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A weekly blog based on PodMed, Johns Hopkins podcast looking at the top medical stories of the week for people who want to become informed participants in their own health care. Pains in the neck are common, and here we're talking about the real, physical pain about 70% of us will complain of at some point in our lifetime, not those annoying folks who may have foisted themselves on you for the holidays, as Rick and I quip in the podcast and on this week's YouTube.  Good news gladdens our new year with this study in Annals of Internal Medicine, evaluating three methods for treating neck pain. A total of 272 people who had neck pain of 2 to 12 weeks duration were randomized to receive either spinal manipulation from a chiropractor, a home-based exercise program taught and overseen by a therapist, or medication prescribed by a physician.  Study participants were 18 to 65 years of age. Other topics this week include a study in JAMA demonstrating the cardiovascular risk reduction in people who've had bariatric surgery, a study in BMJ looking at studies (!) and a special issue of the Lancet examining the global impact of illicit drug use.  Until next week, y'all live well! Johns Hopkins Medicine does not necessarily endorse, nor does Johns Hopkins Medicine edit or control, the content of posted comments by third parties on this website. DisclaimerJohns Hopkins Medicine does not necessarily endorse, nor does Johns Hopkins Medicine edit or control, the content of posted comments by third parties on this website. Subscribe by MailSubscribe by RSS© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved. Our Clinic offers pain free acupuncture for people who areA afraidA of needles, especially children. We will be able to evaluate your specific situation with this information to insure the best results. Chronic back pain may be the result of age, weight, a sedentary lifestyle, poor sitting posture, poor lifting techniques, stress, smoking, or a number of other infections and diseases. Although back pain is a common disorder, it is not necessarily a pain that is always inevitable.
According to the CDC approximately 1 in 5 adults and 50% of older adults (> 65 yrs of age) have been diagnosed with some form of arthritis (1).
There are more than 100 rheumatic diseases and conditions that affect joints, the tissues which surround the joint and other connective tissue (1). It is the most common chronic condition in older adults.
Osteoarthritis is characterized by the gradual deterioration of cartilage and bone within a joint (2). The most common symptoms in affected joints include pain, inflammation, reduced range of motion, and grinding sensations upon movement.
There is no cure for osteoarthritis and since pain is alleviated with rest, many of those afflicted tend to avoid regular exercise for fear of pain.
Although I have great respect for western medicine and the research that pharmaceutical companies do to help cure chronic diseases, I have always been a believer in the holistic approach. As I had mentioned previously, cartilage gets nourishment through dynamic pressure gradients caused by movement and joint loading. Extreme cases may require may only allow client to work in a small mid-range of motion only. In severe cases training sessions maybe have to be limited to short bouts (8-10 minutes at a time).
Emphasize the development of functional flexibility and eccentric control through simple reactive training exercises. Eccentric training will improve soft tissue to absorb ground reaction forces and reduce the transduction of force to damaged joint structures. As I explained above, arthritis is part a chronic inflammation cycle, where inflammatory mediators remained elevated and a continued process of degradation ensues. Clinical studies in found frequent nut and seed consumption is associated with lower levels of inflammatory markers such as C-reactive protein (CRP), IL-6 and fibrinogen(9).
The rise of these inflammatory diseases over the past few decades may be linked to the Western diet of saturated fats, low antioxidants, and refined carbohydrates. Arthritis is a serious chronic inflammatory disease which has both physiological and psychological effects on overall health. This entry was posted in Chronic Disease, Fitness Training, Nutrition, Sports Medicine and tagged arthritis, fibromyalgia, gout, hands, hip, inflammation, joint pain, Knee, osteoarthritis, rheumatoid on August 24, 2012 by Joshua Stone. I understand most current therapies try to limit inflammation, which as you said drives tissue repair in the body.


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It looks at the top medical stories of the week for people who want to become informed participants in their own health care. The World of Health Organization (WHO) and the National Institutes of Health (NIH) acknowledge the benefits of acupuncture in treating and eliminating wide range of problems in our body.
Benefits are different from plan to plan, but we will be happy to check your health benefit for you.
Loh, with the help of a volunteer from the seminar audience, demonstrates a health care exercise for back pain prevention(The following information is mostly a summary of Dr. If you haven’t experienced back pain, it’s likely you know one or more friends or family members that have dealt with the problem. By maintaining good posture, one “decreases the stress on the ligaments holding the joints of the spine together” and “prevents the spine from becoming fixed in abnormal positions”(1). Acupuncture helps by using needles to stimulate specific points on the body to help release blocked qi. The physical pain associated with arthritis is well documented, however, there is a large social impact on arthritis suffers.
It is most commonly seen in joints that are load-bearing or highly mobile such as the fingers, hips, knees, lower back, and feet. Eventually, the release of surface-active phospholipids (a lubricating surfactant) is also limited (3) .
Despite this, a recent study on aerobic and resistance exercise shows that older adults who exercise are effectively able to relieve arthritic pain and improve joint function (4, 5). It is an autoimmune disease where by the body’s own immune system attacks joint structures, including cartilage, synovial membrane, and ligaments. Most people with arthritis can safely participate in physical activity programs to help the disease. Individuals with chronically elevated inflammatory markers are at high risk of chronic disease and now research shows that poor diet can also contribute to increased inflammatory markers. A diet rich in omega-3 fatty acids such as fish and nuts as well as whole grains and high fiber have been shown to reduce chronic inflammation markers in the blood. Pharmaceutical companies continue to search for a magical cure for arthritic conditions, but to date nothing has been found.
A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. They produce fantastic studies and their ability to perform clinical trials appears easier than in the US.
Although from what I understood Regenokin (Kobe’s therapy) by the injection of IL-1ra does address the inflammatory process which in the case of arthritis is chronic and leads to tissue degeneration. I doubt it is a secret, if they are the first to identify a new treatment option for osteoarthritis I am certain they would capitalize on the method.
We only use sterile, single use ultra fineA gaugeA instruments made for the ultimate in patient comfort. Generally a course of many pain related problem is six weeks and you should have experience positive changes by the third week. Back pain can be caused by a sudden injury to the muscles, ligament, bone and nerves in the spine (Acute back pain) or can be caused by long term health issues (Chronic back pain). Good posture doesn’t just mean standing up straight; it also needs to be applied to all daily activities including walking, sitting and lying down. According to the TCM meridian theories, there are many special acupressure points that can reduce or release pain, especially back pain.
If you own the rights to these pictures and would liked them removed, contact us and they will be taken down immediately. This blog will hopefully shed some light on the disease as well as provide basic exercise and dietary guidelines that can provide a holistic approach to resolving or reducing the effects of this chronic disease.


The synovium of a joint produces a lubricating substance called synovial fluid. Healthy cartilage functions much like a sponge, it is receives nourishment by absorbing synovial fluid during joint movement. With limited lubricant and dehydrated cartilage bones do not respond well, which results in exotosis (bone spurs) that further damage the structures of the joint. Rheumatoid arthritis is a systemic condition characterized by periods of activity and remission where affected joints are painful and swollen in addition to whole body symptoms of fever and malaise. Thus, I think we should try everything to heal naturally, rather than taking medications that bring about serious side effects. Many studies have shown physical activity to have a positive effect on the reduction of arthritic pain. Excessive consumption of refined carbohydrates and low dietary fiber intake is strongly associated with the production of proinflammatory molecules (7). PRP is fantastic, despite the article stating controversial evidence – the evidence in favor does exist. Other therapies like prp increase inflammatory mediators (if i’m not wrong) which make sense as cartilage is hypocellular and hypovascular and should benefit of the growth factors boost. Always inform your practitioner about all pre-existing conditions and the name of your medication you are taking. The extra benefit of exercising regularly is that it can help to keep weight down so that the back doesn’t have to overcompensate for that added weight.
Make an appointment with a licensed acupuncture to receive treatment and advice that can be helpful in the long term. As a result of decreased synovial production or inflammation the articular cartilage lining bone becomes dehydrated. Currently there is no cure of rheumatoid arthritis, but there are medications designed to relieve symptoms.
One large study compared a western diet, which contained more red meat, refined carbohydrates and saturated fat to a paleolithic diet (8). Creating a safe and systematic physical activity program can help prevent cartilage deterioration and improve overall function. Keep in mind there is nothing in medicine that is unequivocally in support of any treatment option. PRP goes against traditional thinking and I believe there will be more data coming out in the future on the advocacy of biological medicine. Exercise in the form of gentle activity can even help speed up the recovery process for back pain.
The Western diet group had greater levels of inflammatory markers, including CRP and E-selectin (8). In my opinion, it is not yet a mainstream treatment option primarily because it lacks availability to the commoner. Point is, many people with arthritis are unable to work, socialize, keep up with house chores, or play with their children. So movement is prudent, however we must be careful and be cognizant of exacerbating the issue. Those following the paleo-like diet had a significant decrease of inflammatory markers (8). By limiting intake of refined carbohydrates, excessive sugar, and foods high  in saturated fat we can lower chronically elevated inflammatory markers that are responsible for chronic diseases such as arthritis.
Athletes can fly overseas or visit high-end clinics in the US and are willing to pay through the nose on the treatment. It is costly and regulations inhibit the physicians ability to perform the procedures at cheaper rates, which limits exposure.



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