Four types of freshwater fish 'globally' associated with rhabdomyolysis - study warning

Created: 17 February 2023 | Published: 17 February 2023 | Written by Super User | Print | Hits: 5450

Four types of freshwater fish 'globally' associated with rhabdomyolysis - study warning

According to the Western Journal of Emergency Medicine, the first case of rhabdomyolysis after ingesting certain types of fish was reported in 1924 in Europe. The journal states that Haff disease is defined as an illness in a person with "unexplained rhabdomyolysis who had eaten fish within 24 hours before symptoms onset". Several case studies have since shed light on which types of fish may contribute to the dissolution of muscle fibres.

Doctor Chun Tang, Medical Director and GP at Pall Mall Medical, explained: "Rhabdomyolysis is a condition which is usually caused by direct and indirect muscle injury.

"It occurs when your muscle fibres are damaged and their contents are released into the bloodstream, which can be quite serious.

"Rhabdomyolysis can also lead to complications such as kidney failure as the kidneys become unable to remove waste and concentrated urine."

The most common causes for the condition are excessive physical exertion and dehydration, but certain types of fish have also been linked to the disease.

The China CDC Weekly reported in 2020: "A common food that has been associated globally with rhabdomyolysis syndrome is freshwater fish including freshwater cod, barracuda, buffalo fish and pomfret.

"However, cases caused by freshwater fish have been relatively rare in China."

In 2016, an investigation was conducted in a small Chinese village after six people fell ill after consuming a hotpot containing carp, vegetables, and dumplings together.

The carp had been caught from a pond earlier and prepared while retaining the testes, eggs and swim bladder.

The only person from the group who didn't consume the vegetable and dumplings did not fall ill.

In order to verify the incidence and find the cause of the disease, a team of health professionals arrived at the scene for investigation on November 10.

The suspected cases all experienced the onset of muscle pain, fatigue, brown urine and other symptoms related to rhabdomyolysis.

The report explained the five other individuals experienced "an onset of symptoms indicative of rhabdomyolysis syndrome including vomiting, backache, lumbago and creatine kinase levels exceeding five times the normal range after dinner [...]".

Although the shared dinner is believed to be the culprit for the cluster event, the mechanisms of food-borne rhabdomyolysis remain poorly understood.

In fact, dietary sources are rarely linked to rhabdomyolysis.

Some case studies have suggested a link between dietary stimulants like caffeine and rhabdomyolysis.

"Excessive caffeine intake may increase the risk of this rhabdomyolysis," explained Doctor Tang.

"Over time, excessive caffeine can damage the sarcoplasm (muscle fibre) which may, in turn, harms the muscle cells - resulting in rhabdomyolysis."

What are the symptoms of rhabdomyolysis?

Doctor Tang explains: "There are different variations of symptoms of rhabdomyolysis - as depending on the cause, it can affect one concentrated area or even the whole body.

"Classic symptoms are muscle pain in the shoulders and thighs, lower back pain, brown or dark red urine, decreased urination and weakness in morning arms and legs.

"Other symptoms can include nausea, fever, rapid heart rates dehydration and confusion."

Reference: Daily Express: Story by Solen Le Net •

The health problem plaguing female Olympians as 'pee flies through air' during competition

Created: 25 February 2022 | Published: 25 February 2022 | Written by Super User | Print | Hits: 5732

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The health problem plaguing female Olympians as 'pee flies through air' during competition

Team GB Olympian Laura Gallagher Cox has opened up on a health problem that has plagued a number of female athletes throughout their careers, called stress incontinence.

Stress incontinence occurs following an accidental loss of urine through physical exertion, following damage to the pelvic floor over time.

The problem tends to arise in female athletes that take part in high impact sports, and is common in netball, gymnastics and trampolining.

Gallagher Cox - an Olympic trampoliner who competed in Tokyo - opened up in an interview with the Telegraph on how she struggled with the problem at just 15 years of age during a national competition.

On the daunting experience at the national trampolining event, where she was finalising her preparations for the routine she would go onto perform minutes later, she said: “It completely destroyed my warm-up.

"I felt embarrassed. I went to the loo and sorted myself out and changed my leotard. People probably knew what had happened.”

The Olympian is not the only trampoliner to struggle, with the research revealing that it has affected up to 80 per cent of female athletes in the sport, according to the Telegraph report.

The 32-year-old went on to reveal just why it is common in trampolinists, commenting: “When we land from a jump, we put about 16 times our body weight through the trampoline. In terms of peeing, the worst time for it seems to be the younger girls just coming into puberty.

“I’ve been at competitions where I’ve seen girls pee as they take off – when they do a double back somersault you’ll genuinely see urine flying through the air.”

Gallagher Cox’s Team GB teammate Izzy Songhurst admitted she also suffered from the issue as a teenager, and has therefore worn a pad throughout her professional career to prevent a leak whilst competing.

She said: “If you’re having a bad day, you do worry about whether your pad is showing through the back of your leotard or if it’s coming out the side.

“It causes a bit of uncomfortableness and anxiety, which can obviously be distracting and can throw you off.”

The problem was witnessed first hand at the 2005 World Championships after French gymnast Emilie Le Pennec urinated whilst competing at the event.

The same problem occurred for Ecuadorian weightlifter Maria Alexandra Escobar Guerrero at 2012 London Olympic Games, and on both occasions the two athletes were ridiculed online.

With stress incontinence a clear problem within female sport, former rower and women's health coach Baz Moffatt informed the Telegraph on how women can deal with the issue.

Moffatt said: “My recommendation would always be to just go simple first of all and try doing pelvic-floor exercises on your own. Women have no clue how to do pelvic-floor exercises – they’ve never been taught properly – so that’s a challenge.

Reference:Mirror: Joshua Lees

Women's Sex Organ Related Dis-eases ( Herpes, V.D., Etc.)

Created: 01 September 2021 | Published: 01 September 2021 | Written by Super User | Print | Hits: 6435

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Women's Sex Organ Related Dis-eases ( Herpes, V.D., Etc.)

There is no mystery to the increasing number of women's sex organ related dis-eases. The dis-eases are caused by biochemical imbalances and the large amounts of synthetic chemicals put in the sex organs.There is no mystery to the increasing number of women's sex organ related dis-eases. The dis-eases are caused by biochemical imbalances and the large amounts of synthetic chemicals put in the sex organs.The destructiiveness of these chemicals amount to a chemical attack.

Ironically, these chemicals are designed by men who will not suffer penile flesh scraping (dilation and curettage) or penis removal (total hysterectomy). These men do not suffer the high amount or reproductive failures that occur among women (non-productive sperm). Consequently, the consciousness of these dis-eases and chemical attacks is confined to women.Chemicals attack the women's sex organs in various forms. These synthetic chemicals are alien to the body and cause the body to eject them.

This ejection takes mon ths or sometimes several years. Chemicals such as those found in synthetic douches contain substances which are not completly proven to be unharmful. If these chemicals were actually safe then the douche solution could be drunk. If a solution is not safe enough for the stomach then it cannot be safe for the sensitive uterus.

The use of these synthetic chemicals or any synthetic chemical alters the natual body chemistry and vaginal flora (natural fungus, virus, yeast, bacteria found in the vagina and intestines). These chemicals can cause cancer and skin irritation . The skin becomes irritated and ejects the synthetic (man-made) irritants in the form of bumps.Bumps have various labels such as abscesses, cysts, herpes, sores and rashes. The synthetic chemicals in tampons are equally dangerous. Tampons cause the skin to re-absorb dead and dis-easesdcells and other harmful toxic tissues.

Birth control foams, gels, pills and intrauterine devices ( I.U.D.'s) can cause inflammations and skin irritation,biochemical imbalances and destroy vaginal flora. These chemicals cannot be safely put in the eye, nor can they be considered safe for the sensitive life-giving uterus. Again, these synthetics are ejected in the form of skin eruptions, catarh and other dis-ease states.Birth control foams, gels, pills and intrauterine devices ( I.U.D.'s) can cause inflammations and skin irritation,biochemical imbalances and destroy vaginal flora. These chemicals cannot be safely put in the eye, nor can they be considered safe for the sensitive life-giving uterus.

Again, these synthetics are ejected in the form of skin eruptions, catarrh and other dis-ease states.Toilet paper treated with synthetic perfumes, dyes and paper bonders and softners cause skin eruptions. The use of antihistamines dries up nasal mucous and vaginal muc ousal fluid which contributes to fungus, yeast and bacterial dis-eases.Anibiotic usage kills natural vaginal bacteria and may give rise to virus yeast, and fungus dis-eases. So it follows that tight pant, nylon stockings and nylon (non-cotton) panties stop proper air ventilation of the vagina.

This can cause vaginitis (inflammation ), skin eruptions and create a moist environment for excessive fungus, yeast, virus and bacteria to grow. Aside from this the introduction of alien bacteria through oral sex can contribute to altering the natural flora and cause dis-eases known as abscesses, cysts, sores, hepes, etc. Consciousness of the dis-ease process broadens the woman's ability to remedy the dis-ease. There is a basic question that has to be understood in the dis-ease process.How did the first person on the face of the earth contact V.D.? There must have been a first person to have had V.D. in order to sexually transmit it to another person. After all, there was no one to catch V.D. from so, how did the first person get herpes, V.D., and other dis-eases of this nature?

A conscious analyst reveals that the body produced the dis-ease. The body will always produce herpes, V.D. and other dis-eases whenever it is in an unhealthy state.An unhealthy state is created by perversions of the natural laws. The law says a whole personm must eat whole foods. Whole foods are made by nature, not by man. Man made foods are partial foods. Partical foods are synthetic, processed, denatured, refined conserved, preserved, and embalmed with chemicals. Partial foods produce partial health, which results in dis-ease. These foods leave the body ill-prepared to protect itself thereby creating a fertile soil for dis-eases.

V.D. and herpes can be triggered by foods. Allergic reactions to the synthetic chemicals, additives, dyes or preservatives in foods can cause the vagin al area to react. The skin reaction can result in eruptions which try to eject the chemicals . V.D. can also be triggered by hormonal imbalances. Consequently, a woman with an estrogen hormone imbalance will get various types of V.D. before, during and after menstruation. Herbs such as liquorice, sarsaparilla,m black cohosh, saw palmetto, damina, foti and ginseng can balance hormone levels.V.D. and herpes can be triggered by foods.

Allergic reactions to the synthetic chemicals, additives, dyes or preservatives in foods can cause the vagin al area to react. The skin reaction can result in eruptions which try to eject the chemicals . V.D. can also be triggered by hormonal imbalances. Consequently, a woman with an estrogen hormone imbalance will get various types of V.D. before, during and after menstruation. Herbs such as liquorice, sarsaparilla, black cohosh, saw palmetto, damina, foti and ginseng can balance hormone levels.

Treatment for various types of V.D. vary and can be specific. In general baths hot and cold can be used. Baths aid in the cleansing of the body. For example, baking soda, vinegar, sea salt and herbs can be used in baths. Herbs which are beneficial in douches and baths.Treatment for various types of V.D. ary and can be specific. In general baths hot and cold can be used. Baths aid in the cleansing of the body.Herbs which are beneficial in douches and baths. Syphilis, like all dis-eases, affects the entire body. A cleansing diet of fruit or high enema with herbs should be taken. No meats or synthetic chemicals in foods should be eaten. There are many herbs that can be used such as burdock,red clover, devil's claw, oregon grape, uva ursi, buckthorn, spikenard and yellow dock.

The general, herbal treatment for V.D. of all types should be rigid. Herbs should be mixed together and measured one tablespoon or one teaspoon to a cup. A tablespoon should be used in severe cases. Boil water and then place herbs in water and let them steep for fifteen minutes to half an hour. Then strain herbs while warm (not hot) and drink at least four or more cups per day. Never drink with meals. It is best to drink one or more hours before or after meals. The same system of herb measurement can be used for douche solution, enemas and baths. In case of baths, a shallow sponge bath is suitable.Gonorrhea, like syphilis, is attributed to a germ. In European thought, they (Europeans) are either being attacked or they are attacking someone.

So it follows that, they believe that a germ has attacked them and caused the dis-ease. This thought process would lead to the conclusion that the body is attacking itself and causing dis-ease or else a germ is. Europen science never states that healthy germs are attacking the body and giving health. In any case, germs, bacteria, yeast and fungus ate present in the body at all times. When the germ community balance is altered by faulty nutrition or a trauma, then the germ population increases. Theis is erroneously blamed on the germs that are only reacting to a dis-ease state.

Imbalanced nutrition causes the internal and external skin to deteriorate, also it causes the skin to split and lacerate producing sores. The sores associated with this dis-ease can be treated with the herbs listed previously. Additionally, goldenseal, aloe, garlic, thyme and myrrh can be applied to sores combined with clay and chacoal.Imbalanced nutrition causes the internal and external skin to deteriorate, also it causes the skin to split and lacerate producing sores. The sores associated with this dis-ease can be treated with the herbs listed previously.

Additionally, goldenseal, aloe, garlic, thyme and myrrh can be applied to sores combined with clay and chacoal. Discahrge disorders such as leukorrhea can can be treated. Leukorrhea can be treated with astringent herbs such as white oak bark, barberry, tormentil (often used to make the vagina tight), hemlock, black berries, hickory, uva ursi and Queen of the |Maiden. Of, course, a strict diet and health program is always in dicated in dis-eases such as leukorrhea.

Imbalanced nutrition causes the internal and external skin to deteriorate, also it causes the skin to split and lacerate producing sores. The sores associated with this dis-ease can be treated with the herbs listed previously. Additionally, goldenseal, aloe, garlic, thyme and myrrh can be applied to sores combined with clay and chacoal. Imbalanced nutrition causes the internal and external skin to deteriorate, also it causes the skin to split and lacerate producing sores. The sores associated with this dis-ease can be treated with the herbs listed previously. Additionally, goldenseal, aloe, garlic, thyme and myrrh can be applied to sores combined with clay and chacoal. Discahrge disorders such as leukorrhea can be treated.

Leukorrhea can be treated with astringent herbs such as white oak bark, barberry, tormentil (often used to make the vagina tight), hemlock, black berries, hickory, uva ursi and Queen of the Maiden. Of, course, a strict diet and health program is always in dicated in dis-eases such as leukorrhea.

Other vaginal problems can be treated naturally. A partial list of treatment follows:
Vaginitis: gum arabic, marshmallow root: Excessive menstruation: yarrow, pilewort, sorrel, witch hazel, burnet;
Excessive discharge: shepherd's purse, alum root, bethroot, plantain, oregon grape, bayberry;
Estrogen Imbalance; Squaw vine, licorice, sarsaparilla;
Cancer: Pau D'arco, red clover;
Prolapsed Uterus: Slippery elm, comfrey;
Cramps; Rue, fennel, pennyroyal, thyme, wood betheny, blue cohosh.

A preventitive douche could consist of herbs such as marshmallow, fennel, fenugreek, bayberry bark and uva ursi. Prevention is the best method of avoiding dis-eases. A balanced diet, exercise, a healthy mental outlook and a healthy spirit are the foundation for prevention of all dis-eases.

A preventitive douche could consist of herbs such as marshmallow, fennel, fenugreek, bayberry bark and uva ursi.A preventitive douche could consist of herbs such as marshmallow, fennel, fenugreek, bayberry bark and uva ursi.Prevention is the best method of avoiding dis-eases. A balanced diet, exercise, a healthy mental outlook and a healthy spirit are the foundation for prevention of all dis-eases. All women's sex organ dis-eases can be treated naturally with herbs, foods and nutritional supplements. These dis-eases may seem to be local or confined to the vagina; however, all dis-eases indicate an imbalance and weakness of the entire body. Consequently, the diet must be of natural foods. Nowwithstanding, sexual activity should be avoided while treatment is taking place. It is time to consciously evaluate female dis-eases. And, the realization that the human being is wholistic, consists of a body, mind and spirit must be applied in all considerations of female dis-eases.

Reference:African Holistic Health: Llaila O. Africa

Cartilage comfort - Natural Solutions

Created: 10 June 2025 | Published: 10 June 2025 | Written by Super User | Print | Hits: 2364

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Cartilage comfort - Natural solutions

Knee Cartilage Damage: Treatment Options

Knee cartilage starts to wear away as we get older. Knee pain and swelling symptoms develop as the cartilage cushioning begins to fail. So what happens when you have no cartilage in your knee, and what can you do about it? In this blog, we discuss treatment options for knee cartilage damage.

Causes of no cartilage in the knee

The most common cause of knee cartilage damage is osteoarthritis. Knee cartilage loss can be due to an injury to the knee, such as a ligament tear, patellar dislocation, or meniscal tear. In addition, loss of knee cartilage can be triggered by lifestyle factors such as weight gain, diabetes, and high cholesterol. Also, inflammatory arthritis conditions such as rheumatoid arthritis can further damage knee cartilage. Knee osteoarthritis is not as simple as ‘wear and tear.’

A recent study suggested that osteoarthritis should be seen as a ‘total’ failure of the joint, including the cartilage, ligaments, and synovial lining. Studies suggest that pain from knee osteoarthritis is directly related to joint inflammation, synovitis, and subchondral bone.

Symptoms of knee cartilage damage

Generally, symptoms of worsening loss of knee cartilage include pain with activity, swelling of the joint, and reduced knee joint function. Simple tasks such as walking, housework, and standing from sitting become more difficult due to pain, swelling, and restriction.

No cartilage in knee treatment

But all is not lost. A variety of treatments are used to treat cartilage loss in the knee. Generally, treatments range from simple weight loss and exercise measures to more invasive treatments such as injections or surgery. Overall, we recommend simple treatments first.

Weight loss

In general, weight gain leads to worsening symptoms and progression of osteoarthritis. Increasing weight places more pressure on the knee joints, leading to more significant knee cartilage damage. It is well known that obese people develop osteoarthritis at an earlier age and have worse pain than healthy people. Secondly, increased fat cells in the body stimulate insulin production, leading to chronic inflammation. This type of inflammation leads to more significant cartilage degradation and worsening cartilage loss in knee.

Losing weight reduces pressure on the joints and body inflammation, improving symptoms. Studies suggest that a 10% weight reduction leads to a 50% reduction in knee pain from cartilage loss—a vast improvement.

Exercise therapy

Strength training and aerobic conditioning exercises improve symptoms of cartilage loss in the knee. Symptom improvement occurs from lowering chronic inflammation in the body, weight loss, and muscle strength gain. In addition, strengthening the muscles around the knee helps offload the knee and reduce pressure on the joint. Studies suggest that a combination of gym, pilates, yoga, and Tai Chi is the most effective for improving pain and function. Also, aquatic exercises such as swimming or aqua aerobics have significantly improved pain and function.

enerally, exercise works best for the following:

Younger patients, although older patients, still benefit.

Knee arthritis. There are over 50 high-level studies showing exercise works in knee arthritis.

An exercise program that follows the American College of Sports Medicine guidelines. So, a combination of aerobic, resistance training, and balance exercises will be used with the progression of strength training. Also, a supervised program with a personal trainer works best.

Are low-intensity workouts as good as high-intensity workouts for knee arthritis?

We think so. A recent study found that 20-30 minutes of exercise three times a week produced the same benefits on pain and function in knee arthritis compared to 90 minutes three times a week. However, those in the low-intensity group were likelier to stick to their exercise programme. These results suggest that an exercise program involving less time and fewer exercises can still offer benefits and may be easier for people to undertake and stick to than one involving more time and effort.

Can I run with knee arthritis?

There are no simple answers. An exercise program improves symptoms and general exercise tolerance, including running. We always tell people that running should be their goal if they enjoy it. However, depending on the pain, some people might need to reduce their running time.

The good news in this study is that running at your own pace does not worsen cartilage loss in the knee on X-ray and may improve your pain.

Also, a recent survey of marathon runners found they were not at an increased risk of knee arthritis compared to the average population.

Couch to 5km is a good start for sedentary people who want some guidance for a gradual return to running.

Supplements

There is increasing evidence that some supplements may improve knee arthritis pain:

Boswellia serrata is a herb extracted from the Indian frankincense tree. Boswellic acids inhibit the 5-lipoxygenase enzyme, which has anti-inflammatory effects. In some studies, Boswellia serrata reduces pain and stiffness in knee arthritis. We recommend 100-250mg daily for four weeks.

Curcumin is obtained from the Curcuma longa plant. It has anti-inflammatory effects through several pathways, including inhibiting inflammatory substances such as the COX-2 enzyme. Studies suggest it is effective for knee arthritis and should be taken for 12 weeks.

Braces

An offloading brace can be effective when cartilage loss in the knee is confined to only one area. These braces push the knee away from the side with no cartilage, reducing pressure and inflammation in that part of the knee. Generally, braces are OK at reducing pain and improving function in the knee. However, some people find them uncomfortable.

A new shoe insert called APOS therapy has recently gained NICE recommendations for treating severe knee arthritis. These particular shoes have unique rounded pods fitted to the undersurface of the shoe. APOS therapy reduces knee pain by changing the forces on the foot and knee and correcting abnormal walking patterns. NICE highlighted that clinical evidence from a high-quality trial improves knee pain and function compared to a sham device. The cost for the footwear and associated treatment from trained professionals is estimated at £875 per person.

NSAIDs for cartilage loss in the knee

Over-the-counter medications such as ibuprofen reduce pain associated with no cartilage. However, the effect is negligible. Generally, diclofenac or etoricoxib works best for arthritis. But, you must be aware of possible side effects such as gastritis, reduced kidney function, and increased blood pressure. Generally, those people with heart disease should avoid NSAIDs. One alternative to tablets is topical NSAID creams or ointments, which are effective in relieving the pain of hand and knee osteoarthritis. In addition, creams have significantly fewer side effects than tablets.

Cortisone injection for cartilage loss in the knee

Cortisone is a powerful anti-inflammatory drug that reduces inflammation and pain.

Studies suggest short-term and mild improvement of knee pain for up to 8 weeks. However, recent studies show that cortisone is no different from a placebo for knee arthritis at six months. Also, there is concern about repeated cortisone injections causing more knee cartilage damage. Overall, we use cortisone injections less for longstanding cartilage loss in the knee and reserve these injections only for a severely swollen knee.

Platlet - rich - plasma also known as PRP, is a concentrated source of platelets. We obtain PRP from your whole blood. Then, the blood is spun in a centrifuge, separating the plasma from the white and red cells. This plasma contains concentrated platelets, which have many growth factors. Overall, we believe PRP works by allowing the growth factors to settle chronic inflammatory cells, leading to lower pain.

Recent studies suggest that PRP or platelet-rich plasma improves knee pain for over 12 months compared to gel injections, cortisone, and other substances.

Currently, 23 randomised trials show that PRP is better for no cartilage knee than other injections such as cortisone and hyaluronic acid. Also, we think that a type of PRP called leucocyte-poor PRP (compared to leucocyte-rich) has a good effect with less risk of a flare.

Often, 2-3 injections are needed over 4-6 weeks.

Combining PRP with hyaluronic acid

Recent evidence suggests combining PRP with hyaluronic acid might be better than PRP alone. This positive effect is seen at 3, 6, and 12 months. Also, we think adding hyaluronic acid reduces the risk of a flare after a PRP injection.

When combining treatment for knee cartilage damage, we recommend one high molecular weight hyaluronic acid and 2 PRP injections.

Nstride PRP

Nstride PRP is a second-generation PRP that concentrates the platelets and white cells.

The theory is that Nstride PRP will last longer than normal PRP. Some studies suggest the pain-relieving effect can last for a few years. But how genuinely effective is Nstride PRP? It seems that the evidence is not so convincing compared to placebo. Also, Nstride contains a higher concentration of leucocytes or white cells. Higher white cells may cause a significant flare after an injection.

Arthrex ACP Max

Arthrex ACP Max is a second-generation PRP system that super concentrates platelets, producing a dose of 5-12 billion. It has an innovative dual syringe system enables a double spin and concentrates platelets. Unlike NStride, it has a low white cell count, meaning the potential flare is generally less severe.

Arthrosamid injection for damaged knee cartilage

Arthrosamid is a unique hydrogel of water molecules attached to a polyacrylamide backbone. It is injectable and non-degradable, meaning the body does not break it down.

It works by coating the lining of the synovium of the knee joint, reducing inflammation, and providing lubrication.

Recent studies show improvement in pain scores lasting for up to 4 years. In addition, compared to hyaluronic acid, it works better in younger and slimmer patients.

Comparing injectables, Durolane, PRP or Arthrosamid: Which drug is more effective?

According to studies published on each injectable for knee a

According to studies published on each injectable for knee arthritis, we think the effectiveness for the treatment of knee arthritis in percentage terms is as follows:

Durolane: 70%

PRP: 70%

Arthrosamid 75%. Patients less than 70 years old do better (80-95%)

Surgery for damaged knee cartilage: what are the options?

Surgical options for bone-on-bone cartilage loss in the knee are limited.

Firstly, keyhole surgery for knee cartilage loss is ineffective and could accelerate knee damage. Therefore, the only indication for keyhole surgery is when you have actual mechanical symptoms such as locking or giving way due to a loose body or a meniscal flap.

High tibial knee osteotomy can reduce pressure on the knee joint if there is a malalignment problem. However, the evidence for effectiveness is not strong, and the risks are real. In addition, recovery is prolonged (greater than six months), and there is currently debate about whether osteotomy is better than a knee replacement.

Finally, knee replacement surgery effectively reduces pain and improves function compared to physiotherapy. Still, the sting in the tail is that 16% of people have problems after this surgery – some of these are serious. The bottom line is that surgery should only be done once your pain and activity levels become unacceptable.

Knee cartilage repair without surgery: Is it possible?

Overall, no current non-surgical treatment will repair or regenerate cartilage in the knee. Even surgery for cartilage replacement is problematic. Injections such as PRP, hyaluronic acid, and stem cells have not demonstrated cartilage regeneration in arthritis. Procedures injecting stem cells into knee joints have not shown better results than any other injection, including a placebo.

damage:

Will my knee arthritis get worse?

Not necessarily. Your chances of knee replacement are only 30% in your lifetime. Generally, the best way to prevent the progression of knee cartilage damage is to maintain a healthy lifestyle: exercise, lose weight, and stop smoking. If you gain weight, your chances increase from 30% to 35%.

What causes pain with knee arthritis?

Contrary to popular opinion, cartilage damage does not cause pain. Instead, pain comes from swelling of the bone under the damaged cartilage (subchondral bone) or the inflamed synovium.

Does arthroscopic surgery help knee arthritis?

No. Some studies suggest it may worsen cartilage loss in the knee. However, keyhole surgery may also contribute to mechanical symptoms such as locking or giving way due to a loose body or flap.

When to have knee surgery for arthritis?

Every person is different, but we suggest a knee replacement if you need to reduce your step count to 7000 or less daily due to pain. The good news is that most people (85%) get back to their chosen sport five months after a knee replacement. These activities include walking, skiing, and even running.

Which injection is best for knee arthritis?

Overall, we think Arthrosamid injection has a slightly better effect than other injectables, such as PRP or hyaluronic acid. Studies suggest that 73% of patients experience a meaningful reduction in knee pain and improved function compared to 60-70% who have PRP and 65-70% who have hyaluronic acid. However, Arthrosamid is considerably more expensive.

Can you combine Duoxetine with a knee joint injection for knee arthritis?

Duloxetine is an antidepressant that has been shown to work for osteoarthritis. A recent study found that combining Duxoxetine with a knee injection (cortisone and hyaluronic acid) was more effective than the injection alone. At 6 months, those patients who took Duloxetine after a knee injection did better than those who just had an injection.

Final word from sportdoctorlondon about knee cartilage damage

Loss of cartilage in the knee is expected as we age. Weight loss and exercise are the best medicines to reduce pain and improve activity. Only use injections sparingly to help with lifestyle factors, with a preference for knee gel and PRP. Avoid expensive treatments like stem cells that promise regeneration. Finally, consider a knee replacement if all other treatments fail and your ability to exercise drops.

Reference: Sport Doctor London.

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Four types of freshwater fish 'globally' associated with rhabdomyolysis - study warning

Four types of freshwater fish 'globally' associated with rhabdomyolysis - study warning

What are the symptoms of rhabdomyolysis?

The health problem plaguing female Olympians as 'pee flies through air' during competition

The health problem plaguing female Olympians as 'pee flies through air' during competition

Women's Sex Organ Related Dis-eases ( Herpes, V.D., Etc.)

Women's Sex Organ Related Dis-eases ( Herpes, V.D., Etc.)