Bone and joint pain is on the rise, especially with increased fitness activities, injuries and the aging population of baby boomers. Management of bone and joint disorders and chronic bone pain can be very difficult. Follow up is frequently needed for established and chronic problems for the best management. Proper evaluation is essential and there are multiple ways to protect and improve your joint health.
I am including general information about bone & joint health including arthritis. I find that reducing inflammation, no matter what the cause, is always helpful for joint pain. The major purpose of drugs/medications has been to reduce inflammation. Changing your diet is helpful. Exercise of some sort, especially resistance exercises are very important. Weight management is important as obesity is a major risk factor for the well being of your joints.
The evaluation process must consider previous injuries/surgery, tendonitis, congenital disorders, arthritis, degenerative joint disease, osteoporosis, bone spurs, disc problems, fibromyalgia, neuromuscular and autoimmune disorders, multiple myeloma, bone cancers, rotator cuff tears, pelvic instability syndrome, vascular problems, etc. requires a thorough and ongoing review of your history and a (repeat) physical exam.
A review of family history for arthritis and autoimmune disorders, injury and work history for possible wear and tear or overuse problems, previous surgery, a dietary and nutritional review, weight issues such as chronic obesity, and a smoking history is important in the evaluation of bone, joint and muscle disorders.
Diagnostic tests might include x-rays of affected joints, a bone density test to rule out osteoporosis, DEXA scan, a bone scan, BIA (bioelectrical impedance analysis) test, and lab tests that include bone markers including calcium, phosphorus, alkaline phosphatase and vitamin D (25-OH D3 levels), thyroid and parathyroid studies, hormone studies, immunoglobulin studies, a PET scan, a bone scan, RHEUMATOID FACTOR, an ANA and possibly an MRI, and an EMG, or biopsy, as indicated, just to name a few.
Nutritionals include: Omega three fatty acids -fish oil-- (epa/dha) Higher doses from two to five grams) , SAMe, hyaluronic acid (collagen type II), strontium, chondroitin sulfate, glucosamine, and natural progesterone support bone health. In addition, adequate intake and a good source of Vitamin D (not milk (100 IU) and at least 1000-2000 IU (testing is recommended for the best dose) of vitamin D3 (and sunshine, if tolerated--20 minutes without sunscreen is 25, 000 IU) are now recommended, calcium, magnesium and vitamin K are very useful for bone health. Vitamin K cannot be used if on blood thinners, such as coumadin. Glutathione (IV, inhaled or via oral liposomal products) and it's precursors (alpha lipoic acid, glutamine and cysteine/N-acetylcysteine) along with Vitamin C, are very useful for helping to reduce pain.
Additional supplements that are very useful for bone and joint health are Kaprex, Kaprex AI, EC Matrixx, Cal Apatite and Ostera which are all made by Metagenics.
Acute pain management needs the immediate attention of your doctor, a specialist or the emergency department. For more resources, or product information, please email me.
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