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Bones & JointsDecember 2009 your guiDe to orthopeDic health
START COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSSTART COMFORTING YOUR SORE JOINTSININ LESS THAN 7 DAYSLESS THAN 7 DAYS
START COMFORTING YOUR SORE JOINTSIN LESS THAN 7 DAYS
1
www.MoveFreeAdvanced.com 1 Human clinical study (Los Angeles, 2008)
Clinically Tested Premium Formulas
bones & joints
2 3
CONTENTS 2 BoningUpOnBones
2 TheLowdownOnJoints
3 PanelofExperts
3 ChiropracticCarefor
AchingBacks
4 AHands-OnApproach
toPainManagement
4 HelpingPatientsHeal
Themselves
5 Cherries:TheNewArthritis
Fighter?
6 User-FriendlyProducts
MakeLifeEasier
7 CanSupplementsHelp?
BONES&JOiNTS
Publisher: Lyn Vito [email protected]
Contributor: Catherine Winters
Designer: Carrie Reagh [email protected]
Photos: ©iStockphoto.com
For more information about supplements in the daily press, please contact: Kayvan Salmanpour, 1 646 922 1400 [email protected]
This section was written by Mediaplanet and did not involve The Boston Globe News or Editorial Departments.
www.mediaplanet.com
“We wouldn’t be
able to move if
we didn’t have
joints,” said Dr. Tuhina Neogi, a
rheumatologist and associate
professor of medicine at Boston
University School of Medicine.
“They allow us to have flexibility
aswellasstability.”Withoutjoints
wewouldn’tbeabletograsp,twist,
swivel,bend,jump,squatorpitch.
“Jointsdon’texist inavacuum.
Theendsofbonesare linedwith
cartilage, helping joints move
smoothly.Ligaments,whichkeep
joints stable, connect bones;
tendons attach muscle to bone;
and muscles provide force for
joint flexion and extension,” said
Dr.Neogi.
Injury,growingolder,genesand
diseaseaffectthehealthofjoints.
Socanexcessweight.Gaining10
poundsislikeplacinganextra40
poundsofforceonyourknees.An
estimated 46 million Americans
haveaformofarthritisorarelated
condition,causingmildtosevere
joint pain as well as tenderness
and swelling.The most common
type is osteoarthritis (OA), which
affects 27 million Americans. It
occurs when cartilage degener-
atesovertime,leadingtopainand
inflammation.
The good news: You can take
preemptive action. “If you stay
physically active and keep your
weightwithinanormalrange,you
canloweryourriskforgettingOA
atayoungerage,”saidDr.Patience
White, chief public health officer
for the Arthritis Foundation. You
canalsokeepearlyOAfrompro-
gressing.Stretchingandstrength-
eningmusclesprotectsjointsand
lowers your injury risk. If you do
injureyourself,gettheappropriate
rehabilitation.“Painanddisability
are horrible,” said Dr. White.“We
shouldn’tminimizehowdifficultit
istoloseyourindependence.”
The Lowdown On Joints Untiltheybotherus,werarelygiveourjointsasecondthought.That’sbe-causejoints—theareawheretwobonesmeet--usuallyhumalongnicely.
When it comes to bone
health,theonlywayto
make sure your bones
growstrongenoughtolastalife-
time is to pay attention to them
duringyouryouth.
Inadditiontoraisingawareness
about osteoporosis and the bro-
ken bones it causes, the National
OsteoporosisFoundationbelieves
that prevention is the best medi-
cine.That iswhy ithaspartnered
with Best Bones Forever!™. The
foundingpartnersoftheNational
Bone Health Campaign—the Of-
ficeonWomen’sHealth,National
Osteoporosis Foundation, and
Centers for Disease Control and
Prevention—launched the cam-
paign in 2001 for girls and their
parents.Thenewname,BestBones
Forever!™,isfocusedonfriendship
andencouragesgirlsandtheirBFFs
(BestFriendsForever)toeatmore
foodswithcalciumandvitaminD
andgetplentyofphysicalactivity,
particularly activities that involve
runningandjumping,likebasket-
ballorsoccer.
Calcium,vitaminDandexercise
areimportantforeveryonebutitis
critical thatyounggirls,andboys
too,doalltheycanduringthepeak
bonebuildingyears.Themajority
ofthebonewewillhaveasadults
iscreatedbytheageofabout20
years.Andbecausethereissucha
strong link between osteoporosis
and generations within a family,
theNationalOsteoporosisFounda-
tionurgesAmericanstomakebone
healthafamilytradition.
But,evenifyouweren’tfortunate
enough to inherit the best genes
forstrongbones,youcanstillmake
adifferencewithahealthylifestyle
programthatincludes:
• weight-bearing and muscle-
strengtheningexercise
• adequateintakeofcalciumand
vitaminD
• not smoking or drinking too
muchalcohol,and
• talking to your healthcare
provideraboutyourriskfactors
andaskingwhenyoushouldbe
testedforthedisease
There are a variety of FDA-ap-
provedmedicationsthatcanslow
bonelossorhelptorebuildbone.
Formoreinformation:
www.nof.org•[email protected]
(800)231-4222
Boning Up On Bones “If only I knew then what I know now...”This may wellbe the lament of many baby boomers when the achesandpainsofalifewell-livedbecomemorecommonwitheverypassingday.
BY:SUSANRANDALLRN,MSN,FNPSeNIORDIReCTOR,eDUCATION
Brookline319 Harvard Street
617.739.0005
Burlington6 Wayside Road, Unit D
781.270.0015
NoInterest
FinancingO.A.C
Solutions forBack Pain
· Ergonomic Office Chairs
· Massage Chairs
· Fitness Products
· Pillows and Wedge Systems
R E L A X T H E B A C K ®
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bones & joints
3
Doctorswhospecializeinnon-operativesportsmedicine
areboardcertifiedinprimarycare,asIam;familymedicine;
internalmedicine;pediatrics;emergencymedicine;orphys-
iatry. They also complete at least one year’s training in an
accreditedsportsmedicineprogram.Thesedoctorstreata
rangeofmusculoskeletalconditions,includingsportsinjuries,
osteoarthritisandlowbackpain,aswellasconcussionsand
othermedicalproblems.
Ourdoctorstakeatotalpictureapproach.Ifapatienthas
patellafemoralsyndrome,Imaydirecthertoanexercisepro-
gram,recommendananti-inflammatoryordiscussorthotics.
Ifayoungwomanhaseatingissues,Idiscussnutritionalcoun-
seling.IfanMRIrevealswearandtear,Imayofferplatelet-rich
plasmatherapy.Ifnothingelsecanhelp,Idirectthepatientto
asurgeon.Themorewedowitheducationandpatientcare,
whilesavinghealthcaredollars,themorethisbecomesan
appropriatefirststepformusculoskeletalcomplaints.
Millionsofpeoplerelyonchiropractichealthcaretokeep
themhealthy.Workingaspartofyourhealthcareteam,your
chiropractorhastheextensivetrainingandclinicalskillsto
addressmanyjointdysfunctions.
This conservative approach to co-managing your
family’shealthcomplaintsarebackedbyimpressivepatient
satisfaction studies, as well as demonstrating high safety
recordsofallhealthcareprofessionals.Chiropractichealth
care’s effectiveness for helping people manage their pain
moreeffectivelyissupportedbyyearsofresearch.Toimprove
yourpersonalhealth,turntochiropracticcareforidentifica-
tionandcorrectionofthecauseofyourhealthproblemsand
correct rather than masking them. Your chiropractor will
conduct a thorough examination, order X-rays as needed,
usetechniquesthatarecomfortable,andassisttoimprove
thequalityofyourlifeandhealth.Visitwww.masschiro.org
orcall1-800-442-6155.
Panel of ExpertsDR.KeNDRACARNeVALeMassachusettsChiropracticSociety
DR.BRIANHALPeRNAmericanMedicalSocietyforSportsMedicineFoundation
DR.SCOTTDARRAGHPublicInformation&educationMassachusettsChiropracticSociety
Learn the facts about chiropractic care and its vital role in America’s well being. Visit www.yes2chiropractic.com
“I did a lot of things to stay in the game, but regular visits to my chiropractor were among the most important.”
NFL Football Legend & “Dancing with the Stars” Celebrity
— JERRY RICE
ChiropracticSTAY IN THE GAME WITH
Jerry Rice, one of the game’s most durable players, a 13-time Pro Bowl football player who owns 38 career records and three Super Bowl rings, shares his positive experiences with chiropractic care.
“I am proud to communicate with the American public about the value of chiropractic care. Professional football is a very rough and vigorous sport, and I attribute my longevity and durability to a vigorous exercise program and chiropractic adjustments. Chiropractic gave me the edge to succeed, not only on the gridiron but also on the dance floor.”
He continues to rely upon chiropractic adjustments to keep himself healthy and active.
MassChiroYour Chiropractic and Health Information Resource
www.MassChiro.orgMassachusetts Chiropractic Society Inc 1-800-442-6155
For those desperate for
relief, the approximately
1,500 chiropractors in
Massachusetts can help with chi-
ropracticadjustmentormanipula-
tion.Whiledoctorsofchiropractic
treat more than back pain, more
than 35 percent of their patient
baseseekstreatmentforit.
Detecting and treating sublux-
ationisthe“cruxofthechiropractic
profession,”saidDr.ScottDarragh,
of Bay State Centre Family Chiro-
practic, inMelrose.Subluxation,a
misaligned bone that puts pres-
sure on nerves, causes pain and
dysfunction.
The subluxation responsible
forbackpainisdetectedafterthe
doctortakesafullmedicalhistory;
performsathoroughexamination;
orders imaging, if necessary; and
rules out more serious problems.
Then,“adjustment is made using
numerous techniques,” explained
Dr.Darragh.“Theseincludehands-
on manipulation and the use of
various instruments and special
tables configured for the human
skeleton.Wetrytofindatechnique
thatiscomfortableforthepatient.”
How quickly a patient recovers
dependsonthescopeofhisprob-
lem and his health. “everybody
healsdifferently,”saidDr.Darragh.
“I’llhaveapatientgetridofback
pain in five visits. Some people
need20to30 treatments.” Inad-
dition, doctors of chiropractic
prescribe physical therapy, usu-
ally after fixing the subluxation.
“Sometimes you have to correct
the structure first and then
strengthen the muscle,” said Dr.
Darragh.Theendresultisworthit:
easingbackpain,hesaid,hashuge
benefitsbothon“qualityoflifeand
health.”
Chiropractic Care for Aching BacksAn estimated 50 percent of Americans havelowerbackpain,accountingformorethan$100billioninhealthcarecostsannuallyintheUS.
Asmorepeoplearediscoveringthe importanceof their
spineandnervoussystemasitrelatestotheiroverallhealth
andfunction,manyturntospinalcareprovidedbydoctorsof
chiropractic.Withgreaterdemandfornon-invasiveconserva-
tiveapproaches,individualsareseekingrelieffrompain—and
theywantitnaturally.Chiropracticcarehastheprovenability
torelievebackandneckpain,increasevitality,andpromote
well-being,naturally.
Chiropractorsarethe leaders inthehealthandwellness
field,caringforpeoplewithmanyspinalandjointconditions.
Doctorsofchiropracticwanttoknownotjustwhereyouhurt
butwhy,gettothecauseofthatdysfunction,andhelpto
keepitfromgettingworse.Chiropractorsmanagepainand
discomforttokeepitundercontrol,withouttheuseofover
thecounterdrugs.Chiropractorsco-carewithmanyhealth
professionalstomakesureyourbodyisfunctioningatitsbest.
Visitwww.masschiro.orgorcall1-800-442-6155.
…doctors of chiropractic treat more
than back pain, more than 35
percent of their patient base seeks treat-ment for it.
bones & joints
4 5
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help to neutralize free radicals, the molecules that facilitate cellular damage within the body and have been linked to a variety of health conditions and the aging process 1,2. CherryPharm’s uniqueness comes from an exclusive juice extraction process, which was de-veloped by Cornell University food experts. CherryPharm is a fresh (not from concentrate) juice that goes straight from the tree to the bottle. This process creates a juice that preserves more of the delicate phytonutrients and all-important antioxidants while creating an amazing taste. To be clear – this is the most powerful, best tasting, least processed juice on the planet.
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EVERYBODY IS MOVING TO CHERRYPHARM!
Ask the expertWhetheryouarefacingahealthcrisisorsimplywanttomaximize
healthandlongevity,BostonOsteopathicHealthishereforyou.We
combine traditional osteopathic manipulation (OMT) with both
conventionalandalternativemedicinetoprovideamorecompre-
hensiveapproachtohealth.Weseeourpatientsaswholehuman
beingstakingintoconsiderationbody,mind,andspirit.eachperson
isuniqueandrequiresindividualizedanalysisandtreatment.Hereat
BostonOsteopathicHealthweworkwiththeinnatehealingforces
inthebodyandlookfortherootcauseofdiseasesoourpatients
canachievetheirhighestpotential.
AnyonewithchronicpaincanpotentiallybenefitfromOMT.Some
commonconditionsthatwetreatatBostonOsteopathicHealthin-
clude:chronicbackpain,neckpain,radiculopathy,arthritis,sciatica,
jointpainsyndromes,fibromyalgia,traumaticinjury,scoliosis,muscle
strains,overusesyndrome,carpaltunnelsyndrome,costochondritis,
extremitypain,TMJsyndrome,migraines,tensionheadaches,and
musculoskeletalpaininpregnancy.
Boston Osteopathic Health134RumfordAve,Suite206Newton,MA02466617-431-4451
BostonOsteopathicHealth.com
Common in specialties
such as plastic surgery,
PRPtherapyhasmadethe
leap to sports medicine where
it’s primarily being utilized on
nagging tendon injuries such as
tennis elbow, Achilles tendonitis
andplantarfasciitis.“It’sexciting,”
said Dr. Brain Halpern, associate
attending physician at the Hos-
pital for Special Surgery, in New
YorkCity,whohastreatedabout
225 patients with the therapy.
“Previously,wewouldhaveused
cortisone injections for chronic
Achilles tendinitis. But the prob-
lem would recur.” Of patients he
has treated with PRP therapy,
morethanhalfwerebackattheir
sportssixmonthsout.
PRPtherapyissimpletoadmin-
ister.Thedoctortakesonetotwo
tubesofbloodfromthepatient’s
arm and places them in a centri-
fuge.Asthemachinespins,plate-
lets,whichreleasegrowthfactors
that aid healing, are separated
from red and white blood cells.
The platelets are then injected
intothe injury. “Forsomereason
the healing process has stalled,”
explained Dr. Halpern. “Platelets
turnthehealingswitchbackon.”
Most patients see an improve-
ment four weeks post-injection.
Partoftherecoveryprocesscon-
sistsofstretchingandstrengthen-
ingand,sometimes,physicalther-
apy.Insurancecoveragevaries.
While doctors are using PRP
therapyonligamentsandmuscles,
acute injuries and even knee
osteoarthritis, Dr. Halpern urged
caution. “We are trying to be
methodical and not go crazy
thinking it does everything for
everybody,” he said. “But the
beautyofthis iswecanuseyour
owncellstohealyou.”
Helping Patients Heal ThemselvesWeekend warriors and hardcore athletes side-lined by sports injuries have another weaponto add to their treatment arsenal: platelet-richplasma(PRP)therapy,whichusesapatient’sownbloodtospeedhealing.
CASCADE®
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What ifSCIENCE
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Provided by MTF Sports Medicine. For further information, contact an MTF Sports Medicine representative at 800-433-6576.
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Ina2007pilotstudyatBaylor
Research Institute in Dallas,
more than half of the 20
patients studied reported an
improvement in their OA pain
andfunctionaftertakingsoftgel
capsulescontaininggroundwhole
cherries for two months. else-
whereanotherstudyhasreported
that long-distance runners who
drank cherry juice while training
for an event experienced less
post-exercise pain at the end of
theracethanrunnerswhodidn’t
drinkthejuice.
The reason cherries seem to
havethiseffect:Thefruitisrichin
anthocyanins,apigmentthatgives
plantfooditsred,purpleandblue
hues but also has anti-inflamma-
toryproperties.“Thenaturalprod-
ucts found incherriescan inhibit
the inflammatory-induced pain
associated with arthritis-related
conditions and post-exercise
musclesoreness,”saidDr.Christine
Green,directorofsportsteamsand
nutrition at CherryPharm, Inc. It’s
not yet known which part of the
cherry—the pulp, stem or rind—
seemstoconferthebenefit.That’s
why people participating in the
Baylorstudiesaretakingcapsules
containing cherry extract. Other
research suggests that drinking
tart cherry juice can help people
withOA.Researchiscontinuingto
determine if a dose response for
thecherriesexists.
Cherries: the new Arthritis Fighter?Tart, or Montmorency, cherries are showingpromiseasanaturalwaytoeaseosteoarthritis(OA)painandmusclesoreness.
4
bones & joints
5
EXCLUSIVELY ATBUY 3 GET 1 FREE
CONSUMER: Limit one coupon per purchase. Good only at Whole Foods Market North Atlantic region stores. 8oz bottle only. Void if copied, transferred, purchased, sold or where prohibited by law. No cash value. RETAILER: Send Coupons to: CherryPharm, 500 Technology Farm Drive, Geneva, NY 14456
DISCOVER THE MOST POWERFUL,
BEST TASTING JUICE ON THE PLANET
8 OZ BOTTLESONLY
MANUFACTURER COUPON EXPIRES 1/15/10
TARTCHERRY
JUICE
For centuries, the benefits of tart cherries have been coveted for their therapeutic properties, including the promotion of movement and general wellness. Clinical research has shown that tart cherries have a very high concentration of good antioxidants which is why they are known as America’s Super Fruit™. Antioxidants
help to neutralize free radicals, the molecules that facilitate cellular damage within the body and have been linked to a variety of health conditions and the aging process 1,2. CherryPharm’s uniqueness comes from an exclusive juice extraction process, which was de-veloped by Cornell University food experts. CherryPharm is a fresh (not from concentrate) juice that goes straight from the tree to the bottle. This process creates a juice that preserves more of the delicate phytonutrients and all-important antioxidants while creating an amazing taste. To be clear – this is the most powerful, best tasting, least processed juice on the planet.
No other brand has been so extensively tested (see www.cherrypharm.com/science). Whether you are an elite athlete, or just looking to improve your lifestyle, mobility and comfort level, CherryPharm wants to get you moving and keep you moving!
To learn more visit www.cherrypharm.com
THE MOST POWERFUL, BEST TASTING AND LEAST PROCESSED
JUICE ON THE PLANET
1 http://www.cancer.gov/cancertopics/factsheet/prevention/antioxidants2 The Inflammation Group, Bone and Joint Research Unit, London Hospital Medical College (Annals of the Rheumatic Diseases 1989; 48: 864-870)
EVERYBODY IS MOVING TO CHERRYPHARM!
But increasingly an osteo-
path is the first doctor
many patients turn to.
There are an estimated 55,000
practicingosteopathicphysicians
in this country, according to the
AmericanAssociationofColleges
of Osteopathic Medicine. Fully
licensed physicians, osteopathic
doctors complete a residency
after attending medical school.
They then undergo about 200
additionalhoursoftraininginos-
teopathicmanipulativemedicine.
Currently,nearlyoneinfivemedi-
calstudentsintheUSistrainingto
enterthespecialty.
Anybody in pain, be it acute
or chronic, can benefit from the
hands-on approach to treating
musculoskeletal conditions that
isthecornerstoneofosteopathic
medicine. To make a diagnosis,
the osteopathic physician takes
a medical history and does a
structural exam, looking for
problems such as restrictions in
range of motion; tight or swol-
len muscles; and asymmetry in
joints.Hemayalsodoimagingto
assess areas such as the arches,
hips and spine. “Sometimes the
problem is not where the pain
is,”explainedDr.WilliamM.Foley,
founderandownerofBostonOs-
teopathic Health. “Sometimes it
starts somewhere else and leads
to pain elsewhere in the body.”
Treatmentcanconsistofmedica-
tion,injectionsandmanipulation,
doneweekly,everyotherweekor
monthly.Howquicklyapatientim-
provesvaries.Foragarden-variety
condition, like tennis elbow, the
patientmayfeelbetterinasfewas
threetreatments.Aconditionlike
fibromyalgiamaytakelonger.But
manipulation is only part of the
healingprocess.Thepatienthasto
pitch in,withhomeexerciseand,
sometimes, physical therapy.The
goal: To correct a problem that
probablydevelopedovertime.
Intheirquestforpainrelief,peoplesometimesfind their way to an osteopath after seeing aseriesofphysicians.
A Hands-On Approach to Pain Management
Another key part of your
recuperation is rehabili-
tation.“Seeing a physical
therapist is paramount to ensur-
ingthesuccessoftheoperation,”
explainedDr.MauraDaly Iversen,
chairofthedepartmentofphysi-
cal therapy at Northeastern Uni-
versity. Surgery fixes whatever is
wrongwithyou,butinflammation,
pain and possible restrictions in
motionarecommonfollowingan
operation. Physical therapists, Dr.
Iversen added, are “knowledge-
able about the precautions that
needtobetakenaftersurgeryand
how and when to progress exer-
cisesoncesofttissuesheal.”They
alsoknowwhichmusclesneedto
bestrengthenedandtheexercises
thatwilltargetthem.
In the early post-operative
phase,forinstance,aphysicalther-
apistwillprescribeisometricexer-
cises which involve tensing, and
thusstrengthening,muscleswith-
outmovingorstressingjoints,said
Dr. Iversen, who is also assistant
professorandbehavioralscientist
inthedivisionofrheumatologyat
BrighamandWomen’sHospital.As
tissues start to heal, different ex-
ercisesareaddedtofurtherbuild
strength and improve function
and independence—which is, of
course,theultimategoal.
The Value of RehabSurgery to treat an injury or replace a joint isthefirststeponyourroadtorecovery.
7
bones & joints
6
Working in the kitchenWorking in the kitchenWorking in the kitchenjust got easier.
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unique design means more comfort and less pain
super sharp blade makes cutting easy
That’s because the disease
causes tiny bone forma-
tions and thickening in
joints, affecting their alignment.
“Mechanically, your joints don’t
work as smoothly as they used
to,” explained Dr. Maura Daly
Iversen,chairofthedepartmentof
physical therapy at Northeastern
University.“It requiresmoreforce
for you to do things.” And since
faulty biomechanics and pain
keeparthritissufferersfrombeing
active, it’s easy to lose muscle
strength, making it harder to do
whatexpertscalltheactivitiesof
dailyliving.
Fortunately,corporateAmerica
is becoming increasingly aware
thatthere’samarketforproducts
from kitchen appliances to
vacuum cleaners that can make
life easier for the millions of
Americans who have arthritis.
“Assistivedeviceshelpkeepjoints
in alignment and reduce pain,”
said Dr. Iversen. Some provide
leverage, giving the person who
has lost strength the ability to
open a jar, for example. Some
enablepeopletopicksomething
off the floor without bending
their knees. In general, people
witharthritisshouldchooseprod-
ucts that are lightweight; have a
built-up, or thicker, handle; have
texture—making them easier to
grasp; and are easy to maintain,
open, close, carry and operate,
advises the Arthritis Foundation.
electric appliances such as can
openers or food choppers also
makelifeeasier.
To help people choose more
joint-friendly products and en-
couragemanufacturerstodesign
them, the Arthritis Foundation
hascreatedanease-of-UseCom-
mendation Program. It evaluates
productsbasedoncriteriasuchas
howeasyitistoopenoroperate
them.Thentesterswithmoderate
toseverearthritisusetheproduct
andweighin.Dozensofproducts,
includinghomefurnishings,appli-
ances,groomingtools,officeand
kitchenproductsandorthopedic
devices, now carry the Arthritis
Foundation ease-of-Use logo on
their packaging. To earn the
logo for four knives, “we made
modifications,”saidJimBellerose,
marketing manager for Dexter-
Russell, Inc.The knives are made
ofeasier-to-gripmaterialsandare
lightweight. A chef’s knife and a
utilityknifealsohavebladesthat
dip slightly below the handles,
shiftingtheuser’scenterofgravity
andallowinghimtokeephisarm
straightwhilecutting.
One caveat: Be selective when
buying a product. “What works
foronepersonmaynotwork for
another,” warned Dr. Iversen.“Try
thedevicefirst.”
User-Friendly Products Make Life Easier even if you have your arthritis pain undercontrol, maintaining your independence canbeachallenge.
…it’s easy to lose muscle
strength, mak-ing it harder to do what ex-perts call the activities of daily living.
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bones & joints
7
Indeed, according to the
National Center for Comple-
mentary and Alternative
Medicine nearly 20 percent of
Americanadultsuseglucosamine
and 11 percent use chondroi-
tin. “They’re building blocks for
components required to make
cartilage,” said Dr. Tuhina Neogi,
a rheumatologist and associate
professor of medicine at Boston
UniversitySchoolofMedicine.
But a study of 1,583 people
with symptoms of knee OA that
waspublishedintheNew England Journal of Medicine in 2006 shed
importantlightonhowmuchthe
supplementscouldhelpandwho
mightbenefitmost.Accordingto
thefindingsoftheGlucosamine/
Chondroitin Arthritis Interven-
tion Trial, or GAIT, people with
moderate to severe knee pain
who took a glucosamine/chon-
droitin supplement experienced
25percentgreaterpainreliefthan
people who took a placebo.The
improvement was only seen in
people who took a combination
ofglucosamine/chondroitin.Also,
peoplewhohadmildpaindidno
better than people who took a
placebo. More recently, research
foundthatthecompounds,taken
togetherorontheirown,wereno
betterthanaplaceboatslowing
cartilage loss in the knee, which
contributestoOA.
What’s it mean? Only a small
number of people in the GAIT
study had moderate to severe
knee pain and they weren’t the
study’s primary focus. More re-
searchisneededtobettergauge
if glucosamine/chondroitin truly
has an effect. That said, “there
is often not much available for
individuals with knee OA,” said
Dr. Neogi.“If they have tried the
usualmedicalmanagementsteps
and are still having difficulty, it
mightnotbeunreasonabletotry
glucosamine/chondroitin with
theunderstandingthatitsbenefit
hasn’tbeenconvincinglyproven.”
expertsdon’tknowofadverseef-
fects linked to the supplements
butcheckwithyourdoctorbefore
takingthem.
If you use glucosamine/chon-
droitinsupplements,theyshould
be part of an overall treatment
approach, according to the Ar-
thritis Foundation.That includes
exercisestobuildmusclearound
kneejoints,thusstabilizingthem;
weight loss to lessen stress on
joints;hotandcoldtherapy;medi-
cation; injections; topicalanalge-
sics; orthotic devices; and braces
andwraps.And followyourdoc-
tor’s advice for medication and
othertreatments.“Beforejumping
to a therapy with less evidence
behind it, we encourage people
to use regimens that have good
evidence behind them in the
mannertheyaresupposedtobe
used,”saidDr.Neogi.“Sometimes
peopledon’tdothis.”
Can Supplements Help?Both glucosamine and chondroitin sulfate are natural compounds,onereasonmanyosteoarthritis(OA)sufferersregardthemassafeandeffectivewaystoeasepain.
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Genesis Progression Rehab Unit Diane, 59, Home Care Nurse,DePuy Knee Replacement Patient
so she could keep
We helped Diane keepmoving,caring.
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© DePuy Orthopaedics, Inc. 2009 www.depuy.com
before jumping to a therapy with less evidence behind it,
we encourage people to use regi-mens that have good evidence behind them in the manner they
are supposed to be used.
I’ve been a basketball referee for 30+ years. About10 years ago, I started taking Glucosamine &Chondroitin tablets for soreness and wearingbraces on both knees. Last season, I switched toMove Free® Advanced and have refereed over 40high school & college games. I feel great!
James F., Chicago, IL
I am 37 years old and started having discomfort inmy knees. I decided to try Move Free® and this isthe honest truth, I have been on this a week and Ican run up the stairs [without soreness]!
Kristin R., Orland Park, IL
A few years ago, I could not squat down withoutmy knees hurting. I started taking Move Free®
Advanced and now my knees are fine. Myhusband and I are both using Move Free®
Advanced every day and will continue using it. Ithas made a great difference in our lives.
Regina W., Paul, ID
Years ago, my legs were so stiff that I had troublegetting in and out of the car. I overheard a womantalking about how Move Free® Advanced helpedher. I got some as soon as possible. Now Icouldn’t be without it.
Jo Ellen, Murrieta, CA
This product is great. I have been using MoveFree® for about a year and my knees feel great. Ihad trouble going up and down stairs. I had troublejust walking. Not anymore. I can do everythingnow. Thank you for a great product!
Debra T., Livonia, MI
Millions of people use Move Free® Advancedfor joint discomfort.A few of them want to tell you why.
THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE.
Now imagine what Move Free® Advanced could do for you.Join the millions of people who have turned to it to relieve joint discomfort and improve overall joint health.
Move Free® Advanced starts comforting sore joints in less than seven days.1 Give Move Free® Advanced a week, and itwill give you plenty of good things to talk about.
Move Better, Feel Better® with Move Free.®
Read more stories at MoveFreeAdvanced.com or call 1-800-526-62511 Independent human clinical study (Los Angeles, 2008).© 2009 Schiff Nutrition Group, Inc. 595-A50