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Posts Tagged ‘Arthritis’

One of the vital parts of an aerobic conditioning program is a weight loss management program. Aerobic conditioning for arthritis sufferers is some of the best exercise for this ailment because it has small to no impact on the joints as clarified here in this free video with tips from an experienced medical professional. Expert: Dr. Robin Terranella Bio: Dr. Robin Terranella has a medical degree from Bastyr University and has trained at Wu Hsing Tao Acupuncture School. Filmmaker: Dustin Daniels

Non-weight bearing arthritis exercises can help take some of the load and some of the stress off the weight bearing joints in individuals with arthritis. Learn new and effective exercise routines for arthritis sufferers that involves small to no weight and strain on joints with tips from an experienced medical professional in this freevideo. Expert: Dr. Robin Terranella Bio: Dr. Robin Terranella has a medical degree from Bastyr University and has trained at Wu Hsing Tao Acupuncture School. Filmmaker: Dustin Daniels

kadenchiropractic.com West Los Angeles Chiropractor Frank E. Kaden, DC has new gentle, painless, state of the art treatments for rotator cuff and shoulder pain relief. Call 310-441-4319 – West Los Angeles Rotator Cuff Pain Relief – West Los Angeles Rotator Cuff Specialist – West Los Angeles Shoulder Pain Relief – West Los Angeles Shoulder Specialist – West Los Angeles Chiropractor – West Los Angeles Chiropractic

Benefits of strengthening around the hip and knee joints are to increase shock absorption capability of those muscles and, thus, taking the stress off of the joints. Learn new and effective exercise routines for knee and hip arthritis sufferers with tips from an experienced medical professional in this freevideo. Expert: Dr. Robin Terranella Bio: Dr. Robin Terranella has a medical degree from Bastyr University and has trained at Wu Hsing Tao Acupuncture School. Filmmaker: Dustin Daniels

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Low back pain is second only to the common cold as a reason to visit a physician’s office. Low back pain is a common problem because of our upright stance, the demands placed on us by our daily routines, as well as our habits, many of which can aggravate back pain.

It is essential to always warm up prior to getting started with a day’s activity. Warm up should consist of exercises that increase heart rate as well as exercises that help stretch muscles, joints, and other connective tissue. Heart rate increasing exercises will also increase the rate and depth of your breathing which will contribute to overall conditioning. Stretching connective tissue will help avoid strain and sprain. This will reduce the likelihood of injury.

Low impact aerobic exercise is excellent because it improves heart and lung function. In addition, the improvement in circulation will help improve the health of ligaments, tendons, and discs in the low back, thoracic spine, and neck. Exercise also improves joint mobility as well as strength and tone in muscles.

In addition to thing you should do, there are many things you shouldn’t do. For instance, avoid activities that require impact or twisting. Examples of activities that fall into this category include high impact aerobic exercise, rowing, tennis. Patients with disc disease should avoid high impact exercises of any type. Always start a new exercise program slowly. Gradually increase the intensity and duration over time.

After exercise, it is vital to cool down properly. Gentle stretches, drinking cool drinks of hydrating fluids, conversation, and general overall relaxation will help you get the most out of your exercise.

Here are some specific back exercises to help you get started:

1. Lying pelvic tilt. Lie on the floor on your back with your hands over your head. Use a pillow to support your head. Tighten up your stomach muscles and tilt your pelvis up so that the hollow in the low back goes away. Your low back should remain in contact with the floor. Hold for 5 seconds, then repeat. Try 5 repetitions to start and increase over time.

2. Knee hugs. While on your back with a pillow under your head for support, bring your left knee up to your chest. Hold it with your hands and pull your knee to your chest. Hold it for 5 seconds. Then repeat this exercise with your right knee. Do 3 repetitions.

3. Leg rolls. Don’t do this if you have sciatica. Lie on your back with a pillow under your head. Stretch your arms out to the side. Bend your knees and keep your feet flat on the ground. Roll your knees gently to the right as far as they will go until you feel a stretch in your low back. Hold it for three seconds. Don’t force it. Then repeat the exercise while going to the left. Do three reps each side.

4. Spinal stretch in a chair. Sit in a chair with a straight back. Sit tall with your stomach muscles tight. Place your hands on your lap. Slowly curl forward and gently stretch your spine and hold it for 10 seconds. Make sure your pelvis stays locked and do not rock forward. This should be a gently movement. Hold for 10 seconds then return to your starting point. Do this one time and gradually increase repetitions as you feel better.

5. Seated side stretch. While sitting upright in a chair without arms, gently lean to the left and go it towards the floor. Do not tilt your pelvis and don’t twist the spine. Breathe out as you stretch down. Hold for two seconds then return to the upright position and do the same to the opposite side.

6. Flexion. While standing, tuck you chin to your chest and gently curl forward starting with the upper back and continue through your lower back. Hold for five seconds then return to your starting position.

7. Extension. Stand erect. Then slowly arch your spine backwards, starting with your shoulders. Pull your shoulders up and back while imagining your spine lengthening as it bends backwards. Don’t arch too far. Hold for five seconds then return.

8. Trunk rotations. Stand with your hands on your hips. Gently rotate your trunk to the right while keeping your pelvis facing directly in front of you. Hold it for three seconds. Return to baseline and do the same exercise to the opposite side.

9. Shoulder shrugs. Stand straight up. Take a deep breath in and lift your shoulders to your ears and hold for three seconds, then drop your shoulders slowly. And stretch then stretch your shoulders down towards your feet. Repeat 4-5 times.

10. Supine stretch. While lying supine, place your hands over your head. And bend your right knee slightly. Stretch your arms above your head and feel the stretch extend from your fingers all the way to your low back. Take a deep breath and hold the stretch for 15 seconds. Repeat with the left leg bent.

Other tips:

Use excellent posture. Imagine there’s a string connecting the top of your head to the ceiling.

Keep your shoulders back with your chin tucked.

Always sit with excellent support for your low back. Keep your knees higher than your hips. Don’t twist when you go. Do not slump and avoid sitting for more than one hour at a time. Sleep with a pillow between the knees. Or if you sleep on your back, place the pillow under the knees.

Rheumatoid arthritis (RA) is a chronic, progressive, systemic, autoimmune disease for which there is no current cure. It is a common disorder affecting more than 2.1 million Americans.

Patients who present with complications of RA outside the joints- what is termed extra-articular disease- are at particular risk for early death. Extraarticular problems that can be seen in RA include, skin ulcers, anemia, eye inflammation, lung inflammation and hurt, heart disease, inflammation of blood vessels, and rheumatoid nodules(these are bumps consisting of inflamed tissue that grow at certain areas such as the fingers, elbows, heels, and back of the skull).

A predictor of the presence of extra-articular disease is the level of rheumatoid factor in the blood. The higher the rheumatoid factor, the more likely a patient will have extra-articular disease.

A newer blood marker, the anti-CCP (anti cyclic citrullinated peptide), also appears to predict higher risk of extra-articular problems as well as more severe disease.

The bottom line is that RA is not a benign condition. In fact, it carries the same mortality as first heart attacks, untreated diabetes, and stage 4 Hodgkins disease in some studies. RA must be diagnosed and treated aggressively.

Probably the primary cause of the increased mortality is cardiovascular death. Estimates range from 33-50% of all deaths in RA patients are due to cardiovascular causes. Patients with RA are at significantly increased risk for atherosclerosis, congestive heart failure, heart attack, and vasculitis (inflammation of blood vessels).

So what are some of the risk factors that particularly are vital?

Among them are:

• Severe RA disease

• Severe extra-articular disease

• Elevated blood levels of homocysteine which is aggravated by methotrexate therapy

• Abnormalities of blood vessel walls

• Drugs that are used to treat RA such as corticosteroids and non-steroidal anti-inflammatory drugs

• Overproduction of inflammatory cytokines (chemical messengers of disease)

• Rheumatoid nodules

A note about drugs…

Methotrexate, the most commonly used disease-modifying anti-rheumatic drug is associated with a significant reduction in the incidence of cardiovascular death. Unfiortuantely, nonsteoridal anti-inflammatory drugs which are commonly used to treat symptoms in RA increase the risk of blood clots, cardiovascular disease, and congestive heart failure.

The role of other medical problems such as blood sugar, elevated lipids, and so forth are a subject for another article.

Recommendations for reduction of cardiovascular risk in RA patients include:

• Low dose aspirin (which should be supplemented with some type of stomach protection) particularly in patients who are taking non-steroidal anti-inflammatory drugs.

• Statin drugs for people with elevated lipids

• Folic acid supplementation to minimize the elevated homocysteine levels seen in RA

• Caution with the use of TNF-inhibitors in patients with congestive heart failure

• Control of co-morbid conditions such as smoking, diabetes, and hypertension that might aggravate the tendency towards cardiovascular risk.

Complicating this issue is some data showing that TNF inhibitors can elevate serum lipids in some instances. The implications of this phenomenon on the overall picture is still unknown.

A bright note: there is increasing evidence that aggressive treatment with methotrexate and TNF-inhibitors reduces the incidence of cardiovascular events. Therefore, the above-mentioned lipid problem may not be that vital. Further studies are obviously needed to confirm these findings.

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