Avoiding/Managing Osteoarthritis

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Avoiding/Managing Osteoarthritis

Arthritis is the umbrella term for a cluster of joint diseases involving inflammation of the joints, hence “arthr-” (joint) “-itis” (suffix used to denote inflammation).

Inflammatory vs Non-Inflammatory Arthritis

Arthritis is broadly divided into inflammatory arthritis and non-inflammatory arthritis.

Some forms, such as rheumatoid arthritis, are of the inflammatory kind. We wrote about that previously:

See: Avoiding/Managing Rheumatoid Arthritis

You may be wondering: how does one get non-inflammatory inflammation of the joints?

The answer is, in “non-inflammatory” arthritis, such as osteoarthritis, the damage comes first (by general wear-and-tear) and inflammation generally follows as part of the symptoms, rather than the cause.

So the name can be a little confusing. In the case of osteo- and other “non-inflammatory” forms of arthritis, you definitely still want to keep your inflammation at bay as best you can; it’s just not the prime focus.

So, what should we focus on?

First and foremost: avoiding wear-and-tear if possible. Naturally, we all must live our lives, and sometimes that means taking a few knocks, and definitely it means using our joints. An unused joint would suffer just as much as an abused one. But, we can take care of our joints!

We wrote on that previously, too:

See: How To Really Look After Your Joints

New osteoarthritis medication (hot off the press!)

At 10almonds, we try to keep on top of new developments, and here’s a shiny new one from this month:

Note also that Dr. Flavia Cicuttini there talks about what we talked about above—that calling it non-inflammatory arthritis is a little misleading, as the inflammation still occurs.

And finally…

You might consider other lifestyle adjustments to manage your symptoms. These include:

  • Exercise—gently, though!
  • Rest—while keeping mobility going.
  • Mobility aids—if it helps, it helps.
  • Go easy on the use of braces, splints, etc—these can offer short-term relief, but at a long term cost of loss of mobility.
    • Only you can decide where to draw the line when it comes to that trade-off.

You can also check out our previous article:

See: Managing Chronic Pain (Realistically!)

Take good care of yourself!

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  • Hungry? How To Beat Cravings

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    The Science of Hunger, And How To Sate It

    This is Dr. David Ludwig. That’s not a typo; he’s a doctor both ways—MD and PhD.

    Henceforth we’ll just say “Dr. Ludwig”, though! He’s a professor in the Department of Nutrition at Harvard T.H. Chan School of Public Health, and director of the New Balance Foundation Obesity Prevention Center.

    His research focuses on the effects of diet on hormones, metabolism, and body weight, and he’s one of the foremost experts when it comes to carbohydrates, glycemic load, and obesity.

    Why are we putting on weight? What are we getting wrong?

    Contrary to popular belief, Dr. Ludwig says, weight gain is not caused by a lack of exercise. In fact, people tend to overestimate how many calories are burned by exercise.

    A spoonful of sugar may make the medicine go down, but it also contains 60 calories, and that’d take about 1,500 steps for the average person to burn off. Let’s put this another way:

    If you walk 10,000 steps per day, that will burn off 400 calories. Still think you can exercise away that ice cream sundae or plate of fries?

    Wait, this is interesting and all, but what does this have to do with hunger?

    Why we get hungry

    Two important things:

    • All that exercise makes us hungry, because the more we exercise, the more the body speeds up our metabolism accordingly.
    • Empty calories don’t just add weight themselves, they also make us hungrier

    What are empty calories, and why do they make us hungrier?

    Empty calories are calories that are relatively devoid of other nutrition. This especially means simple sugars (especially refined sugar), white flour and white flour products (quick-release starches), and processed seed oils (e.g. canola, sunflower, and friends).

    They zip straight into our bloodstream, and our body sends out an army of insulin to deal with the blood sugar spike. And… that backfires.

    Imagine a person whose house is a terrible mess, and they have a date coming over in half an hour.

    They’re going to zoom around tidying, but they’re going to stuff things out of sight as quickly and easily as possible, rather than, say, sit down and Marie Kondo the place.

    But superficially, they got the job done really quickly!

    Insulin does similarly when overwhelmed by a blood sugar spike like that.

    So, it stores everything as fat as quickly as possible, and whew, the pancreas needs a break now after all that exertion, and the blood is nice and free from blood sugars.

    Wait, the blood is what now?

    The body notices the low blood sugar levels, and it also knows you just stored fat so you must be preparing for starvation, and now the low blood sugar levels indicate starvation is upon us. Quick, we must find food if we want to survive! So it sends a hunger signal to make sure you don’t let the body starve.

    You make a quick snack, and the cycle repeats.

    Dr. Ludwig’s solution:

    First, we need to break out of that cycle, and that includes calming down our insulin response (and thus rebuilding our insulin sensitivity, as our bodies will have become desensitized, after the equivalent of an air-raid siren every 40 minutes or so).

    How to do that?

    First, cut out the really bad things that we mentioned above.

    Next: cut healthy carbs too—we’re talking unprocessed grains here, legumes as well, and also starchy vegetables (root vegetables etc). Don’t worry, this will be just for a short while.

    The trick here is that we are resensitizing our bodies to insulin.

    Keep this up for even just a week, and then gradually reintroduce the healthier carbs. Unprocessed grains are better than root vegetables, as are legumes.

    You’re not going to reintroduce the sugars, white flour, canola oil, etc. You don’t have to be a puritan, and if you go to a restaurant you won’t undo all your work if you have a small portion of fries. But it’s not going to be a part of your general diet.

    Other tips from Dr. Ludwig:

    • Get plenty of high-quality protein—it’s good for you and suppresses your appetite
    • Shop for success—make sure you keep your kitchen stocked with healthy easy snack food
    • Nuts, cacao nibs, and healthy seeds will be your best friends and allies here
    • Make things easy—buy pre-chopped vegetables, for example, so when you’re hungry, you don’t have to wait longer (and work more) to eat something healthy
    • Do what you can to reduce stress, and also eat mindfully (that means paying attention to each mouthful, rather than wolfing something down while multitasking)

    If you’d like to know more about Dr. Ludwig and his work, you can check out his website for coaching, recipes, meal plans, his blog, and other resources!

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  • What are house dust mites and how do I know if I’m allergic to them?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    People often believe they are allergic to house dust. But of the 20% of Australians suffereing with allergies, a number are are actually allergic to microscopic house dust mites.

    House dust mites belong to the same family as spiders and ticks. They measure just 0.2-0.3 mm, with 50 fitting on a single pinhead. They live for 65–100 days, and females lay 60–100 eggs in their life.

    House dust mite
    Some 50 house dust mites can fit on one pinhead. Choksawatdikorn/Shutterstock

    House dust mites love temperate climates and humidity. They feed off the skin cells we and animals shed, as well as mould, which they digest using special enzymes. These enzymes are excreted in their poo about 20 times a day. They also shed fragments of their exoskeletons.

    All these fragments trigger allergies in people with this type of allergic rhinitis (which is also known as hay fever)

    shuttertock. PeopleImages.com – Yuri A/Shutterstock

    What are the symptoms?

    When people with house dust mite allergy inhale the allergens, they penetrate the mucous membranes of the airways and eyes. Their body recognises the allergens as a threat, releasing chemicals including one called histamine.

    This causes symptoms including a runny nose, an itchy nose, eyes and throat, sneezing, coughing and a feeling of mucus at the back of your throat (known as a post-nasal drip).

    People with this type of allergy usually mouth breath, snore, rub their nose constantly (creating a nasal crease called the “dust mite salute”) and have dark shadows under their eyes.

    House dust mite allergy can also cause poor sleep, constant tiredness, reduced concentration at work or school and lower quality of life.

    For people with eczema, their damaged skin barrier can allow house dust mite proteins in. This prompts immune cells in the skin to release chemicals which make already flared skin become redder, sorer and itchier, especially in children.

    Symptoms of house dust mite allergy occur year round, and are often worse after going to bed and when waking in the morning. But people with house dust mite allergy and pollen allergies find their year-round symptoms worsen in spring.

    How is it diagnosed?

    House dust mite allergy symptoms often build up over months, or even years before people seek help. But an accurate diagnosis means you can not only access the right treatment – it’s also vital for minimising exposure.

    Doctor talks to patient
    Your clinician can talk you through treatment options and how to minimise exposure. Monkey Business Images/Shutterstock

    Doctor and nurse practitioners can order a blood test to check for house dust mite allergy.

    Alternatively, health care providers with specialised allergy training can perform skin prick tests. This involves placing drops of the allergens on the arm, along with a positive and negative “control”. After 15 minutes, those who test positive will have developed a mosquito bite-like mark.

    How is it treated?

    Medication options include one or a combination of:

    • daily non-sedating antihistamines
    • a steroid nasal spray
    • allergy eye drops.

    Your health care professional will work with you to develop a rhinitis (hay fever) medical management plan to reduce your symptoms. If you’re using a nasal spray, your health provider will show you how to use it, as people often use it incorrectly.

    If you also have asthma or eczema which is worsened by dust mites, your health provider will adapt your asthma action plan or eczema care plan accordingly.

    If you experience severe symptoms, a longer-term option is immunotherapy. This aims to gradually turn off your immune system’s ability to recognise house dust mites as a harmful allergen.

    Immunotherapy involves taking either a daily sublingual tablet, under the tongue, or a series of injections. Injections require monthly attendances over three years, after the initial weekly build-up phase.

    These are effective, but are costly (as well as time-consuming). So it’s important to weigh up the potential benefits and downsides with your health-care provider.

    How can you minimise house dust mites?

    There are also important allergy minimisation measures you can take to reduce allergens in your home.

    Each week, wash your bedding and pyjamas in hot water (over 60°C). This removes house dust mite eggs and debris.

    Opt for doonas, covers or quilts that can be washed in hot water above 60°C. Alternatively, low-cost waterproof or leak proof covers can keep house dust mites out.

    If you can, favour blinds and wood floors over curtains and carpet. Dust blinds and surfaces with a damp cloth each week and vacuum while wearing a mask, or have someone else do it, as house dust mites can become airborne during cleaning.

    But beware of costly products with big marketing budgets and little evidence to support their use. A new mattress, for example, will always be house dust mite-free. But once slept on, the house dust mite life cycle can start.

    Mattress protectors and toppers commonly claim to be “hypoallergenic”, “anti-allergy” or “allergy free”. But their pore sizes are not small enough to keep house dust mites and their poo out, or shed skin going through.

    Sprays claiming to kill mites require so much spray to penetrate the product that it’s likely to become wet, may smell like the spray and, unless dried properly, may grow mould.

    Finally, claims that expensive vacuum cleaners can extract all the house dust mites are unsubstantiated.

    For more information, visit healthdirect.gov.au or the Australian Society of Clinical Immunology and Allergy.

    Deryn Lee Thompson, Eczema and Allergy Nurse; Lecturer, University of South Australia

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • The Physical Exercises That Build Your Brain

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    Jim Kwik: from broken brain to brain coach

    Jim Kwik is a renowned expert in brain training and building mental resilience. With his innovative techniques and physical exercises, Jim Kwik helps individuals enhance their brain power and unlock their full potential.
    Image from Kwik Learning

    This is Jim Kwik. He suffered a traumatic brain injury as a small child, and later taught himself to read and write by reading comic books. He became fascinated with the process of learning, and in his late 20s he set up Kwik Learning, to teach accelerated learning in classrooms and companies, which he continued until 2009 when he launched his online learning platform. His courses have now been enjoyed by people in 195 countries.

    So, since accelerated learning is his thing, you might wonder…

    What does he have to share that we can benefit from in the next five minutes?

    Three brain exercises to improve memory and concentration

    A lot of problems we have with working memory are a case of executive dysfunction, but there are tricks we can use to get our brains into gear and make them cumulatively stronger:

    First exercise

    You can strengthen your corpus callosum (the little bridge between the two hemispheres of the brain) by performing a simple kinesiological exercise, such as alternating touching your left elbow to your right knee, and touching your right elbow to your left knee.

    Do it for about a minute, but the goal here is not a cardio exercise, it’s accuracy!

    You want to touch your elbow and opposite knee to each other as precisely as possible each time. Not missing slightly off to the side, not falling slightly short, not hitting it too hard.

    Second exercise

    Put your hands out in front of you, as though you’re about to type at a keyboard. Now, turn your hands palm-upwards. Now back to where they were. Now palm-upwards again. Got it? Good.

    That’s not the exercise, the exercise is:

    You’re now going to do the same thing, but do it twice as quickly with one hand than the other. So they’ll still be flipping to the same basic “beat”, put it in musical terms, the tempo on one hand will now be twice that of the other. When you get the hang of that, switch hands and do the other side.

    This is again about the corpus callosum, but it’s now adding an extra level of challenge because of holding the two rhythms separately, which is also working the frontal lobe of the cerebral cortex.

    The pre-frontal cortex in particular is incredibly important to executive function, self-discipline, and being able to “do” delayed gratification. So this exercise is really important!

    Third exercise

    This one works the same features of the brain, but most people find it harder. So, consider it a level-up on the previous:

    Imagine there’s a bicycle wheel in front of you (as though the bike is facing you at chest-height). Turn the wheel towards you with your hands, one on each side.

    Now, do the same thing, but each of your hands is going in the opposite direction. So one is turning the wheel towards you; the other is turning it away from you.

    Now, do the same thing, but one hand goes twice as quickly as the other.

    Switch sides.

    Why is this harder for most people than the previous? Because the previous involved processing discrete (distinct from each other) movements while this one involves analog continuous movements.

    It’s like reading an analog clock vs a digital clock, but while using both halves of your brain, your corpus callosum, your pre-frontal cortex, and the motor cortex too.

    Want to learn more?

    You might enjoy his book, which as well as offering exercises like the above, also offers a lot about learning strategies, memory processes, and generally building a quicker more efficient brain:

    Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life

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  • Beat Sugar Addiction Now! – by Dr. Jacob Teitelbaum & Chrystle Fiedler

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Sugar isn’t often thought of as an addiction in the same category as alcohol or nicotine, but it’s actually very similar in some ways…

    A bold claim, but: in each case, it has to do with dopamine responses to something that has:

    • an adverse effect on our health,
    • a quickly developed tolerance to same,
    • and unpleasant withdrawal symptoms when quitting.

    However, not all sugar addictions are created equal, and Dr. Teitelbaum lays four different types of sugar addiction out for us:

    1. Most related to “I need to perform and I need to perform now”
    2. Most related to “I just need something to get me through one more stressful day, again, just like every day before it”
    3. Most related to “ate too much sugar because of the above, and now a gut overgrowth of C. albicans is at the wheel”
    4. Most related to “ate too much sugar because of the above, and now insulin resistance is a problem that perpetuates itself too”

    Of course, these may overlap, and indeed, they tend to stack cumulatively as time goes by.

    However, Dr. Teitelbaum notes that as readers we may recognize ourselves as being at a particular point in the above, and there are different advices for each of them.

    You thought it was just going to be about going cold turkey? Nope!

    Instead, a multi-vector approach is recommended, including adjustments to sleep, nutrition, immune health, hormonal health, and more.

    In short: if you’ve been trying to to kick the “White Death” habit as Gloria Swanson called it (sugar, that is, not the WW2 Finnish sniper of the same name—we can’t help you with that one), then this book is really much more helpful than others that take the “well, just don’t eat it, then” approach!

    Pick up your copy of Beat Sugar Addiction Now from Amazon, and start your journey!

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  • Eat This Daily For No Wrinkles (& How It Works)

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Dr. Andrea Suarez explains:

    Go nuts for…

    Almonds! They’re rich in vitamin E (alpha-tocopherol), beta-sitosterol, squalane, protein, and fiber:

    • Vitamin E acts as an antioxidant, protecting skin lipids.
    • Lipids in almonds support the skin barrier and hydration.
    • Protein is necessary for collagen synthesis.
    • Fiber promotes gut health, indirectly benefiting skin.
    • Polyphenolic compounds in almond skins (not the shells, the skins, the fibrous brown part that slides off if you blanch them) provide additional skin protection.

    The science (yes, there have been almond intervention studies!):

    1. 2019 Study:
      • Participants: 28 post-menopausal women with fair skin (Fitzpatrick phototype 1-2).
      • Design: 20% of daily calories from almonds vs. a calorie-matched snack.
      • Results: 9% decrease in facial wrinkles in the almond group, no change in oil production or barrier function.
    2. 2021 Study:
      • Extended Duration: 24 weeks with a similar design as the 2019 study.
      • Findings: further wrinkle reduction and improvement in skin pigmentation.
      • Mechanism: vitamin E may reduce hyperpigmentation and support antioxidant defense.
    3. UV Protection Study (2021):
      • Participants: healthy Asian women (18–45 years, Fitzpatrick phototype 2-4).
      • Method: daily almond snack vs pretzel snack for 12 weeks.
      • Outcome: increased skin resistance to UV damage in the almond group.

    Obviously, a limitation is there is not really an option to make a RCT with a blinded control; “…and group B will only think they are eating almonds” doesn’t really work. Hence, interventional RCTs with a non-blinded control (the calorie-matched snack).

    Almonds may not be the cure to all things, but they certainly are potent nuts. Best enjoyed, of course, as part of a healthy overall diet (Mediterranean diet is great), and it’s certainly advisable to take care of your skin from the outside too (sunscreen as a must; other things optional).

    For more on all of this, enjoy:

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    Want to learn more?

    You might also like to read:

    Why You Should Diversify Your Nuts

    Take care!

    Don’t Forget…

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  • Four Habits That Drastically Improve Mobility

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Mobility is critical for health living, but stretching isn’t the entire story:

    Beyond just stretching

    Liv Townsend, of LivInLeggings fames, recommends these four habits:

    1. Sit less: prolonged sitting affects hip and shoulder mobility. Specifically, it affects it negatively. It is also a bringer of woe in many other ways beyond the scope of what we’re doing here today, but the important thing for mobility is to sit less. So, if you spent a lot of time at a desk, invest in a standing desk (writer’s note: I dearly love mine, which is technically a sit-stand converter like this one on Amazon but I just keep it in the up position all the time, so it’s easy to forget it has multiple settings. Anyway, it’s sooooooo much better for my back than sitting for hours at a time.). For how to deal with other (i.e. not desk-related) reasons you might be sitting a lot, check out: Stand Up For Your Health (Or Don’t*)
    2. Take creatine: more than just for strength and muscle-building (and even aside from its brain-benefits that it bestows to older people, but not young ones), creatine also supports mobility and flexibility. Any brand is fine, so long as creatine monohydrate is the sole ingredient. Also, micronized or not is also fine—that’s just to do with whether it’s been pre-compacted into super-tiny beads (so small that it will still effectively be a powder), which helps it to avoid clumping when mixed in a liquid, that’s all. It shouldn’t have any additives either way (so, check labels to ensure it doesn’t).
    3. Spend more time under tension: no, we’re not talking about texting your spouse “we need to talk”, but rather, this means that when we do stretch, we should spend longer in the stretched position. While dynamic stretching has its place, passive stretching (holding stretches for longer periods) is essential and shouldn’t be overlooked.
    4. Incorporate “movement snacks”: this is about when we are going about our daily life, we should move more while doing everyday tasks. Get in some shoulder stretches while waiting for the kettle to boil, deep squat while petting the dog, etc. These are very important, because mobility is very much a “use it or lose it” thing, and so moving in many different ways, frequently, is the only way to ensure full coverage (no stretching regimen is going to be able to cover the many compound movements that we do in everyday life).

    *That article also covers how to avoid the damage of sitting even if you cannot physically stand!

    For more on all of these, enjoy:

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    Want to learn more?

    You might also like to read:

    Mobility As Though A Sporting Pursuit: Train For The Event Of Your Life!

    Take care!

    Don’t Forget…

    Did you arrive here from our newsletter? Don’t forget to return to the email to continue learning!

    Learn to Age Gracefully

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