Category Archives: Keep Moving: Managing Arthritis

Managing arthritis without drugs or surgery

Vitamin D may prevent Diabetes II

Gentle Reader,

Vitamin D, seems to be the miracle supplement as research turns up more benefits. In my recent travels, along the Inside Passage in Alaska, I worried about the many “round” people from the cruise ships.  They may not have gotten a diagnosis of diabetes from their doctor.  But they may, like many of us, walk around leading what seems like normal lives with pre-diabetes.

Dr. Steve Chaney describes the condition in his recent newsletter.  [To read the whole letter, go to Resources: Diabetes is a deadly scourge.]  He says that when we become overweight our tissues become insulin resistant. Initially our pancreas responds by pumping out more insulin to keep our blood sugar levels near normal. It also starts releasing fatty acids into the bloodstream.

At this stage our blood sugar levels are pretty well under control, but our blood levels of insulin and fatty acids are higher than normal. We are asymptomatic for the most part, so many of us never realize that we have a problem.

And lots of us are pre-diabetic!

When the normal range goes to pre-diabetic and beyond.

My grandfather on my mother’s side was diabetic.  He was a Swede-Finn, emigrating to New York City in around 1900 and joining the dock builders union.  He worked hard, driving piles, helping construct the Brooklyn Bridge and the piers along New York’s maritime harbor.  Then he sat down.  His knees hurt.  His hands hurt. His back hurt.  He had arthritis and moving his body hurt.  Then he developed diabetes.

My mother was never diagnosed with diabetes.  I suspected her of being very close to slipping from pre-diabetic to diabetes in the last 10 years of her life.  Her shoulders hurt.  Her hands hurt.  She had old age arthritis at 55 and began taking Motrin.  I remember her and my father both taking drugs for their aches and pains when I was in high school. They both slowed down, walking less and less.  She was never diagnosed with diabetes.  She died of pancreatic cancer.

This family history is a major driver for me to stay slim and active in spite of major arthritis.

Dr. Chaney points out that there are several published clinical studies showing that lifestyle changes (weight loss, exercise and a healthy diet supplying all of the essential nutrients) can significantly reduce the progression of
pre-diabetes to type 2 diabetes.

Excercise

Supplement with Vitamin D3 by Shaklee

This is a blog about managing arthritis.  See how stiff joints, slowing down, mild and more severe osteo-arthritis, the kind that comes with aging, can be part of the pre-diabetic cluster of conditions?  The primary focus of Dr. Chaney’s article is the research about the benefit of Vitamin D on keeping the pancreas healthy.  Make no mistake, however, Vitamin D by itself will not prevent diabetes.  

Do not let your aches and pains keep you from moving.  Keep those joints active to the maximum extent of their flexibility.

Take Vitamin D if you are over weight and suspect you are pre-diabetic.  But there is no magic bullet.

I was talking with a young woman today who says she doesn’t want to take pills.  I’m all for avoiding medicines if possible.  It was a major challenge for me to understand vitamins are food supplements, foodlets, if you will.  Yes, they are in pill form.  I seldom refer to my vitamins as pills.  They are my supplements.  I take them to fill in the gaps and to compensate for the sluggish utilization of nutrients that comes with age.  We do not make Vitamin D from the sun the way we did when we were 10.

We are going into the winter months when those of us in the north will get less and less sun exposure.  Why not supplement with Vitamin D3?  Especially if you are little round in the middle.  Then, by all means, consider the 180 Turnaround program for losing those extra pounds.  You’ll be thrilled with how much easier it is to move with even 10 pounds less to carry around.

To your good health,

Be well, Do well and Keep moving,

Betsy

206 933 1889

PS If you would like to comment or ask a question, please email me at betsy@hihohealth.com.  I’ve had too many spammy comments and have limited access to the comment section, but I would still love to hear from you.

 

 

 

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No Magic Pill to end Arthritis Pain

Gentle Reader,

In the end, and in the beginning, there is only one thing we –you and I– can do to bring lasting health to our aching bodies.  Life style change.  As I travel the Alaska Marine Highway, eat in the cafeteria on board, snack along the wharf in the various Inside Passage towns, I struggle with how to maintain my eating habits with poor choices everywhere.  Some people go on vacation and throw their healthy life-style to the winds for those 7 – 21 days.  Unfortunately the stomach doesn’t know you are on vacation and when the deep fried foods, extra sour dough bread with butter come rolling down the intestinal track, the joints react.

I’ve been having a few digestive and joint issues until yesterday when I found an IGA in Skagway with a ripe peach, some snap peas, and carrots.  Amazing how getting back to the healthy routine will quickly restore one to their mobile less-pained body.  Did I mention I also found a 4 mile round trip hike up to Dewey Lake right out of Skagway on 2nd Ave?

hiking in Skagway
hiking in Skagway, Dewey Lakes

So good to move after strolling.  What a difference.

This article about the new weight loss drug Dexaprine came across my desk.  Dr. Chaney talks about the hazards of relying on a magic pill to take care of the pounds that weigh our joints down.  It simply doesn’t work. Read his whole article here.

Want to really make a difference in your health?  Lose 10 pounds.  Safely.  Let the fat go, keep the lean muscle.  Have the energy to work out, or a least begin a walking program.  Change the way you eat, permanently.  That’s what the 180 Turnaround kit and the Lean and Healthy Kit are all about.  Consider these Shaklee products as a way to launch yourself into a permanent life-style change.  Personally, I’ll be drinking –or pouring over my breakfast cereal–a Shaklee 180 smoothee for the rest of my life, just as I have been doing ever since I achieved my goal weight 25 years ago with the Shaklee shakes and vitamins.  Why not?  Excellent science behind the product.  Delicious. Sustains energy all day. Convenient to use (I have packets with me on this trip.)  Cheaper than the fast food items at Starbuck’s or McDonalds.  Begin today.

Be well, Do well and Keep Moving,

Betsy

PS to catch the latest on the Alaska expedition, click here

PPS Leave me your diet success/struggle stories in the comment section.

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Alaska, here we come

Gentle Reader,

My sister-in-law, Joan Bell, arrived last Wed. just as I was cleaning the paint residue from the back garden and deck. We were Alaska-bound and she had the excited energy that quivered, “Alaska, here we come.”  Of course, I had a few more things to do to be ready for our Friday morning departure. We got away by 9:30 on the 16th, heading north in the Shaklee car, my 2002 Prius.  Two stops along the way included the return of an air purifier to a customer after getting it fully functional once again, and a lovely lunch stop with the Schleh family in Mt. Vernon.  All three grandchildren were there, a rare opportunity.  Young adults are hard to gather in a clump.  They were between fairs.  Daniel and Ian proudly showed me their belt buckles, winnings for showmanship in the Skagit County Fair.  By now they have hauled into the Monroe Washington State Fair with Boar goats, Saanen goats and Highlander cows.  This will be the first year in many that I will not watch them parade their animals around the ring.

Tents on the stern of the Columbia
Young travelers to Alaska bring their own state-rooms.

Over tuna salad, Joan Schleh, my step-daughter, regaled us with her tales of jumping on a ferry for Ketchikan, fresh out of high-school, back-pack laden and ready for work in the canneries.  She had heard the call:  Alaska, here we come, figuring she could make money as well as the Filipino women who were working the line.  Without a map or a number to call, she got off the boat after 36 hours of sleeping on the deck and sharing pot luck with other campers.  Unable to locate the friend-of-a-friend, she boldly caught a ride to where there was work and signed on.  Two weeks later, she’d called home and discovered there was a job waiting for her in Washington, DC and she caught the next ferry home to try her luck on the other side of the country.  It was just as well.  No place to stay at the cannery, the foreman had cleared a shelf and indicated the space was her’s for the sleeping.  Joan’s children listened to their mother’s adventure, rapt with attention.

Columbia ferry lifebouy with Bellingham in the distance
Bellingham, WA from deck of the Columbia

We departed from Bellingham, the starting point of the Alaska Marine Highway.  My great friend and sponsor in Shaklee lives in B’ham where she has become a well-known ceramic artist. We stopped by a gallery featuring her work on our way to the ferry.  The Columbia is the biggest boat in the 11 boat fleet.  About half the crew got off with us in Ketchikan having worked a week, traveling up to Juneau and then back down to Bellingham, thence home.

In stark contrast to Joan Schleh, Joan Bell and I enjoyed a cabin with bunk beds and a bathroom with shower, money enough to eat in the dining room after drinks in the luxurious bar.  The inside passage proved to be as intimate an encounter with wild shoreline, leaping Orca whales, porpoise, harbor seals and eagles as advertised.  While we are disappointed that the uncharacteristic cloudless days of July are gone in this early Fall, the mist and fog drape the low-rise islands with seductive vails, layering green on green, reaching higher and higher into the cloud cover.  Armed with rain pants and umbrellas, we are loving the cloud-play and ever-changing weather.

View from the cabin Joan and I rented for4 nights.
Intimate harbor in front of Christmas House B&B in Ketchikan AK

Here in Ketchikan, we are tucked into an old 1940s cabin on stilts with high-tide water under the floor boards, an old propane burner in the center of the patterned linoleum floor.  Our windows look out onto an intimate harbor complete with eagle, heron and king-fisher.  Both of us have slipped into memories of cabins in Colorado, Maine, New Hampshire and Oklahoma from our childhood family vacation days.  We have 4 nights here and will not run out of things to do or places to visit.  Just today we spent several hours at the end of the road going north where its turnaround is just beyond a well-kept state park.  Various civic groups helped construct one of the safest, most extravagantly beautiful stair-filled hiking trails I have walked.  The deep sun-dappled rain forest floor covering is a Bigalow carpet of moss and tiny golden mushrooms.  Moss drips from the prickly branches of the Sitka spruce.  Brilliant red berries hang from elderberry shrubs and light the path from the centers of bunch-berry dogwood.  Salmon swell the swollen river plummeting down from the steep hill that characterizes these Inside Passage islands.

We spent the late afternoon at the fish hatchery at the extreme south end of the Tongass highway watching black bears feed on salmon, along side flocks of argumentative seagulls.  Even though three enormous and grotesquely out-of-place cruise ships dock in Ketchikan every Sunday, Monday and Tuesday, the streets and coffee houses are not overly crowded.  I’m not sure where all the people go.  Perhaps they are swallowed up in the various tours offered by entrepreneurial guiding services.

My step-son, who fished further north during his high school and college days, scoffed that Ketchikan was worth 4 hours at most.  Certainly not 4 days.  We are content to gaze out our window, sleep late, cook local sea food, read and read some more in between long wandering visits to the magnificent parks and trails our rental car takes us to.  Four days will be perfect.

In spite of old bones, creaky knees and complaining hips, we are both moving comfortably  helped by Pain Relief Complex and, in my case, a long session on the cabin floor to get things oiled up and moving.  That is the main remedy after all, moving.

Let me know if you have ever answered the call, Alaska, here we come.

Be well, Do well and Keep moving yourself.  And pass this along to your friends.

Betsy

206 933 1889

 

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Confessions of an arthritic painting contractor

 

Gentle Reader,

Confessions of an arthritic painting contractor:

Taking down paintings, emptying book shelves, moving furniture, rolling up rugs, pulling up old wall-to-wall carpet, removing electric face-plates and then spackling, sanding, taping, and painting every wall that faces the outside is a sure-fire recipe for arthritic flare-ups of major proportion.  No matter how many times I lay down on the floor and hung my knees over the Back2Life machine; no matter how many of Shaklee’s herbal Pain Relief Complex tablets I took, I could not prevent pain from coming on.

The people I was supervising as general painting contractor were:

Carsten Rossen and Jack Dahlstrom, 14 and 16, grandsons who did major lifting and prep work and even some priming.

Hanna Rossen and Ben Killorin, 17 and 19, grandchildren who turned out to be excellent painters and were able to mask, spackle, sand, edge and roll paint with only a few drips here and there.  They each put in hours of time, their music blasting, bags of gorp and dried mangos, enormous sandwiches and Shaklee Performance drink for rehydration consumed.  Ben made the sandwiches as his first summer job was the Deli department at a local grocery store.

Elizabeth Skewis, friend of Grace, my oldest daughter, and now a great friend of mine, is a woman who has done everything under the sun for a living including painting.  She was my right hand gal, with skill and stick-to-itiveness, esthetic judgment and coaching for me and the teenagers.

Pete Rossen and Hanna, father and daughter, came to move the furniture back where it belonged after the final (almost final) painting was done.  He was the one who suggested I could hire my grandchildren when I was fretting about whom to get to do the painting.  I loved their youthful energy in the house and their “there, there, Grandma. Don’t lift anything.  Just tell us and we’ll do it.”

Mike Walker, my renter who lives down stairs and is a finish carpenter.  He put all the running toe board back in every room with his power tools.

The problem child in this final stage of the energy upgrade was, you guessed it, ME.  I love hard work and couldn’t stop myself from all the above mentioned tasks.  I did stop lifting.

Two observations that may help you who suffer from arthritis when you are over-active.

1.  Don’t stop moving.  In the middle of this ordeal I took a 3 ½ mile neighborhood walk which included a long downhill, then a beach walk and finally a 190 tread staircase and 4 long blocks uphill.  Moving keeps the nutrients flowing to the joints which are poorly nourished.  Without good nutrition, the crumbling joint cannot heal itself.  Which brings me to the second point:

2.  The cells in our joints are constantly repairing and rebuilding new, healthy cells to replace the worn out ones and to solve the problems of collapsing vertebrae.  Peggy Cappy talks about this in her meditative CD “Healing Back Pain” which I listen to nearly every day.  Wednesday, after hiking 9 miles round trip, 2000+ ft elevation gain, on Mt. Rainier’s east side to Summerland alpine meadow, I stopped for the evening with one of my hiking buddies.  Her husband is a neurologist with Group Health here in Seattle.  In our conversation he stated that these broken down joint cells do get replaced with fresh, healthy new cells that attempt to fix the problems.  He has told me many times to keep moving, no matter what.  Find something to do that doesn’t hurt and keep doing it.

Today, I spent the morning hanging pictures and scrubbing pain spots off the hard wood floors.  I have no pain.

You can build healthy joints, but you must keep moving to help your body accomplish that feat.

The house is beautiful.  It was all worth it.  Here’s a video I put together to show the energy upgrade work that was done.  When you see the space age water heater, you’ll appreciate the remark made by the city inspector when he came to sign off on the stepped-up electrical power,

“Wow.  This thing should be in the living room where you can sit with your friends, smoke a joint and watch it.”

Whoa!

May I offer a further explanation of the energy improvements under the new roof.  The Crown Roofing guys took off the old stuff including the particle board and before they put the new base and shingles on, the Vesta Performance guys laid down rigid insulation covered by a thin layer of reflective material which would further divert summer heat from entering the house.  They also installed a fan system circulating air in the summer and avoiding mold build-up from a poorly ventilated crawl space over the ceiling and under the roof.  I desperately needed a new roof and was able to fold the cost of the roof itself into the energy upgrade low-interest loan from the Puget Sound Community Credit Union.  This banking institution works with the city of Seattle to implement the Community Power Works program for the homeowner who wants to lower their carbon foot print.  A new roof by itself may or may not reduce heat loss from your house.

You are welcome to drop by and tour the garage and I’ll offer you a cold drink of some sort, but mostly you won’t notice anything different about the house.  It does look fresh and clean but I didn’t change the colors or the furniture.  If you are a person who notices roofs (is there such a person?), you’ll see that mine is beautiful, new and no places where the shingles have flown off in the latest wind storm.  But who looks at roofs?

I am so proud to have done this major effort to reduce my carbon foot print as part of Seattle Community Power Works.  The final numbers came through in the blow test today.  Looking good.  One tight house.  It’s for the Planet and the grandchildren.  I hope you’ll take advantage of any opportunity you have to do the same.  Congratulations if you already have.

Leave me a comment and while you are at it, please ‘like’ my Face book page.  I’d appreciate it.

Be well, Do well and Keep Moving,

Betsy

www.EmpoweredGrandma.com

206 933 1889

 

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Joint pain reaction to bee sting

Gentle Reader,

The energy retrofit continues this week.  The work took me and one roofer through a yellow jacket nest on the side of my hill.  The result was painful stings.  Mine were on the belly and chest.  The roofer had to be taken to the emergency room for treatment. He became short of breath and had other severe reactions.  He didn’t return to work the next day.

Arthritis pain can be greatly exasperated by insect bites.  Here’s what I learned doing a web search after experiencing so much joint pain.

“Allergic Reaction

“An allergic reaction involving the entire body can occur, this can be due to one or multiple stings and may range from mild to fatal, and death can occur in minutes. The majority of the reactions occur within the first 15 minutes, and nearly all occur within 6 hours. There is no connection between the number of stings and how severe the reaction will be. As a general rule, the faster the symptoms come on after the sting, the more severe the reaction will be. Death that occurs within the first hour of the sting is usually from airway blockage or low blood pressure.

“The earliest symptoms consist of itchy eyes, facial flushing, generalized hives, and dry cough. Symptoms may worsen rapidly causing  chest or throat constriction, wheezing, difficulty breathing, bluish discoloration of the skin, abdominal cramping, diarrhea, nausea, vomiting, vertigo, chills and fever, shock, fainting, loss of bowls or bladder, and bloody, frothy sputum. The early mild symptoms can progress quickly to shock.

“A delayed allergic reaction, appearing 5 to 14 days after a sting can occur. Typical symptoms include fever, fatigue, headache, hives, enlarged lymph nodes, and multiple joint pains. Commonly a person will have forgotten about the sting and will not understand why the symptoms have suddenly come on.” Advanced Patient Education.

My own joint pain occurred in the first 36 hours.  I didn’t put two and two together for a while. My weekly hiking buddies and I went up a steep trail on one of the so called Issaquah Alps foothills of the Cascades, Squak Mt.  My knees were killing me and my hips.  The Pain Relief Complex helped, but I was glad to get to a flat area where I could stride out and loosen the joints up.  The crazy remedies that helped with the swelling and the tenderness included one of our skin care treatments called Calming Complex and our toothpaste, called New Concept Dentifrice, and a third product, Desert Wind Roll-on Antiperspirant.  All these products are effective because of the ingredients.  You can read about them at the resources page.

If you have a remedy you have used for insect bites, I’d love to hear about it, and so would my readers, so please leave a comment.  If you’d like to see the videos I’ve been shooting as this project goes forward, here is one.   Go to my You Tube channel to see others.

Be well, Do well and Keep Moving!

Betsy

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New approach to hip surgery

Gentle Reader,

A dear friend and hiking companion was talking with me yesterday as we climbed to the saddle above Pratt Lake in the Snoqualmie Pass section of the Cascade Mountains.  Her husband, an athletic 71 year old has worn out his hip and finally, after months of thinking it was only a sore knee, agreed to have hip surgery.  His doctor is promising him a speedy recovery from his arthritis, so he will back on the tennis court and out fly fishing in a matter of weeks, not month.  Curious about this approach, I researched it and pass along a fascinating article from the New York times, published in March of this year.

A New Approach to Hip Surgery
By PETER JARET
Larry Kufel’s surgeon, Dr. Joseph T. Moskal, used the anterior technique for his hip replacement. Mr. Kufel said he was back at work the second week after the operation.
Kyle Green for The New York Times
Larry Kufel’s surgeon, Dr. Joseph T. Moskal, used the anterior technique for his hip replacement. Mr. Kufel said he was back at work the second week after the operation.

Larry Kufel had always been an active man, tall and rangy, who worked out regularly and picked up basketball games at the gym. But age was taking a toll on his joints, and it had become clear that he needed a hip replacement.

“It got to the point, if I did any exertion, even getting out of a chair, it felt like the muscle was tearing away from the bone,” he recalled.

Still, Mr. Kufel, 63, a financial controller in Roanoke, Va., worried that conventional hip replacement surgery would mean a long, painful recuperation. Instead, his doctor proposed an alternative that is gaining popularity across the country, an operation that many surgeons say helps patients recover more quickly.

Mr. Kufel was amazed by the results. “I was back to work the second week after the operation,” he said. “By the fourth week, I was doing a spin class at the athletic club.” A year later, he’s cycling, lifting weights, and even playing racquetball.

“I feel like I never had surgery,” he said.

The procedure that Mr. Kufel received is called anterior hip replacement. The surgeon makes the incision at the front of the hip instead of through the buttocks or the side of the hip. This approach permits the doctor to reach the hip socket without cutting through major muscle groups. Proponents claim that the procedure results in less pain and fewer complications for patients than standard hip replacement.

“We’re seeing more and more data that patients recover quicker, discontinue use of a cane or walker sooner, and have a quicker return to a normal gait,” said Dr. Joseph T. Moskal, chief of orthopedic surgery at Virginia Tech Carilion School of Medicine and Research Institute, who was Mr. Kufel’s surgeon.

Surgeons have used an anterior approach to perform emergency hip repairs for decades. Anterior hip replacements were first described in the United States in the 1970s and have gradually gained popularity. No one knows how many surgeons currently use the new approach, but at a recent meeting of hip and knee surgeons, an informal survey suggested that as many as 20 percent of hip surgeons are now performing anterior hip replacements, according to Dr. Moskal — up from “less than a handful” in 2005. With more than 400,000 total and partial hip replacements performed each year in the United States, a change in technique would eventually affect millions of Americans.

Proponents note that because the operation spares muscles, patients don’t need to limit their movements during the recovery period.

“You can bend over,” said Dr. Robin N. Goytia, an orthopedic surgeon in Houston. “You can reach down to the floor. You can cross your legs — all things that patients with a posterior approach have to be careful about for a while because they can dislocate the hip.”

Surgeons who perform the procedure also say the anterior position makes it easier for them to use fluoroscopy, a real-time X-ray technique that allows doctors to precisely position the implanted artificial hip. That, in turn, may allow artificial hips to last longer.

And since the major muscle groups of the hip are left untouched, there appears to be a lower risk that the artificial joint might pop out, or dislocate, said Dr. Francis B. Gonzales, an orthopedic surgeon and assistant clinical professor at the University of California, San Diego.

Conventional hip replacement techniques have a dislocation rate of about 1 percent. Preliminary studies suggest that the rate following anterior surgery may be less than one-third of that.

Yet reports of the benefits are mostly anecdotal, based on surgeons’ experience. No large randomized studies have been done comparing the outcome of anterior surgery with other approaches. And there are downsides.

Anterior hip replacement often takes longer to perform and can result in more blood loss. Some patients experience temporary numbness in the thigh afterward.

Because the operation is tricky to perform, there is a steep learning curve for physicians, which partly explains why it hasn’t been taught as widely as other approaches in medical schools. Special operating tables have been designed that make the surgery easier to perform, but many medical centers don’t have them.

Even surgeons who perform the new procedure are quick to say that it isn’t “minimally invasive,” the term often used in marketing materials.

“We can do any of these approaches through a small incision, but it’s a little like assembling a ship in a bottle,” Dr. Goytia said. “If you’ve ever seen a hip replacement, it’s not a tissue-friendly surgery. We have to do a lot of bone work and cuts, and we use a lot of power tools.”

Despite a rising chorus of support, not all orthopedic surgeons are convinced that anterior hip replacement offers significant advantages over the traditional approaches.

“As far as we can tell from the data, it doesn’t appear that the surgical procedure is as important to recovery as the pain management protocol, the rehabilitation protocol, and a patient’s baseline pain and functional status,” said Dr. Kevin J. Bozic, professor and vice chairman of orthopedic surgery at the University of California, San Francisco.

In the end, he said, a surgeon’s skill and experience are by far the most important factors. Doctors who do hundreds of hip replacements a year typically have very low complication rates, no matter what approach they favor.

“Most surgeons become comfortable with a single surgical approach and they perfect that over time,” Dr. Bozic said. “You definitely don’t want to go to a surgeon trained in the posterior approach and insist on an anterior approach.”

His advice? “Find an experienced surgeon and a medical team you trust and feel comfortable with, and leave the technical issues up to them.”

This post has been revised to reflect the following correction:

Correction: March 25, 2013

An article on Tuesday about the anterior approach for total hip reconstruction described the history of the operation incorrectly. The technique was first described in the 1970s, at a medical conference; anterior hip replacements were not first introduced in the United States about 10 years ago.
A version of this article appeared in print on 03/19/2013, on page D5 of the NewYork edition with the headline: New Approach to Hip Surgery.

After surgery certain dietary supplements can be helpful with swelling and numbness. Please see my post http://www.grandmabetsybell.com/2013/03/07/watch-out-for-the-metal-detectors/ for details.

Sometimes it is important to back away from a dogged determination to avoid surgery at all costs , get a second opinion, and move forward.

If this has been helpful, feel free to share.  And by all means, let us hear your comments.

Be well, Do well and Keep Moving

Fondly, Betsy

www.grandmabetsybell.com/blog/

www.EmpoweredGrandma.com

www.DoWellWithBetsy.com

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Managing pain after eye surgery

Gentle Reader,

While this blog is primarily about arthritis management, I wanted to use this platform to let you know about managing pain after my recent eye surgery.  I have suffered from impaired vision for several years due to a droopy eye lid condition which is corrected by Blepharoplasty.  Here’s a little video so you can see how I’m doing. YouTube Preview Image
Blepharoplasty (BLEF-uh-ro-plas-tee) is surgery that includes repairing droopy eyelids by removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, drooping upper lids and bags under your eyes. Besides making you look older, severely sagging skin around your eyes can impair your peripheral or side vision. Blepharoplasty can reduce or eliminate such impaired vision.


There is a diagnostic procedure to determine if the droopy eyelids are in fact causing trouble seeing.  I failed this test (or passed it, depending on your point of view) 3 years ago.  In other words, I could not see flashing points of light in the upper half of the visual field when my eyes were relaxed.

The Blepharoplasty surgery is authorized by most health insurance plans, however I was referred to a glamour doctor who specialized in cosmetic surgery.  He suggested all kinds of extra tucks and tweeks which the insurance company turned down.  I was interested only in corrective surgery so I could see better and not feel so much muscle strain lifting my eyelid all the time.

The clinic where I get my medical care, The Polyclinic here in Seattle, brought Dr. Yokoyama on to do just this type of corrective surgery.  The insurance company agreed and last Friday, I had incisions in the lids both on top and on the inside.

I am very happy with the results.  The healing is not over yet as you can see in the video.  My job is to use hot compresses several times a day and tug on the lids to pull them down and counteract the scar tissue which could give my lids a permanent and exaggerated lift.  I can tell you it is wonderful to see the ceiling when I look straight ahead, and the tree branches and sky from the upper reaches of my eyes.

What I want to share with you is the medication, vitamin and herbal regimen I undertook.

Pre Op:  Instructions were to stop all vitamins.  I chose to stop the vitamins I know to make the blood thinner:  Fish oil, GLA oil (Borage or Evening Primrose oil), Garlic, Vitamin E.  I also increased the vitamins known to repair and support the integrity of the cell, Vitamin C, and Alfalfa which is full of vitamin K, a natural blood thickener found in green leafy vegetables.

The result was that I bled very little.

Post Op:  Instructions were to take Vicodin every 4 hours for 48 hours and Prednisone (60 mg) for 3 – 4 days to cut down on inflammation.

Here’s what I did instead.  I did take Vicodin for the first 18 hours and then switched to Pain Relief Complex, an herbal COX 2 and 5 LOX inhibitor which worked just as well.  To take care of the constipation that comes with the deadening effect of Vicodin, I took 2 Herb lax tablets with each meal and 2 more at night.  One of the worse side effects of surgery is the constipation that follows anysthetic and pain meds.  This is a healthy way to avoid this problem.

I did take the Prednisone for anti inflammatory but only 60 mg the first day and 40 the next.  The swelling was a bit much on day three, so I took another 40 mg.  Now on day 6 all I need to do is hot compresses.  I iced faithfully every couple of hours the first 48 hours which I know helped considerably.

Here’s my disclaimer.  If you decided to follow your doctor to the letter or to deviate from their advice, it is up to you.  Every body is different and reacts differently.  Who knows if it would work for you the way it worked for me?  But, as I always add, what if it does?

Many of my friends have already had this surgery and I understand it is common for women to consider having their eye lids done and other tucks to lift sagging facial skin as early as their 40s and 50s.  I waited until 75 and I wish I had done this sooner.  One of my daughters beat me to it, getting her eyes done in her 40s.

You might pass this information on to someone you know who might like to hear about some alternatives to the usual course of treatment.  Leave your comments.  We’d all love to hear.

Betsy

Be well, Do well and Keep Moving

206 933 1889

 

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Legs are numb. Now what?

Gentle Reader,

climbing the steps to Montmartre
Daunting climb to Montmartre Basilica

The Sunday before leaving for three weeks in France I was standing in the choir and my right leg lost most of its feeling.  It tingled down to the foot.  I could see I was standing.  I could feel my upper body level, but my legs were numb.  All I could think of was what if this happens in France, in the middle of the Place de la Republic or climbing the steps to Montmartre?  

reduce back pain with an inversion table
Inversion table to relieve spinal pressure and collapse

I went home immediately and strapped myself into my inversion table, rocked back and forth a few times and then hung upside-down for as long as I could stand it.  The numbness went away, but what was I going to do in France?

Place de Contrescarpe, Paris left bank
Photo
me on the front porch, pic by Kevin S. Moul, writer/photographer

Walking around Paris, moving slowly from our Paris Oasis beneath Montmartre all the way to Place de Contrescarpe on the Left Bank, my right leg remained numb.  I could keep from falling by concentrating on the placement of my foot, using focus and intention rather than unconscious walking.  I was definitely preoccupied when we stopped in at the Shakespeare and Co. book store, the one-time lending library which catered to the young writers hanging out in Paris before WWII and after.  These authors included Ernest Hemingway, Gertrude Stein, Ford Madox Ford, F. Scott Fitzgerald and Ezra Pound.  We were going to study the writings of some of these in our week long writers’ retreat with Natalie Goldberg.  Distracted, my cell phone disappeared.  No posting on face book, no phoning via skype.  I was about to enjoy a complete vacation from electronic communication and was able to focus solely on writing and meditation.  Natalie’s retreats are conducted in silence except for class time.  That means meals, and morning and evening bath and bedroom negotiations among the 10 women living in La Solitude, a quarter mile from the Ferme Villefavard.  Can you imagine how you might emerge from such a phone free existence in a euphoric state of mind?

managing arthritis back pain and leg numbness
feet in chair, knees at right angle

My solution to the numbness problem was to hang from my knees with my feet out of the window in the second floor of this beautiful building (above).  This position lifted my sacrum and lower vertebra off the floor.  I used padding under my knees.  Then I lowered my self down (my butt is up against the wall under the window, here’s a picture I took when I was in New York City last month.

Every morning to open the sacrum and lower back

You can link to the image in a previous post.  The idea is to perform gentle pelvic clock motions to open up the pinched passage so the nerve endings can communicate with the feet and lower legs.  At home I use the Back2Life machine every morning.

Limousin cows
Limousin cows protect their young vigorously

The Writers’s retreat gave me plenty of opportunity to be quiet, write and read aloud.  The countryside was filled with Limousin cows, prime beef, and riotous wildflowers.  I managed to explore the Lascaux caves and canoe with my friend after the retreat.  The trip home was uneventful.  Because I had no phone, no phone money and no phone numbers, I took the light rail, the C Rapid ride bus to west Seattle and walked to my house pulling my suit case.

Keep moving, is what I say.  It would have been tempting to avoid stepping out into the streets of Paris, the roads around Villefavard, the deep caves and the castles of the Dordogne, but I did not.  I trusted my body would not fail me and it did not.

Be well, leave me a comment, Do well and Keep moving.

Betsy

206 933 1889

 

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Manage Arthritis: Hip labral tear

Gentle Reader,

One of the strong older ladies I ski and hike with just wrote that she had a hip replacement.  I was stunned to hear the news and asked more about it.  She had a sudden tear called a labral tear, something I had never heard of.  Intrigued, I thought I’d share what I learned.

According to the Mayo Clinic web site,

“A hip labral tear involves the ring of soft elastic tissue, called the labrum, that follows the outside rim of the socket of your hip joint. The labrum acts like a socket to hold the ball at the top of your thighbone (femur) in place.

“Athletes who participate in such sports as ice hockey, soccer, football, golf and ballet are at higher risk of developing a hip labral tear. Structural abnormalities of the hip also can lead to a hip labral tear.

“Symptoms include hip pain or a “catching” sensation in your hip joint. Initial treatment may include pain relievers and physical therapy. Using arthroscopic techniques, surgeons can remove loose fragments from within the joint and trim or repair the hip labral tear.”

My friend had had no symptoms whatsoever until the sudden onset of acute pain.

The Mayo Clinic site does mention some symptoms

Many hip labral tears cause no signs or symptoms. Occasionally, however, you may experience one or more of the following:

  • A locking, clicking or catching sensation in your hip joint
  • Pain in your hip or groin
  • Stiffness or limited range of motion in your hip joint

Here’s the part that interests me and you, my readers.  Causes.  We want to avoid the causes of arthritis if possible.  We want to manage arthritis when it develops if possible.

  • Trauma. Injury to or dislocation of the hip joint — which can occur during car accidents or from playing contact sports such as football or hockey — can cause a hip labral tear.
  • Structural abnormalities. Some people are born with hip problems that can accelerate wear and tear of the joint and eventually cause a hip labral tear.
  • Repetitive motions. Sports-related and other physical activities — including the sudden twisting or pivoting motions common in golf or hockey — can lead to joint wear and tear that ultimately results in a hip labral tear.

Without knowing all the details, I’d guess my friend, like so many of the rest of us who hike every week and ski in the winter, the repetitive motions and wear and tear can go on a long time without any sign of arthritis at all.  Then the sudden move, often one we’ve been doing forever, can set the whole thing on fire.

The Mayo Clinic goes on to say that anyone who is over-using a joint could have this result.  My question is, what is over-use?  How to find the balance between keeping moving and over-use?  I know my friend paid close attention to her body and stretched before and after the activities I was part of.  She was often by herself stretching outside the ski bus before the ride home.

So what’s a person to do?  Why of course, Keep moving.  Listen to your body.  Be glad you are a healthy active person when something like a labral tear occurs because you will bounce back quickly.  She’ll be on the slopes with us next winter.  She’s unaware of any other arthritis that needs managing.  Nothing is showing up yet.

Fondly,

Betsy

Be well, Do well and Keep Moving.

Leave a comment or pass along to your friends.

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Out of the exercise habit: bad for arthritis pain

Gentle Reader,

Funny how you can be diligent with your daily back health exercises and stretches when you are traveling, IMG_0520but get too busy at the desk to do them when you get back home.  Then suddenly the pain shows up.  I do know what to do:

1.  Get to bed earlier so rest can heal.

2.  Walk every day, no matter what

3.  Weight lifting and other core strengthening exercises are a must

4.  Get back to the sugar and gluten-free diet

New York was a blast with Ellie. Here are some pictures.

Ellie and I hung out in Times Square’s hustle and bustle visiting the Disney store, Toy R Us where we rode the ferris wheel, the M&M store with irresistible branded items from coffee mugs to bed linens (she bought an M&M covered basket ball!).  We sat on the bleachers and watched the flashing lights from every building and all the people speaking every language on Earth.  She got herself on the big screen for a few seconds. IMG_0457 Madame Tussaud’s wax museum is a history/pop culture lesson.  For her, American giants from George Washington and Lincoln to the Obama’s came alive.  For me, she introduced me to the TV stars, singers and comedians who perform today (and I never watch).

We went to see Annie on Broadway, her first such production.  Fabulous.IMG_0453

A friend of mine who volunteers as a Big Apple Greeter toured us around China town, but the real thrill for this girl who has been exposed to Mandarin in her elementary school since she was in kindergarten, was recognizing the spoken language as we waited in line for the New York Harbor tour.  In her extreme shyness, she managed to say a phrase in Mandarin to the young woman who just graduated from a US university and her parents who came from Shanghai to witness this big event.  They were thrilled and I think she was, too.   IMG_0555

Central Park and the Museum of Natural History were walking distance away from my friend’s Riverside Drive apartment and the IMG_0451weather was wonderful for strolling.  Probably the most exciting thing Ellie did was make a Muppet at FAO Schwartz.

Our host, Mary Ann, has two lovely cats which Ellie befriended.  One afternoon several writing friends came to “write with Ellie” whose teacher often had the 5th grade students write on topic, never lifting the pen until the time is up.IMG_0542

A highlight for me was our trip with Mary Ann and her friend Jan to Brooklyn for brunch in a funky restaurant that had been completely under water during the hurricane and served the best breakfast we’d ever eaten out.  We also visited the Brooklyn Art Museum where we spent time with the extraordinary women IMG_0523depicted in Judy Chicago’s famous Dinner Party.  On our last day there we went out to Saint John the Devine.  Blue-gowned graduates of Columbia Teachers’ College were just leaving the Cathedral and their ceremony.  Proud parents and grand parents took pictures as we sat on the steps.  Later when I asked Ellie if she would ever come back to New York, she said maybe she’d go there to college.

Ellie is the next to the last child to take on a trip.  Charles Grant Finney is 10 so it will be a couple of years.  Perhaps her older sister will decide she’d like to take a trip with Grandma, but so far it hasn’t seemed like a good idea to her.  What a glorious series of adventures it has been.  Sixteen children altogether; 13 trips so far.  I am one lucky grandma. For more pictures, click here.

My hope for you is that you, too, will be able to keep moving into your 70s.  Don’t let your busy-ness distract you from those exercises that keep your core strong so your back and joints don’t have to do all the work.  Our bones and joints get tired and worn out, but the capacity of our muscles depends on our diligence.  We keep them supple and strong or let them get flabby.

Take a moment to leave a comment about travel and managing your arthritis when you are on the move.  Or about anything else you care to share.

Fondly, Betsy

Be Well, Do Well and Keep Moving

206 933 1889

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