Cortisone injections are a common nonsurgical approach to treating rotator cuff injuries. However, researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's Specialty Day in New Orleans suggest that individuals who receive injections less than six months before a rotator cuff repair may have an increased risk for revision rotator cuff repair.
I JUST RETURNED FROM THE NETHERLANDS TO LEARN MORE ABOUT AN AMAZING ALTERNATIVE TO TOTAL KNEE REPLACEMENT CALLED “KNEE JOINT DISTRACTION ARTHROPLASTY”
Over the Thanksgiving weekend, I traveled for 6 days to one of the finest medical centers in the Netherlands: about half an hour outside of Amsterdam. My practice is devoted to joint preservation rather than replacement. Orthopaedic Surgeons in the Netherlands have recently published the results of a minimally invasive procedure that avoids joints replacement in most cases and also results in regrowth of cartilage. They have more than 10 years of follow up and experience. The procedure involves putting pins into the thigh and leg bones and distracting the joint to allow space for new cartilage to grow. Pins are removed at 6 weeks and walking is permitted all the while.
Triathlons have had 2 basic problems: running injuries and excessive training times. Aquabike is a relatively new competition that solves both problems.
Aquabike, which is growing rapidly, simply means a combined competition of swimming and cycling without the running. While running is terrific exercise, it is also very hard on the joints of most adults – especially when the running is on asphalt or concrete as is usually the case. My office is filled with runners with knee, back, and other problems caused by the repetitive pounding of regular running. Cycling and swimming can have their own overuse injuries but the incidence and severity are much less. And since cycling is primarily a lower body exercise and swimming extensively involves the core and upper body, Aquabike provides great conditioning balance: there is no need for the extra lower body workout provided by running.
Probiotic supplementation was found to reduce rheumatoid arthritis pain and inflammation in a recent randomized controlled study. While probiotics can be taken in pill form, it is generally better, and less expensive, to obtain nutrients from food. Fortunately the probiotics that were effective in this study can be found in Greek Yogurt. We would recommend Fage Greek Yogurt. It is the best brand available in our opinion for many reasons: including high protein content, low calorie count, creamier consistency (which differentiates Greek from plain yogurt due to its being strained three times instead of two), excellent taste plain, and no added sugar. Most of the lactose is removed from Greek yogurt, and most of the little that remains is digested by the probiotics in the Greek yogurt itself so that even most lactose intolerant individuals are usually able to digest it without a problem. The fact that it has therapeutically proven probiotics is one more reason to use it. The tested probiotics were lactobacillus casei – which has been shown effective in other studies, lactobacillus acidophilus, and bifidus.
I reported in a recent post how new published controlled scientific studies from Europe had validated the beneficial effects of warm mineral baths for arthritis pain. The effects appear to be a result of both the warm water and the minerals in it.