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Bones and joints Archive

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Casing the joints

Osteoarthritis is the most common type of arthritis among older adults. Often called the "wear and tear" disease, osteoarthritis doesn’t occur because of overusing or stressing one’s joints. While there is no cure for osteoarthritis, people can lower their risk or better manage the condition by losing excess weight, strengthening the muscles surrounding joints, and using over-the-counter pain medication as needed.

Take on chronic pain where it lives

Chronic pain conditions are common in older adults. Managing pain at home can be as important as working with a doctor. There are numerous options for at-home pain management, including online workout programs, cognitive behavioral therapy programs, online support groups, and apps. Recognizing that you can take steps to decrease chronic pain is crucial to success.

Chronic inflammation and your joints

The immune system sometimes launches a chronic inflammatory response in certain joints. That leads to pain, stiffness, and joint damage known as inflammatory arthritis. It’s usually unknown what triggers the conditions. Types of inflammatory arthritis include rheumatoid arthritis, gout, and psoriatic arthritis. Treatments include medications, such as biologic or nonbiologic disease-modifying antirheumatic drugs (DMARDs), and lifestyle habits, such as exercising, avoiding processed foods, reducing stress, not smoking, and getting enough sleep. Wearing a splint or brace on affected joints and seeking physical therapy may also help ease pain.

Easing summer swelling

Lower leg and foot swelling is most often the result of an abnormal buildup of fluid, which doctors refer to as edema. Fluid tends to flow downhill, making it more likely to pool in the lower parts of the body. Excess fluid retention can be triggered by many things, including eating too much salt, heat, drinking alcohol, or standing for a long period of time. To reduce it, reduce dietary sodium, elevate the feet at the end of the day and wear support stockings.

Tendon trouble in the hands: de Quervain's tenosynovitis and trigger finger

Painful conditions like de Quervain's tenosynovitis, inflammation of the tendons that move the thumb, and stenosing tenosynovitis, or trigger finger, when a digit becomes locked, can develop due to overuse or repetitive movement.

Pain relief: Taking NSAIDs safely

NSAIDs can help relieve pain and reduce inflammation from arthritis and other chronic aches and pains. However, you want to use the lowest dose for the shortest time.

Study finds these shoes are better at keeping knee pain in check

News briefs

When you have knee pain, you just want it to go away so you can walk without having to limp or wince with every step. And a small, randomized trial published online Jan. 12, 2021, by Annals of Internal Medicine found that one type of shoe might be best for the job. Researchers took 164 people ages 50 or older with moderate or severe knee arthritis and randomly assigned half of the group to wear stable, supportive shoes with thick soles that didn't bend much. The other half was assigned flat shoes with thin, flexible soles, which are believed by some to provide a benefit by allowing more natural movement of the leg and foot. Both groups wore their assigned shoes for six hours per day and took part in activities such as walking during that time. After six months, 58% of people in the stable, supportive shoe group reported a reduction in knee pain while walking, compared with 40% of people reporting pain reduction after wearing the flat, flexible shoes. In both groups, the pain reduction probably was a benefit of regular walking. The people wearing flexible shoes were also twice as likely to develop ankle or foot pain, compared with those wearing sturdy shoes. So if you have knee pain, keep walking — in sturdy shoes.

Image: © chictype/Getty Images

Safety of LED nail lamps

Ask the doctors

Q. I was worried about drying my nails with a lamp or light box at the nail salon because of the potential risk of cancer from the ultraviolet radiation, but my salon recently switched to LED lamps. Are they safer?

A. The light boxes used to cure polish during gel manicures, and to dry traditional nail polish, have raised some concern because — like tanning beds — they emit ultraviolet A (UVA) radiation, which is associated with a higher cancer risk. A 2014 study in JAMA Dermatology found that the level of UVA exposure associated with a gel manicure every two weeks probably isn't high enough to increase the risk of skin cancer significantly, but you are wise to be aware of the issue.

Moving away from knee osteoarthritis

Men may avoid activity because of their knee pain, but movement is exactly what they need.

It is perhaps the ultimate exercise catch-22: it's hard to move with knee osteoarthritis, but moving helps relieve osteoarthritis knee pain.

More than 30 million Americans have osteoarthritis, the most common kind of arthritis. While osteoarthritis can affect the hips, lower back, neck, and fingers, it occurs most often in the knees. In fact, an estimated 10% of men ages 60 and older have symptoms of knee osteoarthritis.

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