Oh,
My Aching Back! And
Knees! And Hips! And ...
Excerpt
by Amanda Gardner,
HealthScoutNews
(HealthScoutNews) -- With many baby boomers starting to limp
toward their golden years, the nation is teetering on the verge
of an arthritis epidemic.
A growing number of middle-age Americans are suffering from
an assortment of aches and pains, but most have no idea they could
be warning signs of this potentially crippling disease.
A recent survey by the Arthritis Foundation found that 67 percent
of respondents were at risk for arthritis, but 52 percent didn't
know it. And more than half (51 percent) said they had no plans
to see their doctor about the health of their joints.
What's more, 53 percent were showing some symptoms of arthritis,
yet many weren't aware of the significance.
"With each decade there is an increasing prevalence of
osteoarthritis, and we expect as our U.S. population ages, osteoarthritis
will become a major medical diagnosis to manage," says Dr.
Elaine Tozman, associate professor of medicine at the University
of Miami School of Medicine.
Arthritis is actually an umbrella term that refers to more than
100 different conditions, ranging from lupus to carpal tunnel
syndrome. About 43 million Americans suffer from some form of
arthritis, making it the nation's leading cause of disability.
As the population ages, the Arthritis Foundation estimates that
arthritis will affect 1-in-5 Americans, or almost 60 million people,
by 2020.
And osteoarthritis, an often painful condition in which the
cushioning cartilage between bones wears away, is by far the most
common form, accounting for about 30 million cases of the disease,
according to the American Academy of Orthopaedic Surgeons.
Typically, people start to develop osteoarthritis in their late
40s. By the time they're in their 80s, the vast majority of individuals
suffer from the disease.
Not all people are equally affected by the disease -- some barely
know they have it, while others are severely incapacitated. Yet,
everyone can benefit from prevention and treatment methods.
To help prevent osteoarthritis, the Arthritis Foundation offers
these suggestions:
- Lose weight. Every extra pound you gain puts four times the
stress on your knees. A loss of 11 pounds may cut your risk
of osteoarthritis of the knee by as much as 50 percent.
- Build stronger bones by increasing your calcium intake. Not
only can this lower your risk of osteoarthritis, but also osteoporosis.
In addition to milk, try incorporating yogurt, broccoli, kale,
figs, salmon and calcium supplements into your diet.
- Bulk up with strength training. Lifting weights creates denser
bones and builds stronger muscles that help stabilize and protect
joints.
- Ease into an exercise program. "Don't expect to become
Jane Fonda overnight. And the athletic pursuits can actually
cause trauma and sometimes injury to the joint," Tozman
says. "Particularly for the baby boomer population, a supervised
program would be ideal to try and prevent excess injury, damage
or stresses on joints, which can contribute to arthritis."
As with all serious medical conditions, early diagnosis and
treatment is the best way to combat osteoarthritis.
If you notice a pain in your knee, hip, lower back, neck or
the small joints at the ends of the fingers that lasts for more
than a week in any given month, see your physician.
"It's really important to see a doctor early on to distinguish
osteoarthritis from some other form of arthritis, because the
treatment is different," says Dr. John Klippel, medical director
of the Arthritis Foundation.
"The second thing is you want to start a program before
there's actually damage to the joint. Over time in many forms
of arthritis, there is loss of cartilage or there's damage in
the bone. And for all practical purposes, that's irreversible
once it happens. What you want to do is begin a plan of treatment,"
Klippel says, adding that treatments vary depending on the individual.
You should also talk to your physician about medications, Tozman
advises.
Both analgesics and anti-inflammatory medications such as nonsteroidal
anti-inflammatory drugs (aspirin, Motrin) can help combat pain
and ease movement. Prescription anti-inflammatory drugs such as
Vioxx and Celebrex are also widely used.
Other medications like injections of corticosteroids into the
joints may help some patients. And hyaluronic acid injections
may stave off the need for knee replacement surgery, Tozman says.
Medications can also make it easier to be active, which is key
in any arthritis treatment program.
Some other suggestions to help keep osteoarthritis from limiting
your life:
- Play in a pool. Water therapy can help maintain muscle strength
and range of motion, as can physical or occupational therapy.
- Talk to your doctor about nutritional supplements. The most
promising appear to be glucosamine or chondroitin sulfate. "There's
good reason to suspect that dietary supplements like glucosamine
or chondroitin not only relieve symptoms but may actually protect
against damage," Klippel says. "I don't know that
that's been definitely proven to everyone's satisfaction, but
there are enough studies to suspect that that's correct."
- Surgery is a last resort. Yet for people with major disabilities
or limitations, joint surgery is a "godsend," Klippel
says.
What To Do
The Arthritis Foundation has a free booklet, "51 Ways To
Be Good To Your Joints," which includes a joint-health quiz.
To get a copy, visit the
Arthritis Foundation.
To take the joint-health quiz,
click here.
For more information on exercise for older adults, visit the
Senior Health site at the National Institutes of Health.
Reference
Source 101
For more information on how to prevent other diseases, use
PreventDisease.com's "Quick
Prevention Resources".
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