiveness of their painkillers.

I’m sorry but ya know I don’t buy that crap at all.

When will people actually learn to take responsibility for their own poor choices?

There has been people using and abusing drugs for decades, longer….

lThey are looking to get high, that’s a big difference than someone needing a pain pill now and then to function and have joint mobility and the pain managed.

I get so frustrated at our government always telling patients whats good for them.

And telling doctors how to do their job.

I don’t want my car mechanic telling my dentist how to clean my teeth.

And I don’t want my elected officials telling my doctor what to do.

Why not ban alcohol ?

Why not ban cigarettes

That kills a lot more people and well we know how many abuse that.

Probably because they get a tax on that , so that’s ok.

Just like marijuana, years ago you went to prison , now because the state can make a buck its ok as long as its medical.

According to the Behavioral Risk Factor Surveillance System (BRFSS) survey, in 2013, more than half of the US adult population drank alcohol in the past 30 days. About 17% of the adult population reported binge drinking, and 6% reported heavy drinking.

According to the ARDI application, during 2006–2010, excessive alcohol use was responsible for an annual average of  88,000 deaths, including 1 in 10 deaths among working-age adults aged 20 to 64 years, and 2.5 million years of potential life lost.  More than half of these deaths and three-quarters of the years of potential life lost were due to binge drinking.  https://www.cdc.gov/alcohol/data-stats.htm

 

The Republican Governor of Ohio urged the companies to move quickly to settle pending lawsuits seeking to hold them accountable for the epidemic in light of troves of new documents made public because of those suits. And who gets the money from these lawsuits? Certainly not the people that were or are addicted , or their families……no it’s the state.

 

Get stricter on drunk driving laws https://www.cdc.gov/motorvehiclesafety/impaired_driving/states-data-tables.html

 

But for gosh sakes stop punishing people responsible people who just are trying to live dealing with their chronic pain. To function, to get to work, to grocery shop to live.

Please get involved write or call your elected officials : tell them help those living with chronic pain not make them suffer.

They are not drug addicts they are people like you and me and your neighbor and like your grandparent, mother, uncle son or daughter suffering with chronic pain.

https://www.usa.gov/elected-officials

 

 

The most 5 common types of arthritis are Osteoarthritis, Fibromyalgia, Gout, Rheumatoid Arthritis, and Systemic Lupus Erythematosus.

According to the Centers for Disease Control and Prevention (CDC), more than a third of adults who have arthritis report it limits their leisure and work activities. 25% of them state it also causes severe pain (7+ on the 0 to 10 point pain scale).

Children and teens get a type of arthritis called juvenile idiopathic arthritis (JIA). “Juvenile” means young (16 yrs of age or younger) and “idiopathic” means the cause is not known. JIA is also sometimes called juvenile rheumatoid arthritis (JRA).

Many people confuse osteoporosis and different types of arthritis.

  • Arthritis: A general term for conditions that affect the joints and surrounding tissues. Joints are places in the body where bones come together, such as the knees, wrists, fingers, toes, and hips. The two most common types of arthritis are osteoarthritis and rheumatoid arthritis.
  • Osteoporosis: A condition in which the bones become less dense and more likely to fracture. In osteoporosis, there is a loss of bone tissue that leaves bones less dense and more likely to fracture. It can result in a loss of height, severe back pain, and change in posture. Osteoporosis can impair a person’s ability to walk and can cause prolonged or permanent disability – Difference Between Osteoarthritis and Rheumatoid Arthritis

References

Arthritis Foundation

AF types of arthritis

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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Have a blessed and Pain-free Day.

Posted in Arthritis, Avascular Necrosis, Blessed, Bone Health, Cardiovascular, family, Inflammation, Life, Meditation, Mindfulness, OA, Osteonecrosis, Osteoporosis, Rare Disease Day, Rheumatoid Arthritis, StopTheClot, Uncategorized

Nothing Is Useless

When the body is falling apart. And you feel like you have nothing of value to offer God or anyone else. 

Think again. 
Below is a post from Our Daily Bread
Nothing Is Useless June 12, 2017  

from Our Daily Bread
Read: 1 Corinthians 15:42–58 

“Nothing you do for the Lord is ever useless.” 

1 Corinthians 15:58 
‘Nothing Is Useless’

A Story of Hope and Encouragement 

In my third year battling discouragement and depression caused by limited mobility and chronic pain, I confided to a friend, “My body’s falling apart. I feel like I have nothing of value to offer God or anyone else.”
Her hand rested on mine. “Would you say it doesn’t make a difference when I greet you with a smile or listen to you? Would you tell me it’s worthless when I pray for you or offer a kind word?”
Do what you can with what you have and leave the results to God. I settled into my recliner. “Of course not.”
She frowned. “Then why are you telling yourself those lies? You do all those things for me and for others.”
I thanked God for reminding me that nothing we do for Him is useless.
In 1 Corinthians 15, Paul assures us that our bodies may be weak now but they will be “raised in power” (v. 43). Because God promises we’ll be resurrected through Christ, we can trust Him to use every offering, every small effort done for Him, to make a difference in His kingdom (v. 58).
Even when we’re physically limited, a smile, a word of encouragement, a prayer, or a display of faith during our trial can be used to minister to the diverse and interdependent body of Christ. When we serve the Lord, no job or act of love is too menial to matter.
Jesus, thank You for valuing us and using us to build up others.
Do what you can with what you have and leave the results to God.

Posted in Avascular Necrosis, Bone Health, Osteonecrosis, Osteoporosis, Uncategorized

Osteonecrosis vs Osteoporosis learn the difference 

What’s the difference between osteoporosis and osteonecrosis? 

The first part of both terms (osteo) refers to bone. In the first word (osteonecrosis), necrosis means death so, osteonecrosis is the death of bone. In the second word (osteoporosis), porosis refers to how porous the bone has become. Loss of bone density creates larger spaces between bone cells. As a result of these changes, the bone is more brittle.

The differential diagnosis is made using advanced imaging. X-rays may not show osteoporosis clearly. Doctors rely on MRIs to see patterns in the signals that indicate the presence of osteoporosis. For example, low-signal lines in the subchondralbone called crescent lines are seen with osteoporosis. Subchondral refers to the first layer of bone just under the joint cartilage. 

When osteoporosis is present, MRIs can show fluid called bone edema. Bone edema can be present with stress fractures and bone tumors, so the presence of bone edema doesn’t necessarily confirm that the person has transient osteoporosis. 

Further tests may be required such as DEXA bone scans. DEXA stands for dual-energy X-ray absorptiometry. A more up-to-date abbreviation for that term is DXA. DXA provides means of measuring bone mineral density that can be compared to the expected norm. 

Osteonecrosis shows up on MRIs without the defects in bone seen with osteoporosis. Instead, there are clear changes in the subchondral bone of the femoral head. Subchondral refers to the first layer of bone just under the joint cartilage. 

The distinction between these two conditions (osteonecrosis and osteoporosis) is important because these are separate problems requiring individual treatment.