Bones & JointsDecember 2009 your guiDe to orthopeDic health

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bones & joints

2 3

CONTENTS 2 BoningUpOnBones

2 TheLowdownOnJoints

3 PanelofExperts

3 ChiropracticCarefor

AchingBacks

4 AHands-OnApproach

toPainManagement

4 HelpingPatientsHeal

Themselves

5 Cherries:TheNewArthritis

Fighter?

6 User-FriendlyProducts

MakeLifeEasier

7 CanSupplementsHelp?

BONES&JOiNTS

Publisher: Lyn Vito lyn.vito@mediaplanet.com

Contributor: Catherine Winters

Designer: Carrie Reagh carrie.reagh@mediaplanet.com

Photos: ©iStockphoto.com

For more information about supplements in the daily press, please contact: Kayvan Salmanpour, 1 646 922 1400 kayvan.salmanpour@mediaplanet.com

This section was written by Mediaplanet and did not involve The Boston Globe News or Editorial Departments.

www.mediaplanet.com

“We wouldn’t be

able to move if

we didn’t have

joints,” said Dr. Tuhina Neogi, a

rheumatologist and associate

professor of medicine at Boston

University School of Medicine.

“They allow us to have flexibility

aswellasstability.”Withoutjoints

wewouldn’tbeabletograsp,twist,

swivel,bend,jump,squatorpitch.

“Jointsdon’texist inavacuum.

Theendsofbonesare linedwith

cartilage, helping joints move

smoothly.Ligaments,whichkeep

joints stable, connect bones;

tendons attach muscle to bone;

and muscles provide force for

joint flexion and extension,” said

Dr.Neogi.

Injury,growingolder,genesand

diseaseaffectthehealthofjoints.

Socanexcessweight.Gaining10

poundsislikeplacinganextra40

poundsofforceonyourknees.An

estimated 46 million Americans

haveaformofarthritisorarelated

condition,causingmildtosevere

joint pain as well as tenderness

and swelling.The most common

type is osteoarthritis (OA), which

affects 27 million Americans. It

occurs when cartilage degener-

atesovertime,leadingtopainand

inflammation.

The good news: You can take

preemptive action. “If you stay

physically active and keep your

weightwithinanormalrange,you

canloweryourriskforgettingOA

atayoungerage,”saidDr.Patience

White, chief public health officer

for the Arthritis Foundation. You

canalsokeepearlyOAfrompro-

gressing.Stretchingandstrength-

eningmusclesprotectsjointsand

lowers your injury risk. If you do

injureyourself,gettheappropriate

rehabilitation.“Painanddisability

are horrible,” said Dr. White.“We

shouldn’tminimizehowdifficultit

istoloseyourindependence.”

The Lowdown On Joints Untiltheybotherus,werarelygiveourjointsasecondthought.That’sbe-causejoints—theareawheretwobonesmeet--usuallyhumalongnicely.

When it comes to bone

health,theonlywayto

make sure your bones

growstrongenoughtolastalife-

time is to pay attention to them

duringyouryouth.

Inadditiontoraisingawareness

about osteoporosis and the bro-

ken bones it causes, the National

OsteoporosisFoundationbelieves

that prevention is the best medi-

cine.That iswhy ithaspartnered

with Best Bones Forever!™. The

foundingpartnersoftheNational

Bone Health Campaign—the Of-

ficeonWomen’sHealth,National

Osteoporosis Foundation, and

Centers for Disease Control and

Prevention—launched the cam-

paign in 2001 for girls and their

parents.Thenewname,BestBones

Forever!™,isfocusedonfriendship

andencouragesgirlsandtheirBFFs

(BestFriendsForever)toeatmore

foodswithcalciumandvitaminD

andgetplentyofphysicalactivity,

particularly activities that involve

runningandjumping,likebasket-

ballorsoccer.

Calcium,vitaminDandexercise

areimportantforeveryonebutitis

critical thatyounggirls,andboys

too,doalltheycanduringthepeak

bonebuildingyears.Themajority

ofthebonewewillhaveasadults

iscreatedbytheageofabout20

years.Andbecausethereissucha

strong link between osteoporosis

and generations within a family,

theNationalOsteoporosisFounda-

tionurgesAmericanstomakebone

healthafamilytradition.

But,evenifyouweren’tfortunate

enough to inherit the best genes

forstrongbones,youcanstillmake

adifferencewithahealthylifestyle

programthatincludes:

• weight-bearing and muscle-

strengtheningexercise

• adequateintakeofcalciumand

vitaminD

• not smoking or drinking too

muchalcohol,and

• talking to your healthcare

provideraboutyourriskfactors

andaskingwhenyoushouldbe

testedforthedisease

There are a variety of FDA-ap-

provedmedicationsthatcanslow

bonelossorhelptorebuildbone.

Formoreinformation:

www.nof.org•request@nof.org

(800)231-4222

Boning Up On Bones “If only I knew then what I know now...”This may wellbe the lament of many baby boomers when the achesandpainsofalifewell-livedbecomemorecommonwitheverypassingday.

BY:SUSANRANDALLRN,MSN,FNPSeNIORDIReCTOR,eDUCATION

Brookline319 Harvard Street

617.739.0005

Burlington6 Wayside Road, Unit D

781.270.0015

NoInterest

FinancingO.A.C

Solutions forBack Pain

· Ergonomic Office Chairs

· Massage Chairs

· Fitness Products

· Pillows and Wedge Systems

R E L A X T H E B A C K ®

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bones & joints

3

Doctorswhospecializeinnon-operativesportsmedicine

areboardcertifiedinprimarycare,asIam;familymedicine;

internalmedicine;pediatrics;emergencymedicine;orphys-

iatry. They also complete at least one year’s training in an

accreditedsportsmedicineprogram.Thesedoctorstreata

rangeofmusculoskeletalconditions,includingsportsinjuries,

osteoarthritisandlowbackpain,aswellasconcussionsand

othermedicalproblems.

Ourdoctorstakeatotalpictureapproach.Ifapatienthas

patellafemoralsyndrome,Imaydirecthertoanexercisepro-

gram,recommendananti-inflammatoryordiscussorthotics.

Ifayoungwomanhaseatingissues,Idiscussnutritionalcoun-

seling.IfanMRIrevealswearandtear,Imayofferplatelet-rich

plasmatherapy.Ifnothingelsecanhelp,Idirectthepatientto

asurgeon.Themorewedowitheducationandpatientcare,

whilesavinghealthcaredollars,themorethisbecomesan

appropriatefirststepformusculoskeletalcomplaints.

Millionsofpeoplerelyonchiropractichealthcaretokeep

themhealthy.Workingaspartofyourhealthcareteam,your

chiropractorhastheextensivetrainingandclinicalskillsto

addressmanyjointdysfunctions.

This conservative approach to co-managing your

family’shealthcomplaintsarebackedbyimpressivepatient

satisfaction studies, as well as demonstrating high safety

recordsofallhealthcareprofessionals.Chiropractichealth

care’s effectiveness for helping people manage their pain

moreeffectivelyissupportedbyyearsofresearch.Toimprove

yourpersonalhealth,turntochiropracticcareforidentifica-

tionandcorrectionofthecauseofyourhealthproblemsand

correct rather than masking them. Your chiropractor will

conduct a thorough examination, order X-rays as needed,

usetechniquesthatarecomfortable,andassisttoimprove

thequalityofyourlifeandhealth.Visitwww.masschiro.org

orcall1-800-442-6155.

Panel of ExpertsDR.KeNDRACARNeVALeMassachusettsChiropracticSociety

DR.BRIANHALPeRNAmericanMedicalSocietyforSportsMedicineFoundation

DR.SCOTTDARRAGHPublicInformation&educationMassachusettsChiropracticSociety

Learn the facts about chiropractic care and its vital role in America’s well being. Visit www.yes2chiropractic.com

“I did a lot of things to stay in the game, but regular visits to my chiropractor were among the most important.”

NFL Football Legend & “Dancing with the Stars” Celebrity

— JERRY RICE

ChiropracticSTAY IN THE GAME WITH

Jerry Rice, one of the game’s most durable players, a 13-time Pro Bowl football player who owns 38 career records and three Super Bowl rings, shares his positive experiences with chiropractic care.

“I am proud to communicate with the American public about the value of chiropractic care. Professional football is a very rough and vigorous sport, and I attribute my longevity and durability to a vigorous exercise program and chiropractic adjustments. Chiropractic gave me the edge to succeed, not only on the gridiron but also on the dance floor.”

He continues to rely upon chiropractic adjustments to keep himself healthy and active.

MassChiroYour Chiropractic and Health Information Resource

www.MassChiro.orgMassachusetts Chiropractic Society Inc 1-800-442-6155

For those desperate for

relief, the approximately

1,500 chiropractors in

Massachusetts can help with chi-

ropracticadjustmentormanipula-

tion.Whiledoctorsofchiropractic

treat more than back pain, more

than 35 percent of their patient

baseseekstreatmentforit.

Detecting and treating sublux-

ationisthe“cruxofthechiropractic

profession,”saidDr.ScottDarragh,

of Bay State Centre Family Chiro-

practic, inMelrose.Subluxation,a

misaligned bone that puts pres-

sure on nerves, causes pain and

dysfunction.

The subluxation responsible

forbackpainisdetectedafterthe

doctortakesafullmedicalhistory;

performsathoroughexamination;

orders imaging, if necessary; and

rules out more serious problems.

Then,“adjustment is made using

numerous techniques,” explained

Dr.Darragh.“Theseincludehands-

on manipulation and the use of

various instruments and special

tables configured for the human

skeleton.Wetrytofindatechnique

thatiscomfortableforthepatient.”

How quickly a patient recovers

dependsonthescopeofhisprob-

lem and his health. “everybody

healsdifferently,”saidDr.Darragh.

“I’llhaveapatientgetridofback

pain in five visits. Some people

need20to30 treatments.” Inad-

dition, doctors of chiropractic

prescribe physical therapy, usu-

ally after fixing the subluxation.

“Sometimes you have to correct

the structure first and then

strengthen the muscle,” said Dr.

Darragh.Theendresultisworthit:

easingbackpain,hesaid,hashuge

benefitsbothon“qualityoflifeand

health.”

Chiropractic Care for Aching BacksAn estimated 50 percent of Americans havelowerbackpain,accountingformorethan$100billioninhealthcarecostsannuallyintheUS.

Asmorepeoplearediscoveringthe importanceof their

spineandnervoussystemasitrelatestotheiroverallhealth

andfunction,manyturntospinalcareprovidedbydoctorsof

chiropractic.Withgreaterdemandfornon-invasiveconserva-

tiveapproaches,individualsareseekingrelieffrompain—and

theywantitnaturally.Chiropracticcarehastheprovenability

torelievebackandneckpain,increasevitality,andpromote

well-being,naturally.

Chiropractorsarethe leaders inthehealthandwellness

field,caringforpeoplewithmanyspinalandjointconditions.

Doctorsofchiropracticwanttoknownotjustwhereyouhurt

butwhy,gettothecauseofthatdysfunction,andhelpto

keepitfromgettingworse.Chiropractorsmanagepainand

discomforttokeepitundercontrol,withouttheuseofover

thecounterdrugs.Chiropractorsco-carewithmanyhealth

professionalstomakesureyourbodyisfunctioningatitsbest.

Visitwww.masschiro.orgorcall1-800-442-6155.

…doctors of chiropractic treat more

than back pain, more than 35

percent of their patient base seeks treat-ment for it.

bones & joints

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EVERYBODY IS MOVING TO CHERRYPHARM!

Ask the expertWhetheryouarefacingahealthcrisisorsimplywanttomaximize

healthandlongevity,BostonOsteopathicHealthishereforyou.We

combine traditional osteopathic manipulation (OMT) with both

conventionalandalternativemedicinetoprovideamorecompre-

hensiveapproachtohealth.Weseeourpatientsaswholehuman

beingstakingintoconsiderationbody,mind,andspirit.eachperson

isuniqueandrequiresindividualizedanalysisandtreatment.Hereat

BostonOsteopathicHealthweworkwiththeinnatehealingforces

inthebodyandlookfortherootcauseofdiseasesoourpatients

canachievetheirhighestpotential.

AnyonewithchronicpaincanpotentiallybenefitfromOMT.Some

commonconditionsthatwetreatatBostonOsteopathicHealthin-

clude:chronicbackpain,neckpain,radiculopathy,arthritis,sciatica,

jointpainsyndromes,fibromyalgia,traumaticinjury,scoliosis,muscle

strains,overusesyndrome,carpaltunnelsyndrome,costochondritis,

extremitypain,TMJsyndrome,migraines,tensionheadaches,and

musculoskeletalpaininpregnancy.

Boston Osteopathic Health134RumfordAve,Suite206Newton,MA02466617-431-4451

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Common in specialties

such as plastic surgery,

PRPtherapyhasmadethe

leap to sports medicine where

it’s primarily being utilized on

nagging tendon injuries such as

tennis elbow, Achilles tendonitis

andplantarfasciitis.“It’sexciting,”

said Dr. Brain Halpern, associate

attending physician at the Hos-

pital for Special Surgery, in New

YorkCity,whohastreatedabout

225 patients with the therapy.

“Previously,wewouldhaveused

cortisone injections for chronic

Achilles tendinitis. But the prob-

lem would recur.” Of patients he

has treated with PRP therapy,

morethanhalfwerebackattheir

sportssixmonthsout.

PRPtherapyissimpletoadmin-

ister.Thedoctortakesonetotwo

tubesofbloodfromthepatient’s

arm and places them in a centri-

fuge.Asthemachinespins,plate-

lets,whichreleasegrowthfactors

that aid healing, are separated

from red and white blood cells.

The platelets are then injected

intothe injury. “Forsomereason

the healing process has stalled,”

explained Dr. Halpern. “Platelets

turnthehealingswitchbackon.”

Most patients see an improve-

ment four weeks post-injection.

Partoftherecoveryprocesscon-

sistsofstretchingandstrengthen-

ingand,sometimes,physicalther-

apy.Insurancecoveragevaries.

While doctors are using PRP

therapyonligamentsandmuscles,

acute injuries and even knee

osteoarthritis, Dr. Halpern urged

caution. “We are trying to be

methodical and not go crazy

thinking it does everything for

everybody,” he said. “But the

beautyofthis iswecanuseyour

owncellstohealyou.”

Helping Patients Heal ThemselvesWeekend warriors and hardcore athletes side-lined by sports injuries have another weaponto add to their treatment arsenal: platelet-richplasma(PRP)therapy,whichusesapatient’sownbloodtospeedhealing.

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Ina2007pilotstudyatBaylor

Research Institute in Dallas,

more than half of the 20

patients studied reported an

improvement in their OA pain

andfunctionaftertakingsoftgel

capsulescontaininggroundwhole

cherries for two months. else-

whereanotherstudyhasreported

that long-distance runners who

drank cherry juice while training

for an event experienced less

post-exercise pain at the end of

theracethanrunnerswhodidn’t

drinkthejuice.

The reason cherries seem to

havethiseffect:Thefruitisrichin

anthocyanins,apigmentthatgives

plantfooditsred,purpleandblue

hues but also has anti-inflamma-

toryproperties.“Thenaturalprod-

ucts found incherriescan inhibit

the inflammatory-induced pain

associated with arthritis-related

conditions and post-exercise

musclesoreness,”saidDr.Christine

Green,directorofsportsteamsand

nutrition at CherryPharm, Inc. It’s

not yet known which part of the

cherry—the pulp, stem or rind—

seemstoconferthebenefit.That’s

why people participating in the

Baylorstudiesaretakingcapsules

containing cherry extract. Other

research suggests that drinking

tart cherry juice can help people

withOA.Researchiscontinuingto

determine if a dose response for

thecherriesexists.

Cherries: the new Arthritis Fighter?Tart, or Montmorency, cherries are showingpromiseasanaturalwaytoeaseosteoarthritis(OA)painandmusclesoreness.

4

bones & joints

5

EXCLUSIVELY ATBUY 3 GET 1 FREE

CONSUMER: Limit one coupon per purchase. Good only at Whole Foods Market North Atlantic region stores. 8oz bottle only. Void if copied, transferred, purchased, sold or where prohibited by law. No cash value. RETAILER: Send Coupons to: CherryPharm, 500 Technology Farm Drive, Geneva, NY 14456

DISCOVER THE MOST POWERFUL,

BEST TASTING JUICE ON THE PLANET

8 OZ BOTTLESONLY

MANUFACTURER COUPON EXPIRES 1/15/10

TARTCHERRY

JUICE

For centuries, the benefits of tart cherries have been coveted for their therapeutic properties, including the promotion of movement and general wellness. Clinical research has shown that tart cherries have a very high concentration of good antioxidants which is why they are known as America’s Super Fruit™. Antioxidants

help to neutralize free radicals, the molecules that facilitate cellular damage within the body and have been linked to a variety of health conditions and the aging process 1,2. CherryPharm’s uniqueness comes from an exclusive juice extraction process, which was de-veloped by Cornell University food experts. CherryPharm is a fresh (not from concentrate) juice that goes straight from the tree to the bottle. This process creates a juice that preserves more of the delicate phytonutrients and all-important antioxidants while creating an amazing taste. To be clear – this is the most powerful, best tasting, least processed juice on the planet.

No other brand has been so extensively tested (see www.cherrypharm.com/science). Whether you are an elite athlete, or just looking to improve your lifestyle, mobility and comfort level, CherryPharm wants to get you moving and keep you moving!

To learn more visit www.cherrypharm.com

THE MOST POWERFUL, BEST TASTING AND LEAST PROCESSED

JUICE ON THE PLANET

1 http://www.cancer.gov/cancertopics/factsheet/prevention/antioxidants2 The Inflammation Group, Bone and Joint Research Unit, London Hospital Medical College (Annals of the Rheumatic Diseases 1989; 48: 864-870)

EVERYBODY IS MOVING TO CHERRYPHARM!

But increasingly an osteo-

path is the first doctor

many patients turn to.

There are an estimated 55,000

practicingosteopathicphysicians

in this country, according to the

AmericanAssociationofColleges

of Osteopathic Medicine. Fully

licensed physicians, osteopathic

doctors complete a residency

after attending medical school.

They then undergo about 200

additionalhoursoftraininginos-

teopathicmanipulativemedicine.

Currently,nearlyoneinfivemedi-

calstudentsintheUSistrainingto

enterthespecialty.

Anybody in pain, be it acute

or chronic, can benefit from the

hands-on approach to treating

musculoskeletal conditions that

isthecornerstoneofosteopathic

medicine. To make a diagnosis,

the osteopathic physician takes

a medical history and does a

structural exam, looking for

problems such as restrictions in

range of motion; tight or swol-

len muscles; and asymmetry in

joints.Hemayalsodoimagingto

assess areas such as the arches,

hips and spine. “Sometimes the

problem is not where the pain

is,”explainedDr.WilliamM.Foley,

founderandownerofBostonOs-

teopathic Health. “Sometimes it

starts somewhere else and leads

to pain elsewhere in the body.”

Treatmentcanconsistofmedica-

tion,injectionsandmanipulation,

doneweekly,everyotherweekor

monthly.Howquicklyapatientim-

provesvaries.Foragarden-variety

condition, like tennis elbow, the

patientmayfeelbetterinasfewas

threetreatments.Aconditionlike

fibromyalgiamaytakelonger.But

manipulation is only part of the

healingprocess.Thepatienthasto

pitch in,withhomeexerciseand,

sometimes, physical therapy.The

goal: To correct a problem that

probablydevelopedovertime.

Intheirquestforpainrelief,peoplesometimesfind their way to an osteopath after seeing aseriesofphysicians.

A Hands-On Approach to Pain Management

Another key part of your

recuperation is rehabili-

tation.“Seeing a physical

therapist is paramount to ensur-

ingthesuccessoftheoperation,”

explainedDr.MauraDaly Iversen,

chairofthedepartmentofphysi-

cal therapy at Northeastern Uni-

versity. Surgery fixes whatever is

wrongwithyou,butinflammation,

pain and possible restrictions in

motionarecommonfollowingan

operation. Physical therapists, Dr.

Iversen added, are “knowledge-

able about the precautions that

needtobetakenaftersurgeryand

how and when to progress exer-

cisesoncesofttissuesheal.”They

alsoknowwhichmusclesneedto

bestrengthenedandtheexercises

thatwilltargetthem.

In the early post-operative

phase,forinstance,aphysicalther-

apistwillprescribeisometricexer-

cises which involve tensing, and

thusstrengthening,muscleswith-

outmovingorstressingjoints,said

Dr. Iversen, who is also assistant

professorandbehavioralscientist

inthedivisionofrheumatologyat

BrighamandWomen’sHospital.As

tissues start to heal, different ex-

ercisesareaddedtofurtherbuild

strength and improve function

and independence—which is, of

course,theultimategoal.

The Value of RehabSurgery to treat an injury or replace a joint isthefirststeponyourroadtorecovery.

7

bones & joints

6

Working in the kitchenWorking in the kitchenWorking in the kitchenjust got easier.

See the complete line of DuoGlide items and “The NEW way to cut” video

at www.DexterDuoGlide.com

unique design means more comfort and less pain

super sharp blade makes cutting easy

That’s because the disease

causes tiny bone forma-

tions and thickening in

joints, affecting their alignment.

“Mechanically, your joints don’t

work as smoothly as they used

to,” explained Dr. Maura Daly

Iversen,chairofthedepartmentof

physical therapy at Northeastern

University.“It requiresmoreforce

for you to do things.” And since

faulty biomechanics and pain

keeparthritissufferersfrombeing

active, it’s easy to lose muscle

strength, making it harder to do

whatexpertscalltheactivitiesof

dailyliving.

Fortunately,corporateAmerica

is becoming increasingly aware

thatthere’samarketforproducts

from kitchen appliances to

vacuum cleaners that can make

life easier for the millions of

Americans who have arthritis.

“Assistivedeviceshelpkeepjoints

in alignment and reduce pain,”

said Dr. Iversen. Some provide

leverage, giving the person who

has lost strength the ability to

open a jar, for example. Some

enablepeopletopicksomething

off the floor without bending

their knees. In general, people

witharthritisshouldchooseprod-

ucts that are lightweight; have a

built-up, or thicker, handle; have

texture—making them easier to

grasp; and are easy to maintain,

open, close, carry and operate,

advises the Arthritis Foundation.

electric appliances such as can

openers or food choppers also

makelifeeasier.

To help people choose more

joint-friendly products and en-

couragemanufacturerstodesign

them, the Arthritis Foundation

hascreatedanease-of-UseCom-

mendation Program. It evaluates

productsbasedoncriteriasuchas

howeasyitistoopenoroperate

them.Thentesterswithmoderate

toseverearthritisusetheproduct

andweighin.Dozensofproducts,

includinghomefurnishings,appli-

ances,groomingtools,officeand

kitchenproductsandorthopedic

devices, now carry the Arthritis

Foundation ease-of-Use logo on

their packaging. To earn the

logo for four knives, “we made

modifications,”saidJimBellerose,

marketing manager for Dexter-

Russell, Inc.The knives are made

ofeasier-to-gripmaterialsandare

lightweight. A chef’s knife and a

utilityknifealsohavebladesthat

dip slightly below the handles,

shiftingtheuser’scenterofgravity

andallowinghimtokeephisarm

straightwhilecutting.

One caveat: Be selective when

buying a product. “What works

foronepersonmaynotwork for

another,” warned Dr. Iversen.“Try

thedevicefirst.”

User-Friendly Products Make Life Easier even if you have your arthritis pain undercontrol, maintaining your independence canbeachallenge.

…it’s easy to lose muscle

strength, mak-ing it harder to do what ex-perts call the activities of daily living.

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bones & joints

7

Indeed, according to the

National Center for Comple-

mentary and Alternative

Medicine nearly 20 percent of

Americanadultsuseglucosamine

and 11 percent use chondroi-

tin. “They’re building blocks for

components required to make

cartilage,” said Dr. Tuhina Neogi,

a rheumatologist and associate

professor of medicine at Boston

UniversitySchoolofMedicine.

But a study of 1,583 people

with symptoms of knee OA that

waspublishedintheNew England Journal of Medicine in 2006 shed

importantlightonhowmuchthe

supplementscouldhelpandwho

mightbenefitmost.Accordingto

thefindingsoftheGlucosamine/

Chondroitin Arthritis Interven-

tion Trial, or GAIT, people with

moderate to severe knee pain

who took a glucosamine/chon-

droitin supplement experienced

25percentgreaterpainreliefthan

people who took a placebo.The

improvement was only seen in

people who took a combination

ofglucosamine/chondroitin.Also,

peoplewhohadmildpaindidno

better than people who took a

placebo. More recently, research

foundthatthecompounds,taken

togetherorontheirown,wereno

betterthanaplaceboatslowing

cartilage loss in the knee, which

contributestoOA.

What’s it mean? Only a small

number of people in the GAIT

study had moderate to severe

knee pain and they weren’t the

study’s primary focus. More re-

searchisneededtobettergauge

if glucosamine/chondroitin truly

has an effect. That said, “there

is often not much available for

individuals with knee OA,” said

Dr. Neogi.“If they have tried the

usualmedicalmanagementsteps

and are still having difficulty, it

mightnotbeunreasonabletotry

glucosamine/chondroitin with

theunderstandingthatitsbenefit

hasn’tbeenconvincinglyproven.”

expertsdon’tknowofadverseef-

fects linked to the supplements

butcheckwithyourdoctorbefore

takingthem.

If you use glucosamine/chon-

droitinsupplements,theyshould

be part of an overall treatment

approach, according to the Ar-

thritis Foundation.That includes

exercisestobuildmusclearound

kneejoints,thusstabilizingthem;

weight loss to lessen stress on

joints;hotandcoldtherapy;medi-

cation; injections; topicalanalge-

sics; orthotic devices; and braces

andwraps.And followyourdoc-

tor’s advice for medication and

othertreatments.“Beforejumping

to a therapy with less evidence

behind it, we encourage people

to use regimens that have good

evidence behind them in the

mannertheyaresupposedtobe

used,”saidDr.Neogi.“Sometimes

peopledon’tdothis.”

Can Supplements Help?Both glucosamine and chondroitin sulfate are natural compounds,onereasonmanyosteoarthritis(OA)sufferersregardthemassafeandeffectivewaystoeasepain.

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before jumping to a therapy with less evidence behind it,

we encourage people to use regi-mens that have good evidence behind them in the manner they

are supposed to be used.

I’ve been a basketball referee for 30+ years. About10 years ago, I started taking Glucosamine &Chondroitin tablets for soreness and wearingbraces on both knees. Last season, I switched toMove Free® Advanced and have refereed over 40high school & college games. I feel great!

James F., Chicago, IL

I am 37 years old and started having discomfort inmy knees. I decided to try Move Free® and this isthe honest truth, I have been on this a week and Ican run up the stairs [without soreness]!

Kristin R., Orland Park, IL

A few years ago, I could not squat down withoutmy knees hurting. I started taking Move Free®

Advanced and now my knees are fine. Myhusband and I are both using Move Free®

Advanced every day and will continue using it. Ithas made a great difference in our lives.

Regina W., Paul, ID

Years ago, my legs were so stiff that I had troublegetting in and out of the car. I overheard a womantalking about how Move Free® Advanced helpedher. I got some as soon as possible. Now Icouldn’t be without it.

Jo Ellen, Murrieta, CA

This product is great. I have been using MoveFree® for about a year and my knees feel great. Ihad trouble going up and down stairs. I had troublejust walking. Not anymore. I can do everythingnow. Thank you for a great product!

Debra T., Livonia, MI

Millions of people use Move Free® Advancedfor joint discomfort.A few of them want to tell you why.

THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE.

Now imagine what Move Free® Advanced could do for you.Join the millions of people who have turned to it to relieve joint discomfort and improve overall joint health.

Move Free® Advanced starts comforting sore joints in less than seven days.1 Give Move Free® Advanced a week, and itwill give you plenty of good things to talk about.

Move Better, Feel Better® with Move Free.®

Read more stories at MoveFreeAdvanced.com or call 1-800-526-62511 Independent human clinical study (Los Angeles, 2008).© 2009 Schiff Nutrition Group, Inc. 595-A50