Medical Advisor Journals

Thursday, November 26, 2015

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Gout Treatment In Herbal Medicine Perspective

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

Gout

Gout mostly effected one joint is defined as a acute and recurrent condition of arthritis as a result of uric acid builds up in blood cause of joint inflammation.

VI. Treatments
B. In herbal medicine perspective
1. Artichoke
In the study to investigate the efficacy of Artichoke (Cynara scolymus L.) leaveshistorically used for the treatment of hyperuricemia and gout, showed that ALE inhibited XO with only minimal inhibitory action (< 5 %) at 100 microg/mL. However, when selected compounds were tested, the caffeic acid derivatives revealed a weak XO inhibitory effect with IC (50) > 100 microM. From the tested flavones the aglycone luteolin potently inhibited XO with an IC (50) value of 1.49 microM. Luteolin 7-O-glucoside and luteolin 7-O-glucuronide showed lower XO inhibition activities with IC (50) values of 19.90 microM and 20.24 microM, respectively. However, oral administration of an aqueous ALE, luteolin, and luteolin 7-O-glucoside did not produce any observable hypouricemic effects after acute oral treatment in potassium oxonate-treated rats. After intraperitoneal injection of luteolin a decrease in uric acid levels was detected suggesting that the hypouricemic effects of luteolin are due to its original form rather than its metabolites produced by the gut flora. In conclusion, an aqueous ALE, caffeic acid derivatives and flavones exerted XO inhibitory effects in vitro but a hypouricemic activity could not be confirmed after oral administration(22).

2. Green teas
Researchers suggested that although no direct molecular target has been so far elucidated for Epigallo catechin-O-gallate (EGCG), the multi-potentialities of this molecule, along with its broad bioavailability, render it very attractive as a putative curative drug for various diseases such as dermatosis, gout, atherosclerosis and cancer, as Green tea anti-oxidant properties could explain its antagonistic action in some inflammatory processes(23).

3. Alfalfa
In the article by By jeffwend, the author wrote that Alfalfa can help to increase uric acid levels in the urine which can help reduce the amount of uric acid available to crystallize…. And the spice turmeric and the enzyme bromelain work well together to reduce inflammation(24).

4. Devil’s claw
Harpagoside, a Glycoside, the chemical, principle extracted from the Devil’s Claw root, contributes the natural anti-inflammatory properties and used as a Gout remedy and other painful disorders of the Musculoskeletal system(25).

5. Purple Sweet Potato
In the study to investigate the hypouricemic effects of anthocyanin extractsfrom purple sweet potato (APSP), and allopurinol, on serum uric acid levels in hyperuricemic mice, was found that administration of a single oral dose of 100 mg/kg APSP to such animals reduced the serum uric acid concentration to 4.10 ± 0.04 mg/dL, compared with a concentration of 10.25 ± 0.63 mg/dL in the hyperuricemic control group(26).

All Forms of Arthritis are Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca p/general-health.html

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca
Sources
(22) http://www.ncbi.nlm.nih.gov/pubmed?term=Artichoke%20and%20Gout
(23) http://www.ncbi.nlm.nih.gov/pubmed?term=Green%20tea%20and%20Gout
(24) http://jeffwend.hubpages.com/hub/Gout
(25)http://www.streetdirectory.com/travel_guide/109360/alternative_medicine/devils_claw_as_a_natural_remedy_for_gout.html
(26) http://www.ncbi.nlm.nih.gov/pubmed?term=anthocyanin%20%20and%20Gout

Wednesday, November 25, 2015

Most Common Disease of elder: The Clinical trials and Studies edition of Musculo-Skeletal disorders(MSDs) - Osteoarthritis: Treatment in Herbal and TCM medicine - Top Anti Inflammatory Foods

B.2. Diet modification according herbal and TCM medicine specialist

1. Top foods to reduce risk of inflammation

Low-grade inflammation has found to play a pathophysiological role in OA, according to Dr. Jeremy Sokolove, Dr. Christin M. Lepus, OA is tightly linked to joint damage, the immune response to such damage, result of chronic inflammation causes of propagation and progression toward the disease(282).

According to Medical University Innsbruck, the relationship between diet, immunity, and the microbiota, may be necessary for us to rethink of the develop diet-based approaches to prevent or treat many diseases(283).
1. 1.Garlic
Garlic (Allium sativum) is a species in the onion genus, belongings to family Amaryllidaceae, native to central Asia, used popularly in traditional and Chinese medicine to treat common cold and flu(306), strengthen immunity(292), etc.... Recent studies also showed that garlic exhibits its anti-inflammatory effects against chronic inflammatory disease(284) through phytochemical allicin(285) and other mechanisms(286).

1.2. Ginger
Ginger (Zingiber officinale) or ginger root is the genus Zingiber, belongings to the family Zingiberaceae, native to Tamil, used in traditional and Chinese medicine to treat rheumatoid arthritis(291) and osteoarthritis(287) through its anti inflammatory, antioxidant and immune-modulatory effects(288)(289)(290), speed up wounding healing(290)(291), etc.

1.3. Turmeric
Turmeric is a perennial plant in the genus Curcuma, belongings to the family Zingiberaceae, native to tropical South Asia. The herb has been used in traditional medicine as anti-oxidant(293)(294), anti inflammations(295), etc. agent. Epidemiological studies also found that the efficacy of turmeric for treatment for low grade inflammatory diseases through its anti inflammatory(295)(296), antioxidant(297)(298) and immunmodulatory(299)(300) activities.

1.4. Green tea
Green tea contains more amount of antioxidants than any drinks or food with the same volume, and is the leaves of Camellia sinensis, undergone minimal oxidation during processing, originated from China. Green tea has been a precious drink in traditional Chinese culture and used exceptional in socialization for more than 4000 thousand years. Because of their health benefits, green tea has been cultivated for commercial purposes all over the world. Epidemiological studies suggested that green tea induced weight loss(301)(302), improved chronic inflammatory diseases through its antioxidant(303)(304), anti inflammatory(305)(306) and immune modulatory(307)(308) activities.

1.5. Shiitake mushrooms
Shiitake mushroom is an edible mushroom, genus Lentinula, belonging to family Marasmiaceae, native to East Asia and widely cultivated for consumption for its health benefits and commercial purpose in many Asian countries. Recent studies showed that Shiitake mushrooms are also consisted properties of enhanced immune system(309)(310)(311) against inflammation(312)(313) causes of chronic inflammatory diseases(314), etc..

All Forms of Arthritis are Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca p/general-health.html

References

(282) Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretations by Jeremy Sokolove

and Christin M. Lepus(PubMed)
(283) Diet-Induced Dysbiosis of the Intestinal Microbiota and the Effects on Immunity and Disease by Kirsty Brown,† Daniella DeCoffe,† Erin Molcan, and Deanna L. Gibson(PubMed)
(284) Allium sativum (garlic) suppresses leukocyte inflammatory cytokine production in vitro: potential therapeutic use in the treatment of inflammatory bowel disease by Hodge G1, Hodge S, Han P.(PubMed)
(285) Neuroprotective effect of allicin against traumatic brain injury via Akt/endothelial nitric oxide synthase pathway-mediated anti-inflammatory and anti-oxidative activities by Chen W1, Qi J2, Feng F3, Wang MD1, Bao G1, Wang T1, Xiang M3, Xie WF4.(PubMed)
(286) Anti-inflammatory activity of sulfur-containing compounds from garlic by Lee da Y1, Li H, Lim HJ, Lee HJ, Jeon R, Ryu JH.(PubMed)
(287) Influence of a specific ginger combination on gastropathy conditions in patients with osteoarthritis of the knee or hip by Drozdov VN1, Kim VA, Tkachenko EV, Varvanina GG.(PubMed)
(288) Herbal Medicine: Biomolecular and Clinical Aspects. 2nd edition , by Benzie IFF, Wachtel-Galor S, editors. Boca Raton (FL): CRC Press; 2011.(PubMed)
(289) Immunity: plants as effective mediators by Sultan MT1, Butt MS, Qayyum MM, Suleria HA.(PubMed)
(299) 6-Shogaol inhibits chondrocytes' innate immune responses and cathepsin-K activity by Villalvilla A1, da Silva JA, Largo R, Gualillo O, Vieira PC, Herrero-Beaumont G, Gómez R.(PubMed)
(290) Zingiber officinale: A Potential Plant against Rheumatoid Arthritis by Al-Nahain A1, Jahan R2, Rahmatullah M1.(PubMed)
(291) Theoretical and experimental study on lipophilicity and wound healingactivity of ginger compounds by Bakht MA1, Alajmi MF2, Alam P2, Alam A3, Alam P3, Aljarba TM3.(PubMed)
(292) A Single Meal Containing Raw, Crushed Garlic Influences Expression of Immunity- and Cancer-Related Genes in Whole Blood of Humans by Charron CS1, Dawson HD1, Albaugh GP1, Solverson PM1, Vinyard BT2, Solano-Aguilar GI1, Molokin A1, Novotny JA3.(PubMed)
(293) A Newly Designed Curcumin Analog Y20 Mitigates Cardiac Injury via Anti-Inflammatory and Anti-Oxidant Actions in Obese Rats by Qian Y1, Zhong P2, Liang D1, Xu Z1, Skibba M1, Zeng C3, Li X1, Wei T3, Wu L4, Liang G1.(PubMed)
(294) Protective effects of various dosage of Curcumin against morphine induced apoptosis and oxidative stress in rat isolated hippocampus by Motaghinejad M1, Karimian M2, Motaghinejad O3, Shabab B4, Yazdani I5, Fatima S2.(PubMed)
(295) Antioxidant and anti-inflammatory effects of curcuminoid-piperine combination in subjects with metabolic syndrome: A randomized controlled trial and an updated meta-analysis by Panahi Y1, Hosseini MS2, Khalili N2, Naimi E2, Majeed M3, Sahebkar A4.(PubMed)
(296) Anti-Inflammatory Effects of Novel Standardized Solid Lipid Curcumin Formulations by Nahar PP1, Slitt AL, Seeram NP.(PubMed)
(297) In vitro Antioxidant Potential in Sequential Extracts of Curcuma caesia Roxb. Rhizomes by Reenu J1, Azeez S1, Bhageerathy C1.(PubMed)
(298) Polyphenolic composition and antioxidant activities of 6 new turmeric(Curcuma longa L) accessions by Chinedum E1, Kate E, Sonia C, Ironkwe A,Andrew I.(PubMed)
(299) Curcuma as a functional food in the control of cancer and inflammation by Schaffer M1, Schaffer PM, Zidan J, Bar Sela G.(PubMed)
(300) Curcumin induces apoptosis in breast cancer cell lines and delays the growth of mammary tumors in neu transgenic mice by Masuelli L1, Benvenuto M, Fantini M, Marzocchella L, Sacchetti P, Di Stefano E, Tresoldi I, Izzi V, Bernardini R, Palumbo C, Mattei M, Lista F, Galvano F, Modesti A, Bei R.(PubMed)

(301) Beneficial effects of oolong tea consumption on diet-induced overweight and obese subjects by He RR1, Chen L, Lin BH, Matsui Y, Yao XS, Kurihara H.(PubMed)
(302) Thermogenic ingredients and body weight regulation by Hursel R1, Westerterp-Plantenga MS.(PubMed)

(303) Determination of tea components with antioxidant activity by Cabrera C1, Giménez R, López MC.(PubMed)
(304) Structural determination and DPPH radical-scavenging activity of two acylated flavonoid tetraglycosides in oolong tea (Camellia sinensis) by Lee VS1, Chen CR, Liao YW, Tzen JT, Chang CI.(PubMed)
(305) Evaluation of anti-inflammatory effects of green tea and black tea: A comparative in vitro study by Chatterjee P1, Chandra S, Dey P, Bhattacharya S.(PubMed)
(306) Anti-inflammatory and anti-oxidative effects of the green tea polyphenol epigallocatechin gallate in human corneal epithelial cells by Cavet ME1, Harrington KL, Vollmer TR, Ward KW, Zhang JZ.(PubMed)
(307) Immunomodulatory effects of EGCG fraction of green tea extract in innate and adaptive immunity via T regulatory cells in murine model by Kuo CL1, Chen TS, Liou SY, Hsieh CC.(PubMed)
(308) Immunomodulating effects of epigallocatechin-3-gallate from green tea: mechanisms and applications by Pae M1, Wu D.(PubMed)

(309) Structure and inducing tumor cell apoptosis activity of polysaccharides isolated from Lentinus edodes by Wang KP1, Zhang QL, Liu Y, Wang J, Cheng Y, Zhang Y.(PubMed)
(310) Structure and immuno-stimulating activities of a new heteropolysaccharide from Lentinula edodes by Xu X1, Yan H, Zhang X.(PubMed)
(311) Dietary supplementation with rice bran fermented with Lentinus edodes increases interferon-γ activity without causing adverse effects: a randomized, double-blind, placebo-controlled, parallel-group study by Choi JY, Paik DJ, Kwon DY, Park Y1.(PubMed)

(312) Anti-inflammatory effects of five commercially available mushroomspecies determined in lipopolysaccharide and interferon-γ activated murine macrophages by Gunawardena D1, Bennett L, Shanmugam K, King K, Williams R, Zabaras D, Head R, Ooi L, Gyengesi E, Münch G.(PubMed)
(313) Effect of shiitake (Lentinus edodes) extract on antioxidant and inflammatory response to prolonged eccentric exercise by Zembron-Lacny A1, Gajewski M, Naczk M, Siatkowski I.(PubMed)
(314) Both common and specialty mushrooms inhibit adhesion molecule expression and in vitro binding of monocytes to human aortic endothelial cells in a pro-inflammatory environment by Martin KR1.(PubMed)

4. Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Gout Treatment In conventional medicine perspective

Gout mostly effected one joint is defined as a acute and recurrent condition of arthritis as a result of uric acid builds up in blood cause of joint inflammation.

V. The Treatment
A. In conventional medicine perspective
A.1. Acetaminophen
a. Acetaminophen such as Tylenol can help to relive the pain of Gout.
b. Side effects if overdose are not limit to
b.1. Nausea and vomiting
b.2. Appetite loss
b.3. Sweating
b.4. Diarrhea
b.5. Irritability
b.6. Abdominal pain
b.7. Etc.

A.2. In the study of Gout–what are the treatment options? indicated that The options available for the treatment of acute gout (18)are

1. NSAIDs
a. NSAIDs are commonly prescribed to control gout attacks in patients with hyperuricaemia.
b. Side effects are not limit to
Dr. Bjarnason I, and the research team at King’s College School of Medicine and Dentistry, in the study of Side effects of nonsteroidal anti-inflammatory drugs on the small and large intestine in humans, showed that Ingested NSAIDs may cause a nonspecific colitis (in particular, fenemates), and many patients with collagenous colitis are taking NSAIDs. Large intestinal ulcers, bleeding, and perforation are occasionally due to NSAIDs. NSAIDs may cause relapse of classic inflammatory bowel disease and contribute to serious complications of diverticular disease (fistula and perforation). NSAIDs may occasionally cause small intestinal perforation, ulcers, and strictures requiring surgery. NSAIDs, however, frequently cause small intestinal inflammation, and the associated complications of blood loss and protein loss may lead to difficult management problems. The pathogenesis of NSAID enteropathy is a multistage process involving specific biochemical and subcellular organelle damage followed by a relatively nonspecific tissue reaction. The various possible treatments of NSAID-induced enteropathy (sulphasalazine, misoprostol, metronidazole) have yet to undergo rigorous trials(19).

2. Colchicine
a. Colchicine, used for a long period in gout, was approved for the first time in 2009 by the FDA for the prophylaxis and the treatment of acute attack, on the basis of a pivotal trial that showed the efficacy in the very short term – that is 24 h of a well-tolerated, low-dose regimen of Colcrys (colchicine, URL Pharma, Philadelphia, USA) to reduce pain in patients with acute gout – when given early(20).
b. Side effects are not limit to
1. Diarrhea
2. Dizziness
3. Flushing
4. Hair loss
5. Headache
6. Loss of appetite
7. Nausea; sore gums
8. Stomach pain
9. Vomiting
10. Etc.

3. Corticosteroids
a. researchers suggested that Systemic corticosteroids could be used in severe polyarticular flares. Anti-IL1 should provide a therapeutic alternative for severe cortico dependant gout with tophus. To prevent acute flares and reduce tophus volume, uric acid serum level should be reduced and maintained below 60mg/L (360μmol/L).
b. Side effects are not limit to
b.1. Stomach irritation
b.2. Rapid heartbeat
b.3. Nausea
b.4. Insomnia
b.5. A metallic taste in the mouth
b.6. Etc.

4. Adrenocorticotropic hormone (ACTH) and
a. In the study of Effects of adrenocorticotropic hormone (ACTH) in gout by Alexander B. Gutman, M.D.1, T.F. Yü, M.D indicated that ACTH effected a very rapid and satisfactory response in the local and systemic manifestations of acute gout in seven of eleven cases treated, including one patient refractory to colchicine. ACTH therefore appears to be a useful agent in the therapy of acute gout. In many of these patients, however, ACTH was not convincingly superior to colchicine, and in four instances colchicine terminated attacks responding unsatisfactorily to ACTH. Unlike colchicine, ACTH is not suitable for prophylactic use in the prevention of acute gouty attacks(20).
b. Side effects are not limit to
In the study of 162 children with infantile spasms were treated with ACTH at the Children’s Hospital, Helsinki, and at the Aurora Hospital, Helsinki, during 1960–76. In a large proportion (37%) of the children the treatment causedpronounced side effects, and the mortality was 4.9%. The most common complications were infections: septic infections, pneumonias, and urinary and gastrointestinal infections. Other side effects were arterial hypertension (11), osteoporosis (2), hypokalaemic alkalosis (2), and other marked electrolyte disturbances (10). In children necropsy showed fresh intracerebral haemorrhages. Four children developed oliguria and hyperkalaemia during and after withdrawal of ACTH. One of them had tubular necrosis confirmed by renal biopsy. Infections were significantly more common with large doses (120 units) of ACTH than with small ones (40 units). It is concluded that side effects, even severe ones, are more common during treatment than had been assumed(21).

5. Intra-articular corticosteroids
a. Intraarticular steroid injections are injected directly into an affected joint to improve joint function.
b. Side effects are not limit to
b.1. Infection
b.2. Facial flushing
b.3. Local skin atrophy and depigmentation
b.4. Crystalline synovitis
b.5. Allergic reaction
b.6. Uterine haemorrhage
b.7. Etc.
The most important determinant of therapeutic success is not which anti-inflammatory agent is chosen, but rather how soon therapy is initiated and that the dose be appropriate.
b. Side effects are not limit to
b.1. Constipation
b.2. Diarrhea
b.3. Dizziness
b.4. Drowsiness
b.5. Headache
b.6. Heartburn
b.7. Nausea
b.8. Stomach upset
b.9. Etc.

7. Etc.

Arthritis Is Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca p/general-health.html
Sources
(18) http://www.ncbi.nlm.nih.gov/pubmed/19463070
(19) http://www.ncbi.nlm.nih.gov/pubmed/8500743
(20) http://www.sciencedirect.com/science/article/pii/0002934350900040
(21) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1627020/

Tuesday, November 24, 2015

Most Common Disease of elder: The Clinical trials and Studies edition of Musculo-Skeletal disorders(MSDs) - Osteoarthritis: Treatment in Herbal and TCM medicine - Life style modification

Kyle J. Norton, Master of Nutrients
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

Types of Musculo-Skeletal disorders in elder(2)

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia

The Treatment

B. In herbal and traditional Chinese medicine perspective
B.1. Life style modification according herbal and TCM medicine specialist
Life style modification has shown to be beneficiary for patients with osteoartritis to improve musculoskeletal and bone health and reduce disability,according to the University of Tasmania(276). Modern herbal and TCM medicine specialists may suggest the following
1. Lose some weight
Over weight and obesity are found to associate the risk factors and risks of rapid progression of the disease(277)(278). In the discussion of obesity versus osteoarthritis, Dr. Sartori-Cintra AR and the research team at Universidade Estadual de Campinas, indicated that obesity is associated to wide range of diseases, such as osteometabolic diseases, including osteoporosis and osteoarthritis and suggested that physical activity combined with changes in diet composition can reverse the inflammatory and leptin resistance, reducing progression or preventing the onset of osteoarthritis(236).

2. Exercise
Exercise, today is less popular leisure-time activity in many countries throughout the Western world, especially in the youth due to promotion of information collection through mobile phone. According to study, moderate exercise, reduced the risk on the onset and progression of osteoarthritis joint disease(279). According to Boston University Arthritis, habitual physical activity post no risk of knee OA for men or women, during the 18th biennial examination (1983-85), in the study of 1,415 subjects had a mean age of 73 years(279). Walking is found to be the most preference of aerobic exercise tested in the older with knee osteoarthritis, depending to the distance, walking distance improves 26%, 31%, and 15% of pain and physical function, according to Dr.Stephen P. Messier,
Ph.D(280).
Combination of weight loss and exercise in older adults with knee osteoarthritis showed to improve level of leptin of which related to the biomarkers for earlier diagnosis in patient with OA(281).

All Forms of Arthritis are Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca p/general-health.htmlReferences

(276) Lifestyle modifications to improve musculoskeletal and bone health and reduce disability--a life-course approach by Jones G1, Winzenberg TM2, Callisaya ML3, Laslett LL4.(PubMed)

(277) Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis by Messier SP1, Gutekunst DJ, Davis C, DeVita P.(PubMed)

(278) Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis by Christensen R1, Bartels EM, Astrup A, Bliddal H.(PubMed)

(279) Exercise and osteoarthritis by David J Hunter1,2 and Felix Eckstein3,4(PMC)

(280) Diet and Exercise for Obese Adults with Knee Osteoarthritis by Stephen P. Messier, Ph.D(PMC)

(281)Adipokines: Biomarkers for osteoarthritis? by Thitiya Poonpet and Sittisak Honsawek(PMC)

(282) Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretations by Jeremy Sokolove

and Christin M. Lepus(PubMed)

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Gout Prevention - The Do’s and Do not’s list

The Preventive Do’s and Do not’s list
1. Coffee
If you are drinking coffee, researchers found that long-term moderate coffee consumption is associated with a lower risk of incident gout in women(9).

2. Maintaining adequate fluid intake
Dehydrate is associated with the increased risk of gout. Drinking water or skim milk can improve gout control, according to findings from two studies that highlight the important contribution of lifestyle factors on gout prevention and management(10).

3. Weight reduction
Obesity cause cause pressure to the joint. Obesity is not only a risk factor for incident gout but is associated with an earlier age at gout onset(11).

4. Dietary changes
a. Reduce alcohol
Alcohol intake is strongly associated with an increased risk of gout. This risk varies substantially according to type of alcoholic beverage: beer confers a larger risk than spirits, whereas moderate wine drinking does not increase the risk(12).

b. Reduce intake of foods with high levels of purine, such as sardines, herring, kidney and sweetbreads, shrimp, etc.

c. Diet with foods to prevent gout
Dairy products, vegetables, nuts, legumes, fruits (less sugary ones), and whole grains are healthy choices for the comorbidities of gout and may also help prevent gout by reducing insulin resistance. Coffee and vitamin C supplementation could be considered as preventive measures as these can lower urate levels, as well as the risk of gout and some of its comorbidities. Diet with foods such as cherries and strawberries to prevent goutDairy products, vegetables, nuts, legumes, fruits (less sugary ones), and whole grains are healthy choices for the comorbidities of gout and may also help prevent gout by reducing insulin resistance. Coffee and vitamin C supplementation could be considered as preventive measures as these can lower urate levels, as well as the risk of gout and some of its comorbidities(13). Other researchers suggested that some in vivo evidence of the impact of strawberry intake on the folate status in humans have already been reported, but a new increasing interest on this field is strongly hoped. Furthermore, the hypouricaemic effects previously ascribed to cherry consumption need to be evaluated in respect to strawberry intake. At the moment, inconsistent results come from the few investigations designed at this proposal. In our studies, a great interindividual variability was observed on plasma urate levels in response to strawberry intake, suggesting a putative effect(14).

5. Reduce intake of medications which can cause gout by reviewing them with your doctor, as certain medicine such as Thiazide and loop diuretics.

6. Exercise
“Exercises to relieve gout should be done steady and cautiously as to avoid further irritation to the joints. The best exercises for gout are range of motion types: strength training, stretching and building endurance. Yoga is an exercise that incorporates all four; however, there are other exercises that can be done individually also” According to the article of How to Exercise If You Have Gout(14a).

7. Etc.

Monday, November 23, 2015

Most Common Disease of elder: The Clinical trials and Studies edition of Musculo-Skeletal disorders(MSDs) - Osteoarthritis: Treatment in Conventional Medicine Perspective

A. In conventional medicine perspective

A.1. Physical Activity

According to the center for diseases control and prevention recommends that everyone, including those with arthritis, get 150 minutes of moderate exercise per week, including daily flexibility exercises to maintain proper joint range of motion and do balance exercises in patient with osteoarthritis(231). According to the study by University of Manitoba, 12 week lower body positive pressure-support low-load treadmill walking program in patients aged between 55 and 75 years, improved knee joint pain, function, and thigh muscle strength in overweight patients with knee osteoarthritis (OA) and consider as a safe user-friendly mode of exercise used in management of day-to-day joint symptoms associated with knee OA(232)(233). Other studies insisted that the same program showed a significant improvements in knee joint pain and function and demonstrated significant increases in thigh muscle strength about the degenerative knee(234). Stretching gently on joints may improve flexibility, lessen stiffness and reduced pain. In a study of Low-level laser therapy (LLLT) and stretching exercises, researchers found that LLLT can be used as resource to increase the effects of physical therapy(237).

A.2. Weight management

Over weight and obesity are found to be associated to increased risk of osteoarthritis to elder. According to studies, Over weight and obesity can lead to more severe cartilage degeneration(121)(123) as assessed by both morphological and quantitative MRI measurements(122).

According to the study by University of California San Francisco, in the study of 127 individuals with risk factors for knee OA, 62 subjects with a body mass index (BMI) decrease≥10% found to associate to a slower progression of T2 values in individuals with risk factors for OA,(235).

A.3. Medication
The aim of the treatment is to relieve symptoms of the disease
1. Acetaminophen
a. Acetaminophen such as Tylenol can help to relive the pain of Osteoarthritis. In the study to Tramadol/APAP add-on significantly improved knee OA pain which had been inadequately controlled by NSAIDs. Both tramadol/APAP and NSAIDs were effective at maintaining the pain-reduced state(238)(239).
b. According to RX(241) list side effects are not limit to
b.1. Nausea(239) and vomiting(240)
b.2. Appetite loss(241)
b.3. Itching(241)
b.4. Diarrhea
b.5. Dark urine(241)
b.6. Abdominal pain(241)
b.7. Constipation(239)

b.8. Others may include sedation, urinary retention, pruritus and/or respiratory depression(240).

2. Nonsteroidal anti-inflammatory drugs (NSAIDs).
a. The use of the medicine should be taken into account of in cost effectiveness, adverse event data and individual cardiovascular and gastrointestinal risks(242).
b. Side effects are not limit to
According to King’s College School of Medicine and Dentistry, nonsteroidal anti-inflammatory drugs may cause(243)
b.1. A nonspecific colitis (in particular, fenemates), and many patients with collagenous colitis are taking NSAIDs.
b.2. Large intestinal ulcers, bleeding, and perforation
b.3. Relapse of classic inflammatory bowel disease
b.4. Serious complications of diverticular disease (fistula and perforation)
b.5. Small intestinal perforation, ulcers, and strictures requiring surgery
b.6. Specific biochemical and subcellular organelle damage(243).

The University of Sydney insisted that the drug may also cause enteropathy(244).

3. Narcotics
Narcotics are natural opioid drugs derived from the Asian poppy may provide relief from more severe osteoarthritis pain(245), with additive effect(246).
b. According to NIH, the side effects(247) are not limit to
b.1. Risk of dependence
b.2. Dizziness and drowsiness
b.3. Nausea and vomiting
b.4. Headache and fatigue
b.5. Others include

Yawning, insomnia, restlessness, mood swings, diarrhea(247)

A.4.. Non medication therapy

Non medication therapies such as
1. Physical therapy or physiotherapy
Physical therapy is the form of medical rehabilitation for develop, maintain and restore maximum movement and functional ability for patients caused by injure, aging and other external factors such as diseases(250). In knee osteoarthritis, according to The University of Melbourne, more research may be needed to support the claim, physiotherapy interventions has shown to reduce pain and improve function in those with knee OA(249). But according to the joint study by the University of Melbourne, University of Otago and Monash University, physical therapy dose not result in greater improvement in pain or function than other treatment such as sham treatment in patients with hip osteoarthritis(248).

2. Occupational Therapy
According to the Canadian Association of Occupation Therapists, Occupational therapy is the form of treatment involved evaluating and improving a persons functional abilities of a specific age group or disability such as arthritis, developmental coordination disorder, mental illness, or spinal cord injury, etc...(251). But some research suggested that patient should be encouraged to change of lifestyle to achieve a optimal self-managing the effects and symptoms of OA(252).
Unfortunately, according to the University of Alberta, the implication for Rehabilitation Pain gasp has not been focused in training programs in occupational therapy education even it is a prevalent condition in all age groups(253). Some research in regarded to occupation therapy in treatment of hand exercise in osteoarthritis, insisted that high-quality studies are necessary to establish a strong and sound of evidences in concerning functional assessment and the effect of hand exercises in hand osteoarthritis(254).

In need, depending to the individual needs, including patients education and self-management programs. Weight loss may be necessary if the osteoarthritic patient is overweight(255); physical therapy may also be needed for muscle strengthening with aerobic conditioning(256)(257) and tai chi exercise(258) with improving pain and function in people with OA, depending to the disease severities(258), etc.

Exercise therapy may be beneficiary for treatment of pain in patients with OA(259), but when it is used in conjunctions with other forms of therapies such as strength training and exercise with additional passive manual mobilisation, the combination has found to achieve better pain relief in patients with knee osteoarthritis(260), according to the study by Maastricht University

Manual therapy on the other hand, is more effective than exercise for those with hip OA in the short and long-term(261). Unfortunately, in the investigate the addition of manual therapy to exercise therapy for the reduction of pain and increase of physical function in people with knee osteoarthritis (OA), researchers at the showed that combined strategy of exercise therapy plus manual therapy with booster sessions was not superior to exercise therapy alone in patients with knee osteoarthritis(262).

A.5. Surgery
Surgery only necessary if symptoms persist, depending on several factors, including the location and severity of OA damage, patient characteristics and risk factors.(265).
1. Arthrocentesis plus corticosteroid
Arthrocentesis is a medical procedure to remove joint fluid with a sterile needle for analysis through injection of corticosteroids into the joints to relieve pain, swelling, and inflammation. According to Regions Hospital, there is a reluctance of surgeon to perform such operation in patient who are receiving anticoagulation at therapeutic levels(263).
According to the Mayo clinic, cortisone shots overdoses can cause joint damage(264).

2. Arthroscopy
Arthroscopy is a minimally invasive surgical procedure to examine and treat the abnormalities of and damage to the cartilage and ligaments through the arthroscope. It is considered as one of the standard interventions with low potential for complications for patient with knee osteoarthritis(265) and ankles, shoulders, elbows, wrists and hips osteoarthritis(266).

3. Lubrication injections
Injections of hyaluronic acid derivatives (Hyalgan, Synvisc) are recommended only to patients who have not found adequate pain relief in conservative treatment(268).
Platelet-rich plasma (PRP) contains high concentrations of autologous growth factors that originate from platelets influences the production of SZP from human joint-derived cells, has shown effectively in treatment of osteoarthritis or damage in the knee joint. or damage in the knee joint, according to the study by University of California(267).

4. Realigning bones
Osteotomy is a surgical procedure used to realign bones, cartilage and reposition the joint to reduce knee pain by shifting your body weight away from the damaged cartilage(269). Osteotomies about the hip may be used for the prevention and treatment of osteoarthrosis(270), only if the mechanical causes of the potential or established osteoarthritis is clear and the operation succeeds in reducing the pathologically excessive joint loads(271).

5. Joint replacement
Joint replacement is a surgical procedure of orthopedic surgery to relief pain and to place the damaged joint surfaces(272). Over 1 million surgical procedure have been perform in elective total knee and hip replacements annually in the United States alone(273). According to study, over 70 % of patients who received rapid mobilization of total joint replacement patients recover safely and reduced the overall length of hospital stay(274).

Joint replacement is considered as a treatment only for patients with severe joint pain or dysfunction that can not be alleviated by non invasive treatments. But, according to Odense University Hospital, hip replacement can be postponed in patients with severe hip osteoarthritis if patients participate in a education and supervised exercise program(275).

6. Etc.

Arthritis Is Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

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Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca p/general-health.htmlReferences

(231) Physical Activity and Arthritis Overview(CDC)

(232) Managing Knee Osteoarthritis: The Effects of Body Weight Supported Physical Activity on Joint Pain, Function, and Thigh Muscle Strength by Peeler J1, Christian M, Cooper J, Leiter J, MacDonald P.(PubMed)

(233) Lower body positive pressure: an emerging technology in the battle against knee osteoarthritis? by Takacs J1, Anderson JE, Leiter JR, MacDonald PB, Peeler JD.(PubMed)

(234) Managing Knee Osteoarthritis: The Effects of Body Weight Supported Physical Activity on Joint Pain, Function, and Thigh Muscle Strength by Peeler J1, Christian M, Cooper J, Leiter J, MacDonald P.(PubMed)

(235) Weight loss over 48 months is associated with reduced progression of cartilage T2 relaxation time values: data from the osteoarthritis initiative by Serebrakian AT1, Poulos T, Liebl H, Joseph GB, Lai A, Nevitt MC, Lynch JA, McCulloch CE, Link TM.(PubMed)

(236) Obesity versus osteoarthritis: beyond the mechanical overload.[Article in English, Portuguese] by Sartori-Cintra AR1, Aikawa P2, Cintra DE3.(PubMed)

(237) Effect of low-level laser therapy (904 nm) and static stretching in patients with knee osteoarthritis: a protocol of randomised controlled trial by Ferreira de Meneses SR1,2, Hunter DJ3, Young Docko E4, Pasqual Marques A5.(PubMed)

(238) The efficacy of tramadol/acetaminophen combination tablets (Ultracet®) as add-on and maintenance therapy in knee osteoarthritis pain inadequately controlled by nonsteroidal anti-inflammatory drug (NSAID). by Park KS1, Choi JJ, Kim WU, Min JK, Park SH, Cho CS.(PubMed)

(239) Efficacy and safety of tramadol/acetaminophen tablets (Ultracet) as add-on therapy for osteoarthritis pain in subjects receiving a COX-2 nonsteroidal antiinflammatory drug: a multicenter, randomized, double-blind, placebo-controlled trial by Emkey R1, Rosenthal N, Wu SC, Jordan D, Kamin M; CAPSS-114 Study Group.(PubMed)

(240) Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials by Remy C1, Marret E, Bonnet F.(PubMed)

(241) Tylenol Side Effects Center(RXlist)

(242) Cost effectiveness of COX 2 selective inhibitors and traditional NSAIDs alone or in combination with a proton pump inhibitor for people with osteoarthritis(The BMJ)

(243) Side effects of nonsteroidal anti-inflammatory drugs on the small and large intestine in humans by Bjarnason I1, Hayllar J, MacPherson AJ, Russell AS.(PubMed)

(244) Detection and prevention of NSAID-induced enteropathy by Davies NM1, Saleh JY, Skjodt NM.(PubMed)

(245) Patient preference and willingness to pay for knee osteoarthritis treatments. by Posnett J1, Dixit S2, Oppenheimer B2, Kili S3, Mehin N4.(PubMed)

(246) A model of additive effects of mixtures of narcotic chemicals by Shirazi MA1, Linder G.(PubMed)

(247) Pain medications - narcotics(NIH)

(248) Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial by Bennell KL1, Egerton T1, Martin J1, Abbott JH2, Metcalf B1, McManus F1, Sims K3, Pua YH4, Wrigley TV1, Forbes A5, Smith C5, Harris A6, Buchbinder R7.(PubMed)
(249) Physiotherapy management of knee osteoarthritis by Page CJ1, Hinman RS, Bennell KL.(PubMed)
(250) Policy statement: Description of physical therapy(World federation of physical therapy)
(251) Occupational Therapy - As defined by the Canadian Association of Occupational Therapists(Canadian Association of Occupation Therapists)
(252) Integrating lifestyle approaches into osteoarthritis care by Garver MJ1, Focht BC2, Taylor SJ3.(PubMed)
(253) Occupational therapists' pain knowledge: a national survey by Reyes AN1, Brown CA1.(PubMed)
(254) Occupational therapy-based and evidence-supported recommendations for assessment and exercises in handosteoarthritis by Kjeken I1(PubMed)
(255) Osteoarthritis, obesity and weight loss: evidence, hypotheses and horizons – a scoping review by H Bliddal,1 A R Leeds,2,3,4 and R Christensen1(PubMed)
(256) Strength cycle training: effects on muscular strength and aerobic conditioning. by Van Zant RS1, Bouillon LE.(PubMed)
(257) Effect of resistance training and aerobic conditioning on muscular strength and submaximal fitness for individuals with chronic heart failure: influence of age and gender. by Swank AM1, Funk DC, Manire JT, Allard AL, Denny DM.(PubMed)
(258) A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. by Bennell KL1, Hinman RS.(PubMed)
(259) Osteoarthritis(Medline Plus)
(260) Strength training alone, exercise therapy alone, and exercise therapy with passive manual mobilisation each reduce pain and disability in people with knee osteoarthritis: a systematic review. by Jansen MJ1, Viechtbauer W, Lenssen AF, Hendriks EJ, de Bie RA.(PubMed)
(261) Manual therapy for osteoarthritis of the hip or knee: a systematic review by Review published: 2011.Bibliographic details: French HP, Brennan A, White B, Cusack T. Manual therapy for osteoarthritis of the hip or knee: a systematic review. Manual Therapy 2011; 16(2): 109-117. [PubMed]

(262) The Incremental Effects of Manual Therapy or Booster Sessions in Addition to Exercise Therapy for Knee Osteoarthritis: A Randomized Clinical Trial by Abbott JH1, Chapple CM, Fitzgerald GK, Fritz JM, Childs JD, Harcombe H, Stout K.(PubMed)
(263) Safety of arthrocentesis and joint injection in patients receiving anticoagulation at therapeutic levels by Ahmed I1, Gertner E.(PubMed)
(264) Tests and Procedures, Cortisone shots(Mayo Clinic)
(265) [Complications of knee arthroscopy].[Article in German] by Mayr HO1, Stoehr A2.(PubMed)
(266) Arthroscopy(NHS choice)
(267) Stimulation of the superficial zone protein and lubrication in the articular cartilage by human platelet-rich plasma by Sakata R1, McNary SM1, Miyatake K1, Lee CA1, Van den Bogaerde JM1, Marder RA1, Reddi AH2.(PubMed)
(268) Non-surgical treatment of osteoarthritis-related pain in the elderl by Saulat Mushtaq,3 Rabeea Choudhary,2 and Carla R. Scanzello(PMC)
(269) Knee Osteotomy(The Knee Society)
(270) Osteotomies about the hip for the prevention and treatment of osteoarthrosis by Millis MB1, Murphy SB, Poss R.(PubMed)
(271) Osteotomies of the hip in the prevention and treatment of osteoarthritis by Millis MB, Poss R, Murphy SB.(PubMed)
(272)
(273) Parachutes and Preferences - A Trial of Knee Replacement by Katz JN1.(PubMed)
(274) Rapid mobilization decreases length-of-stay in joint replacement patients by Tayrose G, Newman D, Slover J, Jaffe F, Hunter T, Bosco J 3rd.(PubMed)

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Gout Prevention - The Phytochemicals

The Preventive Phytochemicals
1. Quercetin and Rutin
Dr. Zhu JX and research team at the School of Life Sciences, Nanjing University found that the effects of quercetin and rutin on serum urate levels in hyperuricemic mice induced by oxonate and the inhibition of enzyme activities in mouse liver are discussed in relation to their absorption and metabolism, and their potential application to treat gout and hyperuricemia(15).
2. Morin
Morin (3,5,7,2′,4′-pentahydroxyflavone) a phytochemical found in the twigs of Morus alba L. documented in traditional Chinese medicinal literature to treat conditions akin to gout, was demonstrated to exert potent inhibitory action on urate uptake in rat renal brush-border membrane vesicles, indicating that this compound acts on the kidney to inhibit urate reabsorption(16).
3. Other phytichemicals
In the study of 15 flavonoids (quercetin, morin, myricetin, kaempferol, icariin, apigenin, luteolin, baicalin, silibinin, naringenin, formonoetin, genistein, puerarin, daidzin and naringin dihydrochalcone) selected to investigate for their hypouricemic action in mice, found that Oral administration of quercetin, morin, myricetin, kaempferol, apigenin and puerarin at 50 and 100 mg/kg for 3 d was able to elicit hypouricemic actions in hyperuricemic mice induced by potassium oxonate. Luteolin, formonoetin and naringenin showed the significant effects only at 100 mg/kg. Quercetin, puerarin, myricetin, morin and kaempferol significantly reduced liver uric acid level in hyperuricemic animals. In addition, quercetin, morin, myricetin, kaempferol and puerarin exhibited significant inhibition on the liver xanthine oxidase (XOD) activities(17).
4. Etc.