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Do You Have Knee Pain From Osteoarthritis? You May Not Need Surgery. Here’s What You Can Try Instead

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Most individuals with knee osteoarthritis find that pain could be controlled and mobility improved without the necessity for surgery. updated treatment guidelines from the Australian Healthcare Safety and Quality Commission.

What is knee osteoarthritis and what are the very best ways to treat it?

More than 2 million Australians suffer from osteoarthritis

Osteoarthritis is probably the most common joint disease that affects 2.1 million Australians. This it costs the economy AUD 4.3 billion per 12 months.

Osteoarthritis is a typical disease it affects knees, but may also affect the hips, spine, hands, and feet. It affects the complete joint, including the bones, cartilage, ligaments, and muscles.

Most individuals with osteoarthritis experience chronic pain and have difficulty performing easy day by day activities, comparable to walking or climbing stairs.

Is this as a consequence of wear and tear?

Osteoarthritis of the knee joint most frequently affects older people, people who find themselves chubby or obese, and other people with previous knee injuries. However, contrary to popular belief, Osteoarthritis of the knee joint is not brought on by “wear”.

Research shows The amount of structural wear visible within the knee joint on an X-ray doesn’t correlate with the extent of pain or disability an individual experiences. Some people have a low degree of structural wear and really bad symptoms, while others have a high degree of structural wear and minimal symptoms. So X-rays are not required to diagnose osteoarthritis of the knee and judge on treatment.

Telling people they’ve wear and tear could make them worry about their condition and fear damaging the joint. It may also encourage them to try invasive and potentially unnecessary treatments, comparable to surgery. it was shown in individuals with osteoarthritis and other common pain conditions comparable to back AND arm pain.

This led to a worldwide appeal for change in manner we predict and communicate about osteoarthritis.



What is the very best treatment for osteoarthritis?

Non-surgical treatments are effective for most individuals with osteoarthritis, no matter age or severity of symptoms. activate education and self-control, exercise and physical activity, weight management and nutrition, and a few pain medications.

Education is very important to dispel misconceptions about knee osteoarthritis. This includes details about what osteoarthritis is, the way it is diagnosed, its prognosis, and probably the most effective ways to administer symptoms yourself.

Health professionals who use positive and reassuring language it could possibly improve people’s knowledge and beliefs about osteoarthritis and its treatment.

Many people imagine that exercise and physical activity will cause further damage to joints. But they’re protected and may reduce pain and disability. Exercise has fewer uncomfortable side effects than commonly used pain medications comparable to paracetamol and anti inflammatory drugs and perhaps prevent or delay the necessity for joint alternative surgery in the longer term.

Many kinds of exercises are effective for knee osteoarthritis, comparable to strength training, aerobic exercise comparable to walking or cycling, yoga, and tai chi. So you’ll be able to do whatever exercise suits you best.

It can be necessary to extend your overall physical activity, comparable to taking more steps in the course of the day and reducing the time you spend sitting.

Weight control is very important for people who find themselves chubby or obese. Weight loss can reduce knee pain and disabilityespecially when combined with exercise. Losing just 5-10% of body weight could also be useful.

Pain medications mustn’t replace treatments comparable to exercise and weight control, but could be used alongside these treatments to assist relieve pain. Recommended medications These include paracetamol and nonsteroidal anti-inflammatory drugs.

Opioids are not really helpfulThe risk of harm outweighs any potential profit.

What about surgery?

People affected by knee osteoarthritis typically undergo two kinds of surgery: knee arthroscopy and knee alternative.

Knee arthroscopy is a style of surgery performed laparoscopically to remove or repair damaged pieces of bone or cartilage that could be causing pain.

However, high-quality research he showed arthroscopy shouldn’t be effective. Arthroscopy mustn’t be used to treat osteoarthritis of the knee.

Joint alternative involves replacing joint surfaces with artificial parts. In 2021–2022 53,500 Australians underwent knee alternative as a consequence of osteoarthritis.

Joint alternative is commonly seen as something inevitable and “necessary.” However, most individuals can effectively manage their symptoms through exercise, physical activity, and weight management.

The recent guidelines (often known as the “standard of care”) recommend that joint alternative surgery should only be considered for individuals with severe symptoms who’ve already tried non-surgical treatments.

I even have knee osteoarthritis. What should I do?

This standard of care links to free, evidence-based resources to support individuals with osteoarthritis. These include:

If you suffer from osteoarthritis, you’ll be able to profit from standard of care to have the option to speak together with your doctor and make informed decisions about your care.

This article was originally published on : theconversation.com
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Health and Wellness

US communities phase out fluoride use in public drinking water

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fluoride, water


There is a battle raging in American cities over whether to proceed using fluoride in water.

This is a process generally known as fluoridation that began around 1945. According to to the American Cancer Society became popular across the country after scientists noticed that individuals living in water with higher concentrations of fluoride had less tooth decay.

In 1962, the U.S. Public Health Service (PHS) advisable adding fluoride to public drinking water supplies to forestall tooth decay. The American Cancer Society estimates that fluoride is currently used in public drinking water supplied to roughly three in 4 Americans.

However, opponents have been warning for years that fluoride in drinking water is unsafe to devour. One of the organizations leading this initiative is Fluoride Action Network (FAN). The organization, whose mission is to lift awareness of what it claims is the “toxicity of fluoride compounds,” says many of the world’s developed countries don’t use fluoride in drinking water at the identical levels as America, or in any respect.

The organization says yes it helped over 500 communities successfully reject fluoridation, and there could also be more.

Federal leaders have gotten increasingly vocal in their support for ending the use of fluoride

While FAN says communities have rejected fluoridation for the past few a long time and the method has stalled in consequence, the fight has been thrust into the highlight over the past few months.

First, the National Toxicology Program, a federal agency throughout the Department of Health and Human Services, reported with “moderate certainty” that there may be an association between communities with higher levels of fluoride exposure and lower IQ in children. According to the Associated Press, these communities use greater than twice the advisable limit.

A month later, a federal judge apparently ordered the U.S. Environmental Protection Agency (EPA) to further regulate fluoride in drinking water because higher levels could affect children.

Robert F. Kennedy, nominated by President-elect Donald Trump to direct the Department of Health and Human Services, announced an end to fluoridation.


This article was originally published on : www.blackenterprise.com
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Health and Wellness

WATCH: Cynthia Erivo on the importance of being a sister – Essence

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This article was originally published on : www.essence.com
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Health and Wellness

Phenergan is no longer recommended for children under 6 years of age due to the risk of hallucinations. Here’s what you can use instead

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The Australian Drugs Regulatory Authority has issued an order safety warning over Phenergan and related products containing the antihistamine promethazine.

The Therapeutic Goods Administration has stated that over-the-counter products shouldn’t be given to children under six years of age due to concerns about serious unwanted side effects akin to hyperactivity, aggression and hallucinations. Breathing may turn into slow or shallow, which can be fatal.

When high doses are administered to young children, difficulties in learning and understanding, including reversible cognitive deficit and mental disability, may occur. – said the TGA.

The latest warning follows international and Australian concerns about the drug in young children, which is commonly used to treat conditions akin to hay fever and allergies, motion sickness and for short-term sedative effects.

What is promethazine?

Promethazine is a “first generation” antihistamine that has been sold over the counter in Australian pharmacies for a long time for a spread of conditions.

Unlike many other drugs, first-generation antihistamines can cross the blood-brain barrier. This means they affect your brain chemistry, making you feel drowsy and sedated.

In adults, this will likely be useful for sleep. However, in children, these drugs can cause serious unwanted side effects on the nervous system, including those mentioned on this week’s safety alert.

We’ve known about this for a while

We have known about the serious unwanted side effects of promethazine in young children for a while.

Advice regarding 20 years ago In the United States, the drug was not recommended for use in children under two years of age. In 2022, an Australian Medicines Advisory Committee made its own suggestion to increase the age to six. New Zealand released similar warnings and advice in May this 12 months.

Over the last ten years, there have been 235 cases of serious unwanted side effects from promethazine in each children and adults reported to the TGA. Of the 77 deaths reported, one was a toddler under six years of age.

Reported unwanted side effects in each adults and children included:

  • 13 cases of accidental overdose (leading to 11 deaths)
  • eight cases of hallucinations
  • seven cases of slow or shallow respiration (leading to 4 deaths)
  • six cases of decreased consciousness (leading to five deaths).

TGA security alert comes after an internal investigation by the manufacturer of Phenergan, Sanofi-Aventis Healthcare. This investigation was initiated in 2022 advice from the Medicines Advisory Committee. The company has now updated its information for consumers and healthcare professionals.

What can you use instead?

If you have allergies or hay fever in young children, non-sedating antihistamines akin to Claratine (loratadine) or Zyrtec (cetirizine) are preferred. They provide relief without the risk of sedation and other disturbing unwanted side effects of promethazine.

If symptoms of a chilly or cough occur, parents must be reassured that these symptoms will normally subside with time, fluid intake, and rest.

Saline nasal sprays, adequate hydration, a humidifier or elevating the child’s head can relieve the congestion related to hay fever. Oral products containing phenylephrine marketed for nasal congestion must be avoided because evidence shows that this is the case This article was originally published on : theconversation.com

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