Traveling? Tips Volume 3 From Dr. Jack Cush’s excellent blog, RheumNow
Plane travel: Pack Smart and Pack Light
Read up on how and what to pack to reduce your baggage. Tip someone to carry your bags and check your luggage. Don’t be a martyr: Ask for wheelchair or electric cart to the gate or around in the airport. Exercise on plane by stretching, doing shoulder and ankle circular movements; move legs as if bicycling.
Stop every 2 hours to walk, stretch and move. Prepare the car for comfort. Bring pillows, ice chest, and water. Do shoulder & ankle circles; move legs as if bicycling.
Hip pain? Told your x-rays are normal and don’t show arthritis… don’t believe it… next
Hip osteoarthritis may not appear on X-ray
Reported in Medical Xpress, in the majority of cases, hip x-rays are not reliable for diagnosing hip osteoarthritis (OA), and can delay the treatment of this debilitating disease.
These findings are the first to evaluate the diagnostic performance of an x-ray in patients with clinical signs and symptoms of classic OA. The study appears in the British Medical Journal.
Researchers looked at the Framingham Osteoarthritis and Osteoarthritis Initiative studies, with nearly 4,500 participants. In the Framingham study, only 16 percent of patients with hip pain had radiographic hip OA, and only 21 percent of hips with radiographic OA had hip pain. Results of the Osteoarthritis Initiative were similar with nine percent and 24 percent, respectively. In both study populations, hip pain was not present in many patients with radiographic OA, and many with hip pain did not have imaging evidence of hip OA.
“The majority of older subjects with high suspicion for clinical hip osteoarthritis did not have radiographic hip osteoarthritis, suggesting that many older persons with hip osteoarthritis might be missed if diagnosticians relied on hip radiographs to determine if hip pain was due to osteoarthritis,” explained corresponding author Chan Kim, MD, instructor of medicine at Boston University School of Medicine.
Comment: I see a lot of patients who have seen orthopedic surgeons and told they don’t have osteoarthritis when they did… or even worse, told they have severe osteoarthritis when they didn’t.
Traveling… Volume 2
From Dr. Jack Cush’s excellent blog, RheumNow
Travel smart. Be prepared for arthritis flares, lost meds, accidents or emergencies.
Always bring your meds (even if don’t take them daily). Pack a few extra days’ worth of your usual meds along with a copy of your medicine list, last Doctors Note and your doctors and pharmacy phone numbers.
Meds should be part of your “carry-on” bag. A doctor’s note isn’t needed to get meds thru airport security.
You should pack labeled prescription bottles, pill organizer, syringes in your purse or carry-on. Pack snacks to take pills with. TSA only requires you prove the medication is yours. Your proof is the label on your prescription bottle or box. Carry your meds on you and apart from checked luggage.
Another promising therapy for knee osteoarthritis… next
Ozone Injections Promising in Knee Osteoarthritis
Laird Harrison writing for Medscape reported, an ozone injection into the knee can soothe pain and improve quality of life for people with knee osteoarthritis, a randomized controlled trial suggests.
“When I saw the results I was very surprised,” said Virginia Fernandes Moça Trevisani, PhD, from the Federal University of Sao Paulo, who presented the finding at the American College of Rheumatology Annual Meeting.
Ozone appears to inhibit prostaglandins and cytokines and reduce oxidative stress, she told Medscape Medical News.
It has been used in Europe for many years in the treatment of cancer, AIDS, caries, rheumatoid arthritis, and a variety of other ailments. However, it is not approved for clinical use in Brazil or in the United States, and the only studies in osteoarthritis have been case reports, Dr Trevisani explained.