Chair Yoga For Osteoarthritis



I’m a fan of yoga and here’s a really interesting study

How Chair Yoga Could Become The Go-To Treatment For Arthritis Sufferers

Stephen Matthews writing for the Daily Mail reported chair yoga may help to reduce pain in older adults suffering from arthritis.

Researchers from Florida Atlantic University randomly assigned 131 older adults with osteoarthritis to either chair yoga or a health education program.

Participants went to their 45-minute session twice a week for around two months.

Pain measurements were taken before, during and after, in the study published in the Journal of the American Geriatrics Society.

They found those in the chair yoga group showed a greater reduction in pain interference during their sessions.

This benefit lasted for around three months – four weeks after they had originally finished.
General pain, fatigue and gait also improved as a result of the chair yoga sessions.

Writing in the journal, the authors said: ‘Chair yoga should be further explored as a non-pharmacologic intervention for older people with osteoarthritis.’

Comment: Gentle with no side effects. Sounds good to me.


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Lymphoma Risk Remains Elevated


A complication of rheumatoid arthritis that doesn’t appear to be decreasing… next

Rheumatoid Arthritis:   Lymphoma Risk Remains Elevated Despite Changing Treatment

Reported in Unavadis, a large study of Swedish health registry data indicates that lymphoma risk remains elevated among patients with rheumatoid arthritis (RA), despite evolution of treatment. Treatment advances for RA do not appear to have affected lymphoma risk. Records from 12,656 patients with RA from the Swedish Rheumatology Register linked to Swedish Cancer Register were compared with control patients for lymphoma incidence over time.

Comment: Disturbing since I would expect our newer treatments to decrease lymphoma risk.


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Eyeball Tattoos Complications



Here’s a procedure you might want to avoid…

Case Studies Underscore Ophthalmology’s Concerns About Eyeball Tattoos

Dava Stewart writing in MD reported because eyeball tattoos are not performed by ophthalmologists, experts are concerned about their many short-term risks, and warn that the long term risks could include permanent damage, according to the authors of two recent case studies. Published in American Journal of Ophthalmology Case Reports, two new case studies demonstrate the risks that go along with what the authors call this “relatively new extreme body modification.”

The two case studies are both of Mexican men, one 26 years old and the second 17. Both developed complications after having an eyeball tattoo. The authors say that the cosmetic procedure “involves injecting some type of pigment directly under the bulbar conjunctiva with a needle.”

The authors list multiple risks involved in eyeball tattoos: globe penetration, endophthalmitis, retinal detachment, traumatic cataract, a severe ocular inflammatory reaction, blindness due to ocular inflammation, as well as increased severity of uveitis. They conclude by suggesting, “Regulations prohibiting the practice of these procedures are required, because despite warnings of multiple health risks, more people are looking to get this procedure nowadays.”

The two case studies were written by Gonzalo Duarte of the Eye Clinic for Inflammatory Diseases at the Dr. Luis Sanchez Bulnes Hospital, and colleagues.

Comment: Hmmmm. What some people will do to their bodies….


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Parkinsons A Risk Factor for Carpal Tunnel Syndrome



A complication of Parkinson’s… next

Patients with Parkinson’s Disease Are at Risk for Carpal Tunnel Syndrome

Dr. Lara Pullen writing in the Rheumatologist reported patients with carpal tunnel syndrome experience pain, numbness and tingling that can be characterized as an upper limb neuropathy. CTS is more common in women, with a female to male ratio of 3:1. Various studies have described the incidence of CTS in the general population as between 2.5 and 5 cases per 1,000 person years.

Individuals with Parkinson’s disease may be especially vulnerable to CTS. One study suggests that patients with Parkinson’s may be at increased risk of CTS because of the repetitive movement due to tremor.2 Others have noted the peripheral neuropathy that is associated with Parkinson’s and wondered whether peripheral neuropathy is intrinsic to Parkinson’s, a consequence of levodopa exposure or both.3 A body of evidence suggests that a form of small fiber neuropathy is intrinsic to Parkinson’s, and thus, experts have suggested that patients with early and advanced Parkinson’s be strictly monitored for subtle signs of neuropathy.

Comment: Interesting.


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Depression in Medical Students



Depression… it’s already starting in young doctors

Many Medical Students Appear To Struggle With Depression, Research Reveals

Liz Kowalczyk writing in the Boston Globe reported that future physicians appear to “suffer depression, or depressive symptoms, at higher rates than the general population,” a meta-analysis involving “nearly 200 smaller studies from 47 countries” suggests.  In fact, about “27 percent” of medical students appear to suffer from “depression in medical school,” the research revealed.  The findings were published in the Journal of the American Medication Association.

Comment: I have news for these students… medical practice today can be even more depressing.


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Immunotherapy Drugs Sometimes Cause Immune Response Against Healthy Organs



A complication of the new immunotherapy…

Immunotherapy Drugs Sometimes Cause Immune Response Against Healthy Organs

Matt Richtel writing for the New York Times reported that “immunotherapy drugs have been hailed as a breakthrough in cancer treatment.” However, “as their use grows,” physicians are finding that “an unleashed immune system can attack healthy, vital organs: notably the bowel, the liver and the lungs, but also the kidneys, the adrenal and pituitary glands, the pancreas and, in rare cases, the heart.” Physicians “at Yale believe immunotherapy is causing a new type of acute-onset diabetes, with at least 17 cases there so far.”

Comment: All effective therapies have potential side effects so I’m not surprised.


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Older Individuals Skip Vaccinations



Are you getting your vaccinations?

Many Older People Skip Vaccinations

Paula Span writing in the New York Times reported on “an ongoing and vexing public health problem:  People once vigilant about vaccinating their children aren’t nearly as careful about protecting themselves as they age, even though diseases like influenza, pneumonia and shingles…are particularly dangerous for older people.” Carolyn Bridges, MD, Associate Director for Adult Immunization at the CDC, said, “Trying to prevent these common and often debilitating conditions is incredibly important for older adults.”

Comment:  Shame on you if you aren’t getting your shots.




Sleep Deprivation Heart Stress



Not sleeping?  That’s not healthy!

Too little sleep takes a toll on your heart, according to a new study presented at the 2016 annual meeting of the Radiological Society of North America (RSNA), Nov. 27-Dec. 1 in Chicago.

Alexandra Sifferlin reports, about twenty healthy radiologists had their hearts imaged before and after a 24-hour shift where they got an average of three hours of sleep. The also had their blood pressure and heart rate measured, and they provided blood and urine samples. Comparing the two images showed increases in heart strain, which can be a precursor for heart problems. The doctors also showed increases in blood pressure, heart rate and thyroid hormones, which are released in response to stress.

Comment:  Make sure you get your sleep… you life might depend on it!


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Drowsy Driving As Bad As Drunk Driving



Drowsy driving almost as bad as being drunk… maybe

AAA Study: Drowsy Driving As Risky As Drunk Driving

Scot Pelley reporting for CBS News stated a new AAA study  suggested “that getting behind the wheel on four or five hours’ sleep is just as dangerous as driving drunk.” According to the broadcast, a little over one in three drivers in the US does not get “the recommended seven hours of sleep daily,” and those who do get “just five or six hours” are “almost twice as likely to be involved in an accident.” As a driver’s hours of sleep decreased, the risk of an accident increased exponentially, with “teenagers, older adults, and people who have a sleep debt” at “the highest risk.”

Comment: Not surprising at all.


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Tociluzumab Giant Cell Arteritis



A breakthrough therapy… next

Tocilizumab Receives Breakthrough Designation for GCA

The FDA granted the designation of breakthrough therapy to tocilizumab (Actemra) for treating GCA (Giant Cell Arteritis). This autoimmune disease causes inflammation of arteries both medium and large in size, predominantly in the head, but also in the aorta and branches of the aorta.1

To date, GCA treatment has been limited to high-dose steroids, which are used as an emergency treatment to prevent vision loss and other damage. Long-term, flare-free remission cannot always be maintained with steroids. Because of the variety of symptoms, GCA patients are usually seen by myriad specialists, including rheumatologists.

The FDA gives a breakthrough designation to expedite the development and review of treatments that show early evidence of potential clinical benefit in serious diseases to ensure patients receive access to medication as quickly as possible. Positive results of tocilizumab use in patients with GCA were seen in the Phase 3 GiACTA study. Patients treated with tocilizumab, initially as combination therapy for six months with glucocorticoids, had sustained remission though one year of treatment compared with patients who received only glucocorticoids for six to 12 months.

Comment: GCA is a serious condition and this is great news.


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