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There are many reasons that our shoulders, back, knees and and body parts hurt and there are many solutions to treating them.
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In this QUAH Sal, Adam, & Justin answer the question “If I lift heavy will it cause my joints to hurt over time? If so, is there any way to prevent it?”
If you would like to get your own question answered, follow us on Instagram where we post QUAH requests weekly.
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“Preventing Joint Pain When Lifting Heavy”
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Physical activity is a proven way to relieve the pain and disability associated with arthritis, but many people do not have the confidence or knowledge about how to exercise safely. This video will help people with arthritis learn more about the benefits of physical activity and the types and amounts of exercise helpful for people with arthritis.
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In this episode the surgeons discuss what is the best topical medicine for pain. They discuss the components they believe can help control musculoskeletal pain symptoms. Oral pain medicine can have side effects. Topical treatments are very safe.
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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment. Video Rating: / 5
Joint Pain is nothing but the Joint inflammation, which causes due to the wear and tear of the joint. There are many joints in the human body, and it can appear in any part and leave you irritated with the continuous pain. There are certain medications available that reduce the pain and inflammation, but the treatment is lifelong.
Dr. Nitiraj Oberoi, Consultant-Orthopedic Surgeon, Dharamshila Narayana Superspeciality Hospital, Delhi talks about the Joint Pain Causes, Symptoms and Treatment Options. He also emphasizes the need for following a healthy lifestyle to reduce the risk of Joint Pain and inflammation.
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Dr. Ebraheim’s educational animated video describes painful conditions associated with the knee, the etiology, signs and symptoms, diagnostic tests and special maneuvers, and treatment options.
Common knee problems:
Patellar chondromalacia
•chronic pain due to softening of the cartilage beneath the kneecap.
•Chronic knee pain from mild to complete erosion of the cartilage in the back of the kneecap.
•Pain in the front of the knee.
•Occurs more in young people.
•Becomes worse from climbing up and down the stairs.
•Treatment: usually therapy, NSAIDS.
Patellar bursitis
•Pain and inflammation located in the front of the kneecap.
•The bursa becomes inflamed and fills with fluid at the top of the knee.
•Causes pain, swelling, tenderness and a lump in the area on top of the kneecap.
Ligament injury
Lateral collateral ligament rupture: usually occurs as a result of sports activities.
Medial collateral ligament rupture: injury to the ligament on the inner part of the knee. The most commonly injured knee ligament.
Anterior cruciate ligament tear:
•involves a valgus stress to the knee.
•Usually the patient will have swelling and hematoma.
•Lachman’s test is positive.
•MRI is diagnostic.
Patellar tendonitis
•Inflammation and pain located inferior to the knee cap area.
Meniscal Tear
•Meniscus is a cushion that protects the cartilage of the knee.
•Injury will cause pain on the medial or lateral side of the knee.
•Outer 30% of meniscus has blood supply.
•mcMurrays test is positive.
•History of locking, swelling and instability of the knee.
•MRI is helpful.
Arthritis of the knee joint
•Characterized by progressive wearing away of the cartilage of the joint.
•The knee is a common part of the body that is most affected by arthritis.
•Decreased joint space.
Baker’s cyst
•Swelling in the back of the knee filled with synovial fluid.
•Cyst between the semimembranous and medial gastrocnemius muscles.
Gout
•Type of arthritis or joint inflammation caused by an excessive level of uric acid in the blood.
•Can affect any joint especially the big toe.
•Crystals look like needles and have a negative birefringence.
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“GAS or streptococcus pyogenes is the most common bacterial cause of acute tonsillitis.
Here is a mouth with pharyngotonsilitis, inflammation of both the pharynx and tonsils. Here is a photo of bacterial tonsillitis. Pharyngotonsillitis caused by GAS is sometimes referred to as strep throat. The majority of episodes of pharyngitis are caused by viral infections which are usually treated conservatively. However, early recognition of s.pyogenes is important since failure to appropriately treat strep throat may lead to GAS complications. Unfortunately, distinguishing between viral and bacteria can be difficult.
The group a streptococcus are beta haemolytic cocci able to produce some exotoxins and also contain many surface antigens that play a vital role in its pathophysiology such as m proteins. Transmission of strep throat is through saliva and nasal secretion from an infected person.”
The onset of Rheumatoid Arthritis is very gradual. Often the symptoms are worse in the morning and improve as the day goes on. Because of inflammation, many patents experience restlessness at night and can have flu-like fatigue, fevers, and aches. In this video, Dr. Uzma Haque, a physician at the Johns Hopkins Arthritis Center, discusses the signs and symptoms of Rheumatoid Arthritis.
Millions suffering from chronic pain are turning to CBD for relief, with Google searches for CBD reaching 6.5 million in just one month.
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The best pain relief creams and gels for arthritis, soreness, stiffness, nerve pain and more! I have tried all kinds of pain relief products through the years and here are the ones that work the best:
Biofreeze: https://amzn.to/2CMfYuf
Arnicare Gel: https://amzn.to/2QlOAWC
Rocky Mountain Fractionated Coconut Oil (use with Eucalyptus Citriodora Oil and Peppermint Oil): https://amzn.to/2QhhHdT
Blue Emu: https://amzn.to/2oYrDwb
Palma Christi Castor Oil: https://amzn.to/2QmOVZ6
Icy Hot Medicated Patch:https://amzn.to/2QntFCK
Receptra Targeted Topical Cream: https://receptranaturals.com/product/targeted-topical1-oz/
Read more about each product on my blog: https://www.fitnesswithcindy.com/the-top-7-pain-relief-creams/
In this video Doctor Andrea Furlan explains why is Vitamin B12 so important, and how to diagnose its deficiency. The talks about megaloblastic anemia, pernicious anemia and microcytic anemia. She also talks about the blood tests and normal ranges. She explains how to obtain Vitamin B12 from diet and supplementation, including oral, sublingual and intra-muscular injections.
00:00 Introduction
00:55 Why is Vitamin B12 important
01:12 Normal blood test
01:23 Anemia
02:13 Homocysteine test
02:33 Recommended daily intake
02:54 Dietary sources
03:19 Malabsorption
03:35 Pernicious anemia
04:20 Pain
04:54 Severe deficiency
05:17 Interaction with other medications
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=============================================
ALERT: This video is not intended to replace medical
advice. If you think you have a condition that is
causing you pain, please consult with your doctor
to get a diagnosis and a treatment plan for you.
The intent of this video is only for educational
purposes.
============================================= Video Rating: / 5
Vitamin B12 deficiency can occur in all kinds of individuals. It may be of particular concern if you are following a vegan or vegetarian diet, or taking medications that reduce your absorption ability of vitamins. This video looks at what exactly a vitamin B12 deficiency can lead to and the ways in which you can obtain vitamin B12 through your diet or by taking B12 supplements.
This video was created by Demystifying Medicine students Dhruvika Joshi, Prabhjot Khabra, Minahil Jabeen and Vanessa Lombardo.
Copyright McMaster University 2017
References:
1. Bruins Slot, W., Merkus, F. W., Deventer, S. J. H. V., & Tytgat, G. N. (1997). Normalization of plasma vitamin B12 concentration by intranasal hydroxocobalamin in vitamin B12-deficient patients. Gastroenterology, 113, 430-433.
2. Daily Intake. (2017). Canadian Food Inspection Agency. Retrieved 30 October 2017, from http://www.inspection.gc.ca.libaccess.lib.mcmaster.ca/food/labelling/food-labelling-for-industry/nutrition-labelling/information-within-the-nutrition-facts-table/eng/1389198568400/1389198597278?chap=6
3. Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B b6 s, folate, vitamin B b12 s, pantothenic acid, biotin, and choline. (1998) (pp. 306-356). Washington, D.C.
4. Ermens, A., Vlasveld, L., & Lindemans, J. (2003). Significance of elevated cobalamin (vitamin B12) levels in blood. Clinical Biochemistry,36(8), 585-590. doi:10.1016/j.clinbiochem.2003.08.004
5. Ganeson, S., Thanawala, N., & Hussain, N. (2013). Vitamin B12 deficiency: a treatable cause of developmental delay in infancy. J Paediatric Child Health, 49(4): E348-349. doi: 10.1111/jpc.12158
6. Gropper SS, Smith JL, Groff JL. Advanced Nutrition and Human Metabolism: Fourth Edition. Boston, MA: Wadsworth (2004).
7. Hashim, O. H., & Adnan, N. A. (1994). Coenzyme, cofactor and prosthetic group — Ambiguous biochemical jargon. Biochemical Education,22(2), 93-94. doi:10.1016/0307-4412(94)90088-4
8. Hvas, A., & Nexo, E. (2006). Diagnosis and treatment of vitamin B12 deficiency. An update. Haematologica, 91(11), 1506-1512.
9. Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. (1998). Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin, and choline. National Academies Press (US).
10. Kwong, J. C., Carr, D., Dhalla, I. A., Tom-Kun, D., & Upshur, R. E. (2005). Oral vitamin B 12 therapy in the primary care setting: a qualitative and quantitative study of patient perspectives. BMC family practice, 6(1), 8.
11. . Langan, R. C., & Goodbred, A. J. (2017). Vitamin B 12 Deficiency: Recognition and Management. American Family Physician, 96(6).
12.. Miller, A., Korem, M., Almog, R., & Galboiz, Y. (2005). Vitamin B12, demyelination, remyelination and repair in multiple sclerosis. Journal of the Neurological Sciences,233(1-2), 93-97. doi:10.1016/j.jns.2005.03.009
13. Møllehave, L. T., Skaaby, T., Simonsen, K. S., Thuesen, B. H., Mortensen, E. L., Sandholt, C. H., … & Linneberg, A. (2017). Association studies of genetic scores of serum vitamin B12 and folate levels with symptoms of depression and anxiety in two danish population studies. European Journal of Clinical Nutrition, 71(9), 1054-1060.
14. National Heart, Lung, and Blood Institute (2011). What are the signs and symptoms of pernicious anemia? Retrieved from https://www.nhlbi.nih.gov/health/health-topics/topics/prnanmia/signs
15. Niculescu, M., & Zeisel, S. (2002). Diet, Methyl Donors and DNA Methylation: Interactions between Dietary Folate, Methionine and Choline. The Journal of Nutrition,132, 2333-2335.
16. Oh, R., & Brown, D. (2003). Vitamin B12 Deficiency. American Family Physician, 67(5), 979-986. Retrieved from http://www.aafp.org.libaccess.lib.mcmaster.ca/afp/2003/0301/p979.html
17. Osimani, A., Berger, A., Friedman, J., Porat-Katz, B. S., & Abarbanel, J. M. (2005). Neuropsychology of vitamin B₁₂ deficiency in elderly dementia patients and control subjects. Journal of geriatric psychiatry and neurology, 18(1), 33-38.
18. Vogiatzoglou, A., Smith, A. D., Nurk, E., Berstad, P., Drevon, C. A., Ueland, P. M., … & Refsum, H. (2009). Dietary sources of vitamin B-12 and their association with plasma vitamin B-12 concentrations in the general population: the Hordaland Homocysteine Study. The American journal of clinical nutrition, 89(4), 1078-1087.
19. Whitney, E., Rolfes, S., Hammond, G., & Piche, L. (2011). Understanding Nutrition (1st ed., pp. 332-334). Toronto: Nelson Education Ltd.
Three drug-free remedies for knee pain you may not have heard of.
1. Pulsed electromagnetic frequency (worn)
2. Collagen protein (ingested)
3. Cetylated fatty acid (topical)
Knee pain is one of the most common pains in the body. It can occur from injury, post-surgically, or with repeated stress.
Common knee conditions are sprained ligament, meniscus or cartilage damage, tendonitis, bursitis, or wear and tear related to arthritis. Some people can develop knee pain caused by an irritated nerve in the back. Symptoms can include pain, swelling, stiffness, clicking, and popping. 700,000 meniscus surgeries are performed per year despite 3 randomized controlled trials showing no benefit vs sham surgery or PT. A similar number of knee replacements are performed each year in the U.S. One third of knee replacement patients continue to have pain and one in five is dissatisfied with the results.
The three drug free remedies discussed are:
1. Pulsed electromagnetic frequency
Actipatch- https://www.ncbi.nlm.nih.gov/pubmed/26235410, https://www.ncbi.nlm.nih.gov/pubmed/31140929, LBP https://www.ncbi.nlm.nih.gov/pubmed/27910725
https://www.ncbi.nlm.nih.gov/pubmed/30552258
https://www.ncbi.nlm.nih.gov/pubmed/22504115
https://www.ncbi.nlm.nih.gov/pubmed/26705327
Low levels of electromagnetic radiation, charge the mitochondria, increase cellular energy, reduce inflammatory chemicals.
PEMF could alleviate pain and improve physical function for patients with knee and hand OA
2. Collagen
https://www.ncbi.nlm.nih.gov/pubmed/18416885, https://www.ncbi.nlm.nih.gov/pubmed/17076983
https://www.ncbi.nlm.nih.gov/pubmed/26267777
https://www.ncbi.nlm.nih.gov/pubmed/22500661
Collagen peptides
Hydrolyzed collagen peptides
Source from bones, hide, eggshell membrane, fish collagen
10g-12g/day in coffee, water, or smoothies
3. Cetylated fatty acid cream
https://www.ncbi.nlm.nih.gov/pubmed/15903393,
https://www.ncbi.nlm.nih.gov/pubmed/15705022
https://www.ncbi.nlm.nih.gov/pubmed/30874246
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409167/
`Reduced pro-inflammatory cytokine levels, changes in membrane fluidity and signal transduction pathways reducing the proteoglycan degrading enzyme activity, and release of leukotriene B4 from neutrophils have been hypothesized.
-it can be safely prescribed as self- and on-demand treatment.
-In conclusion, the administration of topical CFA may mitigate the most common symptoms in knee OA.
-Findings suggest that topical CFA is effective in all knee OA patients with slightly higher evidence for those with advanced disease.
Dose; apply twice a day, 1-2 mos
If not of these help after 1-2 months then it may not be the treatment for you.
Earn CME for related activities: https://www.naccme.com
In this presentation from the 2017 Mastering Clinical Challenges and Emerging Therapies in IBD, held July 22, 2017 in Chicago, Illinois, Dr. Reem Jan discusses the rheumatologist’s approach to the management of joint pain in patients with inflammatory bowel disease (IBD).
This type of cancer grows in the cartilage cells, the connective tissue, in the body. Chondrosarcoma is typically found in the femur, arm, pelvis, knee and spine. Gregory Domson, MD, explains this bone cancer and the treatment options.
For more information: https://uvahealth.com/services/bone-cancer/chondrosarcoma
Chondrosarcoma is a malignancy. It’s a type of cancer that arises from cartilage cells. So, cartilage is really that kind of smooth surface on the end of your bones that helps with gliding of the joints.
Chondrosarcoma, like most bone cancers, starts with bone pain or a mass. The treatment options for chondrosarcoma are usually surgery alone. Cartilage tumors don’t respond as well to radiation treatment and chemotherapy, and so typically surgery is the standard of care.
Surgery for chondrosarcoma can be radical surgery, like an amputation. It can be limb salvage surgery, where we resect a portion of the bone and reconstruct the bone. Also, it can be less invasive surgery where we scrape out the tumor and reconstruct the bone. Not many surgeons are familiar or very comfortable doing resection of chondrosarcoma and reconstruction once the tumor is out. And so often times they go to a tertiary care center to seek a musculoskeletal oncologist, like myself here at UVA. Video Rating: / 5
What are the benefits of Vitamin B? What are the symptoms of Vitamin B deficiency? What are Vitamin B rich foods? Are there any easy sources of Vitamin B complex? What are the types of Vitamin B? Who is prone to Vitamin B deficiency? Dr Rajesh Bhardwaj, a senior ENT specialist, tells us all about Vitamin B and its supplementation.
Introduction
Sometimes, certain people may be deficient in Vitamin B. There are some signs that are
indicative of a deficiency of Vitamin B complex. A simple blood test is done to determine your
serum B complex levels and that will tell you whether you are deficient and if you're deficient
you can take supplementation!
Understanding Vitamin B
Vitamin B Complex is a large group of vitamins – Vitamin B1, B2, B3, B5, B6, B7, B9 and B12.
They are also called by their individual names Thiamin, Riboflavin, Niacin, Pantothenic Acid,
Pyridoxine, Biotin, Folic Acid and Cobalamin.
Importance of Vitamin B
They are all important for bodily functions. They are the building blocks of the human body and
are critical for the human body function. They are responsible for cellular metabolism,
maintaining mental activities and energy levels. Vitamin B complex helps build up red blood
cells or hemoglobin, enables us to have good vision, maintains good cellular function, and are
responsible for neural and muscular functions. They create and help us to have a good appetite.
They are responsible for heart function. Very importantly, pregnant women need a sufficient
amount of Vitamin B Complex for the fetus to develop well, without defects.
Signs of deficiency
These are skin rashes, cracks around the mouth like dryness and cracking scaly lesions on the
lips, swollen tongue, fatigue, weakness, anaemia, irritability or depression, sometimes mental
confusion, Nausea, diarrhea and abdominal cramps. These are some of the common
symptoms of vitamin B complex deficiency.
People who are prone to Vitamin B deficiency
People who are more at risk of developing vitamin B complex deficiency are those who have
celiac disease, ulcerative colitis, chronic alcohol users and sometimes, people with rheumatoid
arthritis and Crohn's disease and HIV. People with these diseases may not be able to absorb
enough vitamin B complex from the intestine and they suffer from deficiencies.
Sources of Vitamin B
Vitamin B12 is readily available to us in a variety of food forms from milk, cheese, eggs and
meat. It is also available to us in green leafy vegetables like spinach. You can also get it from
cereals like wheat germ. It is readily available in nutritional yeast, nuts and seeds, which have
plenty of vitamin B complex. Also, fruits such as citrus fruits, banana and watermelon contain
good quantities of Vitamin B complex.
Do we need vitamin B complex supplementation?
As we have seen most of us get it from our daily food and we do not need supplementation.
There are certain situations where you might need to supplement particularly those who suffer
from chronic alcoholism. Additionally, pregnant ladies may need extra folic acid so that they can
have healthy babies. Those who eat a purely vegetarian diet can sometimes be nutritionally
deficient and sometimes they may be deficient in Vitamin B. Video Rating: / 5
