Life is hard enough,don't go through life with pain that’s keeping you clutching the steering wheel. Join me as I share with you my life of living chronically grateful while living with chronic pain.
Today is a special day for me , it’s the second annual Avascular Necrosis Osteonecrosis Awareness Day.
The am still working hard to get every state to work with the others so we all have one date to raise awareness and bring recognition to the painful disease called Osteonecrosis which goes by several others names.
It’s a slow yet rewarding experience
More people are learning about Osteonecrosis , what it is how you get it in many cases. And that’s what it’s all about. To get people to listen to us, learn about it. That way we can get better options for treatment and pain.
Some of the faces of AVN women is this picture
Osteonecrosis
Avascular Necrosis
SONK
SPONK
Ischemic Necrosis
Aseptic Necrosis
Legg Calves Perthes – Avn children
Kienbock’s Disease Avn wrist
Kümmell disease Avn in vertebrate
ONJ Osteonecrosis of the Jaw
and so many more …….
Osteonecrosis is a disease caused by reduced blood flow to bones in the joints. In people with healthy bones, new bone is always replacing old bone. In osteonecrosis, the lack of blood causes the bone to break down faster than the body can make enough new bone. The bone starts to die and may break down.
You can have osteonecrosis in one or several bones. It is most common in the upper leg. Other common sites are your upper arm and your knees, shoulders and ankles. The disease can affect men and women of any age, but it usually strikes in your thirties, forties or fifties.
At first, you might not have any symptoms. As the disease progresses , you will probably have joint pain that becomes more severe. You may not be able to bend or move the affected joint very well.
No one is sure what causes the disease. Risk factors include
Long-term steroid treatment
Alcohol misuse
Joint injuries
Having certain diseases, including arthritis and cancer
Doctors use imaging tests and other tests to diagnose osteonecrosis. Treatments include medicines, using crutches, limiting activities that put weight on the affected joints, electrical stimulation and surgery.
So many women and men live with this painful disease and now maybe a confirmation via blood test is not to far off.
What is fibromyalgia?
Fibromyalgia (fi·bro·my·al·gi·a) is a condition that causes pain all over the body (also referred to as widespread pain), sleep problems, fatigue, and often emotional and mental distress. People with fibromyalgia may be more sensitive to pain than people without fibromyalgia. This is called abnormal pain perception processing. Fibromyalgia affects about 4 million US adults, about 2% of the adult population. The cause of fibromyalgia is not known, but it can be effectively treated and managed.
What are the signs and symptoms of fibromyalgia?
The most common symptoms of fibromyalgia are
Pain and stiffness all over the body
Fatigue and tiredness
Depression and anxiety
Sleep problems
Problems with thinking, memory, and concentration
Headaches, including migraines
Other symptoms may include:
Tingling or numbness in hands and feet
Pain in the face or jaw, including disorders of the jaw known as temporomandibular joint syndrome (also known as TMJ)
Digestive problems, such as abdominal pain, bloating, constipation, and even irritable bowel syndrome (also known as IBS)
What are the risk factors for fibromyalgia?
Known risk factors include:
Age. Fibromyalgia can affect people of all ages, including children. However, most people are diagnosed during middle age and you are more likely to have fibromyalgia as you get older.
Lupus or Rheumatoid Arthritis. If you have lupus or rheumatoid arthritis (RA), you are more likely to develop fibromyalgia.
Some other factors have been weakly associated with the onset of fibromyalgia, but more research is needed to see if they are real. These possible risk factors include:
Sex. Women are twice as likely to have fibromyalgia as men.
Stressful or traumatic events, such as car accidents, post-traumatic stress disorder (PTSD)
Repetitive injuries. Injury from repetitive stress on a joint, such as frequent knee bending.
October is National Domestic Violence Awareness Month today we learn about Power and Control
Domestic violence is a pattern of behaviors used to gain or maintain power and control. At The Hotline, our frame of reference for describing abuse is the Power and Control Wheel developed by the Domestic Abuse Intervention Project in Duluth, MN. In the diagram below, the Power and Control Wheel assumes she/her pronouns for the victim and he/him pronouns for the perpetrator, but the abusive behavior that it details can happen to people of any gender or sexuality.
The wheel serves as a diagram of tactics that an abusive partner uses to keep their victims in a relationship. The inside of the wheel is made up of subtle, continual behaviors over time, while the outer ring represents physical and sexual violence. Abusive actions like those depicted in the outer ring often reinforce the regular use of other, more subtle methods found in the inner ring.
What is the difference between Influenza (Flu) and COVID-19?
Influenza (Flu) and COVID-19 are both contagious respiratory illnesses, but they are caused by different viruses. COVID-19 is caused by infection with a new coronavirus (called SARS-CoV-2) and flu is caused by infection with influenza viruses.
There are some key differences between Flu and COVID-19.
COVID-19 seems to spread more easily than flu and can cause more serious illnesses in some people. It can also take longer before people show symptoms and people can be contagious for longer. Another important difference is there is a vaccine to protect against flu. There is currently no vaccine to prevent COVID-19. The best way to prevent infection is to avoid being exposed to the virus. More information about differences between flu and COVID-19 is available in the different sections below.
Because some of the symptoms of flu and COVID-19 are similar, it may be hard to tell the difference between them based on symptoms alone, and testing may be needed to help confirm a diagnosis. Flu and COVID-19 share many characteristics, but there are some key differences between the two.
While more is learned every day, there is still a lot that is unknown about COVID-19 and the virus that causes it. This page compares COVID-19 and flu, given the best available information to date.
Similarities:
Both COVID-19 and flu can have varying degrees of signs and symptoms, ranging from no symptoms (asymptomatic) to severe symptoms. Common symptoms that COVID-19 and flu share include:
Fever or feeling feverish/chills
Cough
Shortness of breath or difficulty breathing
Fatigue (tiredness)
Sore throat
Runny or stuffy nose
Muscle pain or body aches
Headache
Some people may have vomiting and diarrhea, though this is more common in children than adults
Differences:
Flu
Flu viruses can cause mild to severe illness, including common signs and symptoms listed above.
COVID-19 seems to cause more serious illnesses in some people. Other signs and symptoms of COVID-19, different from flu, may include change in or loss of taste or smell.
Typically, a person develops symptoms 5 days after being infected, but symptoms can appear as early as 2 days after infection or as late as 14 days after infection, and the time range can vary.
For both COVID-19 and flu, it’s possible to spread the virus for at least 1 day before experiencing any symptoms.
Differences:
If a person has COVID-19, they may be contagious for a longer period of time than if they had flu.
Flu
Most people with flu are contagious for about 1 day before they show symptoms.
Older children and adults with flu appear to be most contagious during the initial 3-4 days of their illness but many remain contagious for about 7 days.
Infants and people with weakened immune systems can be contagious for even longer.
How long someone can spread the virus that causes COVID-19 is still under investigation.
It’s possible for people to spread the virus for about 2 days before experiencing signs or symptoms and remain contagious for at least 10 days after signs or symptoms first appeared. If someone is asymptomatic or their symptoms go away, it’s possible to remain contagious for at least 10 days after testing positive for COVID-19.
Both COVID-19 and flu can spread from person-to-person, between people who are in close contact with one another (within about 6 feet). Both are spread mainly by droplets made when people with the illness (COVID-19 or flu) cough, sneeze, or talk. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
It may be possible that a person can get infected by physical human contact (e.g. shaking hands) or by touching a surface or object that has virus on it and then touching his or her own mouth, nose, or possibly their eyes.
Both flu virus and the virus that causes COVID-19 may be spread to others by people before they begin showing symptoms, with very mild symptoms or who never developed symptoms (asymptomatic).
Differences:
While COVID-19 and flu viruses are thought to spread in similar ways, COVID-19 is more contagious among certain populations and age groups than flu. Also, COVID-19 has been observed to have more superspreading events than flu. This means the virus that causes COVID-19 can quickly and easily spread to a lot of people and result in continuous spreading among people as time progresses.
Both COVID-19 and flu illness can result in severe illness and complications. Those at highest risk include:
Older adults
People with certain underlying medical conditions
Pregnant people
Differences:
The risk of complications for healthy children is higher for flu compared to COVID-19. However, infants and children with underlying medical conditions are at increased risk for both flu and COVID-19.
Flu
Young children are at higher risk of severe illness from flu.
Worsening of chronic medical conditions (involving the lungs, heart, nervous system or diabetes)
Inflammation of the heart, brain or muscle tissues
Secondary bacterial infections (i.e. infections that occur in people who have already been infected with flu or COVID-19)
Differences:
Flu
Most people who get flu will recover in a few days to less than two weeks, but some people will develop complications, some of these complications are listed above.
People at high-risk of complications or who have been hospitalized for COVID-19 or flu should receive supportive medical care to help relieve symptoms and complications.
People who are hospitalized with flu or at high-risk of flu complications with flu symptoms are recommended to be treated with antiviral drugs as soon as possible.
While remdesivir is an antiviral agent that is being explored as a treatment for COVID-19 and is available under an Emergency Use Authorization (EUA), there are currently no drugs or other therapeutics approved by the Food and Drug Administration (FDA) to prevent or treat COVID-19. Studies are in progress to learn more.
Vaccines for COVID-19 and flu must be approved or authorized for emergency use (EUA) by the FDA.
Differences:
Flu
There are multiple FDA-licensed influenza vaccines produced annually to protect against the 3 or 4 flu viruses that scientists anticipate will circulate each year.
Currently there is no vaccine to prevent COVID-19. Vaccine developers and other researchers and manufacturers are expediting the development of a vaccine to prevent COVID-19.
The coronavirus pandemic has resulted in domestic partners and families spending more time together at home.
Not surprisingly, being in such close proximity for extended periods of time has resulted in higher stress levels. That raises a concern:
Are people in the same households more likely to intimidate or physically hurt one another?
If domestic abuse is already a problem in a relationship, the coronavirus pandemic might be making it worse. An abusive person may use this situation to exert more control over a partner.
Know that shelters are open do not stay in an abusive relationship
Look Out for Warning Signs
Put a plan together if someone you are living with is:
being verbally or emotionally hurtful.
threatening you.
having episodes of explosive anger.
harming animals.
Steps You Can Take to Keep Yourself and Others Safe
Find a place you can retreat to safely. Avoid the bathroom or kitchen.
Enlist support from a trusted friend or family member you can call.
If necessary, use a code word or phrase to indicate you need help.
Memorize phone numbers of people and agencies you might need to call in an emergency.
Make sure you can easily access:
cash.
identification (Social Security card and driver’s license).
birth and marriage certificates.
credit cards, safe deposit box keys and bank information.
health insurance information.
any documentation, photos, medical or police reports relating to previous episodes of abuse.
I am a survivor and advocate of Domestic Violence. I am so glad I lived and finally ended the cycle of violence.
After I finally left my first husband for good, I went to counseling and attended a women’s dv support group to what I call deprogram my brain from all the negativity and abuse I experienced for 10 years.
Over time I healed and went on to become a volunteer then a group coordinator, then I presided over the support groups spoke to incarcerated women, churches, police,women’s organizations and I then became a DV Shelter manager and did this for for at least a decade. That was my 1st calling. I think as we live and experience things in our life we get different callings. That was definitely one of mine. To go out educate anyone and everyone on DV (domestic violence)
My first marriage was never really a happy marriage. Yes there were happy times but if I look back I felt more like a hostage than an equal partner in a marriage. This man I married shown me a side of him I never saw when we dated, or else I never would have married him.
I was a battered wife and it all started about 2 weeks after I was married. I arrived home from work 90 minutes later than usual because we were so busy at work and my husband went off. He called me a whore, bitch, slut at that point he didn’t hit me. But the verbal abuse I experienced for being late at work was just ridiculous. We didn’t have cell phones in the 1980s.
You know why he went off ? Because dinner wasn’t ready. Of course I apologized.
It wasn’t long before I became his personal punching bag. I was hit , punched, kicked, slapped, more times than I can count and I’m grateful I’m alive, because I came close to death a couple times.
National Domestic Violence Awareness Month is an annual designation observed in October. For many, home is a place of love, warmth, and comfort.
It’s somewhere that you know you will be surrounded by care and support, and a nice little break from the busyness of the real world. But for millions of others, home is anything but a sanctuary.
The U.S. Department of Justice estimates that 1.3 million women and 835,000 men are victims of physical violence by a partner every year.
Every 9 seconds, a woman in the U.S. is beaten or assaulted by a current or ex-significant other.
1 in 4 men are victims of some form of physical violence by an intimate partner.
Here’s another shocking statistic: the number of U.S. troops killed in Afghanistan and Iraq between 2001 and 2012 is 6,488. The number of women who were murdered by current or ex-male partners during that same time frame is 11,766, according to the Huffington Post.
That’s almost double the number of people who were killed fighting in the war. People who are in an abusive relationship will stay with their partner for a number of reasons:
Their self-esteem is totally destroyed, and they are made to feel they will never be able to find another person to be with.
The cycle of abuse, meaning the ‘honeymoon phase’ that follows physical and mental abuse, makes them believe their partner really is sorry and does love them.
It’s dangerous to leave. Women are 70 times more likely to be killed in the weeks after leaving their abusive partner than at any other time in the relationship, according to the Domestic Violence Intervention program.
Statistics suggest that almost 5 percent of male homicide victims each year are killed by an intimate partner.
They feel personally responsible for their partner, or their own behavior. They are made to feel like everything that goes wrong is their fault.
They share a life. Marriages, children, homes, pets, and finances are a big reason victims of abuse feel they can’t leave.
Please I beg you if you are in an abusive relationship get the hell out , don’t walk …..run
Make a plan slowly hide money a few pieces of clothing in a duffle , copy all important documents like birth certificates for you and the kids , marriage license, restraining orders, social security cards for all of you. If you have to flee and you will…. you will need these to get some for of help with say public assistance,medical, court help etc…..
Keep them with someone you trust completely who will not tell anyone.
It will never be better it will get worse. Sorry doesn’t mean shit when you keep getting kicked, pushed,punched,slapped, called names like bitch,cunt,whore etc…
You are told so much bullshit that plays mind games that over time you begin to believe all his crap like no one will ever love you, your nothing, your lucky I love you because who else would.
The topper is after your beat and bloody or slapped They look at you and say …..you made them do that to you. If you …… fill in the blank
Would have only had dinner ready
Or the house cleaner or didn’t spend so much at the grocery store.
Or why did you have to open your mouth.
They find every way to blame you … nothing is ever their fault and often they hit you for no reason. It’s all about control and their own low self esteem.
They don’t want you to succeed,they discourage you from bettering yourself.
They don’t want you to go to school, Hell they don’t want you to see your family or your friends!
They want to alienate you so all you have is them. Then they beat you call you names.
It’s like being in a war you are brainwashed and tortured by the enemy – but the enemy in this case that is hurting you torturing you is your spouse or significant other.
Being in a DV situation can physically and emotionally harm the kids, some females grow up to be abused and some males will grow up to be abusers and vice versa.
When you are in a domestic violence situation especially women you are a significantly higher risk of experiencing PTSD,depression, anxiety,substance abuse and thoughts of suicide.
Don’t believe all the I’m sorry it will never happen again. It will happen again and each time will be more violent than before.
How many times do you need to hear I’m sorry it will never happen again?
You matter, you were not put on this earth to be someone’s punching bag. You were not born to be verbally abused, physically abused, psychologically and or financially abused.
You were put here for a purpose but being abused wasn’t it. I know you are tired, exhausted and just ready to give up. Or you may be in denial. I know exactly how you feel and so millions of other women.
Put your hand on your heart, feel that? That is your heart beat…. you are alive for a reason. That reason is not to be a punching bag.
I know you may love this person and think he loves you too and he will change. He mostly likely WONT. If you love someone you don’t beat them down you lift them up.
Do NOT be as foolish as I was and stay for 10 years because of fear and the lack of self esteem that came from being told we didn’t matter , we were worthless….nothing.
You are somebody special you have a purpose, that purpose is not to be abused by someone else ….you must get out before you are killed or critically injured.
Working in a Domestic Violence Shelter to me was a privilege. I was blessed with the opportunity to help other women get out and make a plan to get out. These were women of all races, religions, economic and social backgrounds. From a politicians wife, to the cops wife to the preachers wife to the single mom to the teenager in an abusive dating relationship.
They have a special place in my heart because I know what they feel.
So what is Domestic Violence? Domestic Violence is a violent or controlling behavior by a person toward a family or household member, usually towards an intimate partner. Although the partner is the primary target, violence is often directed toward the children and pets as well. Approximately 95% of domestic violence victims are women. It is a learned behavior. Abuser and victims come from all walks of life, races, income levels and ages.
There are many types of abuse:
Verbal: Yelling, name-calling, threatening to hurt or kill, criticizing your appearance, belittling, constant blaming
Emotional: Social isolation, neglecting physical or emotional needs, abusing pets, accusations of an affair, monitoring telephone conversations, criticizing family and friends, embarrassing you in front of others
Sexual: Unwanted sexual advances, committing rape or incest, forcing you to have sex with others, forcing pregnancy or abortion.
Psychological: “Brainwashing”- a person’s self-worth is destroyed through harassment, threats, deprivations of food and sleep
Physical: Hitting, kicking, punching, slapping, inflicting injury with weapons, homicide
Economic: Withholding financial information, controlling money & bank accounts, making you account for every expenditures.
I dealt with many bruises on arms legs big ass bumps on the head from so many blows to the head,, a black eye here and there , busted lip, pushed from a moving car, hand broken in 5 places, kicked with steel toe boots, cornered he loved yo corner me then punch or slap me on time I was punched and pushed so hard my head went through the glass on our front door I had to have over 120 stitches and my head was wrapped as if I just had brain surgery I lost so much blood I almost passed out, blood was going all over and then the I’m sorry came out of his mouth, all I remember was saying I hope I die so you go to fucking prison, then I will be finally free. This happened when my daughter was asleep in the other room and thank God his nephew came over he cleaned all the blood up off the floor and wall, taped cardboard over the glass on the front door and stayed with my daughter who was asleep, she was maybe 4 or 5. Hard to remember exactly.
I could have died that night.
At the ER they asked what happened he immediately said I fell. I told them to get him away from me. The police came and removed him from the ER.
On the way out he said remember how your getting home and it’s fine he will go alway and pack and be gone before I’m done getting stitches.
That was code for bitch shut up our daughter is home and he’d take her.
He always threatened to take her that’s why I had her now live at my parents. And even though I saw her daily it was not the same.
I told the nurse what happened , but lied to the doctor stitching me up. He knew he looked at me and said you could have died consider a plan to get out. I told him my daughter is home with our nephew how much longer as code to him to please don’t keep lecturing me I will get out when it’s right.
After I was all stitched up I actually got back in the truck and went home my head felt as if I was never going to be the same. How was I going to go to work in 4 hours? My parents are going to freak out.
I called my mom after he went to work told her I wasn’t feeling good and could she come pick up her granddaughter, she said they could asked what was wrong I said nothing really just not feeling well. She said did that bastard hit you again? And when am I going to leave ….. just what I didn’t want to hear another lecture to make me feel yet stupider.
When they came to pick up my daughter who cried when she woke up and saw my head. I told her it’s ok mommy hurt her head and I will be ok in a few days. But grandma and papa was coming to get her so I could go to sleep and heal my boo boo.
It was clear she wanted to stay with me and I wanted her to stay, but in case he came home and wanted to fight again I can’t have her in the cross fire.
My dad cried when he seen me. My mom teared up and my dad said please come home, I told him it will be worse right now if I come home. Because he will just come there like before.
I told my dad I will plan to leave soon. He went and bought us dinner so I didn’t have to cook and I think it was his way of letting my husband know I see what you did and I’m watching you.
That was just one of hundreds of incidents over 10 years.
How do I deal with my knee and back pain until the orthopedic doctors start seeing patients again?
There are a variety of non-operative treatment options for pain. No one treatment is going to help everyone, and patients need to find the treatments that seem to work the best for them.
Medications I personally cannot take NSAIDS so I reach for
Acetaminophen (Tylenol) is an over-the-counter option that is safe and effective for me.
For many Non-steroidal anti-inflammatory medications (NSAIDs) – e.g. Ibuprofen and naproxen – may also be helpful. Prescription NSAIDs are also an option to discuss with your health care provider.
Some say medical marijuana helps them. I’ve never tried it so I cannot comment.
Supplements, such as glucosamine/chondroitin, are generally safe and may be helpful in reducing some arthritic pain. Also talk to you doctor about curcumin supplements tablets .
I drink Turmeric tea aka golden milk it is a natural anti-inflammatory agent.
Exercise helps me. I’m not talking about running or walking a marathon.
Just 1-2 miles once or twice a day. Makes me feel good especially in summer. My joints love the heat.
I have a daily exercise regimen, specifically designed for me and my knee osteonecrosis osteoarthritis, and this back pain that is really an out of the blue pain.
With osteonecrosis moving is critically important for maintaining strength in muscles supporting the joints , reducing pain and it’s also great for stress.
It is important to be as active as your joints allow and find a variety of stretching and strengthening exercises that you perform daily, without increasing your pain.
A good source for exercise instruction for arthritis may be found at you ortho office maybe they can email you some ideas.
Crutches, a walker, ice/heat treatments and a knee brace may also be helpful in managing your hip and/or knee pain.
Weight Loss and Diet
The covid 19 is a little saying that explains what is happened to many since the pandemic.
And extra 19 pounds can cause the joints to really hurt.
Many patients with osteonecrosis and arthritis are carrying a few extra pounds and weight loss reduces stress across our joints.
We put 3-5X our body weight across our hip and knee joints with activity, particularly stair climbing and getting in and out of a chair. Every 10 pounds of extra weight carried results in 50 pounds of weight bearing pressure across the hips and knees!
A healthy diet is important for general health and weight loss, and some may find benefit from focusing on an “anti-inflammatory” diet. The anti-inflammatory diet is a diet which includes tomatoes, olive oil, green leafy vegetables, nuts, fatty fish, and fresh fruit, particularly blueberries, strawberries, cherries and oranges. Foods thought to cause inflammation, and to avoid, include white bread and pastries, French fries, soda, margarine and red meat.
In summary: stay active, eat healthy, maintain social distancing as instructed and maintain a positive attitude.
Please know that your orthopedic provider and all pcp ‘s are also anxious to get back to “business as usual” and help you to resolve your arthritic pain!
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Many types of knee pain can be relieved and/or resolved with conservative treatments such as:
Rest When the knee is injured or is inflamed, as in bursitis, tendonitis or arthritis, it’s important to rest the joint and avoid overuse. That may mean keeping the knee straight (extended) or in positions that limit bending.
Ice/heat Applying ice or cold packs to the knee can reduce inflammation and swelling, especially after an injury. Once swelling is gone, heat may be used to help relax and loosen tissues – although ice is the primary treatment.
Pain relievers Over-the-counter anti-inflammatory medicines can help relieve knee pain, including ibuprofen (Advil®) and naproxen (Aleve®).
Weight loss Your doctor may recommend that you lose weight to reduce pressure on your knee.
Braces In general, knee braces wrap around the knee and leg and help limit unwanted movement while supporting the knee. They are commonly used when knee ligaments are weak, and help to keep the knee from “buckling.” Braces will provide support during healing, but are not a primary treatment for arthritic degeneration.
There is a variety of braces. Functional braces are designed to support knees that have suffered an impact-related injury. Rehabilitative braces provide support when recovering from a surgery or injury. Uploading/offloading braces are used by patients with arthritis and help to stabilize the knee when standing up or sitting down
Physical therapy
Once your doctor diagnoses the cause of your knee pain, physical therapy may be the next step. Physical therapists can show you specific exercise programs that will help you recover from the injury and decrease the pain you are experiencing. They also may demonstrate low-impact stretches and exercises that can strengthen muscles in your knee, improve stability and flexibility, and reduce pressure on the joint. They can advise you on helpful lowimpact aerobic exercises, such as swimming and cycling, that won’t aggravate your knee pain. Physical therapy also is an important part of recovery after knee surgery.
Injections
I personally am not a fan of these. I personally get more pain when o have had them. And they can lead to faster break down of bone tissue and can lead to Osteonecrosis.
Steroid (or more commonly known as cortisone) shots can be placed inside the knee to reduce pain and inflammation.
Another nonsurgical procedure that can provide relief from knee pain is viscosupplementation. Administered in the doctor’s office, this treatment involves injecting a lubricant into the knee. The filler lubricates and adds cushioning to the joint, allowing bones to move more easily and reducing friction.
In some cases, relief from viscosupplementation can last for months. It can be a viable, though short-term, solution for mild to moderate osteoarthritic knee pain.
Prp injections
Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles and joints. In this way, PRP injections use each individual patient’s own healing system to improve musculoskeletal problems. I have had this and I had a good result. Healed no but a better outcome and mobility than I had.
When diagnosing any knee pain, the physician will take your medical history and perform a thorough physical examination.
To help your doctor best understand your knee pain, you’ll need to provide the following information:
• A description of your knee pain (aching, tenderness, burning or swelling)
• Where the pain is located and when it occurs
• When the pain started (and if it is the result of an injury or accident)
• Anything that makes the pain worse or better
Your doctor also may order imaging tests to view the joint, which may include the following:
X-rays – An X-ray can show if there are certain problems, such as deterioration or fracture, within your knee.
MRI – In some cases, your doctors may order a magnetic resonance imaging (MRI) scan. An MRI provides significantly more detail about the soft tissues in your knee, such as the cartilage on the surface of the bones, ligaments, tendons and muscles.
CT scan – Computerized tomography scans combine X-ray views from multiple angles, creating a two- or three-dimensional, cross-sectional image. These images show “slices” of bone and soft tissue.
Knee injuries can be the result of sports, falls or trauma. They typically involve the ligaments that hold two of the bones of the knee – the femur and tibia – together. Here are some of the most common types:
Injuries to the anterior cruciate ligament (ACL) are among the most common and dreaded sports injuries. Your ACL keeps your knee from moving too far out of position. Changing directions too quickly or hyperextending the knee can tear the ACL. Women are more prone to tearing the ACL. Surgery is often necessary to repair damage to an ACL.
A stretch or tear of the medial collateral ligament (MCL) is typically caused by a hit or blow to the outer knee. Pain is felt along the inner knee. Bracing and conservative treatment, such as rest and physical therapy, are usually sufficient to heal these injuries.
The meniscus is crescent-shaped cartilage between your thigh bone (femur) and lower leg bone (tibia). You have two of these cushions in each of your knees, inner (medial) and outer (lateral). The medial one is most often injured. These injuries often are caused by sudden twisting, resulting in swelling, pain and locking of the knee. Arthroscopic surgery may be necessary to remove the torn fragment when conservative treatment does not help.
Knee pain has many causes. Some of the most common include:
Osteoarthritis
Arthritis is a chronic condition that causes joint inflammation. Symptoms include redness, warmth, swelling, tenderness and pain. Up to 30 percent of the population may have knee osteoarthritis, or “wear and tear” arthritis. This is the gradual breakdown of the cartilage in the knee. Also called degenerative joint disease, osteoarthritis usually develops over years and often is found in patients who have had a knee infection or injury and those who are overweight.
As cartilage wears away, the bones around it can grow thicker and develop bony spurs. This can lead to increased friction between the bones and disrupted movement in your knee. This also can lead to problems with the synovium, a membrane in your knee that produces a liquid to keep your cartilage slippery. This membrane can become inflamed and make too much fluid. This results in swelling, or “water on the knee.” In the most severe cases, the knee can become deformed as the continued friction wears away the bone.
Common symptoms of osteoarthritis include pain, stiffness, tenderness, a limited range of motion and a grating sensation when you bend your knee. The pain is usually worse after activity.
Rheumatoid arthritis
Rheumatoid arthritis can affect joints on both sides of the body (both knees, both hands and/or both wrists). In rheumatoid arthritis, your body’s cells attack your own tissues. While in most people symptoms develop gradually over years, they can appear rapidly. Rheumatoid arthritis affects three to five times more women than men and often presents between the ages of 20 and 50.
Rheumatoid arthritis may be related to a combination of abnormal immunity and genetic, environmental and hormonal factors. Over time, rheumatoid arthritis can cause cartilage to wear away, swelling in the synovium, and excess fluid in the knee. In later stages, bones can rub against each other.
Bursitis
Bursitis is the inflammation of any of the fluid-filled sacs (bursae) protecting the body’s joints. This is usually caused by repetitive motions or by a stress such as kneeling. Sometimes, a sudden injury can cause bursitis.
Tendonitis
The tendons – rope-like tissues connecting muscles to bone at the knee and other joints – can become painfully inflamed by repetitive and strenuous movement. Tendonitis is a common sports injury, caused by overuse of the same parts of the body. Patellar tendinitis, or “jumper’s knee,” is an inflammation or irritation of the tendon between the knee cap and the shin bone.
Baker’s cyst
A lump behind your knee could be a Baker’s cyst. A Baker’s cyst, also called a popliteal cyst, is a fluid-filled pocket that causes swelling and tightness behind the knee. Often, it is not painful. A Baker’s cyst is typically associated with arthritis or a cartilage tear, conditions that can cause your knee to produce too much fluid. The key to treatment is to find the underlying cause of the fluid accumulating in the Baker’s cyst.
Patellofemoral pain syndrome (PFPS)
Knee pain or discomfort while walking up and down stairs, jumping or squatting may be symptoms of patellofemoral pain syndrome. This common knee problem is felt toward the front of the knee. It can cause a grinding sensation when bending or straightening your leg, and can cause your knee to occasionally buckle. Sometimes called “runner’s knee,” patellofemoral pain syndrome may be caused by a kneecap that is not aligned properly, overuse, injury, excess weight or when the cartilage in the knee cap is worn significantly.
Osteonecrosis aka Avascular Necrosis
Osteonecrosis of the knee (also known as avascular necrosis) is a painful condition that occurs when the blood supply to a section of bone in the femur (thighbone) or tibia (shinbone) is disrupted. The pain varies from no pain to severe hot pain. Like bathe feeling of being hit in knee with a hot iron or sharp stabbing lightening bolt pain. Treatment can vary depending on stage from Prp injections to Total Knee Replacement.
SPONK Spontaneous Osteonecrosis of the knee comes on suddenly.
Did you know that your knee is the largest joint in your body. Its a really amazing and complex mechanism made of bone, cartilage and ligaments. The cartilage in your knee acts as a cushion and gliding surface. So the knee can move freely.
When the knee is healthy, the cartilage keeps the bones in the joint from rubbing together. However, when the joint is affected by arthritis, the bones make contact and cause mild or severe pain.
Injuries, as well as aging and degenerative conditions such as arthritis, osteoarthritis can cause the cartilage to break down.
Things like osteonecrosis of the knee (also known as avascular necrosis) is a painful condition that occurs when the blood supply to a section of bone in the femur (thighbone) or tibia (shinbone) is disrupted. And eventually can lead to severe osteoarthritis and even joint collapse.
Knee pain can affect every step you take. From playing sports to climbing steps, knee pain is difficult to ignore.
Some home remedies may help temporarily, but if you have chronic pain or symptoms such as swollen or red joints, it’s time to see a doctor.
I am not a fan of steroid injections or corticosteroids period as they can lead to Osteonecrosis.
And in my opinion doctors use these way too much for me. It seems like the go to drug for everything.
Because it helps inflammation but When prescribed in doses that exceed your body’s usual levels, corticosteroids suppress inflammation. This can reduce the signs and symptoms of inflammatory conditions, such as arthritis and asthma.
But they also have side effects like
What side effects can corticosteroids cause?
Elevated pressure in the eyes (glaucoma)
Fluid retention, causing swelling in your lower legs.
High blood pressure.
Problems with mood swings, memory and behavior and other psychological effects, such as confusion or delirium. Just to name a few.
If there is one thing common in all of us, it is the urge to be happy and have and enjoy a satisfied in life. Whether a crying baby, an insecure teenager, or a responsible family person, we all seek something that would comfort us especially when under stress.
But the question is: Are we looking for happiness in the right place?
A partner, a new home,car, fame,vacation, money, jewelry material things are nice but the won’t make you “happy”
It’s a quick fix that doesn’t last long.
Cars break down, Bills roll along and there goes the money, that dream vacation seemed like a lifetime ago.
The real source of happiness lies in the clarity of our thoughts.
External factors can only be pleasurable as long as we are happy from the inside.
According to Buddha, meditation trains the mind to “not dwell in the past or contemplate about the future.” It lets the mind settle in the ‘now’ and allows us to see the beauty of the present. Before you read on, here is a link to a 3 minute exercise to try.
It is a science-based, comprehensive exercises will not only help you cultivate a sense of inner peace throughout your daily life but will also give you the tools to enhance the mindfulness of your clients, students or employees.
When COVID-19 lockdowns were first instituted, it felt, for so many people, unthinkable to have to stay home nearly 24/7.
Except for food and essentials , I also shopped for my mother in law. At first I just went about my business no mask but then when cases added up day to day I started wearing a mask.
I find myself more anxious with a mask on, harder to get good breaths which also is not good for us.
But right now we are suppose to wear them oof in stores , etc
I don’t understand why people wear mask and gloves in the car when they are alone but that’s a topic for a different day.
On occasion people like me going out also felt equally strange and nerve-wracking. I’m not only shopping for us but others as well.
But I did get more comfortable after a few weeks.
Now here we are coming the Re-entry phase everything is open people are everywhere some with masks some without.
The people I talk to have several fears , but to me I am hearing about two distinct types of re-entry anxiety.
Some people are anxious because they have a “lurking fear” of catching or spreading covid19 while others have stopped socializing and are finding it difficult to resume.
A little bit of anxiety can motivate you to follow public-health guidance like social distancing and wearing a mask where it’s required .
But when anxiety starts to interfere with your day-to-day life, it may be a problem. If you’re struggling to find the right balance, try these expert-backed tips for combating re-entry anxiety.
Take baby steps
“Exposure therapy“—or safely confronting sources of fear—is the gold-standard treatment for many fear and anxiety disorders. The same tactic may help with re-entry anxiety, says Dr. Ryan Sultan, an assistant professor of clinical psychiatry at Columbia University’s Irving Medical Center in New York City.
“Don’t go from staying locked in your apartment to taking the subway,” Sultan says. Instead, set progressive small goals that will get you closer to behavior you find scary. For example, you could start with a walk in the park alone, then try chatting with a friend from your window and finally go for a walk together.
If you do feel yourself getting pulled into an anxiety spiral, focus on your breathing. “The simplest way to pull yourself back from that anxiety is to really concentrate on taking controlled, slow, deep breaths,” Sultan says.
Start soon
“Social isolation absolutely has short term mental-health impacts,” Sultan says. “But it potentially also has long-term impacts, and they’re directly proportional to the duration. The longer people avoid things that are making them anxious, the harder they will be to overcome.”
That does not mean you should rush out and socialize just like you did before coronavirus. (Large social gatherings are still not condoned by health experts, and most recommend meeting up outdoors.) But think about what you can do safely right now—perhaps sitting with a friend in your backyard while wearing masks and staying six feet apart—and take steps to do it sooner rather than later.
But think long-term
Sultan says he’s seen multiple patients who are remaining more isolated than necessary because of re-entry anxiety. He asks them a simple question: “Is this the life that you want to live indefinitely?”
Almost invariably, he says, people realize they “miss being outside, seeing their friends, living their life.” Having that moment of realization can motivate people to start taking small steps back toward normal, Sultan says.
Be wary of crutches
Brown says it’s easy for recommended public-health practices, like washing your hands regularly, to spiral into “safety behaviors” that, consciously or subconsciously, you rely on to keep anxiety at bay. Be honest about how these safety behaviors are affecting you. If wiping down your groceries “takes you five minutes and it really helps you,” it’s probably not a big deal, even if it’s not strictly recommended, Brown says. But if you’re spending hours a day cleaning your home, that could be a bigger issue. “It’s never really up to me to decide, ‘Is this behavior a problem?’” Brown says. Ask yourself, “Is it getting in the way of the life you want to be living?”
Recruit a Buddy
Like most behavior changes, quelling re-entry anxiety is easier with a buddy who can both support you and hold you accountable, Brown says.
Similarly, if someone in your life is struggling with re-entry anxiety, try to be their partner through it, Sultan says. “Ask them, ‘What would make you feel more comfortable doing this? Is there something I can do that would help you with that? What’s something you would feel comfortable with us doing?’”
If you find yourself still struggling and don’t know what to do you can also call the Substance Abuse and Mental Health Services Administration’s hotline 24/7 at 1-800-662-4357.
They can refer you to a professional to speak with.
