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Arthritis

Arthritis. Ahhh! My Knees! Jacques Courseault, M.D. www.exercisemenu.com. What is Arthritis?. arthro- Joint itis- Inflammation Inflammation of joint including cartilage and bone in the joint Leading cause of chronic disability. Symptoms. Joint pain Stiffness Locking of joint

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Arthritis

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  1. Arthritis Ahhh! My Knees! Jacques Courseault, M.D. www.exercisemenu.com

  2. What is Arthritis? • arthro- Joint itis- Inflammation • Inflammation of joint including cartilage and bone in the joint • Leading cause of chronic disability

  3. Symptoms • Joint pain • Stiffness • Locking of joint • Swelling • Creaking

  4. Causes • Hereditary • Developmental • Metabolic • Mechanical • Trauma • Weak muscles • Obesity

  5. Two Types • Primary • Caused by aging, loss of water in cartilage • Secondary • obesity, sports injuries, diabetes, etc.

  6. How does it Look • Bone spurs • Cartilage loss

  7. Step 1 Treatment • Weight control, Exercise, Rest • Knee Brace • Walking, Swimming, Elliptical • Heat before, Ice after

  8. Step 2 Treatment • Medical • NSAIDs- Be careful!!! • Glucosamine- Iffy, takes 3 months for effect • Icy Hot, Ben Gay, Capsaisin Cream • Lidocaine/Corticosteroid Injections- Only 3/yr • 1/3 nadda, 1/3 temporary, 1/3 good relief • Viscous Supplementation- series of 3 shots • Surgery- Total Knee Replacement- Older Age

  9. Summary • Prevention- Exercise keeps cartilage hydrated • Weight loss • Heat, Ice, Rest, Glucosamine, Icy Hot • Visit to your Dr. for medications, injections • Surgery could be best case scenario

  10. Question 1 • Can I exercise with asthma? • YES! • Exercise will reduce the number and severity of your asthma by boosting your immune system. • Use inhaler • Ease into exercise to prevent attack • Avoid cold, dry environments • Keep close contact with your doctor

  11. Question 2 • Can I get rid of my cellulite with exercise? • Cellulite is subcutaneous fat (90% women) • Because cellulite is fat, increasing caloric output will reduce cellulite • No such thing as Spot Reduction • Some of it is genetic • Creams, treatments, massage, DOES NOT WORK!!!

  12. Question 3 • Does exercising on an empty stomach burn more fat? • Although everyone is different, I wouldn’t recommend it • Morning- 8+ hours fasting, blood sugars are low • Body is more efficient at burning fat in “fed” state • 300 calories is 300 calories no matter when you burn it • Might not burn any fat if exercising on empty stomach

  13. Question 4 • At the gym, there is a “fat burning zone.” Is this better? • No • This is misleading. There are 3 zones. Fat Burn, Aerobic, and High Intensity. • Fat burn- More proportional fat, fewer calories • Aerobic- More fat and glucose, High Calories. Fast Pace • High Intensity- Mainly glucose and glycogen. This is at sprint speed!

  14. Question 5 • Should I workout if I am sick? • If it is a head cold, sure. • If it is in your chest, best to refrain until it clears up • Body needs rest to clear up infection, some light exercise may be beneficial. • Listen to your body when trying to get back into pre-illness shape.

  15. Question 6 • Which is better if I could just do one. Weight train or cardio? • Weight training!!! Recent study ~9,000 aged 20-80 showed that after adjusting for cardiopulmonary fitness, those who had greater muscular strength had fewer deaths from cancer and cardiovascular disease!!!

  16. Motivation “Don’t be afraid of going slowly, only be afraid of standing still.” – Chinese Proverb “ We can’t become what we need by remaining what we are” – Max Dupree “It’s never too late to be what you might have been” – George Elliot “Your stomach shouldn’t be a wastebasket”- Anonymous

  17. Time to Bake! Pyramid Recipe • Reverse Flys • Shoulder Press • Lunges • Cross body Curls

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