Dr. Jason Batley - Joint Pain
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Protect Your Joints and Bones
Jason Batley, MD
143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Staying mobile keeps us vibrant, independent and
feeling great!
An important key to health is
maintaining activity
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
What can Potentially Affect Your Mobility?
Arthritis•Decreases mobility•Meniscus tears•Osteoporosis•Risk of Injury
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Arthritis…
•66 Million Americans affected-60% Women -40% Men
•Joints commonly affected:KneesHipsShoulders
•Joints become stiff and painful which can limit how much we walk or do•Over 100 forms or arthritis
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Knee Arthritis…
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Risk Factors for Arthritis…
•Genetic predisposition•Female gender•Increasing age•Obesity •Joint Injury•Infections
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Symptoms of Arthritis…
•Stiff JointsEspecially upon waking in the morningSwellingCrepitus
•Painful Joints•Joint Inflammation
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Management of Arthritis…
•Heat therapyMoist heatParaffin wax
•Cold therapyIce wraps
•Anti-inflammatory medicationsAspirinNonsteroidals
•Weight loss
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Management of Arthritis…•Exercise
Low impact exercisesoRange of motionoStrengtheningoAerobic or endurance
Rehabilitative services (PT/OT)
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Management of Arthritis…•Hydrotherapy(Water Therapy)
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Comprehensive Arthritis Treatment Plans…
•Rest and relaxation•Appropriate diet•Medication•Pain relief therapies•Exercise•Instruction on the proper use of joints and ways to conserve energy – not to waste motion – physical therapy•Intervention when necessary
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Other Joint Pain Options…Joint Replacement•300,000 knee replacements performed annually•1 in 4 people with arthritis of the knee with have a surgical replacement•Most common joints to be replaced:•Knee•Hip
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Arthroscopic Treatment
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Arthroscopic Treatment
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Other Joint Pain Options…Joint Replacement
Knee Replacement Hip Replacement
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Meniscus Tears
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Arthroscopic View
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Surgical Treatment
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Osteoporosis…
•53 million men and women will be affected by 2010•Often called the “silent killer”•22 million are at risk due to low bone mass
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Risk Factors for Osteoporosis…
•Low bone mineral density, or DXA• Family history•Small/petite frame
•Smoking•Alcohol•Lack of lifelong exercise•Inadequate calcium and vitamin D intake•Certain medications
•Estrogen deficiency•Ethnicity
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Symptoms of Osteoporosis…
•Often times, no symptoms•Dowagers hump (late sign)•Previous fracture (low-traumatic) as an adult
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Hip fractures..
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•Adequate calcium and vitamin D intake•Daily calcium requirements:
< age 50 1000 mg/day> age 50 1200 mg/day
•Avoid alcohol•Smoking Cessation•Weight bearing exercises•Three to four servings of nonfat dairy or calcium-fortified foods daily
143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Prevention of Osteoporosis…
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Daily Vitamin D Requirements…•Calcium Rich Foods
Dairy: Milk, yogurt, cheeseLeafy green vegetables: Broccoli, kale, spinachFruits: OrangesBeans and peas: Tofu, peanuts, peas, black beans, baked beansFish: Salmon, sardinesMisc: Sesame seeds, blackstrap molasses, corn tortillas, almonds, brown sugar
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Daily Vitamin D Requirements…
•Sources of vitamin DSkin (manufactures it when exposed to sunlight)Fortified foods
oMilkoCereal
Egg yolksSaltwater fishLiverSupplements
oMultivitamins
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Can’t Change Entire Diet!!!
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Diagnosing Osteoporosis…
Bone Mineral Density Test Painless Non-invasiveReccomended for all women over age 65Women under 65 with any of the following:
History of a bone fracture Small frame Low body weight Current smoker Rhematoid arthritis Low physical activity Thyroid disease Excessive intake of caffeine
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Treatment of Osteoporosis…
•Continued calcium and vitamin D •Continued exercise (using caution)•Bisphosphonate therapy
Fosamax (on the market the longest)ActonelBoniva (once monthly dosing)
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
What is consequence of “Brittle Bones”?…
FRACTURES!
Don’t wait until it’s too late; find out about osteoporosis
BEFORE a fracture occurs.
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143 Joe V. Knox Ave, Suite 100Mooresville, NC 28117704-878-9004
Take action for your health and know your
risk factors for arthritis and osteoporosis!