Category Archives: Symptom Management

Healthy Fats and OA

A Diet of Bad Fats May Hasten Knee OA Progression

A diet high in fat, especially saturated fat, may speed up the progression of knee osteoarthritis (OA), whereas eating greater amounts unsaturated fat might slow it down, according to researchers at Brigham and Women’s Hospital in Boston. Their study, published recently in Arthritis Care & Research, is one of the first to look at the effect of diet on the rate of OA progression. The researchers say they undertook the study because diet plays a role in the development of many chronic diseases, including diabetes, cancer and cardiovascular disease, and they suspected it might also be involved in osteoarthritis.
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Osteoarthritis Knee Pain Walking

Change the Way You Walk to Ease Knee Pain with Osteoarthritis

Overloaded or unevenly loaded knee joints can cause osteoarthritis (OA), or cause your OA to get worse. Learning how to walk differently may be able to correct the loading problem and reduce your knee pain. This approach is being studied in people with medial, or inner, compartment OA — which is 10 times more common than other forms of knee OA.
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hyaluronic injections knee osteoarthritis

Study Supports Hyaluronic Acid Shots for Knee Osteoarthritis in Certain Patients      

For some people with knee osteoarthritis (OA), hyaluronic acid (HA) injections can relieve pain and improve function – sometimes dramatically. During the procedure, hyaluronic acid– a substance similar to the naturally occurring gel-like lubricant that is found in the synovial fluid surrounding joints – is injected into the knee. Because people with OA have a lower than normal concentration of hyaluronic acid in their joints, the theory is that adding the lubricant to the arthritic joint will reduce pain and help with movement.

But HA injections, also called viscosupplements, don’t work for everyone: Studies have shown that between 30 and 40 percent of patients who are given HA shots for knee OA don’t experience a reduction in pain or an improvement in function. And studies have not provided any insight into which patients are most ­or least likely to benefit from them.
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Fish Oil Osteoarthritis

Does Fish Oil Fight Osteoarthritis?

While the use of nutritional supplements for osteoarthritis (OA) has focused largely on the duo of glucosamine and chondroitin, research suggests that a popular supplement for heart disease and rheumatoid arthritis may also help OA – fish oil. Fish oil is the best source of omega-3 fatty acids, essential fatty acids our body needs to function properly.

Most studies of the effectiveness of fish oil for osteoarthritis have been done on animals, but a few studies have also been done in humans.
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Running Knee Osteoarthritis

Running with Knee Osteoarthritis

Knee osteoarthritis doesn’t have to stop you from running—when done carefully, it can actually reduce pain associated with arthritis.

Many people mistakenly believe that running causes knee osteoarthritis—however, doctors now know this is not true. Researchers who compared long-term effects of walking, running and other strenuous forms of exercise found that running significantly decreased the risk of hip and knee replacement, while other forms of exercise increased it. Another long-term study of runners versus non-runners showed that the runners did not have a higher incidence of knee osteoarthritis than the non-runners.
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Osteoarthritis Treatment Options

Potential New Treatment for Osteoarthritis

Traditionally, treatment for osteoarthritis has been limited to relieving pain. Scientists have found hope that drugs used to treat osteoporosis may be useful in treating not only osteoarthritis (OA) pain, but cartilage damage as well.

Osteoporosis is a condition in which bone tissue breaks down faster than it is replaced, causing the bones to become brittle and prone to fracture. Bisphosphonates, a class of drugs commonly prescribed for osteoporosis, work by inhibiting cells called osteoclasts that break down bone. Researchers believe they may work similarly for OA, by inhibiting the activity of osteoclasts in the bone beneath the cartilage in affected joints.

In animal studies, bisphophonates have shown to reduce OA progression – as measured by the severity of cartilage damage and bony overgrowth – by as much as 30–40%. Continue reading Potential New Treatment for Osteoarthritis

Statins Osteoarthritis

Stopping Osteoarthritis with Statins?

Recent research shows that statins — the drugs people take to lower their cholesterol — may also lower their chances of getting osteoarthritis or delay its progression.

Traditionally, treatment for osteoarthritis (OA) has been limited to relieving symptoms and replacing joints with prostheses once they become irreparably damaged. However, researchers are actively looking for treatments that will not only ease OA’s pain and stiffness, but will slow, stop – or even prevent – the progression of joint damage. Statins may be one possible answer.

Proof That Statins May Work Against OA 

Several studies have found that all other things being equal (age, weight, comorbid conditions, for example) people taking statins either had a lower prevalence of OA or had slower-progressing OA than those who didn’t take the drugs.
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Chondroitin Knee Osteoarthritis

Can Chondroitin Slow Knee Osteoarthritis?

A popular dietary supplement appears to slow the progression of knee osteoarthritis (OA) and is as effective at controlling pain as a widely used prescription medication, according to a study presented at the 2015 American College of Rheumatology Annual Meeting. A team of Canadian researchers found that, over a span of two years, patients with knee OA who took chondroitin sulfate, which is sold over the counter (OTC), lost less knee cartilage than a second group of patients treated with the prescription nonsteroidal anti-inflammatory drug (NSAID) celecoxib (Celebrex). This new study fuels an ongoing debate over whether OA patients can benefit from OTC supplements such as chondroitin.

Chondroitin is a naturally occurring molecule your body uses to build healthy cartilage, the shock-absorbing tissue that protects the ends of bones where they form joints. (Gradual loss of cartilage leads to the pain, stiffness and other symptoms of OA.) Chondroitin supplements are made from cartilage taken from animals, such as sharks and cows, though they also can be produced synthetically. In theory, the supplements help restore lost cartilage, though some evidence suggests that they reduce inflammation, too. Chondroitin is often sold in combination with another dietary supplement marketed for joint health, glucosamine.
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