Posts Tagged ‘Joint’

Low Back Pain- Sacroiliac Joint Animation – Everything You Need To Know – Dr. Nabil Ebraheim, MD

Educational video describing the sacroiliac joint as a source of low back pain. Due to the proximity of the sacroiliac joint to the hip and the spine, pain of SI joint origin may be attributed to a hip or spine condition rather than the sacroiliac joint itself. SI joint pain is an unappreciated problem causing low back pain . Clinical and radiological evaluation is not usually reliable. The only reliable method for diagnosing SI joint pain is by injection.
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Different Kinds of Joint Pain Vitamins

Joint pain vitamins can they help: You must have seen your grandparents suffering from osteoarthritis, problems, or yourself experienced aching joints after playing a strenuous football match. The latter is just a case of simple injury whereas osteoarthritis is caused when the cartilage that cushions the joints wears away and results in tremendous pain.

Constant development in medical sciences has made Joint Pain Vitaminsavailable in the market, which can be of great help to people suffering from joint pain. Intake of Vitamin D supplements and essential fatty acids relieves patients suffering to a great extent and prevents the progression of this disease, although it does not fully cure it.

Vitamin D is naturally produced by the skin on exposure to sunlight for some time. Sadly, people who live in areas where there is not sufficient sunlight are more prone to deficiency of Vitamin D. There are foods like eggs, fish and milk, which contain Vitamin D, but all these do not substitute for the naturally formed Vitamin D.

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Here arises the need for taking Vitamin D supplements as deficiency of this means that the worn out cartilages will not be naturally repaired by the body. Even in case of breast-fed babies, Vitamin D supplements form an important part of their health care routine as breast milk is not adequately rich in this vitamin.

Although Vitamin D is the most important joint pain healer, there are other nutrients such as Vitamins A, C and E. These are antioxidant vitamins that neutralize free radicals present in the body, which attack tissues surrounding the joints and also cause discomfort and diseases like cancer. Deficiency of these important nutrients can give rise to a number of serious illnesses in the body.

Vitamin A is found in egg yolk, fish and vegetables. Consumption of citrus fruits like oranges, tomatoes and other vegetables like broccoli and peppers ensures the intake of Vitamin C. Vitamin E can be ingested by eating green leafy vegetables like spinach as also nuts, seeds, vegetable oils, etc.

Apart from these vitamins, calcium also plays an important role in preventing joint soreness in the body. Since it is essentially required by the body for keeping the bones strong, its deficiency weakens the area around the bone joints, further leading to arthritis. Calcium rich foods like cheese and milk avoid the onset of joint pains.

Fatty acids also contribute in reduction of severity by reducing the inflammation of the worn out joints. Walnuts, almonds, green leafy vegetables, etc. contain fatty acids.

What if you just can’t stop joint pain?I know how hard it can be to try and make the pain go away, but if you want to really make yourself joint pain free again you’ll need to learn a single method that works amazingly well. This method is simple to pick up and it doesn’t take much practice, you can read how to do it in my free article here: Joint Pain Vitamins-after diagnosis. Don’t give up hope, it’s NOT impossible. Learn more ways to use Joint Pain VitaminsNow by clicking the link.


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Learn how to do the cat cow progression pose when using yoga poses for lower back pain relief in this free exercise video from a hatha yoga instructor. Expert: Elizabeth Rose Bio: Elizabeth Rose is a registered Hatha yoga teacher with a background in modern dance, gymnastics, martial arts, and circus arts. Filmmaker: randy primm

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Natural Cure for Arthritis – Arthritis Joint Pain Relief

Article by Robert Locke

First, I will outline the causes of arthritis pain and then look at possible treatments including a natural cure for arthritis. Arthritis pain is caused by many different reasons, including inflammation of the tissues that line the joints, the tendons, or ligaments around the joints, and muscle strain. Arthritis pain is generally diagnosed as chronic but it affects people in different ways so some people suffer greatly from arthritis while others suffer only mild pain.

What Are the Causes Of Arthritis Joint Pain ?

Arthritis pain is caused by several factors, such as :inflammation, the process that causes the redness and swelling in your joints; damage to joint tissues, which results from the disease process or from stress, injury or pressure on the joints; fatigue that results from the disease process, which can make your pain seem worse and harder to handle; depression or stress, which results from limited movement or no longer doing activities you enjoy. Chronic arthritis pain is the occurrence of pain for a regular and extended period of time ranging from days to months to even years.

How Do I Deal With The Pain ?

Pain often tells you that you need to act. Pain is your body’s alarm system that tells you something is wrong. Pain and stress have similar effects on the body: muscles tighten, breathing becomes fast and shallow, and heart rate and blood pressure go up. Pain in the muscle ‘without’ cramping is usually mild while muscle pain ‘with’ cramping is usually Myofascial pain.

What Sort Of Activities Can I Do If I Suffer From Arthritis?

What types of activities are good for most people with arthritis pain ? If you have only mild joint damage and most of your symptoms are related to the ligaments, tendons and muscles surrounding your joints — not the joints themselves — a gentle exercise program could improve your arthritis pain.

Is There A Natural Cure For Arthritis?

Treatment is often more effective when arthritis symptoms are caught early. Treatment options vary depending on the type of arthritis and include physical and occupational therapy, and medications (symptomatic or targeted at the disease process causing the arthritis). Treatment with these medications requires careful monitoring by the physician to avoid side effects. Some types of treatment focus on using pleasurable aromatic botanical oils by either massaging them into the skin, adding them to the bath water, inhaling them directly or diffusing their scents into the surrounding environment. Even the definition of alternative treatments varies from one source to another. For example, heat, massage and stretching — which help relieve arthritis symptoms for many people — have been listed as alternative treatment by some, but in reality these have been standard practice for many years. If you want to consider a natural cure for arthritis which will give you pain relief, visit the link below.

About the Author

Robert Locke is an Internet Marketer specialising in Health, Wellness and Fitness. Visit his blog:- The Wellness Bible for Health Tips

Get More Information on JointEase Plus for Arthritis and Fibromyalgia.

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Home Remedies for Knee pain and Joint Pain Treatment

Knee Pain is one of the most common joint pains that may be caused by overuse of the knee joint or injuries leading to torn ligaments or cartilages. Structures like bones, tendons, ligaments and cartilages help the knee joint in performing its functions effectively. Therefore, injuries or problems in any of these structures tend to cause Knee Pains.

Knee is one of the largest and heaviest hinge joints of the body that works like the hinge of a door, that is, the knee join joint allows proper forward and backward movement. It also supports actions like bending, straightening, rotating and twisting.

A number of natural home remedies for Knee Pain and various knee exercises can help relieve the pain and heal the condition effectively.

Read more on Knee Pain Treatment and Arthritis Treatment. Also visit on Home Remedies for Joint Pain

However, the home treatment for Knee Pain should be followed on a regular basis depending on the cause and severity of the ailment. In severe cases, knee surgeries may also be required.

Causes of Knee Pain

Knee Pain can be caused due to a wide variety of reasons. Conditions like Patella or Kneecap Dislocation, Fracture of the patella, Patella Tendon Rupture, Hamstring Rupture or Sprain and several other conditions usually give rise to Knee Pain.

Bursitis, Tendinitis, Runner’s Knee, Osgood Schlatters disease, Chondromalacia (softening of cartilage under the kneecap), Baker’s Cyst (fluid filled inflammation behind the knee), Knee Osteoarthritis, a form of Arthritis and other similar diseases are generally characterized by the symptom of Knee Pain.

Knee injuries caused by sports activities or accidents can be held responsible for most of the Knee Pains caused by injuries. Besides, chronic Knee Pain could be caused due to repeated stress or overuse of the knee joint. Degeneration of the knee joint due to aging may also cause the same. Certain rare causes of this painful condition include diseases such as Plica Syndrome, Gout, Bone Tumor, etc.

Symptoms of Knee Pain

Apart from the obvious symptom of pain in the knee, some other common symptoms of Knee Pain are inflammation, tenderness, locking (inability to bend or straighten the knees) and instability as though the knee is giving way.

Ligament injuries generally cause Knee Pain even at rest. Putting weight, bending on knees or simply walking tends to worsen the pain. At times, ligament injuries are accompanied by a popping sound indicating tearing of ligaments.

Arthritis patients may complain of a sense of grinding or crunching of a bone against another bone. Dislocated Kneecaps give rise to intense pain. Knee Pain caused by Septic Arthritis or Rheumatoid Arthritis may also be accompanied by fever.

Natural Home Remedies for Knee Pain

1.    Application of ice and cold compresses is one of the most popular and equally effective Knee Pain home remedies.

2.    Taking steam baths helps to reduce Knee Pains caused by Arthritis. Follow this remdy on a regular basis to ease the pain.

3.    Dried ginger, Wintergreen, Boswellia, Devil’s claw, Cat’s claw and similar other herbs are regarded as highly beneficial therapeutic home remedies for Knee Pain.

4.    Having a glass of warm water mixed with powered Bishop’s weed seeds is another valuable natural remedy for Knee Pain.

5.    Prepare a paste by adding some castor, wheat and turmeric in goat’s milk or clarified butter. Finally, apply this therapeutic mixture on the painful area to cure the pain effectively at home.

6.    Dried ginger, Wintergreen, Boswellia, Devil’s claw, Cat’s claw and similar other herbs are regarded as highly beneficial therapeutic Knee Pain home remedies.

7.    Massaging the affected area with warm olive oil, mustard oil or coconut oil is a highly recommended natural cure for Knee Pain and inflammation. Gently massage the area about two to three times per day.

8.    Knee exercises help to strengthen the muscles supporting the knees thereby serving as a good natural treatment for Knee Pain. Yoga and acupuncture also serve as excellent Knee Pain home remedies.

Diet for Knee Pain

Include fresh fruits, green vegetables and nutritious nuts and seeds in the diet to aid in faster recovery. Consumption of fenugreek, spinach, garlic, dates, ginger, banana, grapes etc is highly beneficial in this regard.

In addition, try to exclude unhealthy junk food from the diet. Plus, overweight individual should try to reduce excess weight to avoid Knee Pain to a great extent.

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Arthritis Joint Pain and the Arthritis Remedies to Help you Cope

If you are among the millions of people that suffer from arthritis and joint pain, there is relief. Unfortunately there is no cure for arthritis, but there are many arthritis remedies that will help you cope with the pain.

Arthritis remedies can help you to relieve your arthritis symptoms and joint pain. There are a vast variety of products along with prescription drugs. A lot of people are afraid or don’t want to take multiple prescriptions each and everyday. Don’t worry, you don’t have to. You and your doctor can come up with a plan that doesn’t involve prescriptions, depending on how serious your arthritis and joint pain is.

The first thing you need to do though is figure out just how severe your arthritis and joint pain is. Does it strike everyday making your daily routine almost impossible? Or does it strike every now and again? Once you determine this, you will be able to find the arthritis remedies or medications that will benefit you the most in coping with your arthritis and joint pain.

Exercise will not cure arthritis but it will help to keep your joints healthy and minimize any joint pain. If you don’t feel comfortable or think you can not handle a regular exercise routine then you need to visit your doctor. He/she can refer you to a physical therapist that can provide you with an alternative exercise program that is not too harsh as well as something that will work well with your joint pain and arthritis.

Try doing a search on natural arthritis remedies. You will be astonished with how many products there are that will help you cope with your arthritis and joint pain, in a natural way. Natural arthritis remedies cost much less than prescriptions and are always available when you need them. You don’t have to wait for a prescription to be filled at the pharmacy and if you are on a tight budget they are affordable. You can also try yoga or Pilate’s exercises to ease your arthritis and joint pain. These are great arthritis remedies because they are not strenuous, yet they keep your joints healthy.

The best way to cope with your arthritis and joint pain is to completely understand it. Find out the reasons why it happens, what is going on with the joints and muscles and what you can do to relieve the pain. There are many books online and in bookstores. Do some research and find the most comprehensive ones. Some of them will offer advice and ways to deal with your arthritis and joint pain. They will give you the best arthritis remedies that worked for them and that are on the market today. Also be sure to discuss what you find with your doctor. They will be able to help you put a plan together, one that will really work and ease your discomfort.

Say goodbye to pain with the help of best arthritis remedies.

Click here now to cure your arthritis.

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Arthritis and Joint Pain


Celadrin® is an all natural proprietary ingredient, that has been clinically proven to reduce pain and rapidly promote joint health, improving flexibility and mobility. Clinically studied at various times in Vivo, it has been published twice in the prestigious Journal of Rheumatology.

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Arthritis: Coping with Arthritis and Joint Pain


How to treat arthritis and joint pain from Pharmacologist Joe Graedon of the popular public radio show, The People’s Pharmacy.

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Back Pain – SI Joint Dysfunction

 

Sacroiliac joint pain

 Sacroiliac (SI) joint pain has gained a lot of attention in the last ten years as an underappreciated cause of back pain with some studies indicating it is responsible for 15% to 40% of low back pain. The increased attention is due to the increasing knowledge of the SI joints intimate role in pelvic stability.  I hope more physicians consider SI joint pain in their differential after reading this article.

Pathophysiology

SI joint dysfunction due to inflammation within the joint itself is called sacroilitis. Pain from within the SI joint is common in rheumatoid patients and spondyloarthropathies.

The other cause of SI joint dysfunction stems from instability of the SI joint.  Many experts feel that SI joint pain is a component of a larger problem of pelvic instability (1). Pelvic instability has traditionally been underappreciated as a cause of low back pain, buttock pain, groin pain, and leg pain. Physical therapists and doctors of osteopathic medicine have been teaching these concepts for years but only relatively recently has this dissemination of knowledge trended towards mainstream thinking among medical doctors.

The SI joint complex (the SI joint and its associated ligaments) is the major support structure of the pelvic ring and is the strongest ligament complex in the body.  The complex consists of interosseous sacroiliac ligaments, iliolumbar ligaments, posterior sacroiliac ligaments, and the sacrotuberous and sacrospinous ligaments. The SI joints are two of the three joints involved in the stability of the pelvic ring.  The pelvic ring is the meeting place of the force vectors from the upper body and the lower extremities.  The third joint in the pelvic ring is the pubis symphysis. Pelvic instability causes pelvic rotation which can also cause twisting of the pubis symphysis.  Coupling this with its anterior location appears to provide an explanation as to why patients with SI joint instability can also experience anterior groin pain. Anecdotal evidence for this is seen when patients undergo a successful SI joint intra-articular injection relieving all of their posterior back, buttock, and leg symptoms but the patient still has groin pain. Groin pain is almost never eliminated by SI joint injections unless pelvic symmetry is corrected.

 If the SI joints are unstable, it can lead to significant pain and discomfort over the SI joints as well as numerous referred areas.  If an individual affected by SI joint pain has pain only over his or her SI joint, he/she  should be considered lucky. Most often SI joint instability causes unnatural strain on the entire low back and pelvic region causing a sometimes confusing clinical picture. Pain referral patterns of SI joint pain are often confused with L5 or S1 radiculitis or radiculopathies.

Referral patterns of SI joint dysfunction (2)

SI joint dysfunction often presents with a confusing clinical presentation.

1.       Buttock pain 94%

2.       Lower lumbar pain 74%,

3.       Lower extremity pain 50%, with 28% of these lower extremity pains going distal to the knee

4.       Pain goes all the way into the foot 13%. Younger patients are more likely to refer pain distal to the knee.

5.       Groin pain 14%. 

Most patients with SI joint instability also experience pain over the buttock region due to secondary muscle spasm of the gluteus muscles and piriformis complex.  Lower extremity symptoms are explained by the piriformis muscles natural tendency to spasm or tighten over the sciatic nerve whenever the SI joint is out of alignment.  This spasm of gluteus and piriformis muscles can cause a mechanical crowding or impingement of the sciatic nerve as it exits just below the SI joint (see figure 1. note the intimate association of the piriformis muscle, SI joint, and sciatic nerve).  Patients often complain of buttock pain and radiation of pain down to the knee and even down to the foot. Not all back pain and leg pains are due to a pinched a nerve from an intervertebral disk herniation.  SI joint dysfunction very closely mimics S1 or L5 radiculitis’ or radiculopathies because of the above described sciatic nerve irritation or impingement.

Groin pain and abdominal pain are not uncommon with SI joint instability.  Often times the groin pain is mistaken as a urologic problem like pudendal neuralgia, prostatitis,  genitofemoral neuralgia, or sterile epidydymitis(1). This is likely either due to unnatural tension on the nerves and ligaments around the pubis symphysis or actual impingement of the pudendal nerve which lies between the sacrospinous ligament and sacrotuberous ligament. The distance between these two ligaments abruptly narrows when the Ilium and sacrum are out of alignment i.e. SI joint instability.

The typical history of SI joint dysfunction consists of lateral or bilateral low back pain almost always below the pelvic rim. Pain can also radiate into the hip, groin, pelvis, leg, and foot.  The most common location of pain is in the buttock with pain extending down to the knee. Females are much more affected than males though the ratio is unclear.  The mechanism of injury is a continuum from completely atraumatic events to more obvious trauma like motor vehicle accidents, childbirth, or falls. A little over one third of failed back surgery patients suffer from SI joint dysfunction. In my practice, I often see patients who lose a substantial amount of weight and then develop SI joint dysfunction.  The etiology of this is unclear. Women who have had multiple births also seem to have a higher incidence of SI joint dysfunction.  The symptoms may be acute or may present as a remote or cumulative injury with chronic waxing and waning of symptoms with slow progression over time.  Patients often experience some degree of temporary relief with manipulation.  Patients must change positions frequently to avoid pain.  This is called “Theater Party Cocktail Syndrome”. Patient’s legs can also feel like they’re going to give out, but with objective testing of motor strength, no dysfunction is found. This is called a “Slipping Crutch syndrome”. Patients usually have a difficult time sleeping and getting out of bed in the morning can be excruciatingly painful. Continued movement after waking up tends to improve the pain.

There are many provocative physical exam maneuvers used to help establish the diagnosis of SI joint dysfunction. Going through each one of these provocative maneuvers is beyond the scope of this article.  It is important to note that the predictive value of provocative SI joint maneuvers in determining SI joint dysfunction is only 60%(4).  The conclusion of a recent study by Slipman et al(5), was that physical exam techniques can at best enter SI joint dysfunction into the differential diagnosis of a patient’s low back pain.  Of the alleged signs of sacroiliac joint pain, maximum pain below L5 coupled with pointing to the PSIS or local tenderness just medial to the PSIS (sacral sulcus) has the highest positive predictive value (PPD) at 60%(4).

Diagnosis

The gold standard for making a diagnosis of SI joint dysfunction is a fluoroscopically guided SI joint injection. Fluoroscopy is needed to accurately and consistently inject the sacroiliac joint.  Only 12% of patients had intra-articular SI joint injections when fluoroscopy was not utilized (3).  Also important is to anesthetize the entire SI joint complex.  In my experience as an interventional pain physician this cannot be consistently done by palpation alone, especially in obese patients.  It is humbling to see anatomy change under fluoroscopic guidance. What you perceive with palpation is sometimes markedly different than the actual location of the structure that you palpate.  Also vitally important is that these diagnostic injections are followed up with another physical exam while the patient is in the recovery room. Sending a patient home, having them follow up in several weeks, and then determining if this “diagnostic” injection was successful has consistently been shown to be an inaccurate way of establishing a pathoanatomic diagnosis.

Treatments

There is no one specific treatment for SI joint dysfunction which helps all patients.  The treatment varies if the dysfunction is intra-articular (inflammatory), or if it’s a lack of stability. Conservative treatment should first be tried including the manipulation by a qualified physical therapist or osteopathic physician to restore normal motion and balance,  home self-correction exercises,  a walking program (avoid heavy axial loading maneuvers), and core strengthening exercises (Pilates, Yoga, or guided physical therapy). Some patients also benefit from a quality SI joint support belt.  If conservative therapy is not helpful then I recommend a diagnostic SI joint complex injection.  The injection should include the SI joint ( intra-articularly) and the supporting ligaments with pain relief lasting for the duration of the local anesthetic and achieving greater than 75% pain relief. If there is any question about the positivity of this diagnostic test,  it should be repeated.

Radiofrequency Denervation

If the diagnosis has been established by an intra-articular SI joint injection and pain relief using conservative therapy affords no long-term pain relief, then consideration for other treatments can be made.  Radiofrequency denervation of an SI joint carries about a 65% success rate for patients who have failed other conservative therapies and only mild instability around the joint. The procedure involves the neurotomy of the lateral branch nerves that lay over the sacrum and innervate the posterior SI joint. The advantage of SI joint radiofrequency is that it is a very safe procedure with almost no documented morbidity.

Prolotherapy

Another treatment for SI joint pain is Prolotherapy.  Prolotherapy works by stimulating an inflammatory cascade which leads to fibroblastic activity thereby strengthening the entheses of ligaments and tendons. Prolotherapy on SI joints usually requires very strong Prolotherapy solutions.  In my experience, hypertonic Dextrose Prolotherapy only relieves 20 to 30% of most patients’ pain.  More aggressive prolotherapy usually reduces pain by 50% or greater in roughly 75% of patients. The greatest advantage of Prolotherapy is that it is provides a level of permanent relief.

SI joint Fusion

If the patient fails radiofrequency and prolotherapy, the last treatment option would be consideration for an SI joint fusion.  The outcome data on SI joint fusions is not highly favorable.  However, there are new minimally invasive SI joint fusions that have recently been approved by the FDA that appear promising. Patients with very diffuse pelvic pain and leg pains are not good candidates for fusion surgery. 

Mark A. Janiga, MD, DABPM, is a practicing medical physician at Minnesota Interventional Pain Associates in Minnesota.

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