Category Archives: back pain

Could diabetes increase risk of osteoporosis?

osteoporosis, bone health, healthIf you have diabetes, you may or may not know that you are at higher risk for heart disease than those who don’t have diabetes. However, in addition to heart disease, you could also be at risk for bone health issues. This risk was discovered in a recent study that found those with diabetes were at higher risk for osteoporosis than those without diabetes. Therefore, this finding warrants further research on this risk. And in turn, standard diabetes diet and supplement treatments may need to be revised to account for this higher risk.

What is osteoporosis?

Osteoporosis is a condition that causes bone loss. It often occurs without any symptoms. Therefore, you may not know you have the condition until you fall and break a bone. The bone loss related to osteoporosis can be caused by the body losing too much bone, not making enough bone, or both.

Literally, osteoporosis means “porous bone” which describes the honeycomb-like bone structure in those with the conditions. These spaces in the bone make it less dense, weaker, and more likely to break. It may be beneficial if you are 50 years of age or older, to get a bone density test.

Height loss or curving of the spine may be serious symptoms of osetoporosis. Therefore, if you have such symptoms and have not yet been diagnose with osteoporosis, you should visit your doctor right away. If diganosed, treatment will likely include vitamin D and calcium supplements, an exercise program, and medications.

You may be at risk for osteoporosis if you have:

  • certain autoimmune conditions like rheumatoid arthritis
  • certain cancers like breast or prostate cancer
  • digestive conditions like inflammatory bowel disease or celiac disease
  • a history of weight loss surgery
  • liver disease
  • and eating disorder
  • certain thyroid or hormone-related conditions

You may also be at risk for osteoporosis if you take certain medications such as:

  • certain heartburn medicines like  Nexium®, Prevacid® and Prilosec®
  • some antidepressants like Lexapro®, Prozac® and Zoloft®
  • steroids
  • certain diabetes medicines like thiazolidinediones

Osteoporosis and Diabetes

Using data from the 2013 Danish National Health Survey, researchers looked at the connection between bone health conditions and other health factors.  This analysis found that those people with diabetes were one-third more likely to have osteoarthritis than those without diabetes. These same people were also more likely to have bone related conditions like rheumatoid arthritis and osteoporosis.

Likely related to such bone conditions, those with diabetes were more nearly 30-percent more likely to have back, shoulder, and neck pain as well. Researchers suggest that the link between bone health and diabetes may be inflammation. Diabetes is an inflammatory condition as is arthritis. Therefore, those with one condition may have an increased risk of developing other inflammation-related conditions. This research warrants further research on this connection of inflammatory health conditions.

Ways to help your bone health

If you feel you may be more at risk for bone health conditions, read below for ways you can help improve your bone health.

  • Consume plenty of calcium: Calcium is used in many parts of the body such as helping blood clot and muscles to contract. And when the body does not have enough calcium to do these things, it takes the calcium from the bones. Over time, this can make the bones weak. Therefore, be sure to have plenty of calcium in your daily diet. Foods high in calcium include milk, yogurt, fortified breakfast cereals and juices, as well as leafy greens like kale and spinach.
  • Go outside every once in while: Vitamin D is also known as the sunshine vitamin since the body can absorb it from the sun. This vitamin helps the body absorb calcium, so it is very important to bone health. Therefore, be sure to get outside at least 10-15 minutes a day with some of your arms, legs, and face showing. During the winter, consume plenty of fatty fish like salmon, eggs, mushrooms, and fortified dairy products for vitamin D. Ask your doctor to have your vitamin D levels checked each year and take a daily supplement if your levels are low.
  • Stay active: Exercise is great for not only keeping blood glucose levels stable if you have diabetes, but it is also good for bone health.  Weight-bearing exercises like walking, hiking, jogging, dancing, and weight training are good for strengthening bones. Be sure to engage in some sort of physical activity most days of the week. You should engage in strength training such as weight exercises or resistance training at least 2 times a week.
  • Eat a plant-based diet: Not only does a plant-based diet contain calcium-rich leafy greens, but is also antioxidant-rich. Antioxidants can reduce the inflammation that can lead to oxidative stress and increased chronic disease risk. Therefore, eat plenty of colorful fruits and vegetables at every meal and snack.
  • Take a bone health supplement: If you are having trouble consuming enough calcium and vitamin D, a supplement may be for you. Find a supplement that combines calcium and vitamin D, or take them separate. One such supplement is Osteovent by Vita Sciences. Osteovent contains 400IU vitamin D3 and 1000mg calcium along with other important bone health nutrients like magnesium as well as antioxidants like vitamin C and bromelain.

-written by Staci Gulbin, MS, MEd, RD

References:

National Osteoporosis Foundation (accessed October 10, 2018) “What is osteoporosis and what causes it?”

National Osteoporosis Foundation (accessed October 10, 2018) “Calcium/Vitamin D.”

NIH Osteoporosis and Related Bone Diseases National Resource Center (February 2017) “Osteoporosis Overview.”


  • Could Weight Loss Reduce Joint Pain?

    pain, neck, back. weightJoint pain can stem from a variety of sources. Whether it be injury or chronic condition, pain can be a disruptive part of your daily lifestyle.  You may need specialized medicine or other treatment to reduce some types of pain. However, you can reduce some types of pain with at-home treatments. A recent study has found that you can reduce some types of joint pain by simply losing a small amount of weight.

    What is joint pain?

    Joint pain is any discomfort, pain, or inflammation that you may feel in your joints. Common areas where pain occurs is in the back, neck, and knees. However, pain may also appear on or around the joint at the muscles, ligaments, cartilage, bones, or tendons. For example, arthritis is the most common form of pain felt at the joints. Furthermore, tendonitis, bursitis, and fibromyalgia are examples of other causes of pain at the joints.

    Weight loss and pain reduction

    A recent study at the University of Michigan Chronic Pain and Fatigue Research Center looked at the relation of obesity and pain. A group of 123 obese study subjects were placed on a low-calorie liquid diet for 12 weeks. Also, they were asked to increase their physical activity gradually. Study results show that a 10-percent loss of body weight over 12 weeks reduced pain in many areas of the body. In particular, study subjects felt less pain in the knees and hips, as well as the abdomen, arm, chest, and jaw. Researchers are not sure why 10-percent is the point at which pain starts to decrease. However, further studies may help to figure out why this particular percentage of weight is so critical to the reduction of pain.

    How to lose weight to help reduce pain

    Although the study talks about a liquid diet for weight loss, this is not the most practical approach for most people.  Therefore, follow the tips below to help you lose weight in a healthy way for the long term.

    • Read nutrition labels and be sure to choose foods that are lower in added sugars and sodium.  The nutrition label provides total sugar information as well as how much added sugar. Added sugars are those sugars not naturally found in the food you are eating that is added for enhanced sweetness.  Try to keep added sugar intake as low as possible. Natural sugars from fruit and dairy products are OK.
    • Get more sleep each night.  Studies show that people who get 3.5 to 5.5 hours of sleep each night compared to 7 to 12 hours each night consumed about 400 calories a day more on average. This could be due to sleep deprivation affecting appetite hormones such as leptin or ghrelin.  Therefore, try to get at least 7 to 8 hours of sleep each night for optimal health. If you have trouble sleeping, try reducing screen time at night, blackout curtains on your windows, or contact your healthcare provider for more assistance.
    • Track your calories to make sure you are not consuming more than you are burning each day. Use an app on your Smartphone or write down what you eat in a food journal.  If you are still having trouble losing weight with this method, check with your healthcare provider or a registered dietitian to help you plan healthy meals and snacks.
    • Make sure you are eating enough fiber and protein each day. Animal products such as meats, poultry, seafood, eggs as well as low-fat dairy products are important sources of protein in the diet.  Fiber comes from fruits, vegetables, and whole grains from such foods as oats, quinoa, and whole-wheat. If you are vegetarian or vegan, be sure to consume plenty of legumes, soy proteins in tofu and soy milk, as well as plenty of nuts and seeds to get enough protein in your diet. Protein helps your body maintain lean muscle mass, which in turn helps promote healthy metabolism. On the other hand, fiber helps keep your gut healthy and keeps you fuller longer, which can both assist in healthy weight loss and management.
    • Drink plenty of water to help with promoting healthy hydration to reduce the incidence of dehydration, which in turn could cause your body to retain fluid.
    • Stay active. Moderate exercise each day for at least 30 minutes total is recommended for heart healthy. Exercise can also help in managing blood glucose levels and body weight.

    Besides losing weight, you can also reduce joint pain with a supplement such as Relocane by Vita Sciences. Relocane contains natural anti-inflammatory ingredients such as turmeric which promotes effective pain relief.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    American Heart Association (February 2014) “American Heart Association Recommendations for Physical Activity in Adults.”

    Berkeley University of California Wellness (accessed January 12, 2018) “10 Evidence-Based Weight Loss Tips.”

    HealthDay (February 6, 2018) “Losing Weight Eases Obesity-Related Pain. But How Much Is Enough?”

    Mayo Clinic (January 11, 2018) “Joint Pain”.


  • Could Antioxidant Treatment Reduce Arthritis Pain?

    pain, rheumatoid arthritis, arthritisAre you looking for a more natural way to deal with your rheumatoid arthritis pain? Some prescription medicines  may make you feel foggy, cause stomach ulcers, or  cause weight gain.  However, recent studies have shown that more natural antioxidants may help reduce rheumatoid arthritis pain without so many side effects.

    What is Rheumatoid Arthritis?

    Rheumatoid arthritis (RA) is an autoimmune disorder affecting the joints and other body tissues. In autoimmune diseases, the immune system wrongly attacks the body. Therefore, damage can be caused in the skin, eyes, lung, heart, and blood vessels.  Also, damage to the joint lining causes deformity in the joints, such as in the hands. Because of this damage, daily tasks and simple movement can become more difficult and painful.

    RA tends to affect smaller joints first such as those in the fingers and toes. Some symptoms of the condition include:

    • Tender, swollen joints
    • Joint stiffness
    • Fatigue
    • Fever
    • Weight loss

    Larger joints such as those in hips and knees may be affected as the disease progresses. However, nearly 40-percent of those affected by the condition have non-joint symptoms. The eyes, salivary glands, blood vessels, and nerve tissues are just some of the other body tissues that can be affected by RA.

    Current RA Treatments

    The most common treatment to arthritis pain are NSAIDS, or non-steroidal anti-inflammatory drugs. These drugs reduce pain and inflammation. Lower strength forms of NSAIDs can be purchased over-the-counter. However, long-term use of such medicines can cause symptoms such as:

    • ringing in your ears
    • stomach pain and ulcers
    • heartburn
    • heart problems
    • liver and kidney damage

    Other treatments for RA include steroids and disease-modifying antirheumatic drugs (DMARDS). Long term use of steroid though can thin bones and cause weight gain.  DMARDS such as methotrexate can slow progress of the disease. A newer class of DMARDs called biologic agents, which include Humira and Xeljanz, work to reduce inflammation. However, these medicines may have side effects such as liver damage and increased risk of infections.

    Antioxidants and RA Pain

    Mediterranean diet, olive oil, health fats, olives, tomatoes, vegetables, heart healthA journal article in the Frontiers in Nutrition suggested that fiber-rich and antioxidant-rich foods may decrease inflammation in those with RA. Furthermore, it was suggested to get such benefits from some of the following foods and drinks.

    • dried plums
    • pomegranates
    • whole grains
    • turmeric
    • olive oil
    • green tea
    • blueberries

    Other recent research has confirmed that antioxidant treatment may be helpful to those with RA. For example, a 2003 study talked about how the antioxidant defense system is weakened in RA patients. Therefore, researchers suggested therapy including standard drugs along with antioxidants to help reduce tissue damage in such patients.

    In addition to these studies, more recent research has also shown potential for antioxidant treatment of RA. For example, a 2008 study found that antioxidant therapy combined with lower doses of standard drugs may help reduce tissue damage. Due to these lower doses of prescribed drugs, such treatments may help reduce harmful side effects.

    Other Ways to Reduce Inflammation

    • Stop smoking since this activity can constrict blood vessels and cause inflammation in the body and its tissues.
    • Limit alcohol consumption: If you do decide to have an alcoholic drink, choose phytonutrient-rich red wine that contains polyphenols such as resveratrol. Also, be sure to limit consumption to no more than 1 standard drink a day for women or 2 standard drinks a day for men. For example, a standard drink of wine is equal to 5 ounces.
    •  Take probiotics through fermented food such as yogurt or through a supplement such as Biovia 30 by Vita SciencesBiovia 30 contains 30 million strains of diverse good bacteria that helps to strengthen your immune system. Probiotics can help restore good bacteria in your gut.  When your body has more good bacteria, it makes it easier to fight off bad bacteria that may be damaging your immune system.  Therefore, a stronger immune system can help fight off inflammation in the body.

    Furthermore, recent research shows a link between deficits in the intestinal microbiome and autoimmune disease. Although more studies need to be done, it is suggested that treatment of gut microbiota may be the key to improving effective treatments for such conditions as RA.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    Horta-Baas, G., Romero-Figueroa, M. del S., Montiel-Jarquín, A. J., Pizano-Zárate, M. L., García-Mena, J., & Ramírez-Durán, N. (2017). Intestinal Dysbiosis and Rheumatoid Arthritis: A Link between Gut Microbiota and the Pathogenesis of Rheumatoid Arthritis. Journal of Immunology Research2017, 4835189. http://doi.org/10.1155/2017/4835189

    Jaswal, S., et al. (December 2003) “Antioxidant Status in Rheumatoid Arthritis and role of Antioxidant Therapy.” Clinica Chimica Acta, 338(1-2): 123-129.

    Mayo Clinic (August 9, 2017) “Rheumatoid Arthritis.” 

    Medline Plus (November 8, 2017) “These Foods May Help Ease Rheumatoid Arthritis Pain.” 

    Van Vugt, R. M., Rijken, P. J., Rietveld, A. G., van Vugt, A. C., & Dijkmans, B. A. C. (2008). Antioxidant intervention in rheumatoid arthritis: results of an open pilot study. Clinical Rheumatology27(6), 771–775. http://doi.org/10.1007/s10067-008-0848-6


  • Could common painkillers cause high blood pressure?

    pain, over the counter, medicineWhen you take a medicine over the counter, you likely focus mostly on the  benefits it can provide you.  However, it’s possible to experience some harmful health effects from use of over-the-counter medicines.  A recent study has found that some common painkillers used by those with arthritis may cause high blood pressure.

    What is arthritis?

    Arthritis is the inflammation of the tissue lining the joints. It can cause pain, redness, and swelling as well as joint damage, if not treated.  These symptoms can arise due to the rubbing of bone to bone together when the tissue lining the joints is worn down.The two most common types of arthritis are osteoarthritis and rheumatoid arthritis (RA). Osteoarthritis affects mostly the fingers, knees, and hips, while RA is an autoimmune disorder that affects hands, feet, as well as internal systems. Many people with arthritis find relief with common pain medicines such as non-steroidal anti-inflammatory drugs (NSAIDs).

    NSAIDs, help to decrease pain by blocking the production of body chemicals that cause inflammation and swelling. Some side effects of taking NSAIDs can include nausea, vomiting, diarrhea, gas, and bloating. However, in some people, long-term use of NSAIDs can also cause high blood pressure.

    High blood pressure occurs when the systolic pressure of the contraction is around 140 or higher and the diastolic pressure, or the pressure in between heart beats, is above 90. A study in the European Heart Journal looked at over 400 patients with arthritis.  Study subjects were given either the prescription pain reliever Celebrex, the NSAIDS naproxen or ibuprofen, or placebo.  With the use of NSAIDs, both systolic and diastolic pressure were increased.

    Other ways to reduce arthritis pain

    • Keep your weight down since extra weight can place unnecessary pressure on your joints. Losing weight through diet and exercise can release some of this pressure and prevent damage to joints that may occur with prolonged pressure.
    • Exercise can reduce joint pain caused by arthritis. Low-impact exercises such as walking and water aerobics can aid in such pain relief.
    • See your doctor regularly. Your healthcare provider can adjust medications or supplements as necessary to help reduce any symptoms you may have.
    • Use pain-reducing supplements such as Flexova by Vita Sciences. Flexova contains powerful ingredients such as glucosamine and chondroitin, which can help support joint flexibility and ease of movement.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    Cleveland Clinic (2016) “Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)” https://my.clevelandclinic.org/health/articles/non-steroidal-anti-inflammatory-medicines-nsaids

    Dallas, M.E. (August 30, 2017) “Common Painkillers May Boost Blood Pressure in Arthritis Patients” https://medlineplus.gov/news/fullstory_168117.html

    National Institute of Arthritis and Musculoskeletal and Skin Diseases (April 2017) “Living With Arthritis: Health Information Basics for You and Your Family” https://www.niams.nih.gov/health_info/arthritis/default.asp


  • Can Yoga Soothe Back Pain?

    Yoga may bring images of flexible lean figures bending their bodies in all different directions. Therefore, yoga may not come to mind when it comes to a solution for back pain.  yogaHowever, research shows that yoga can soothe back pain as well as physical therapy.

    According to the National Institutes of Health, yoga is a mind and body practice that involves physical postures, breathing techniques, as well as methods of meditation and relaxation.  Yoga is good for improving muscle tone and strength, improving respiration, and reducing weight, among other things.

    A recent study at Boston Medical Center looked at 320 patients that had persistent back pain for 12 weeks. The patients were assigned to either 12 weekly yoga classes, 15 physical therapy sessions, or  a book on how to manage back pain.  Nearly one-half of those who took yoga classes had “clinically meaningful” improvement. Also, 37-percent of physical therapy patients and 23-percent of book group patients, respectively felt similar improvement. The difference between the yoga and physical therapy results was not considered significant.

    The lead researcher noted that both the yoga and physical therapy patients had pain relief for 12 months. However, he also suggests that not all forms of yoga are appropriate for those with back pain. The gentle yoga used in the study offered chairs and props. Therefore the study yoga was easy on the joints versus other types of yoga.

    Yoga, however, is not effective for everyone with pain issues.  Acupuncture, massage, or natural supplements such as Vita Science’s Relocane can also help relieve pain.  Relocane contains natural ingredients such as turmeric and ginger that can decrease inflammation and help relieve minor aches, pains, and muscle cramps.  Use this supplement by Vita Sciences as part of your daily health regimen to feel your best. However, be sure to talk to your healthcare provider before starting any new supplement or exercise program.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    American Osteopathic Association (accessed June 26. 2017) “The Benefits of Yoga” http://www.osteopathic.org/osteopathic-health/about-your-health/health-conditions-library/general-health/Pages/yoga.aspx

    Medline Plus (June 19, 2017) “Yoga Soothes Back Pain” https://medlineplus.gov/news/fullstory_166742.html

    National Center for Complementary and Integrative Health (August 26, 2016) “Yoga” https://nccih.nih.gov/health/yoga