Wednesday, September 30, 2009

Shoulder Arthritis

Q: I’m a 43 year old athlete and I’ve been diagnosed with (osteo)arthritis of the shoulder.


A: I empathize! I have arthritis in my left shoulder. It probably started with an aikido injury 8 years ago and was compounded by over-use.


I don’t know the details of your particular situation, but here is a general strategy for this type of arthritis.


Trauma often lays the groundwork for an early presentation of arthritis. It's actually quite common, esp in athletes. There are things you can do to decrease the progression of arthritis, but we still can't make it disappear.


-Strengthen and stretch muscles in the area to create a responsive/stabilizing environment for the joint. The more effective the muscles are at dealing with the brunt of physical stress, the more they will protect the joint.


-Get soft tissue work and appropriate manipulation of joints, and neighboring joints, to keep the area as functional as possible. The goal is to decrease the compressive forces on the joint that come from scar tissue, joint locking, and soft tissue binding. We want our muscles to be strong, supple, and to support our structure. They can’t be responsive/effective if they aren’t functioning well.


-Glucosamine/chondroitin supplements seem to help many people


-General decrease in inflammation through turmeric, omega 3s, and ginger seems to help some people


Arthritis ultimately robs the joint of its range of motion.

The bottom line is use it (without over-using) or lose it. There is a fine balance in that...and it’s different for each person.


Consult a health care provider that understands and has experience with this condition.


Don’t give up! This situation can be frustrating and we tend to think of injuries and their sequelae as linear processes. They actually cycle through good and bad periods. We can do a lot to influence these processes.


Plus, stem cell research may find the key to cartilage re-growth.


Sunday, September 27, 2009

Continuing Education

Yesterday's conference = new information on foot/gait biomechanics and rehabilitation. Interesting discussions! Great to be back in the lab, talking physiology, new research, diagnosis, etc.


We also had fun comparative anatomy discussions with physical anthropologist.

The body is beautiful and amazing. I never get tired of the anatomy lab and holding brain, muscle, or spinal cord in my hand. It's a privilege, and so necessary, to be able to review and continue to learn in that environment.


Love, and am grateful for, my career.


Can't wait to see my patients and Allaire Back Fitness class participants. So many interesting things to share with them!

Wednesday, September 16, 2009

Allaire Back Fitness Show on KCSM

The Allaire Back Fitness Show will air on KCSM (local Bay Area PBS station) in October- Saturdays and Sundays at 7 A.M.!

Saturday, September 12, 2009

Get More Info

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