Nutrition and Joint Care



  • Glucosamine and Chondroitin
    Although the book title is a bit of a misnomer, The Arthritis Cure details the importance of glucosamine and chondroitin to the health of cartilage. Glucosamine can be purchased over-the-counter at health food stores, pharmacies, and discount stores as glucosamine sulfate or glucosamine HCl, often in combination with chondroitin sulfate.The labelling often recommends an initial dose of 1500 mg of glucosamine sulfate and 1200 mg of chondroitin sulfate for 60 days, then a maintenance dose of 500 mg of each daily following that.Some have argued that chondrotin is a very large molecule and may be difficult to be absorbed into the bloodstream. Because glocusamine is a sugar, some have suggested large doses may increase your risk of developing diabetes. Also, if your cartilage is severly damaged, added nutrients may be akin to throwing fertilizer on the sidewalk and expecting grass to grow.

Tendinitis and Tenosynovitis


The tendon is the rope that connects muscle to bone. Some tendons are very short and others are long and cross over joints (such as the ones that bend and straighten the fingers). These tendons may pass underneath ligaments which hold the tendon close to the bone. When the muscle belly contracts during movement, it pulls on the rope (tendon) that is attached to the bone causing movement. The ligamentous bridges prevent the tendon from “popping out”, or bow-stringing, during movement. This makes movement more efficient. Where the tendon needs to pass around a bony bend, the tendon may be covered by a sheath which provides lubrication so that the tendon passes smoothly through these challenging areas.

Candidate for Total Knee Replacement?


Who decides whether you will have a total knee replacement operation? Curiously enough, you are the boss, you decide!

  • Your surgery depends principally on your willingness to comply with the long, demanding post-operative physical therapy and rehabilitation program that follow the surgery.
  • All other considerations (your age, disease character, etc.) are secondary.
  • The decision to have the operation of a damaged knee joint is a highly personal matter, and only you can make that decision, together with your surgeon.

Traumatic Injuries of Hand



Fractures occur when a force is strong enough to crack the bone. This typically occurs with a fall onto the hand, when the hand jams or impacts a hard object, when the hand is crushed between objects, or if the hand is forcefully twisted. A broken bone is not worse than a fractured bone; the two terms are considered to be synonymous. A bone is considered to be fractured whether it has a hairline crack or a large break with the two pieces of bones displaced.

Minimally Invasive Total Hip Replacement


Minimally Invasive or Mini-incision Hip Replacement

There are several varieties of “minimally invasive” or “mini-incision” hip replacements being done. Some are the same as the normal operation, just through the use of specialized instruments the OS is able to work using a smaller incision, some do the normal procedure with an incision as small as 5 inches long. Another other type is done with instruments marketed by Zimmer Orthopedics, Inc. This involves two two-inch incisions and the procedure is done using flouroscopy. In this procedure the femoral head is broken into several peices so it can be removed through the smaller opening.

Concerns before Total Knee surgery


1. Preoperative anxiety

You have had no previous experience with total knee replacement operation and it is only natural that you are anxious. Feeling of anxiety and depression before the total knee operation is usual for all patients. (Curiously enough, patients with previous experience, people with the other knee already operated on, are anxious too).
The preoperative anxiety disappears during the week after the operation when you have realized that the surgery has succeeded and all is well. Your preoperative anxiety will be replaced be feelings of relaxation and relief.

Joint, Tendon & Nerve Protection Suggestions



General Suggestions for Protecting Joints & Tendons from Overuse

Whether you have arthritic joint changes or hand and arm pain from repetitive strain injury, the following general suggestions can be helpful in relieving joint stressors and reducing pain during activity.

Exercise (mini rest-breaks)


To maximize the potential for prevention and recovery, it is important to make a commitment to daily stretching and cardiovascular exercise and to perform strengthening exercises 3-4 times per week depending upon your schedule and your symptoms.

Begin with postural and core strengthening, especially If you are painful or if the injury is acute. Progress into strengthening for the hand, wrist and elbow as symptoms and pain tolerance allows.

Exercise sessions do not need to be long. Taking 2-3 minutes for stretching every hour while working will improve your comfort. Studies show that these mini rest-breaks actually increase your productivity by the end of the day!

Young for Total Knee Replacement


Curiously enough, high age is no obstacle for a total knee replacement, but low age is!

Studies demonstrated that:

  • only 25% surgeons were against total knee replacement operations in patients aged over 80 years, whereas
  • 65% surgeons were against total knee operations in patients younger than 50 years


Here are some answers: