Nutrition Research Update: Osteoarthritis

Nutrition Research Update: Osteoarthritis



welcome to the nutrition research update from the renaissance' Institute of Integrative Medicine I'm dr. James Meschino our topic today is osteoarthritis it's also known as degenerative arthritis and it's primarily an age-related condition and virtually everyone has some osteoarthritic changes in their joints by the age of 60 unless they take some precautionary measures that we're going to talk about today now for a long time no one really knew how osteoarthritis developed we thought it was just sort of you know a wear and tear problem on the joints but we realize later that that's not exactly true some people with a lot of wear and tear on their joints their joints are spectacularly good but in the 1980s we saw some biochemical research and genetic research that showed us where a lot of the osteoarthritis comes from and so there's a hallmark feature that occurs after the age of 40 and that is that the joints stopped making optimal amounts of a molecule called glucosamine you've probably heard about glucosamine but the body makes glucosamine because it's an important component of raw material needed to make joint cartilage so after the age of 40 what happens is that the cartilage is now breaking down at a faster rate than the body can resynthesize it because of lack of glucosamine so you get what's called cartilage erosion and the net result is that the bones start to get closer together so when you have an x-ray take and you see that your bones are getting closer together we call that narrowing of the joint space and that is the first sign that osteoarthritis is starting then we realized in more recent years that on the inside of our joints we have like this saran wrap it's called the synovial tissue and there are certain white blood cells they're called monocytes and as we get older those monocytes secrete more inflammatory chemicals and we become more prone to inflammatory changes in our joints in the aging process as well so what I want to talk to you about today are sort of the four pillars to prevent these offs to arthritic changes from occurring and how to best manage osteoarthritis if it does start to occur so pillar number one is this after the age of 40 people need to take supplements mean glucosamine supplements have been shown to substitute for the glucosamine the body can't make itself anymore the body can take that glucosamine and help to make critical components of the joint cartilage to stop joint cartilage erosion from occurring I will tell you something there are no drugs that can do that only glucosamine sulfate has ever been shown to actually do this it'll help to stabilize that joint cartilage some people take glucosamine with chondroitin sulfate I will tell you that's a mistake because chondroitin doesn't even get absorbed less than 11 percent of it even goes from the gut into the bloodstream and this leads us to pillar number two pillar number two is that anti-inflammatory natural anti-inflammatory agents like core certain and MSM and bromelain can really help to decrease the inflammatory response by those white blood cells that are producing the inflammatory chemicals so when you take a glucosamine supplement it should include some of these natural anti-inflammatory components core certain MSM and bromelain as an example you also need an anti-inflammatory diet that means less high-fat animal products with the exception of fish and you have to have the right vegetable oils that's all explained in the text below the third pillar is going to be chiropractic care I will tell you that chiropractic care is a phenomenal thing to to undergo periodically because what chiropractic does is it corrects the postural faults of the occupational stresses that we're all exposed to we all become victims over time the things that we do each day our joints slowly get locked up they start to seize we have restricted motion and it occurs very slowly over time and then you get with that muscular tension and muscular contractures and knots and it can all result in sort of pain restricted motion of our joints and things start to feel tight you can see it when you're walking down the street and you see an older person who's you know rigid and stiff and they're not moving so fluidly and then you see someone younger who has the natural fluid motion of a younger person the older person has allowed these joint fixations and muscular tightening to sort of creep up on them over time and the net result is that they get rigid and stiff restricted motion they're unable to do things they could do when they were younger and you also become more prone to joint pain and arthritic changes and acute flare-ups of back pain and shoulder problems elbows start to hurt here your knees are sore and so you get these more serious joint problems if you don't have the preventative things in place so what does chiropractic care do it restores to normal joint function relieves pain strips out the muscular knots safely realigns to joints corrects the fixations that are causing the joints to get stuck and locked in the first place helps to stop the GDD generative process that can lead to cartilage erosion and keeps you more functional and that's really what you want so those first three pillars glucosamine natural anti-inflammatories and chiropractic care what's the fourth pillar the right exercise program after a chiropractor examines you they can they can get you on a program that makes the most sense in terms of a stretching program strength training program and also the right endurance program for general fitness and the prevention of diabetes and cardiovascular problems here's the big problem I have is that the medical management of osteoarthritis primarily involves anti-inflammatory drugs or pain-killing drugs drugs these nonsteroidal anti-inflammatory drugs like aspirin ibuprofen indomethacin voltaren celebrex you know in a recent review paper right by robert j adams published on september 27th 2011 in the biomedical central journal of a family practice what they showed is that those drugs they don't just cause stomach irritation if you've taken aspirin and ibuprofen you know it can cause some stomach upset and and and discomfort but it's actually causing erosion of the of the stomach lining which can lead to ulceration and internal bleeding you may not know this but 10 to 20,000 people in the United States every year die simply from internal bleeding related to aspirin ibuprofen and these types of nonsteroidal anti-inflammatory drugs but this paper went on to highlight the fact that the frequent use of these drugs is now also linked to congestive heart failure and high blood pressure and damaging the liver so you deserve greater risk of liver failure damaging the kidneys leading to kidney failure carry the need for dialysis adverse drug reactions are the fourth leading cause of death in the United States that's been well established but what people don't often know is that it's these anti-inflammatory pain killing drugs that actually cause the greatest number of deaths as adverse events related to drugs compared to all other classes of drugs and acetaminophen is just as guilty it's not it's not an anti-inflammatory but it is a painkiller acetaminophen is strongly linked to liver damage leading to liver failure the need for liver transplant kidney damage leading to the need for dialysis later in life or a kidney transplant these drugs are not candy now I'm not against the use of drugs because in the short term some of these drugs are necessary to control pain and inflammation I totally understand that but drugs don't address the underlying cause and it's best to reduce your reliance on these drugs over your lifetime how do you do that with a glucose after the age of 40 with a glucosamine supplement that has anti-inflammatory herbs you need the right anti-inflammatory diet periodic chiropractic care and the right exercise program so you know many family doctors and rheumatologist orthopedic surgeons fail to explain to patients the importance of diet and supplementation the role of exercise the fact that chiropractic care can be useful in cases of osteoarthritis I'll tell you it's very unfortunate it's very disappointing and it's wrong because these things can make a very big difference the science demonstrates that there are clinical studies to prove it so I've summarized the diet and supplementation program for osteoarthritis prevention management in the text below this video please pay heed to the advice and ask your doctor of chiropractic to help you implement these strategies based on their examination findings because I know it'll make a huge difference for you so I hope you found this research update to be helpful and informative if so feel free to share it with your friends and your family and I will see you next time and thanks so much for watching

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