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Harvard Health Ad Watch: Aches, pains, and muscle cramps — do well-advertised remedies actually work?
Several heavily-advertised products that are applied to the skin claim to relieve muscle or joint pain, but are not regulated by the FDA, and none of them offers any solid scientific evidence to back up their claims. So are they worth trying?
Study finds these shoes are better at keeping knee pain in check
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.
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The 3 main options for physical rehabilitation
Inpatient, outpatient, and at-home rehab all aim to restore your function and independence.
Have shoulder pain? Recovering from traumatic illness, surgery, or a bad fall? Your doctor may well recommend physical rehabilitation or physical therapy to get you back to your daily routine and the activities you love. There are several options available, depending on your needs.
1. Inpatient rehab
Inpatient rehab is prescribed after a hospital stay, when you're not well enough to go home. It offers comprehensive care from doctors, nurses, therapists, and other health professionals. There are two types of this rehab.
Take a mental break from pain
Mindfulness can help soothe short-term and chronic pain.
Your mind is a powerful pain remedy when given the chance. Science continues to show how mindfulness can manage pain — and it doesn't take years to master.
"Using mindfulness is a way for older adults to treat ongoing chronic pain and the occasional flare-up without having to always rely on medication," says Ellen Slawsby, director of pain services at Harvard-affiliated Benson-Henry Institute for Mind Body Medicine.
Pain conditions are more common in women
Getting a diagnosis and treatment for these conditions can be challenging.
When it comes to many common conditions that cause chronic pain, such as fibromyalgia, migraine headaches, arthritis, or lupus, it's difficult not to notice a trend. In most instances, a majority of the people diagnosed with these conditions are women, says Dr. Peter H. Schur, professor of medicine at Harvard Medical School and a rheumatologist and co-director of the Lupus Center at Harvard-affiliated Brigham and Women's Hospital.
Not only are women disproportionately affected by conditions that cause chronic pain, but they sometimes have difficulty getting a definitive diagnosis as to what is causing their pain, and receiving appropriate treatments, says Dr. Schur.
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