Nutrition. Vitamins. You.
Subscribe Today! Please see below for a complete transcript of this episode. POWER UP YOUR HEART WITH GRAPE SEED EXTRACT, INVITE HEALTH PODCAST, EPISODE 641 Hosted by Amanda Williams, MD, MPH *Intro Music* InViteⓇ Health Podcast Intro: [00:00:04] Welcome to the InViteⓇ Health Podcast, where …
Written by Dr. Claire Arcidiacono, ND
For further questions or concerns email me at carcidiacono@invitehealth.com†
Now that we have gone over joint anatomy and lab work that is important for joint health, it is time to get deeper into our interesting topic. Today we are going to cover osteoarthritis. To start, what exactly is osteoarthritis? Osteoarthritis is a type of joint disease where we see a breakdown of joint cartilage and the underlying bone. (1) While other types of joint disease are caused by a dysfunction of the immune system and can thus affect internal organs in osteoarthritis that is not the case. In other words because osteoarthritis is not an autoimmune condition the damage is limited to the joints.† (2)
Osteoarthritis is what is colloquially called “wear and tear” arthritis. The damage seen in osteoarthritis is caused by anything that leads to mechanical stress on the joint. One of the risk factors for developing osteoarthritis is being overweight since the excess weight puts more stress on the joints than they are designed to handle. Other risk factors include abnormal joint or limb development including those who have limbs of different length, or even previous joint injuries. Those who have very physical jobs may have a higher level of joint stress and have an increased risk of osteoarthritis as a result of that.(3) In individuals with a chronic level of inflammation this inflammation may increase the risk of osteoarthritis.(4) There also appears to be a link between menopause and developing osteoarthritis. Unfortunately as we age the wear and tear of daily living also places stress on the joints and thus advanced age can also be a risk factor for osteoarthritis. (5) Certain health concerns can also increase the risk of osteoarthritis. These can include Alkaptonuria. (6) Other chronic diseases that are risk factors include hemochromatosis, Wilson’s disease, ligament deterioration, obesity, joint infection and cognitional disorders. Ehlers-Danlos syndrome is another risk factor. Yet another risk factor is Marfans syndrome. Any other form of arthritis will increase the risk of osteoarthritis. Diabetes appears to increase the risk of needing a joint replacement surgery due to the osteoarthritis. (7)
Osteoarthritis is usually diagnosed with a history and clinical exam as well as an x-ray. Getting an x-ray is very important because it can help us understand how severe the illness has progressed. Someone who has the start of osteoarthritis has a very different protocol than someone who has advanced illness. Very often when we speak of arthritis we use the term ‘bone on bone’. What this basically means is that the cartilage has been worn away and the bone is directly rubbing on another bone. Only your doctor can determine if this is the case. From my clinical experience I can tell you I’ve had clients with bone on bone who can walk with what they describe as mild pain. Others with bone on bone can barely walk. Then again I’ve had individuals who are in the early stages of osteoarthritis and they have severe pain. That is why testing is so important.†
One of the first steps in working with osteoarthritis is to lose weight if necessary. The next step is to treat any underlying conditions such as diabetes or any autoimmune conditions you may have. Reducing the stress caused by inflammation can also help reduce the risk of osteoarthritis. (8) A 2015 study showed that water therapy is very helpful for reducing the symptoms of osteoarthritis (9). In addition to any conventional treatments that the doctor may recommend the following have been found in studies to help with osteoarthritis.†
Dr.Claire’s Recommendations:
Turmeric has been found in studies to help with the pain and inflammation associated with osteoarthritis. It also has been found to help with overall joint health. (10) Please see Invite’s Biocurcumin 5 Loxin, Turmeric with Ginger and Curcumin blend.†
Ginger has been found in studies to reduce the symptoms of osteoarthritis. (11) Please see Invite’s Turmeric with Ginger!†
Collagen has once again been found effective at reducing the symptoms of osteoarthritis in studies! (12)Primary studies indicate that collagen may help to make beneficial changes in the quality of cartilage in osteoarthritis. (13) Please see Invite’s Collagen Hx, Collagex HA, and Cartilage Hx.†
Hyaluronic acid has been found to improve joint lubrication as well as reduce the inflammation found in osteoarthritis. (14) Please see Invite’s Hyaluronic acid with devils claw as well as Invite’s Collagex Ha.†
Glucosamine is very controversial. However while more research is needed it has been found in some studies to help slow the degeneration of the cartilage that occurs during osteoarthritis. (14). Please see Invite’s Glucosamine Chondroitin, Joint Hx and Collagex Ha.†
Omega 3 have been found in newer studies to help reduce the symptoms, for example pain associated with osteoarthritis. (14) Please see Invite’s Fish oil, Krill oil, Biomega and Inflammune.†
Next week we will be talking about Rheumatoid Arthritis!
REFERENCES
1. Arden N, Blanco F, Cooper C, Guermazi A, Hayashi D, Hunter D, Javaid MK, Rannou F, Roemer FW, Reginster JY (2015). Atlas of Osteoarthritis. Springer. p. 21. ISBN 978-1910315163. Archived from the original on 8 September 2017.
“Osteoarthritis”. National Institute of Arthritis and Musculoskeletal and Skin Diseases. April 2015. Archived from the original on 18 May 2015. Retrieved 13 May 2015.
2.Glyn-Jones S, Palmer AJ, Agricola R, Price AJ, Vincent TL, Weinans H, Carr AJ (July 2015). “Osteoarthritis”. Lancet. 386 (9991): 376–387. doi:10.1016/S0140-6736(14)60802-3. PMID 25748615. S2CID 208792655.
3.Berenbaum F (January 2013). “Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!)”. Osteoarthritis and Cartilage. 21 (1): 16–21. doi:10.1016/j.joca.2012.11.012. PMID 23194896.
4.Tanamas SK, Wijethilake P, Wluka AE, Davies-Tuck ML, Urquhart DM, Wang Y, Cicuttini FM (June 2011). “Sex hormones and structural changes in osteoarthritis: a systematic review”. Maturitas. 69 (2): 141–156. doi:10.1016/j.maturitas.2011.03.019. PMID 21481553.
5.Ranganath LR, Jarvis JC, Gallagher JA (May 2013). “Recent advances in management of alkaptonuria (invited review; best practice article)”. J. Clin. Pathol. 66 (5): 367–373. doi:10.1136/jclinpath-2012-200877. PMID 23486607. S2CID 24860734.
https://en.wikipedia.org/wiki/Osteoarthritis#cite_note-23
6.Cibulka MT, White DM, Woehrle J, Harris-Hayes M, Enseki K, Fagerson TL, et al. (April 2009). “Hip pain and mobility deficits–hip osteoarthritis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association”. The Journal of Orthopaedic and Sports Physical Therapy. 39 (4): A1-25. doi:10.2519/jospt.2009.0301. PMC 3963282. PMID 19352008.
7.Lu M, Su Y, Zhang Y, Zhang Z, Wang W, He Z, et al. (August 2015). “Effectiveness of aquatic exercise for treatment of knee osteoarthritis: Systematic review and meta-analysis”. Zeitschrift für Rheumatologie. 74 (6): 543–552. doi:10.1007/s00393-014-1559-9. PMID 25691109. S2CID 19135129.
8.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812094/
9.https://pubmed.ncbi.nlm.nih.gov/11710709/
10.https://pubmed.ncbi.nlm.nih.gov/30368550/
11.https://pubmed.ncbi.nlm.nih.gov/21251991/
12.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814393/
13.https://www.mayoclinic.org/drugs-supplements-glucosamine/art-20362874
14.https://www.sciencedaily.com/releases/2011/10/111017111600.htm
Subscribe Today! Please see below for a complete transcript of this episode. NEW DATA, VITAMIN D & THE IMMUNE SYSTEM, INVITEⓇ HEALTH PODCAST, EPISODE 610 Hosted by Jerry Hickey, Ph. *Intro Music* InViteⓇ Health Podcast Intro:[00:00:04] Welcome to the InViteⓇ Health Podcast where our degreed …
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Written by Dr. Claire Arcidiacono, ND digestive
For further questions or concerns email me at carcidiacono@invitehealth.com†
I have covered the most common digestive concerns that occur. As I went through this series, I wanted to get the point across that digestive health doesn’t just mean diarrhea or constipation. The digestive tract is one of the most important systems in our body. Not only does it process the nutrients we need to live, it also affects our immune system. Our digestive tract is impacted by every part of our daily life from what we eat to stress and even if we aren’t sleeping enough. Often times when we start to feel sick, we feel it in our digestive system first. That is why it’s important to “listen to your gut,” as they say. If there is any changes in our digestive system, it’s important to find out what’s going on. The symptoms and risk factors for the topics I discussed in this series have similar symptoms. Knowing what exactly is going on can help pinpoint exactly what will be helpful. Additionally, stress has a huge impact on the digestive system. If you’re undergoing stress, treating the digestive symptoms won’t be helpful in the long term. The same is true if there is any systemic medical concern such as diabetes. Doing a food log and matching it to a symptom log can help a lot. Every day for at least 1 week, write down what you eat and how you feel. Were you constipated? Felt gassy? Mark it down and it can help us determine if there are any food triggers. This is a fantastic tool to bring in with you when you sit down with a nutritionist. Along with a food log, bring a list of any and all medications, supplements that you are taking and any blood work you have. While every individual digestive issue has its own slightly different protocol, there are some things that are just important in general. It is important to know what’s going on since some things can have very different protocols. These are some suggestions I believe can be helpful.†
ICYMI: DIGESTIVE HEALTH PART 13: SIBO>>Read Now!
An elimination diet can be helpful in determining if there are any food sensitives causing the underlying concerns. I like to recommend doing an elimination diet after a 10 day food log.†
Castor oil packs are amazing for reducing inflammation and pain in the digestive tract! (1) †
Reducing stress with L Theanine (2) , magnesium (3) and even Hemp (4) which have all been found in studies to reduce stress ! Since stress is such a common risk factor when it comes to digestive concerns it just makes sense that eliminating or reducing stress would help the digestive system! See Invite’s L Theanine, and our extensive line of magnesium and Hemp products!†
NUTRIENTS FOR STRESS AND SLEEP SUPPORT – INVITE HEALTH PODCAST, EPISODE 507>>Listen Now!
Healing herbs such as the Demulcents have been found in studies to help with inflammation, pain, and even healing the digestive tract. These demulcent herbs can include the following: DGL, Aloe Vera, Slippery Elm and Marshmallow root. (5) Please see Invite’s G.I Maintain, Min Acid and DGL.†
Probiotics are so important and came up over and over again in this series! Probiotics have been found to have so many benefits in varies studies. Please see Invites Probiotic Hx, weight and our newest probiotic, Probiotic Women! (6)†
Digestive enzymes have been found to help with gas and bloating and breaking down food. In studies they help with symptoms of constipation among other concerns (7)†
As I said this series was made to discuss the most common digestive concerns. In some cases an individual may have gone to many doctors and still isn’t sure what is going on. Or you may have a concern that was not covered by any of the topics in this series. In that case feel free to email me or call me so we can discuss what is going on in more depth and find some suggestions that will help you feel better!†
