Chondroitin Supplements

Are you achieving them or were they too hard to begin with?

We are more than a month into 2010 and many people have already given up on their New Year’s resolution to get fit and healthy.  Some have decided to put off today what they can do tomorrow. Others think they’ll hit that ready stage when their baby is potty trained, their first child is off to college or {insert life event here}.

If you are among the many people who have tossed their hopes of better health to the wayside, ask yourself why.  What has gotten in the way of putting your own health first?  Instead of making promises to yourself that you can’t keep (for me that would be something along the lines of getting up at 5 am to workout), try looking at your goals a little differently.

Focus
Think of each goal like a 10-mile trail run.  There will be twists and turns along the way, you may feel tired or sore at times, face an uphill battle, feel like quitting, have to jump over fallen trees that are blocking your path or take a detour along the way. But, if you keep your mind focused on making it through one-half mile or one mile at a time and your eyes focused on the next 15 feet at any given time (instead of the top of the hill), you’ll make it to the finish. 

We all face different life events that knock us off course from time to time. And none of us will finish that 10-mile run without a few scrapes; sweat dripping down our cheeks and our body feeling at least a little tired (or beat up and exhausted!).  To reach our goal, we must endure and realize that we aren’t perfect and a detour doesn’t mean we should give up. Get back on track and finish that run. You can walk, jog or sprint – just persevere toward the finish line.

If your painful joints are slowing you down, try taking a gluocosamine and chondroitin supplement for joint health and flexibility.  It may help you go that extra mile and help you stay on track to reach your goals.
 

Did you know that exercise increases brain health and function?

Numerous research studies have shown that moderate exercise can increase the blood flow and neural connections in the brain resulting in better memory, mental focus and clarity.  According to http://brainrules.net/exercise

Exercise improves cognition for two reasons:
• Exercise increases oxygen and glucose flow into the brain, which reduces brain-bound free radicals. One of the most interesting findings of the past few decades is that an increase in oxygen is always accompanied by an uptick in mental sharpness.

• Exercise acts directly on the molecular machinery of the brain itself. It increases neurons’ creation, survival, and resistance to damage and stress.

So now, you may be asking which exercise is the most brain enhancing?  Some researchers believe that a moderate activity like fitness walking is especially good for your brain, because it increases blood circulation to the brain without being overly strenuous. As you walk, you effectively oxygenate your brain. Maybe this is why walking seems to  "clear your head".

Studies of senior citizens who walk regularly showed significant improvement in memory skills compared to sedentary elderly people. Walking also improved their learning ability, concentration, and abstract reasoning. Stroke risk was cut by 57% in people who walked as little as 20 minutes a day. (Annals of Behavioral of Medicine, August 2001)

It’s also important to build cross-lateral exercises into your day. Cross-lateral movements are those in which arms and legs cross over from one side of the body to the other. The left side of the brain controls the right side of the body, and the right side of the brain controls the left side. Both sides are forced to communicate when arms and legs cross over. This “unsticks” the brain and energizes learning.

So, if you want to take your walk even one step further in activating brain cells try the following cross hemisphere exercises as part of your pre walk warm up: 

Standing or Seated Cross Crawl:
In this contra lateral exercise, similar to walking in place, the participant alternately moves one arm and its opposite leg and the other arm and its opposite leg in a standing or seated crawl action. 

Cross Arm Squat:
Some people call this ‘brain yoga’ simply place your left hand on your right shoulder keeping your left arm closet to your chest.  Squat down, keeping your back straight. Do 10 to 12 squats, inhaling through the nose on the way down and exhaling through the mouth coming up.
 
Remember that the human brain is able to constantly adapt and rewire itself. Even as we age, it can grow new neurons. Serious mental decline is typically caused by disease, unlike most age-related memory or motor skill loss, which is mainly a result from inactivity and a lack of mental stimulation. In other words, use it or lose it!

For a list of very interesting human brain and exercise research references see: http://www.fi.edu/learn/brain/references.html#exercise9


Remember, if your joints are feeling sore from exercising or just walking, be sure to take your liquid glucosamine and chondroitin supplement for joint health!

 

Are you at risk for having serious joint pain and even osteoarthritis later on in life?  There are several risk factors that can play a role in how healthy your joints are or will be as you age.

What is your age?
Primary osteoarthritis, a degenerative joint disease, usually develops gradually after age 40.  As you age, cartilage degenerates and loses its elasticity.  In fact, an astounding 75% of people over the age of 65 suffer from osteoarthritis.   But don’t let age slow you down, staying physically fit and healthy is an important way to protect your joints.  Strong, fit muscles support joints more effectively, protect joints from undue strain and injury, and help you perform everyday tasks more efficiently and with less pain.

Do you fit any of the following?
•      Have you experienced repeated trauma or surgery to the joint structures?
•      Were you born with abnormal joints?
•      Do you have gout, diabetes, and other hormone disorders?

All of these life factors can cause secondary osteoarthritis.  Repeated trauma can increase the mechanical stress placed on joints.  People with gout may also experience crystal formation in their joints causing damage to the cartilage tissue.  Diabetes, some hormone disorders and congenital (at birth) abnormalities of the joints may also lead to increased wear and tear.

Are you male or female?
Osteoarthritis is more common in men before age 45, but more prevalent in women after age 45.    Though the symptoms of osteoarthritis can vary between patients, the most common symptom is pain in the affected joint, which may worsen later in the day or after repeated use.  The joints may also be tender, swollen and warm and you may hear or feel creaking.  Osteoarthritis can also cause pain after an extended period of rest.

What is your BMI (Body Mass Index) underweight, normal, overweight, obese?
Excess weight can also contribute to secondary osteoarthritis. Weight control and injury prevention measures can lower a person’s risk of developing osteoarthritis. Weight loss also can reduce symptoms for people with knee osteoarthritis. Excess weight can place undue stress on our weight bearing joints. Therefore, it is important for the health of your joints (and your overall health), that you maintain a healthy weight. If you find weight maintenance difficult, a registered dietitian (RD) can help you achieve your goal weight.
Read more

Risk of Developing Painful Knee Osteoarthritis Increases with Weight 
Healthy Weight 30%
Overweight 47%
Obese 61%

Source: Arthritis Care and Research 2008; 59:1207-13

How often do you experience joint pain?
Joint pain is often the first sign of osteoarthritis. Pain is a signal from your body that something is wrong. Osteoarthritis causes some chronic joint pain. Though your joint pain may make you cringe at the thought of exercising, exercise can actually help relieve some of your pain, ensure that you maintain a good range of motions, make the joint more stable, help you lose weight or maintain your weight and keep your spirits up. Which type of exercise should you choose? That depends on what joints are involved, whether you’ve have surgery on any of your joints and your current range of motion. A combination of strength training, aerobic exercise and proper stretching are often recommended for osteoarthritis patients. And, a physical therapist can prescribe a program tailored to meet your needs and goals.

Read about stretching for joint pain


Have you had any serious joint injuries in your life?
Damage to a joint can contribute to the development of osteoarthritis in that joint.  This is especially common in athletes who have repetitively injured their joints over the years.  If you are an athlete try switching sports or taking time in between your soccer matches and running for non-impact activities such as swimming and stationary cycling.  You’ll still obtain the benefits of exercise but give your joints a break.

Does your family have a history of osteoarthritis?
A history of arthritis in your family can put you at higher risk for also getting the disease.  More and more doctors today believe in a hereditary cause behind several forms of arthritis. As with many other conditions, a mixture of environmental and genetic factors is attributed to the onset of disease or disorder. Most current research, though, focuses on showing substance behinds models of hereditary arthritis.  A recent study found that a form of knee osteoarthritis is the newest addition to the collection of genetically-caused arthritis.  Rare variants in the GDF5 gene have been associated with disorders of skeletal development, and more common variants recently have been tied to susceptibility to osteoarthritis of the hip and knees.  If anyone in your family has a history of osteoarthritis, it is even more important to take preventative measures to help prevent the onset or at least postpone it and make it more manageable.

Do you currently or have in the past, engaged in heavy physical activity for 3 or more hours per day such as heavy lifting, standing or bending?
Athletes and people who have jobs that require doing repetitive motion, such as landscaping, typing or machine operating, have a higher risk of developing OA due to injury and increase stress on certain joints.  Certain occupations involving repetitive knee bending and squatting are associated with osteoarthritis of the knee.  If you are experiencing joint pain or have been diagnosed with arthritis, it may become necessary to alleviate or decrease the amount of heavy physical activity you do.  Repetitive motions for long periods of time can accelerate the onset of osteoarthritis.

Do you experience joint stiffness in the morning or do your joints ache more if there is a change in the weather?
Stretching when you first get up is a great way to alleviate joint pain.  According to the Arthritis Foundation website, stretching will keep your body limber and improve flexibility. Gentle stretching exercises should be done every day and are the most important of all your exercises. Flexibility exercises can help you protect your joints by reducing the risk of joint injury, help you warm-up for more strenuous exercise by getting your body moving, and help you relax and release tension. These can be done on land or in water such as a pool, hot tub or warm bath. These exercises can be particularly useful for easing those stiff joints in the morning. Good range-of-motion exercises include tai chi and yoga. Work up to 15 minutes of flexibility exercises a day. Once you can do 15 continuous minutes, you should be able to add strengthening and aerobic exercises to your routine. 

Get more exercises here

It’s never too late to start a preventative maintenance program for your joints.  Maintaining a healthy weight and exercising are very important and you can also take a liquid glucosamine and chondroitin to help maintain joint flexibility.  See here

Read more about how glucosamine and chondroitin work here

Walking is one of the most underrated forms of exercise.

It’s convenient, low impact (not hard on your joints), can help you manage your weight, blood pressure and blood sugar levels and, walking can decrease your risk of developing some chronic diseases. And the best part about walking?  It requires little equipment and people of all fitness levels can benefit.

Get Proper Shoes
If you want to take up walking or if you walk now, the most important equipment you’ll need is a good pair of walking or running shoes. Go to your local running shoe store (these stores tend to have employees trained in fitting you for walking, jogging and running) and get a good pair of shoes.  Read more on shoes here

Next, consider your attire. Though you don’t need special attire to walk, having comfortable workout clothes, reflective tape (if walking at night) and the necessities to walk outside in the winter (gloves, a hat, face mask if it is very cold) will make your experience both more enjoyable and safe.

Warm Up and Stretching
Always remember to warm up slowly and stretch if you need to (stretching is especially important after you are finished exercising). And, monitor your technique - your head should be held up, eyes looking forward, chin parallel to the ground, shoulders relaxed and arms bent and swinging naturally with each step. With each step, your foot should strike the ground in front of you and push off for the next step on the balls of your feet.

Once you feel very comfortable with walking, try varying your routine by walking hills, walking faster and changing your route. Also, a few simple tools will help you get the most from your workouts – a pedometer, the Wellesse walking challenge and a heart rate monitor. A pedometer will measure how many steps you get each day and a heart rate monitor can ensure that you are exercising at a good pace so you make the most of your workouts.

If you are experiencing painful joints from walking try a liquid glucosamine and chondroitin supplement for improved joint health and flexibility and for muscle and joint pain.


Have you signed up for the Wellesse Walking Challenge yet?  It's a great way to stay motivated to walk and you can win prizes too including a $500 Wellness Package!  Join today!

Stretching is a must especially if you are experiencing joint pain and for managing arthritis for better joint health.

Have you ever wondered how to get the most out of a stretch?  Well try a little self-PNF.

PNF stands for proprioceptive neuromuscular facilitation and it simply means that our muscles receive messages from our nerves that can facilitate a better stretch reflexively.  Our muscles have sensor nerves (proprioceptive neurons) that pick up sensations like a strong contraction or a rapid bouncy movement and react by sending a message to the muscle to relax or contract in response.  When it comes to enhancing a stretch your goal is to get the muscle to relax as much as possible, thus you want to stimulate the sensor nerve with a 10 to 15 second held contraction (called and isometric contraction). 

Immediately following this contraction the muscle will reflexively respond by releasing and relaxing.  This reflex allows for an immediate gain in range of motion and extensibility.  Many physical therapists use a technique called the ‘contract/release method’ to rehab chronically tight muscles.  You can try it on your self with the help of a bath towel or stretch strap.  Lie down on your back and use the towel or strap (wrapped around your thigh) to pull your leg towards your chest.

Next press your leg away from your body into the towel, while holding the towel firmly in pace and forcing the back of the leg and hip to contract.  Hold that contraction for three deep breaths.  Release the pressing action and use the towel to pull your leg back towards your body into a deeper stretch position.  You should notice an immediate increase in range and flexibility. You can try to perform this same contract then release type stretching for various parts of your body.  Keep in mind that the contraction happens by moving and holding in the opposite direction of the stretch position. 

So for another example, if your target is your lower leg (calf muscle), stretch the muscle by wrapping a towel around the bottom of your forefoot and pulling your toes towards your shin; to contract, point your toe away from your shin while pressing into a towel, hold for 3 deep breaths, then repeat the stretch position. 

Here is a quick list of moves to stretch the major body parts:

• Chest- open arms outward and behind the body
• Upper back and neck – move head towards the opposite shoulder
• Front shoulder – open arm out or behind body 
• Rear shoulder: move arm across the chest
• Spine – round spine forward, side ways or rotate
• Buttocks – flex hip by moving the thigh forward towards torso or across the torso
• Front thigh – extend hip by moving the thigh back behind the body and bending the knee
• Rear thigh – hip flexes by moving forward towards torso and extending knee
• Low leg or calf – move forefoot towards shin

Remember to use the stretch/contract method, you need to move the body part in the opposite direction of the stretch and hold it in a static contraction for 3 deep breaths.

Try it ... to take your stretch routine to a new limit.  Stretching is a great treatment for joint pain and can help keep your joints on the move.  Be sure to take your liquid glucosamine and chondroitin supplement too for improved joint health and flexibility.

The Joy of Gardening...

By the end of the winter I am itching to get in the garden.  I've forgotten all about how much I hate to weed and my aching back after bending all day.  All I remember is the feel of the dirt and the satisfaction of planting new flowers and plants.  I can't wait to go to the nursery and carefully pick out my next addition - usually to replace the ones that didn't make it over the winter.

Gardening is a wonderful way to get outside and soak up some vitamin D from the sun and get a little exercise at the same time.  However, there are a few things us weekend warriors need to remember as we return to the great outdoors.

1.  Dress to protect. 

This is a lesson learned after tangling with blackberry bushes or re-potting a very poky pine tree.  Wear gloves, goggles and clothing as needed.  Don't stay out in the sun very long without a hat and sunscreen.  A little is OK (10 to 15 minutes) to get vitamin D, but you don't want to burn.
 

2.  Put safety first. 

Be very careful when operating tools and equipment.  Pay attention to what you are doing and others around you! I was once so excited about using my new electric powered hedge trimmer, that I forgot to pay attention to the cord itself and proceeded to chop it in half!  I tried to hide the cord in the garbage can, but my husband found it anyway.

3.  Watch our for heat-related illness.  

If you live in an area with high temperatures, make sure to work outside in the early morning or late evening when it is cooler.  Drink plenty of water and do not over exert yourself.  Running through the sprinkler occasionally feels great too.

4.  Know your limits.

If you have arthritis, use tools, benches, wagons, or anything that makes it a bit easier.  Gardening is a great way to get those joints moving and actually relieves arthritis pain.

5.  Enjoy the benefits of physical activity.

As noted above, gardening is just a great way to get physical exercise while enjoying yourself.  Active people are less likely than active people to be overweight and have many other diseases.  Start slow and gradually build up your time and intensity levels. 


For more information see http://www.cdc.gov/family/gardening/ for the complete article.

Don't forget to take your liquid glucosamine and chondroitin supplement to help with those joints while gardening.  

Do you have any great gardening stories?  I would love to hear them - send me a comment and I may post your story in by next blog post!
 

Don’t let joint pain keep you from springing forward in life.

One great thing about spring is the weather.  Warmer weather can make life a lot easier on arthritic joints.  If you have arthritis (in particular the wear and tear related osteoarthritis) you will undoubtedly feel more like moving once your body and joint tissues have warmed up. 

So lets discuss a spring forward warm up plan that can reduce the twinges from your hinges during a workout. Your spring forward warm up for joint health includes
1) environmental, 2) temporal and 3) physical tips
  
1. Your joints will feel better when working out in warmer environments.  This can be accomplished by staying indoors or keeping the cooling system low, or by wearing workout gear that keeps your body well insulated (i.e. sweats and wraps).  You can also enhance your body temperature pre-activity by taking a hot shower or sitting in a Jacuzzi.

2. In terms of the best time to exercise, your joints will feel best around midday.  This will give your body a chance to naturally loosen up and warm up with your daily routine without feeling overtaxed by a full day of life tasks. 

3. Last but not least are some physical tips that can help prepare sensitive joints for various types of physical exercise. 
 
In terms of your cardio-vascular exercise, be sure to start off slowly with modest range of motion.  Gradually increase your movement range in both your upper body and lower body movements until you are working at near full range capacity.  This could take a good 10 to 15 minutes.  So for example, start your fitness walk with small steps and minimal arm swinging, as you warm up and loosen up try rolling the shoulders up, back and down while you walk.  Also add in some ball and heel walking.  By this I mean, walk on the balls of your fee for about 10 seconds followed by walking on your heels for 10 seconds.  Go back to a normal footfall and gently reach a bit further with each step.  Once you feel your overall body temperature has elevated (usually noted by a desire to take off your outer jacket) you can stop and hold a few hip and leg stretches, if those areas still feel restricted.  Keep those stretches light (8 to 10 seconds in length).  Then continue with your walk, using the best arm swing and leg stride that you can.  

Your muscle-conditioning workout should follow a similar warm up plan of action.  When performing strength training exercises always do the first set of any exercise with limited range and very light resistance.  Then for the second set you can gradually increase the range and/or resistance.  Keep in mind that strength training is important but so is joint sense.  Use resistance loads that you can safely handle for about 15 repetitions even if that means no resistance other than the weight of your body or body part. 

All stretches should start off light, never force or bounce. Once your muscles are warm they have better give therefore you get the best results from your stretches after you have completed more active exercises (i.e. walking or strength exercises).  These stretches should be held to a point of slight or mild discomfort for 10 to 30 seconds.

Progress slowly and always stay in the pain free range of motion.  If your joints are experiencing more pain or discomfort than typical two hours after a workout is over, you have probably worked too hard.  Back off a bit and don’t forget to take your joint healthy glucosamine and chondroitin supplements.     
 

Many people recognize glucosamine as part of glucosamine and chondroitin sulfate supplements – the most effective combination for fighting the progression of osteoarthritis.  But, what is glucosamine and how does it work?

Osteoarthritis
First, it is essential to understand what osteoarthritis is and how it progresses.  Osteoarthritis is a degenerative, chronic joint disease characterized by cartilage breakdown and the development of bone spurs.  Cartilage cushions the ends of bones allowing joints to move easily.  Can you imagine how your body would feel if your bones were rubbing on top of other bones?  Well, that is exactly what happens with cartilage breakdown.  Bones rub against each other, causing joint pain, early morning stiffness, joint stiffness after periods of rest, pain that worsens with joint use, and loss of joint function.

Osteoarthritis is the most common joint disease.  In fact, an astounding 75% of people over the age of 65 suffer from osteoarthritis.  Obesity and mechanical stress are two of the top contributing factors leading to osteoarthritis.  And, with the growing obesity epidemic, the number of people suffering from osteoarthritis is expected to grow accordingly.

Both glucosamine and chondroitin are taken up by the cells in cartilage (chondrocytes) and used to build new cartilage.  In addition, some research indicates that both may help prevent cartilage breakdown – a hallmark of osteoarthritis.  See picture below depicting the process of osteoarthritis. Several research studies indicate that glucosamine chondroitin supplements offer a safe, effective alternative to non-steroidal anti-inflammatory drugs (NSAIDS) for relieving osteoarthritis pain.
 
The supplement form of glucosamine is derived from sugar and very similar to the glucosamine formed by chondrocytes.  In the body glucosamine is incorporated into connective tissue, skin, tendons and ligaments.

Chondroitin and collagen fibers together form the structure of joint cartilage much like steel beams form the structure of a building.  Chondroitin is incorporated into connective tissue, skin, tendons, ligaments, cartilage and mucous secretions.  It gives joints their elasticity by drawing fluid into cartilage tissue.  This elasticity is essential given the stress and strain we put on our joints every time we engage in activity.  Chondroitin also inhibits enzymes that break down joint cartilage.

Both glucosamine and chondroitin have been used in Europe for over 20 years without significant adverse side effects.  Additionally, glucosamine and chondroitin sulfate have been consumed safely in the US for several years and side effects are considered uncommon and minor.  However, people with shellfish allergies, asthma or those taking diabetes medications or blood thinning medications such as warfarin (Coumadin) should speak with their physician first prior to starting glucosamine supplements.

Anyone suffering from the pain of osteoarthritis or even those who are in the beginning stages of osteoarthritis may benefit from taking glucosamine chondroitin sulfate supplements.  By taking this combination daily, you may prevent further cartilage breakdown and also minimize any joint pain that you have.  Try keeping a bottle of liquid glucosamine and chondroitin on your kitchen counter or even in your bathroom, it’s easier to remember to take 2 Tbsp a day.  It becomes a routine just like brushing your teeth or making our morning cup of coffee!

References:
Sem Arthritis Rheum 2001;31:58-68.
Arthritis Rheum 2001; 44:1089-1095.
Connect Tissue Res 1975; 3:115-122.
Prog Drug Res 2001; 55: 81-103.
N Engl J Med 2006;354:795-808.
Dahmer S, Schiller RM.  Glucosamine. Am Fam Physician 2008;78(4):471-6.

• Maintain good posture.
• Flex the elbows to approximately 90 degrees. Let them swing forward and back without crossing the center of the body or swinging higher than the top of the sternum. Keep elbows close to sides.
• Speed up the arm swing to speed up the leg action
• The hips will rotate slightly in a natural motion.
• Land on the heel of the foot with the forefoot raised.
• Roll from the heel to the ball of the foot.
• Forcefully push off the forefoot.
• Lean slightly forward from the ankles, not the waist.

To help keep your joints flexible and strong, make sure to take glucosamine and chondroitin supplements each day.  You will notice the difference as you increase your walking intensity.  Try alternating one day of health walking with one day of fitness walking until you build up your stamina. 

My garden in the spring

I love to walk and hike and I used to run, but the older I get the more my knees hurt.  Lately, I have noticed that my knees make a strange sound when I bend them.  A friend of mine recommended some great knee braces from Nikken and they do help a lot, especially when it is cold out. 

I also take the liquid glucosamine and chondroitin supplement on a daily basis.  My greatest fear is not being able to walk and hike when I get older because my knees hurt too much or needing to have knee surgery later. 

Strengthening the muscles above around the knees can also help tremendously such as the quadriceps and hamstrings.  Exercise keeps your joints from stiffening and provides needed support, making movement easier and reducing joint pain.

Here are some great exercises for these muscles from Jen Mueller, a certified trainer, from the Spark People website. 

STRETCHES

1. Chair knee extension: Sitting in a chair, rest your foot on another chair so the knee is slightly raised. Gently push the raised knee toward the floor using only leg muscles. Hold for 5 - 10 seconds and release. Repeat 5 times on each leg.
2. Heel slide knee extension: Lie on your back, with left knee bent and left foot flat on floor. Slowly slide the left heel away from your body so both legs are parallel. Hold for 5-10 seconds, return to starting position. Repeat 5 times on each leg.
3. Knee flexion: Sitting in a chair, loop a long towel under your foot (resting on the floor). Gently pull on the towel with both hands to bend the knee, raising your foot 4 - 5 inches off the floor. Hold for 5 - 10 seconds, then release. Repeat 5 times on each leg.
4. Hamstring stretch: Standing, put one foot in front of you, toes up. With hands on the small of your back (or one hand holding a chair for balance), bend the opposite knee and hip (not your lower back), until you feel the hamstrings stretch. The upper body comes forward at the hip. Hold for 5 -10 seconds, then release. Repeat 5 times on each leg.

STRENGTH TRAINING

1. Wall slide: Leaning with your back against a wall, bend your knees 30°, sliding down the wall, then straighten up again. Move slowly and smoothly, using your hands on the wall for balance. Keep feet and legs parallel, and do not allow knees to go out over the toes. Repeat 5 -10 times.
2. Bent-Leg Raises: Sitting in a chair, straighten one leg in the air (without locking the knee). Hold for about one minute. Bend your knee to lower the leg about halfway to the floor. Hold for 30 seconds. Return to starting position. Work up to 4 reps on each leg.
   
3. Straight-Leg Raises: Sitting in a chair, rest your foot on another chair. Lift the foot a few inches off the chair while keeping your leg straight. Hold for 5 -10 seconds. Return to resting position. Repeat 5 -10 times. (Also work on increasing the time, up to 2-3 minutes if possible.)
4. Abductor Raise: Lie on your side, propped on one elbow. The leg on the floor bent, the other straight. Slowly lift the top leg, hold for 5 -10 seconds, then lower. (Ankle weights will increase the intensity). Do 1-3 sets with 12-15 repetitions each. Remember to rest in between sets.
5. Hamstring Curl: Stand with the front of your thighs against a surface (a table or wall). Flex one knee up as far as is comfortable. Hold for 5 - 10 seconds, then lower slowly. If possible, do not touch the floor between repetitions. (Ankle weights will increase the intensity.) Do 1-3 sets with 12-15 repetitions each. Remember to rest in between sets.
6. Step-Ups: Stand in front of a step, like a sturdy bench or stairs, about two feet high (or less if necessary). Step up onto the support, straighten your knees fully (without locking them) and step down. Maintain a steady pace. If you are comfortable with your balance, pump your arms while doing this exercise. Start with 1 minute, slowly building your time. Gets your heart pumping too!
7. Stationary Bike: Biking is a good way to increase strength and range of motion. Make sure you have the right positioning of the legs. At the bottom of the pedal stroke, the bend in the knee should be 15 degrees. Start with 10 minutes and slowly increase your time.

Always check with your doctor before beginning an exercise program. These exercises are designed to help, not hurt. If you experience pain at any time during the exercise, stop. Pain is your body’s way of telling you that something is wrong.

You can ice your knees for 10-20 minutes if they are sore after doing these exercises.


 

Is your food enough?

How do you know if you are getting what you need from food or when you may need a supplement?  That depends on what type of supplement you are interested in.  I group them into two categories: 

1. Vitamins and minerals
2. Other supplements for general health and wellbeing

First, vitamins and minerals. 
It is not easy to get all the vitamins and minerals you need from your daily diet unless you eat a decent amount of food, choose high quality nutrient-rich foods the majority of the time and vary your diet (versus eating the same 30 or so foods each week).  There are some nutrients that just are not prevalent in many foods such as vitamin D (though it is fortified in some foods), copper and vitamin E. 

Do you need a multivitamin mineral supplement?
It is wise to take one especially if you are a female, vegetarian or vegan, dieting, elderly or you don’t eat a well-rounded nutritious diet full of fruits, vegetables, healthy fats and good quality sources of grains and protein.  Remember, you don’t need anything that says “mega” on the front or has 2000% of any vitamin or mineral.  Just because something is good for you, more isn’t always better.

A recent survey said 72 percent of Physicians think its a good idea for their patients to take a multivitamin.
 
The “other supplement” category. 
Many supplements that fall into this category are those you aren’t going to get from food or is hard to get in sufficient  quantities.  Will you benefit from taking glucosamine and chondroitin supplements?  Omega 3 fats?  Calcium and Vitamin D?  Coenzyme Q10?  First, always ask your personal physician or the specialist you see.  Make sure they take the time to explain why any supplement may be beneficial for your health.  Next, do your own research.  Look on reputable .gov or .edu websites. Or, check out our government’s information on dietary supplements:

http://www.cfsan.fda.gov/~dms/ds-savvy.html

A new study just released revealed the five top reasons why physicians recommend dietary supplements to their patients.  The Life Supplemented Healthcare Professionals (HCP) Impact Study found that a majority of physicians - 79% - recommend supplements to their patients for these health reasons:

1. Bone Health 33%
2. Overall health and wellness 32%
3. Joint Health 29%
4. Heart Health 26%
5. Maintain healthy cholesterol 22%

The physicians were not asked to specify which supplements they would recommend for each condition; however, there are certain supplements that are widely recognized for each of these health areas.

1.  Bone Health - Calcium and Vitamin D are widely recognized and recommended for maintaining bone health and managing osteoporosis

2.  Overall health and wellness - This survey found that 72 percent of physicians think its a good ideas for patients to take a multivitamin. 

3.  Joint Health - Glucosamine and chondroitin supplements have been shown in clinical trials to aid in joint discomfort and mobility often caused by osteoarthritis.

4.  Heart Health - Omega-3's, EPA and DHA, found in fatty fish such as salmon are often taken for many health reasons, including a healthy heart.  Other supplements include vitamin E and B vitamins. 

5.  Maintain healthy cholesterol - Soluble fiber is known for its cholesterol-lowering effects and plant sterols are becoming popular also.

Top supplements used by the 72 percent of physicians who say they use a dietary supplement:

1. Multivitamin
2. Vitamin C
3. B vitamins
4. Vitamin D
5. Vitamin E
6. Calcium

Read more about this study here

There has been some confusion about whether doctors recommend Glucosamine and Chondroitin for arthritis.  In Europe, prescribing glucosamine for joint problems has been standard practice for decades. In fact, the glucosamine market in Europe is quite large. Here in the U.S., more and more doctors are suggesting their patients take the supplement because it works for improving joint health.   

In fact, a recent report in the February 2008 issue of Osteoarthritis and Cartilage, the Osteoarthritis Research Society International (ORSI) included glucosamine and chondroitin in their list of recommended treatments for the management of hip and knee osteoarthritis. Their position was taken based on the findings in the published report of W. Zhang, Ph.D., et al., pages 137-162.

The purpose of this report was to develop concise, patient-focused, up-to-date, evidence based, expert consensus recommendations for the management of hip and knee osteoarthritis (OA). Also, it’s adaptable and designed to assist health care professionals in general and specialist practice globally.

The strength of the recommendation was based on the opinions of the guideline development group after taking into consideration safety, efficacy and clinical expertise. Pain, patient tolerance and movement were included in the guidelines. Sixteen  international experts from four medical disciplines (primary care, rheumatology, orthopedics and evidence-based medicine), formed the guideline’s development  team.

In the category of pharmacological modalities of treatment recommendation #18 on page 148, they state, “Treatment with glucosamine/chondroitin may provide symptomatic benefit in patients with knee OA.”  The report cites several different studies and reviews to support this.  Recommendation #19, page 149, states, “In patients with symptomatic knee OA glucosamine sulphate and chondroitin sulphate may have structure-modifying effects…”

Liquid glucosamine and chondroitin supplements can be a tremendous help in managing arthritis and joint pain. Many satisfied customers have taken the liquid glucosamine for years with very good results.  It has made a huge difference in many people’s lives and isn’t that what’s important?  Enabling a person to be more active and live life to the fullest – no matter what their age – that is the ultimate purpose of a glucosamine and chondroitin supplements.

For more great arthritis research info check out www.arthritis-research.com or the Arthritis Research Institute of America.

Arthritis Tip of the Week – When on vacation, make time in your day for exercise.  You will have more energy for sightseeing, and you’ll keep your muscles and joints from getting stiff while sitting or visiting tourist sites..