Dr.Cristian Brotea - Spine and Scoliosis Specialist

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04/04/2022

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Joint Pain Isn’t Inevitable With AgeAs you age, you might expect that some level of joint pain or arthritis is just part...
04/04/2022

Joint Pain Isn’t Inevitable With Age
As you age, you might expect that some level of joint pain or arthritis is just part of the territory. Experts now say that may not be the case if you start making healthy changes early.

Pain showing up as people age is a real thing. More than 50% of people over the age of 65 have some level of joint pain.

Types of Pain
Knowing the ways pain can show up in your joints can get you on the right path.

“Joint pain is dependent on many things such as family history, physical activity levels, environmental conditions, history of injuries or trauma,” says Brett Smith, DO, a rheumatologist in Alcoa, TN. “Pain is more common as we age, but not necessarily a fact of life.”

There are many types of arthritis. Two you may hear the most about are:
Osteoarthritis (OA), the most common type of arthritis. It impacts 27 million Americans. Osteoarthritis is often called wear and tear arthritis because it comes from using your joints over time or after an injury. In OA, the cartilage that cushions the ends of the bones in your joints wears away until bone rubs on bone.
Rheumatoid arthritis (RA), an inflammatory condition where your immune system attacks the tissue that lines your joints. Symptoms can also include tender, warm, stiff, and swollen joints along with fever, fatigue, and loss of appetite.

- Certain risk factors increase your chances of developing OAhaving family with the condition, particularly parents or s...
31/03/2022

- Certain risk factors increase your chances of developing OA
having family with the condition, particularly parents or siblings
- gender with women having higher rates of OA than men
- being at least 50 years old, according to the Arthritis Foundation
having undergone menopause
- having an occupation that involves kneeling, climbing, heavy lifting, or similar actions
- a history of injury
- being overweight or having obesity
- poor posture
- having another medical condition that affects your joint health, such as diabetes or a different type of arthritis

[If you’re a smoker, quit]Smoking and to***co use are risk factors for everything from cardiovascular problems to cancer...
30/03/2022

[If you’re a smoker, quit]
Smoking and to***co use are risk factors for everything from cardiovascular problems to cancer. Smoking can hamper your joints, too.
“Because smoking increases inflammation throughout your body, it can make it harder for your body to recover and heal from an injury,” Dr. King says.
Obviously, it’s not easy to give up smoking for good. But consider this: Within eight hours of quitting, the carbon monoxide level in your blood returns to normal and the oxygen levels in your blood increase.
If you’re thinking about quitting, plan ahead and seek support to increase your chances of success.

Complications of osteoarthritisIt’s well known that arthritis, including OA, can cause physical complications. OA can ca...
29/03/2022

Complications of osteoarthritis
It’s well known that arthritis, including OA, can cause physical complications. OA can cause emotional complications too.
Physical complications include:
poor sleep
weight gain as a result of pain or limited mobility
osteonecrosis, or bone death
erosion of the ligaments and tendons
hairline (stress) fractures
hemarthrosis, or bleeding near the joints
Emotional complications include anxiety and depression brought on by the loss of function

Osteoarthritis vs. rheumatoid arthritisOA and rheumatoid arthritis (RA) share the same symptoms but are very different c...
29/03/2022

Osteoarthritis vs. rheumatoid arthritis
OA and rheumatoid arthritis (RA) share the same symptoms but are very different conditions. OA is a degenerative condition, which means that it increases in severity over time. RA, on the other hand, is an autoimmune disorder.
People with RA have immune systems that mistake the soft lining around joints for a threat to the body, causing the body to attack that area. This soft lining, which includes the synovial fluid, is called the synovium. As the immune system launches its assault, fluid buildup within the joint occurs. This causes stiffness, pain, swelling, and inflammation.

Below are eight foods that are associated with increased inflammation that people with osteoarthritis should limit or av...
28/03/2022

Below are eight foods that are associated with increased inflammation that people with osteoarthritis should limit or avoid:
1. Sugar
Added sugar is present in many processed foods, like baked goods, sugar-sweetened beverages, and candy. Condiments like barbeque sauce also contain large amounts of added sugar.

Research has associated excessive sugar intake with increased inflammation and a higher likelihood of becoming obese, which can undermine the health of your joints.
2. Salt
Salt is an important part of a healthy diet because it helps your body function properly. Too much salt can cause you to retain too much fluid. This, in turn, can increase inflammation and swelling in the joints.4

Most dietary sodium (about 70%) comes from processed and prepared foods. So an easy way to keep your sodium intake in check is to check the nutrition labels on the food you buy.5

Use the "% of daily value" (DV) column as a tool as you shop. Five percent DV or less of sodium is low; 20% or more is too high.
3. Saturated Fat and Trans Fats
A diet high in saturated fat is associated with increased inflammation in the body. Foods that are high in saturated fat include butter, red meat, processed meats, full-fat dairy, fast food, fried foods, and coconut.6

Small amounts of trans fatty acids naturally occur in some animal products. It can also be artificially created during processing and is used to add texture, flavor, and extend shelf life.
4. Refined Carbs
During processing, fiber and nutrients are removed from grains, leaving them without most of their nutritional value. White flour and rice are simple carbs, which are more easily digested and absorbed into the bloodstream, causing spikes in blood sugar.

Many foods with refined grains—such as breakfast cereals, baked goods, snacks, and sweets—are highly processed with added sugar, salt, and fat. They all spell bad news for people with osteoarthritis.

🍀🍀🍀 You are lucky when you read this post 🍀🍀🍀While you are wondering about the quality of the product, millions of peopl...
28/03/2022

🍀🍀🍀 You are lucky when you read this post 🍀🍀🍀
While you are wondering about the quality of the product, millions of people have recovered from osteoarthritis thanks to BOCA. What is especially interesting about BOCA:
✔️Firstly, applying advanced enzyme technology from Germany and devil's claw extract to the process of supporting and treating osteoarthritis. The application of enzyme technology helps nutrients to act many times faster, focusing on promoting effects in diseased areas to help recover at the root, thereby bringing long-term effectiveness, a low recurrence rate. Helps increase treatment efficiency by 89 times, thereby shortening time and reducing costs for patients. Helps increase treatment efficiency by 89 times, thereby shortening time and reducing costs for patients. Moreover, this product is made from natural ingredients, so it is safe for users, does not leave any side effects and does not contain toxicity when used in high doses.
✔️The second is prepared in the form of effervescent tablets. This is one of the first products to support osteoarthritis treatment, which is prepared in the form of effervescent tablets. The preparation in the form of effervescent tablets helps to dissolve 30 times faster to accelerate absorption into the body.
🌷Main ingredient:
✔️Pineapple extract (Bromelain): Bromelain enzyme promotes cartilage tissue regeneration, restores damage, stimulates Glucosamine production, helps relieve pain, anti-inflammatory, prevents degeneration, herniated disc.
Devil's claw extract: Active ingredient Harpagoside helps control pain effectively, inhibits the activity of enzymes that destroy joint cartilage, protects joint cartilage and prevents degeneration
In Germany, devil's claw is considered a "panacea" to support and treat bones and joints
✔️Collagen type II: helps develop hair, skin, bones, tendons, cartilage, ligaments and teeth.
✔️Green mussels: Helps strengthen the flexibility and mobility of joints; restore damaged joints and cartilage, and provide chondroitin, glucosamine.
✔️Dicalcium phosphate Dihydrate: supports joint pain relief in cases of osteoarthritis, dry joints.
✔️Magnesium oxide, zinc
✔️Vitamin D3, K

[6 Habits That Are Bad for Your Bones]People with osteoporosis are at risk for fractures. Avoid these behaviors to help ...
27/03/2022

[6 Habits That Are Bad for Your Bones]
People with osteoporosis are at risk for fractures. Avoid these behaviors to help strengthen your bones and protect your health.
When it comes to osteoarthritis, there are some risk factors — like your family history, age, and ethnicity — that you can’t change. But there are many lifestyle choices that you can control — and by avoiding these habits, you can lower your rate of bone loss and better protect your health. Start by nixing these bad habits from your daily routine:
Bad Habit No. 1: Smoking. People who use to***co have lower levels of bone density, according to the National Institutes of Health Osteoporosis and Related Bone Diseases National Resource Center. That’s partly because smoking produces harmful atoms called free radicals, which kill off the cells that build bone, explains Edward Domurat, MD, an endocrinologist with Kaiser Permanente South Bay Medical Center in Harbor City, California. Smoking also boosts the production of the stress hormone cortisol (which weakens bones) and impedes the production of the hormone calcitonin (which helps build bone).
And if you’ve already had a bone fracture, smoking could slow down the healing process by damaging your blood vessels, limiting the body’s ability to move oxygen through the body, Dr. Domurat says.
Bad Habit No. 2: Being sedentary. “Sedentary patients are at risk for more rapid bone loss,” says Laila S. Tabatabai, MD, an assistant professor of clinical medicine at Houston Methodist and the Weill Cornell Medical College. The reason: You can’t reap the bone-strengthening benefits of physical activity when you’re sitting on the sofa.
Like muscles, your bones become more dense and grow stronger when you exercise — especially when you perform weight-bearing activities like walking, stair climbing, and weight lifting, which require you to work against gravity. Plus, exercise can help boost your balance, posture, and flexibility, all of which can help lower your risk for a fall.
Bad Habit No. 3: Eating too much salty food. “There is absolutely a correlation between high salt intake and lower bone density,” says Frederick Singer, MD, director of the endocrinology and bone disease program at the John Wayne Cancer Institute at Providence Saint John’s Health Center in Santa Monica, California and a trustee of the National Osteoporosis Foundation.
As your sodium intake goes up, your body releases more calcium in your urine, according to the Linus Pauling Institute at Oregon State University. In fact, adult women may lose 1 percent of their bone density each year by eating just one extra gram of sodium per day. The American Heart Association recommends getting less than 2,300 milligrams of sodium each day, while most adults should eat no more than 1,500 milligrams a day.
Bad Habit No. 4: Drinking too much alcohol. As with smoking, alcohol increases the body’s production of cortisol; drinking also lowers the hormone levels of testosterone and estrogen, further weakening bones.
Plus, not only does alcohol decrease bone density, says Imali Sirisena, MD, an assistant professor of medicine at the Lewis Katz School of Medicine at Temple University in Philadelphia, drinking too much in one sitting also increases the risk that a person will fall and fracture a bone.
Bad Habit No. 5: Staying indoors all day. Without vitamin D, our bones can become thin and brittle. Problem is, one of the main sources of vitamin D is produced by your body after you’re exposed to sunlight, so if you don’t spend enough time outdoors, you may be lacking in this nutrient. For example, healthcare workers can be deficient because they spend their shifts inside and don’t get exposure to sunlight, according to a review published in BMC Public Health in 2017.
If you can’t get outdoors for your daily dose of vitamin D, aim to eat food sources such as salmon, egg yolks, and vitamin D-fortified foods, Domurat says. Or, talk to your doctor about taking a supplement.
Bad Habit No. 6: Skipping supplements. Calcium and vitamin D are essential for bone health. But many adults don’t eat enough calcium-rich dairy, Dr. Singer says, and others don’t want to expose themselves to sunlight, which can raise their risk for skin cancer.
To make sure you’re getting enough of both nutrients, talk to your doctor about starting a supplement that contains calcium and vitamin D, says Singer.

How can I keep my spine healthy?Strong back muscles can protect your spine and prevent back problems. Try to do back-str...
27/03/2022

How can I keep my spine healthy?
Strong back muscles can protect your spine and prevent back problems. Try to do back-strengthening and stretching exercises at least twice a week. Exercises like planks strengthen the core (abdominal, side and back muscles) to give your spine more support. Other protective measures include:
Bend your knees and keep your back straight when lifting items.
Lose weight, if needed (excess weight strains your back).
Maintain good posture.

- Rheumatoid arthritis is diagnosed from a combination of things, including:+ The location and symmetry of painful joint...
25/03/2022

- Rheumatoid arthritis is diagnosed from a combination of things, including:
+ The location and symmetry of painful joints, especially the hand joints
+ Joint stiffness in the morning
+ Bumps and nodules under the skin (rheumatoid nodules)
Results of X-rays and blood tests

What is knee Osteoarthritis? Knee arthritis is inflammation and deterioration of knee joint cartilage. Cartilage is the ...
25/03/2022

What is knee Osteoarthritis?
Knee arthritis is inflammation and deterioration of knee joint cartilage.
Cartilage is the coating on the ends of bones that serves as a cushion ➡️ smoothy bend and straighten movements of the knee joint.
During Osteoarthritis Cartilage starts to breakoff (wear and tear changes ) which leads to have Pain and locking sensation around the knees.
Arthritic changes depends on
✅ Age
✅ Body weight
✅ Leg bone alignment
✅ Exercise technique
Strengthen the leg muscles ( hips and thighs ) helps to unload the knees ➡️ Reduce arthritic changes.

Symptoms of degenerative disc disease- Pain in the lower back, buttocks, neck, or thighs- Pain when sitting that gets wo...
24/03/2022

Symptoms of degenerative disc disease
- Pain in the lower back, buttocks, neck, or thighs
- Pain when sitting that gets worse with time
- Pain that comes and goes
- Numbness or tingling in extremities
- Pain when lifting, twisting, or bending
- Pain relief during movement
- Weakness in the legs
- Foot drop, or difficulty raising the front of your foot
- Pinched or damaged nerves

Symptoms of Osteoarthritis- Joint aching and soreness, especially with movement- Pain after overuse or after long period...
24/03/2022

Symptoms of Osteoarthritis
- Joint aching and soreness, especially with movement
- Pain after overuse or after long periods of inactivity
- Bony enlargements in the middle and end joints of the fingers. These enlargements may or may not be painful.

ABOUT OSTEOPOROSIS- Osteoporosis is a condition where the quality, quantity and strength of your bones is reduced, makin...
23/03/2022

ABOUT OSTEOPOROSIS
- Osteoporosis is a condition where the quality, quantity and strength of your bones is reduced, making them more likely to break.
- One in three women and one in five men over the age of 50 will be affected by a broken bone due to osteoporosis.
- It is a serious condition, but it can be treated. You can help prevent osteoporosis through good diet and lifestyle.
- Early diagnosis means that treatment can be more effective – don’t ignore back pain!
- If you’ve broken any bone (for example, your wrist) after a minor fall from standing height, this could be a sign that you have osteoporosis. Be sure to ask your doctor for testing and treatment - because one broken bone is a warning of more to come!
HOW SERIOUS ARE BROKEN BONES?
It cannot be emphasized enough that broken bones due to osteoporosis are not just painful, they are all too often a cause of life-changing disability and loss of independence. That is why it is so important to ensure you are diagnosed and treated early, before fractures happen!

☔ OsteoarthritisOA is one of the most common chronic diseases, with an estimated overall prevalence in the general adult...
23/03/2022

☔ Osteoarthritis
OA is one of the most common chronic diseases, with an estimated overall prevalence in the general adult population of 11% for hip OA and 24% for knee OA, respectively.
OA is age-related, with manifestations often not occurring until middle age.
☔ Signs
Reduced range of joint movement.
Pain on movement of the joint or at extremes of joint movement.
Joint swelling/synovitis (warmth, effusion, synovial thickening).
Periarticular tenderness.
Crepitus.
Absence of systemic features such as fever or rash.
Bony swelling and deformity due to osteophytes - in the fingers this presents as swelling at the distal interphalangeal joints (Heberden's nodes - see image below) or swelling at the proximal interphalangeal joints (Bouchard's nodes).

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