Tag Archives: arthritis pain

surgery for arthritis

June 12, 2016 betsyjbell

Gentle Reader,

There comes a time when surgery for arthritis makes sense. I have reached that time. I began blogging at www.NoWheelchair.wordpress.com in 2004, to share strategies a person with arthritis could use to avoid taking medication or having surgery. My posts have been about my own journey to manage increasingly severe osteoarthritis and spinal stenosis, and more recently a condition known as listhesis, or the collapsing of vertebra to the left and to the right. As my Feldenkrais practitioner keeps telling me, “You’ve got a complicated spine.”

It has been an interesting process to dedicate this year to a protocol of my own making. I have gone to a physical medicine specialist, Dr. Ren, at the Polyclinic who suggested physical therapy for eight sessions. The PT exercises did nothing to alleviate the weakness in my legs, nor the pain, lovely as it was to show up to the attention of admiring young men twice a week.

I decided to take Dr. Ren’s offer of an injection of steroids in L5 and L4 and I had a good four pain free weeks. With less pain, I was able to pay attention to my gait and realized I was so unstable on my right side that my right hip was swinging out with every step. I decided to go back to Becci Parsons, my Feldenkrais practitioner for help getting symmetrical again. Walking everywhere with hiking sticks helps with symmetry. My strong upper body lifts my weaker legs up and the hiking sticks keep me parallel. They are less for balance than for lifting weight off the collapsed vertebra.

Nerve pain came back after a short time. Dr. Ren thought I might be a good candidate for surgery. Becci has had two operations for very similar conditions so I went to her neurosurgeon, Dr.Peter Nora. Dr. Nora has twenty years of back surgery under his belt. When I met him, I looked at his hands which are small and delicate. A good sign. He put me through the diagnostic paces where you resist pressing your knees together and then apart; your feet in and then out; your knee lifting against pressure; all of which I passed with flying colors. It seemed obvious this 79 year old woman showed no sign of weakness. He tried one last diagnostic tool: I stood against the wall pressing my heals, my back and my head against it. The test: stand for ten minutes in that position. I lasted 5 seconds before my legs gave way.

I so appreciated Dr. Nora’s willingness to listen to my experience. When I stand around for a while, the right leg loses feeling and will not support my weight. Think about when standing around is what we do as humans: hanging out in the kitchen with family while we cook; looking at a painting in the museum; holding a drink at a cocktail party or reception; singing in the choir at church; waiting in line at Starbucks, at the airport, at the bank. All of these scenarios result in weakness and the sensation of getting ready to fall over. Dr. Nora heard me and kept trying moves so he could reproduce my experience in a controlled clinical setting. Thank goodness. I once had an orthopedist kick me out of his office after I told him I walked to Broadway and Madison from the 3rd Ave bus stop, a distance of about a mile, most of it up a steep hill. I was using my sticks so I could do it.

Dr. Nora explained the surgery by showing me the MRI of my spine from the bottom to the top as if you were looking up a tube in which the spinal cord runs. Between L3, L4 and L5, the poor spinal cord disappeared completely. He will carve off the bonein those areas to stop the pinching of the nerves. It could be a big change for the better. Since I have been avoiding surgery for so many years, there is no guarantee all the nerves will come back, but the pain should reduce considerably.

You would think I would get in for surgery for arthritis as quickly as possible. But my calendar is full this summer with harvesting the raspberries (bending, lifting and twisting), camping with family, traveling to Hawaii with a granddaughter and several graduations. The first stretch of time when I could commit to no bending, no twisting and no lifting for a month begins August 16th. So that is when the surgery is scheduled.

In the mean time, Dr. Ren’s Assistant, Diana Ferdana, who calls me pharmaceutically naive, meaning I have little experience with drugs, prescribed Gabapentin. This drug prevents seizures and also blocks nerve pain. Side effects bother me as I am a little loopy, a little sleepy, but the benefit of the smallest possible dose is considerable. I still take Shaklee’s Pain Relief Complex to keep other arthritis under control, like my thumbs and fingers and shoulder. She also gave me an industrial sized back brace which I wear when picking raspberries, doing laundry, emptying the dishwasher, sweeping the floor. You get the idea, bending, lifting and twisting.

I still go to the Xgym every week. My trainer has talked to Becci and together they have a workout plan that stabilizes my core while building upper body strength. These exercises don’t ask much from my weak legs other than stability although I am doing controlled lunges with hiking sticks. Staying fit is important when heading for major surgery. The guys at Xgym will help me get back on my feet when the surgery is over.

I am still walking most days although forty minutes to an hour is as long as I can go without sitting down to give my back relief. So no hiking with my group. This is the hardest loss for me as I have been in the wilderness nearly every week since 2004, summer and winter. Happily there are plenty of parks nearby with old growth forest and trails, but there is nothing like deep wilderness. I miss it and my hiking buddies.

I share all this personal experience with the hope that you or someone you know will take heart in their own struggle with arthritis. Don’t give up and sit down. We have to keep moving to avoid further damage and disability. At this point for me, I can do damage by over-doing so I have to learn to listen to the signals that say, enough. Most days at least a mile of walking works. I begin each day with tiny Feldenkrais movements to activate the core, the psoas and the multifidae that go up and down my spine to stabilize it. Just half an hour of that careful “exploration”, as Becci calls it, makes the difference for movement all day.

So, Be well, Do well and Keep Moving.
Feel free to share this. And don’t forget to like me on Face book.

Comments and questions are encouraged.

Betsy

206 933 1889

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Anti-aging

June 13, 2014 betsyjbell

Gentle Reader,

So much determines well-being: good friends, love and happiness, nourishing food, a sense of spiritual fulfillment, a personal sense of purpose and meaning, deep restorative rest are at the top of the list. When these ingredients are present over a person’s life, they seem to have an anti-aging effect. Scientists and explorers have searched the world over for ways to slow down aging. The story behind Shaklee’s Anti-aging product, Vivix, is one story of this search.

The Vivix Story

My thanks to Dr. Steven Chaney for this story.

In 2006, Harvard scientist Dr. David Sinclair published research in the highly respected journal Nature that shocked the scientific world. His published research findings showed that a simple molecule found in red wine could switch on our anti-aging gene (Sirt 1) and slow the aging process — on purpose.

This does not mean, of course, that we can live forever. But it does mean that science now has an answer for how we age, and what we can do to slow it down.

Of course, researchers had long understood that severe calorie restriction could slow the aging process, but there was little hope that we could find a way to get the same result without subjecting ourselves to a starvation diet.

You may have seen Dr. Sinclair on 60 Minutes, 20/20 with Barbara Walters, or on PBS with Charlie Rose. You may have learned about this remarkable breakthrough in leading magazines and major newspapers from around the world. It’s big news.

Here’s the story…

To put this discovery into context, let’s turn the clock back to 1991.

Famed French alcohol researcher, Dr. Serge Renault, in a segment on 60 Minutes, (The French Paradox) reported that people in France (on a diet loaded with sugars, fats, creams, and more creams) had 42% less heart disease, and live longer than we do in the U.S.

How could that be?

It’s no secret—the French drink lots and lots of red wine, and Dr. Renault had come to believe that something in red wine fights the negative effect of fatty foods… but he wasn’t sure. Some theorized it was the alcohol. Others were sure it was the antioxidant power of red wine. They were all partially right—but they were missing the most miraculous molecule of all.

Good News Travels Slowly

Years have gone by but we now have irrefutable scientific proof that a simple molecule found in red wine has almost magical healing and anti-aging powers.

When Dr. Sinclair published his research, FORTUNE called it, “Perhaps the greatest discovery since antibiotics.” He had successfully isolated the gene that slows aging… Sirtuin.

The Breakthrough

Dr. Sinclair and his team at Harvard Medical School, tested more than 20,000 natural molecules one by one before he accidentally discovered what he calls the closet thing to a miracle molecule you can find. To his dismay, the molecule that switches on the longevity gene is called resveratrol.

Using resveratrol, Dr. Sinclair found that he could extend the life of yeastat will. This amazing news drew only mild applause from research scientist. After all, this was yeast.

Moving up to higher life-forms, he fed resveratrol to fruit flies. Bingo! It worked again. The applause grew louder and the research more intense.

Other scientists working to prove Dr. Sinclair’s findings has the same success with fish. Extending their life 70%.

Scientists are a tough lot to impress. Even with all this success, they wouldn’t get too worked up unless he succeeded in extending the life of mice.

That’s because mice have essentially the same gene that you and I have. As Dr. Sinclair explained to Charlie Rose—”We are essentially upright mice.”

Finally, the mice studies begin

And in what can only be described as a modern day miracle— mice on a high fat diet plus resveratrol—not only lived up to 30% longer—they turned into mini-olympians.

They never gained weight, and they doubled endurance. They could run twice as far as mice that were not given resveratrol—and here’s the best part… not one of them developed any of the diseases of aging. No heart disease, no cancer, no diabetes, and no strokes.

Resveratrol—the gold rush begins…

Dr. Sinclair had become the first person in history to successfully extend life on purpose. He was instantly, in scientific circles at least, an international celebrity.

His published research proving the merits of resveratrol in life extension has triggered an avalanche of scientific study around the world.

Billions of dollars are being invest by in private labs, universities, and public health agencies like the National Institutes of Health, the National Cancer Institute, the National Institute on Aging, and the United States Department of Agriculture.

It’s safe to say that resveratrol and related polyphenols have become the most widely researched natural molecules in the history of man.

Resveratrol is being shown to have a positive impact on a surprisingly large number of health issues that affect how long and how well we live. But don’t take my word for it…

See the proof for yourself. To discover the miraculous life-saving secrets of resveratrol with just the click of a mouse, (pardon the pun) go to the U.S. Government web site, PubMed.

There you will find at least 2,636 scientific papers referencing resveratrol from the greatest scientific minds of our time.

The Payoff

Because resveratrol has been proven in labs around the world to slow aging—it is a marketers dream. Within weeks after Dr. Sinclair appeared on 20/20, you could find literally hundreds of me-too resveratrol products in health food stores, and on the internet.

If you’re taking any of these products, you may be wasting your money. Even worse, the anti-aging benefits you were hoping for may not be there. Why?

Because research shows these products contain little if any resveratrol, and many even contained sis-resveratrol—a lesser form of resveratrol proven to have no health benefit at all. In other words, most are little more than marketing scams.

Who can you trust?

Shaklee Corporation has been America’s number one natural nutrition company and a true champion of pure, natural supplements for over half a century.

If it was possible to create a natural resveratrol supplement capable of getting the results Dr. Sinclair was having in his lab—Shaklee was the one company that could pull it off.

Chief scientist, Dr. Carsten Smidt took a close look at Dr. Sinclair’s research. He and his team took a look at all of the leading, so-called resveratrol products on the market and decided—you deserve better.

With the green light and a blank check from our CEO, Roger Barnett, Dr. Smidt assembled a team of more than 30 brilliant scientists with the singular goal of bringing to market, the most potent anti-aging product ever created.

Shaklee science advances Dr. Sinclair’s research

In the early stages, Dr. Smidt and his team worked with Dr. Sinclair’s team from Harvard. As the research moved forward, Dr. Smidt became convinced they could actually advance Dr. Sinclair’s science and create a product even more powerful than resveratrol.

After more almost three years of research—millions invested—and collaboration with the University of Georgia—Shaklee science has even succeeded in creating the first ever totally natural tonic that works at the cellular level to block the mechanisms of aging. It’s called Vivix Cellular Anti-aging Tonic.

My own interest in Vivix concerns the arthritis in my joints. It seems to be helping slow down the advancement of arthritis symptoms and may even have contributed to the reversal of some spinal stenosis. My hope for you is that this information makes enough sense to you to inspire you to give Vivix a try for 3 to 6 months. Perhaps you will have similar results.

Be well, Do well and Keep Moving,

Betsy

To follow my hike in England along Lady Anne’s Way, tune in to www.EmpoweredGrandma.net.

Be Well health tips, Keep Moving: Managing Arthritis

Healthier bones

April 30, 2014 betsyjbell 2 Comments

Gentle Reader,

Do you ever have the experience of anticipating a really big event that is going to make demands on your body? You become more aware of the little aches and pains, the warning signals that all is not well? Maybe bone health has gotten worse. You worry about an escalation of the little twinge into something big right in the middle of the planned for event. You think about Traveler’s Insurance and then read the fine print that says unless you buy it with 14 days of purchasing your plane ticket and paying for the experience, you have to declare a pre-existing condition. Are these twinges enough to be called a pre-existing condition?

By now, you know that I have been living with a diagnosis of spinal stenosis and osteoarthritis. These are both age-related and trauma induced arthritis. My first trauma was in 1989 and then the herniation in L5 was exacerbated in 1993 by sitting in a slouched position in an airplane for 7 hours. At that time, I went to Dr. Stan Herring, sports medicine doctor to the Huskies sports teams and neurosurgeon. He told me my bone health as revealed in the MRI pictures were so bad, he was surprised I wasn’t in a wheel chair.

Over the past year my right leg has been going numb and weak from time to time, especially when standing for a long time, like in choir or wandering through a museum. Last June, I walked all over Paris with a numb right leg. No pain, just a feeling of distance, dissociation from that limb, even when walking around without a hiking stick or other means of extra support. In fact, I hardly ever experience pain above a 3-4 on the old 10-point scale. Probably because I pop an herbal Shaklee Pain Relief Complex tablet at the slightest twinge of pain.

I decided to call Dr. Herring’s office to see how he is treating his athletes these days. His practice has changed and he directs other doctors now. He is not a provider in my AARP Advantage insurance program. So, I met Dr. Ren at the Polyclinic for a review of my most recent MRI and a comparison to all the others I have had in the past. Three conclusions are worth sharing with you.

1. I do have bulging discs including a new one at L2, moving up the spine. But none is penetrating the spinal cord. I have what she calls a genetically narrow passageway for the spinal cord. This explains why I am so like my father in arthritis of the back; he suffered terribly. It was ironic, since he was an Orthopedic surgeon and performed hundreds of laminectomies and fusions over the course of his practice. He couldn’t operate on himself, so he never had his own back fixed. You can see where I get my “do it yourself” attitude.

2. There has been some improvement in the spinal stenosis and osteoarthritis since the last MRI. This I count as a victory and I attribute it to the fact that bone replaces itself slowly over time. Given proper nutrition and other care through strengthening and toning muscles, bone can improve. I am thrilled that my bone health has improfed. What a fabulous result! I will continue to visualize the formation of healthy new bone. I will certainly continue with a diet loaded with fruits and vegetables and lean meats and fish, plus little or no gluten or dairy. I am committed to continuing my workouts at the Xgym, because stronger muscles build stronger bones.

3. Dr. Ren called me her poster child, to be improving bone health at 76, almost 77, instead of getting worse. She also told me that low back problems on a major trip would only cause discomfort and was not life threatening. No need to update my will on account of my back issues and numb leg. Whew…

Let me review my early morning routine in case it would be helpful for you.

1. Lie on the floor for 12 minutes with my knees bent over the Back2Life Machine.

2. A Feldenkrais hip opening exercise, 10 counts with each leg. This video shows an extended version of my routine. A full hip opening practice in two parts. I limit myself to the dropping of the knee, extending the heal and back up again, 10 times on each side. If you are a beginner with Feldenkrais, I recommend following her program from start to finish for best results. You can later incorporate the segment that seems to give you the most benefit.

3. hanging upside down on the gravity inversion table for a total of 25 breathes. Here is a video of an expert doing her back mobilization exercises on this inversion table. It makes me seasick. I have never been able to work the way she does, but I can vouch from the success I have had with lengthening a stretching my spine. She inspires me to work up to what she demonstrates.

All this before breakfast. In addition, each week I walk a couple miles most days which include steep uphill climbing (I live in West Seattle on top of a hill and my destination is on the top of another hill a mile a way, therefore Up and Down going and coming.) On Tuesday I practice yoga with an instructor who builds slowly to the big poses and I stop when a twist gets to be too much. On Wednesday I hike in our mountains surrounding Puget Sound, usually 6 miles, more or less. On Monday and Friday, Clayton works me out at the Xgym, concentrating on 5 muscle groups and in a controlled manner, bringing them to complete fatigue. It takes 25 minutes. None of this takes a long time, except for the luscious outdoor experience on Wednesday. I hate to miss it when I have to. Nearly anyone could put this into their schedule.

I also take several supplements that improve joint mobility and strength muscles tissue: Fish oil, Vitamin E, Vitamin C and Calcium. They all work better because of an excellent catalyst, Shaklee’s multivitamin and mineral tablet. I take the one for seniors which is especially formulated for the aging absorption for someone over 50.

The special event, you might ask? A friend and I are going to hike 100 miles in England following the “highway” used by Lady Anne Clifford, a 17^th century noble woman who owned most of Northumberland and Yorkshire. We will walk from castle to castle beginning just north of Leeds, hiking for 9 days in the dales, wild and dramatic country to Penrith in the Lake District. It will be June, long days and with any luck, not too much rain. I will leave the end of May, feeling confident that my self-care and hiking sticks will see me to the end. I’ll be home on June 20^th.

Be well, Do well and Keep Moving,

Betsy

Let us know of your adventures. How you are preparing or maintaining your body to meet your travel goals? Sharing makes it all better.

betsy@hihohealth.com

206-933-1889

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Arthritis or Tendonitis?

February 20, 2014 betsyjbell 1 Comment

Gentle Reader,

Tendonitis or arthritis? Which is it? My oldest daughter (52) was feeling sprightly one morning in Ecstatic Dance and accepted an invitation to do a cartwheel and round off. Why not? She is fit, exercises daily and used to do them easily when she was a gymnast back in high school. So off she sped across the floor, executing the perfect cartwheel and round off, landing smartly on her heels, arms out in a victory pose. Immediately she felt the sharp pain in her right buttock but went on dancing. That was last August. By December she could not bear weight on that leg, on her sit bone which made walking and sitting painful and challenging. The diagnosis was a torn hamstring tendon, a rare accident usually confined to linebackers. Most orthopedists see a hand full in a life-long practice. She found one who, in twenty years, had repaired twelve such injuries. The operation was successful and she is walking, driving, and sitting comfortably again. This condition is a torn or ruptured tendon. Definitely not tendonitis or arthritis of the hip, which she fleeting believed it might be.

Tendonitis, commonly called tennis elbow, swimmer’s shoulder, trigger finger, is an inflammation of the fibrous, cordlike connective tissue that attaches muscle to bone. Tendons can withstand amazing amounts of force, but they are not indestructible. Witness my daughter’s round off. The pain of tendonitis accompanies stiffness and swelling near a joint. Arthritis presents in the same way. When you get this pain, stiffness and swelling, you usually take some anti-inflammatory drugs such as ibuprofen; apply ice and rest the affected joint. But this could be a miss-diagnosis. [information from an article in Johns Hopkins Health Alerts]

Perhaps the inflammation is actually in the sheath around the tendon. Tendons do not contain many blood vessels, so they are seldom inflamed. If you are over 50, it is possible your tendons are degenerating. The collagen that makes up the tendon breaks down, causing multiple microscopic tears. What little blood circulation there is to the tendon also decreases with age, making the healing of these microscopic tears more difficult. This degenerative condition is called tendinosis. Can you tell the difference between tendinosis and arthritis?

It is common to develop tendinosis and have no symptoms until some sudden trauma or the gradual build up of repetitive motion in work, sport or exercise. Perhaps my daughter had tendonosis compromising the tendon’s elasticity. She would not have known that she was at risk for a major trauma to the hamstring tendon.

Here’s a way to tell if your joint pain, stiffness and swelling is tendon related or bone and joint related: try taking glucosamine (Joint Health Complex by Shaklee) for two weeks. If it helps, you likely have osteoarthritis. If not, it is more likely a tendon problem.

Glucosamine has been shown in quite a few scientific studies to help with cartilage formation. Cartilage is what your joints are made of, and what arthritis attacks, so upping the rate of production of cartilage helps your joints. You feel better….if you have arthritis.

On the other hand, glucosamine will not help with collagen formation, and tendons are made of collagen. So it stands to reason that if you feel like you have “joint pain”, take glucosamine, and do not experience any relief, one very likely culprit could be your tendons. Tendon insertion points are often very close to joints and it can be difficult to tell exactly where the pain is coming from.

Taking NSAIDs (anti-inflammatories) using ice and rest can provide temporary relief for either tendonosis or arthritis, but since both are the result of inflammation, using these treatments will not help you distinguish between the two. Knowing which one you have is important if you intend to treat the condition yourself. If you take NSAIDs and they do not help, you probably have degeneration of the tendon.

This information comes from a web site http://www.targettendonitis.com/ by Alex Nordach, who is marketing his ebook (for $29) on how to treat degenerating tendons. I have not purchased this book so I can’t recommend it. If you are interested, follow the link and see for yourself.

What I can tell you about natural healing for both joint and tendon caused pain, is the following:

Acupuncture can relieve pain, stiffness and swelling.

Vitamins C and B Complex, plus Alfalfa help build collagen naturally, reduce inflammation and increase blood flow into the area. And I do not mean one or two tablets. 3000 mgr. of Sustained Relief C and 6 tablets a day of Shaklee’s B Complex can make a difference. I could tell you stories of people who have avoided surgery for carpal tunnel syndrome by taking lots of B Complex. Alfalfa tablets are small pea sized pills and should be eaten by the spoon full, not one by one. We are talking food. Can’t swallow that many pills? Chew them up. Shaklee’s Alfalfa tablets smell sweet when you open the bottle and taste like new mown hay with no sticks or twigs.

Whether your joint pain is tendonosis or arthritis, these supplements will help. Since glucosamine is expensive and NSAIDs mess up your stomach, check out the treatments to see what you are dealing with and then proceed with these three supplements. Their side benefits are legion.

In most of my blog posts, I talk about the various causes of arthritis and things you can do to manage arthritis short of medication and surgery. This blog addresses another cause of joint pain, tendonitis and tendinosis. I hope this refinement — arthritis or tendonitis–helps you.

If this information is helpful, please let me know.

Be Well, Do Well and Keep Moving,

Betsy

206 933 1889

Arthritis, Be Well health tips, Keep Moving: Managing Arthritis

Gifts for arthritis

November 22, 2013 betsyjbell

Gentle Reader,

Who do you know who suffers from sore, painful knees, hips, fingers or shoulders? You love this person who has arthritis and you are going to go shopping to buy them something for Christmas. Why not combine a cozy lap blanket with an herbal pain reliever and a deep-tissue cream that could bring comfort as well as warmth?

I’m not a shopper so I was stunned Wed. night when a friend and I went to a movie in Seattle’s endless mall area with a big AMC. We were thinking the parking would be easier. Whoa! People are out shopping already—in droves and into the night. In this blog, I’m inviting you to shop. ‘Tis the season, right?

You might appreciate choosing gifts that bring better health to those you care about. This is an invitation to shop for health. Bring meaning to every purchase.

Have you watched Annie Leonard’s Story of Stuff? Take a minute to watch before piling up a mound and consider the necessity of each purchase and how it got to the store and what the received is going to do with that gift later.

I make an argument for buying a Shaklee product over something else because I believe in the company’s philosophy of living in harmony with nature in every aspect of their corporate life. In the end, stuff is stuff, and all the great suggestions I have for you about things you can add to a Shaklee product to make a sweet, health enhancing gift still accumulates stuff. It is tricky being a fierce environmentalist and a sales person of goods I love and buy myself.

So, having suggested you buy nothing this Christmas here goes my suggestions for what to buy for someone who has been complaining of arthritis. After all, I know you and I are going to buy some stuff anyway.

Joint & Muscle Pain Relief Cream with a microwaveable comfort pillow.

Pain Relief Complex and Physique After Workout Recovery Drink with Peggy Cappy’s DVD “Easy Yoga for the Rest of Us” especially for arthritis. Add a yoga mat to make this gift special.

Joint Health Complex and Peggy Cappy’s CD meditation for back health. I listen to this CD nearly every night and I’m convinced her quiet words have helped heal the arthritis in my lower back. You can add an orthopedic pillow. This is the one I have used for the last 15 years and I love it.

I have a lo-o-o-ng list of healthy living gifts on my resource page www.GrandmaBetsyBell.com.

If you decide to do any of these suggestions, I’d love to hear about the results. You can shop for the Shaklee part of the gift at www.GrandmaBetsyBell.com/shop. Or you can click on the links above.

Have a great Thanksgiving, pain free and full of love.

Be well, Do well and Keep Moving,

Betsy

206 933 1889

Enjoy the list. I hope you get some great ideas. Let me know if you have questions.

Arthritis, Be Well health tips, Keep Moving: Managing Arthritis

Speaking of feet: blisters

November 14, 2013 betsyjbell

Dear Gentle Reader,

In my last post, I talked about the pain of plantars faciitis along with some suggestions as to how to alleviate that debilitating pain. Today, I want to address the care of your feet, i.e. blisters and how to heal and prevent them.

Last Wed. Betty and I hiked 11 miles along Rattlesnake Ridge, overlooking North Bend, WA., a trail 45 minutes from Seattle. It is a through-hike requiring two cars. We chose the long uphill route dropping to the Ledge and thence to the lake below. Rattlesnake

People fall to their death from the Rattlesnake Ridge ledge

ledge is infamous because so many unprepared people can easily get up there–it is only 1 1/2 miles, and every year one or two fall off to their death below.

In spite of arthritis, chronic pain, aching joints–hips, knees, ankles–, you still want to go walking. Your feet must have the best possible support. For me, this has been a huge challenge because I have bunions which require double wide men’s shoes. At one point I developed a metatarsal neuroma or Morton’s neuroma . I mentioned Dr. Huppin’s Foot and Ankle clinic last week. He knew exactly what modifications to make to the orthotic inserts to take the pressure off the 2nd toe and spread weight over all the toes.

He and his partner, Dr. Hale, publish a guide to shoes that helps a person choose the most stable shoe. They even consider and recommend a flip flop! Here’s the link where you can sign up for their recommended shoe list and guide lines on how to choose a shoe that will keep your foot stable.

On the Rattlesnake Ridge hike, I make a huge mistake. I ignore a hot spot between my big toe and the 2nd toe, a place where I have rubbed countless blisters. By the time I get home late that night, after another event, I can hardly walk.

I’d like to share what to do to avoid that suffering. Blisters are serious business. I knew a woman who ignored a blister her ski boot rubbed. It developed septicemia and she died before they could airlift her to a hospital.

Women on Wed.hike to Red Pass on the Pacific Crest Trail

In my pack I carry a tape made by a German company. The product is called Hansaplast and is not available in the US, only Canada and Mexico in North America. But of course anywhere in Europe you can purchase rolls of this magical thin, easy-to-tear-with-your-fingers tape. If I’m not going to Europe, I ask a traveling friend to buy it for me. Usually I put a piece of this tape on the areas of my feet most likely to blister in my hiking boots before I begin the hike. Usually, if I feel a hot spot, the way I did when we hiked out of Commonwealth Basin up the Pacific Crest Trail toward Red Pass, I stop on the trail and take off my boots and sox and put the tape on, thus preventing a blister. But on Rattlesnake Ridge, I ignored everything I usually do.

The blister kept me awake all night. In the morning I punctured it, cleaned it carefully and put Second Skin on it. This is the second thing to tell you about blisters. Second Skin is a must for your pack first aide kit. Don’t leave home without it. You leave the second skin on for 5 days and by that time the blister is completely healed. I hiked again yesterday, 8 miles on Tiger Mt. with quite an elevation gain. Before going, I used the Hansaplast and a pair of liner sock.No blisters or sore feet.

One more suggestion for protecting your feet and legs: walk with hiking sticks and use them to lift your body up and lower it down on the steep bits of trail. Your upper body gets a work out and your legs and feet have less stress. We spent much of our time on Tiger a little bit lost. I was glad we were 5 and that my smart phone GPS could locate us, but nothing helped poor signage. We are determined to master the maze of wilderness trails on this complicated mountain, a foot hill of the Cascade Range, blessedly protected by forward looking environmentalists. Known as the Issaquah Alps, Tiger and Cougar and Squak mountains form a corridor of wilderness in an otherwise densely developed exurban Seattle.

More than anything, keep moving, Gentle Reader, keep moving.

Before you go, what is your foot sore story and how have you kept sore feet from keeping you in your chair? Let us hear from you.

Be well, Do well and keep moving

Betsy

206-933-1889

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Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Vitamin D may prevent Diabetes II

September 19, 2013 betsyjbell

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!

normal blood sugar to pre-diabetic to 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

Vitamin D3, not a magic bullet — 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.

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

No Magic Pill to end Arthritis Pain

August 29, 2013 betsyjbell

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?

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.

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Out of the exercise habit: bad for arthritis pain

June 1, 2013 betsyjbell 3 Comments

Gentle Reader,

Funny how you can be diligent with your daily back health exercises and stretches when you are traveling, but 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. 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.

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.

Central Park and the Museum of Natural History were walking distance away from my friend’s Riverside Drive apartment and the weather 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.

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 depicted 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

Keep Moving: Managing Arthritis

Food Cures. Is there such a thing?

April 25, 2013 betsyjbell

Gentle Reader,

I’ve joined an on line face book arthritis support group to learn from others how they suffer and what they are doing about it. Following the rabbit trails I came to this web site maintained by a Joy Bauer. She has a slide show showing foods that are helpful for sufferers of arthritis. You can also take a survey here that will give you a food suggestion list based on your answers to several life style questions.

Here are the suggestions that resulted from my survery:

Step 1

Understanding Osteoarthritis
Osteoarthritis is due to a combination of factors, including genetics, past injury, joint use and overuse, and the aging process in general. The word “overuse” implies that it’s a concern for serious athletes, as well as those who have stress on the joints caused by excess body weight. Losing just a little weight can have a huge positive impact on OA. Because arthritis is a disease of inflammation, the most effective — and logical — treatment is anything that fights inflammation. Management of arthritis usually starts with ibuprofen and other anti-inflammatory medications, eating anti-inflammatory foods, and improving weight and lifestyle. I will go into more detail on how to manage OA in the following steps and on the Food Cures Web site.

Step 2

Foods to Avoid

In order to reduce inflammation in your body, you should dramatically limit your intake of pro-inflammatory foods. It sounds like you’re already avoiding foods high in saturated fats — such as fatty meats, butter, whole and 2 percent milk, full-fat cheese, and rich desserts. However, there are a few other foods you should add to your “foods to avoid” list. Trans fats, which are man-made fats added to baked goods to give them a longer shelf life, are very dangerous and even worse than saturated fats for your health. The good news is that laws now require food manufacturers to list trans fats on nutrition labels — so they’re easy to spot. Choose packaged foods that list 0 grams trans fat on the Nutrition Facts panel and don’t list any “hydrogenated oils” — codeword for trans fats — in the ingredients panel. The other food group to avoid is simple and refined carbs — which set up a state of inflammation in the body. These foods include soda and other sweetened beverages, candy, sugary refined cereals, white-flour baked goods, and white rice, bread, and crackers.

Step 3

Keep Drinking Your Water

Cartilage is 65 to 80 percent water, so staying hydrated is important for the health and lubrication of your joints. Maintaining proper hydration is even more important for individuals who suffer from gout. Water helps flush uric acid out of the body, and studies suggest staying hydrated may help prevent flare-ups. It isn’t necessary to count the number of glasses of water you drink in a day — the latest research suggests that if you take time to drink a glass whenever you feel thirsty, you’ll probably do fine. You are already drinking enough water, which is important for managing your arthritis. To spice things up, you might want to try flavoring your water with fresh fruit slices or drinking unsweetened green tea or herbal tea — there are so many delicious and fun varieties. And be sure to avoid sugary drinks like soda, sweetened water, fruit drinks, sweet tea, and froufrou coffee concoctions.

Step 4

Smoking and Arthritis

I know you don’t smoke, but I just wanted to share with you a few good reasons to stay smoke-free: Smoking delivers toxins throughout the body, causing inflammation and increasing the risk of arthritis. In one study, smokers were more than twice as likely to develop rheumatoid arthritis than people who didn’t smoke. In addition, researchers from a multicenter study reported in 2005 that smokers had a greater risk of osteoarthritis of the knee, possibly because smoking interferes with the body’s ability to repair its own cartilage. The bottom line is that staying smoke-free is a wise choice!

Step 5

Maintain Your Healthy Weight
One of the best things you can do for your arthritis is maintain a healthy lifestyle and weight — and

you’re already there! Being overweight can put added physical stress on your joints, which can aggravate arthritis (particularly osteoarthritis) and increase your levels of pain. An unhealthy weight can also promote inflammation, which as I’ve mentioned is the root of arthritis. Another reason to keep eating right and exercising!

Step 6

Exercise and Managing Arthritis
You’re already exercising daily — good for you! Many people stop exercising at the first twinge of pain in a joint, but this can be a big mistake. Exercise can actually be a great tool for fighting

arthritis. It can help you lose or maintain weight, which reduces the overall stress impact on joints. Strong muscles can absorb shock from daily movements, keep joints stable, and protect against additional joint injury. Stretching and yoga can improve flexibility and range of motion and reduce joint stiffness. Swimming and water aerobics allow free movement without added stress on the joints. Walking is another manageable, low-impact form of aerobic exercise appropriate for most individuals with arthritis. All good reasons to maintain your active lifestyle!

Good luck changing whatever needs changing to find the pain free movement you long for.

Comments? Please leave your thoughts and comments. Pass this along on your facebook page.

Be Well, Do Well and Keep Moving,

Betsy

206 933 1889