Download ppt - Dr. Jason Batley - Joint Pain

Protect Your Joints and Bones

Jason Batley, MD

143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004


Staying mobile keeps us vibrant, independent and

feeling great!

An important key to health is

maintaining activity


What can Potentially Affect Your Mobility?

Arthritis•Decreases mobility•Meniscus tears•Osteoporosis•Risk of Injury


Arthritis…

•66 Million Americans affected-60% Women -40% Men

•Joints commonly affected:KneesHipsShoulders

•Joints become stiff and painful which can limit how much we walk or do•Over 100 forms or arthritis


Knee Arthritis…


Risk Factors for Arthritis…

•Genetic predisposition•Female gender•Increasing age•Obesity •Joint Injury•Infections


Symptoms of Arthritis…

•Stiff JointsEspecially upon waking in the morningSwellingCrepitus

•Painful Joints•Joint Inflammation


Management of Arthritis…

•Heat therapyMoist heatParaffin wax

•Cold therapyIce wraps

•Anti-inflammatory medicationsAspirinNonsteroidals

•Weight loss


Management of Arthritis…•Exercise

Low impact exercisesoRange of motionoStrengtheningoAerobic or endurance

Rehabilitative services (PT/OT)


Management of Arthritis…•Hydrotherapy(Water Therapy)


Comprehensive Arthritis Treatment Plans…

•Rest and relaxation•Appropriate diet•Medication•Pain relief therapies•Exercise•Instruction on the proper use of joints and ways to conserve energy – not to waste motion – physical therapy•Intervention when necessary


Other Joint Pain Options…Joint Replacement•300,000 knee replacements performed annually•1 in 4 people with arthritis of the knee with have a surgical replacement•Most common joints to be replaced:•Knee•Hip


Arthroscopic Treatment


Arthroscopic Treatment


Other Joint Pain Options…Joint Replacement

Knee Replacement Hip Replacement


Meniscus Tears


Arthroscopic View


Surgical Treatment



Osteoporosis…

•53 million men and women will be affected by 2010•Often called the “silent killer”•22 million are at risk due to low bone mass


Risk Factors for Osteoporosis…

•Low bone mineral density, or DXA• Family history•Small/petite frame

•Smoking•Alcohol•Lack of lifelong exercise•Inadequate calcium and vitamin D intake•Certain medications

•Estrogen deficiency•Ethnicity


Symptoms of Osteoporosis…

•Often times, no symptoms•Dowagers hump (late sign)•Previous fracture (low-traumatic) as an adult


Hip fractures..

•Adequate calcium and vitamin D intake•Daily calcium requirements:

< age 50 1000 mg/day> age 50 1200 mg/day

•Avoid alcohol•Smoking Cessation•Weight bearing exercises•Three to four servings of nonfat dairy or calcium-fortified foods daily


Prevention of Osteoporosis…


Daily Vitamin D Requirements…•Calcium Rich Foods

Dairy: Milk, yogurt, cheeseLeafy green vegetables: Broccoli, kale, spinachFruits: OrangesBeans and peas: Tofu, peanuts, peas, black beans, baked beansFish: Salmon, sardinesMisc: Sesame seeds, blackstrap molasses, corn tortillas, almonds, brown sugar


Daily Vitamin D Requirements…

•Sources of vitamin DSkin (manufactures it when exposed to sunlight)Fortified foods

oMilkoCereal

Egg yolksSaltwater fishLiverSupplements

oMultivitamins


Can’t Change Entire Diet!!!


Diagnosing Osteoporosis…

Bone Mineral Density Test Painless Non-invasiveReccomended for all women over age 65Women under 65 with any of the following:

History of a bone fracture Small frame Low body weight Current smoker Rhematoid arthritis Low physical activity Thyroid disease Excessive intake of caffeine


Treatment of Osteoporosis…

•Continued calcium and vitamin D •Continued exercise (using caution)•Bisphosphonate therapy

Fosamax (on the market the longest)ActonelBoniva (once monthly dosing)



What is consequence of “Brittle Bones”?…

FRACTURES!

Don’t wait until it’s too late; find out about osteoporosis

BEFORE a fracture occurs.


Take action for your health and know your

risk factors for arthritis and osteoporosis!