• Why do my joints hurt?

  • Mar 21 2025
  • Duración: 17 m
  • Podcast

Why do my joints hurt?

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  •  Do you ever feel like the Tin man needing some WD 40 just to get moving? Let's talk about what causes joint pain and how to prevent and treat it.  I'm Dr.Vickie Petz Kasper. If you're ready to take control of your health, you're in the right  place. Whether you're focused on prevention or you're trying to manage a condition. I'll give you practical steps to start your own journey toward better health because healthy looks great on you. Episode 164. Why do my joints hurt? When I sit for a while the urge to groan when I stand up comes pretty naturally and I'm really trying hard to fight it, but I've put quite a bit of strain on my joints over the years, and I'm not alone. One in five adults have some form of arthritis. Back in the day, old people called it rheumatism. I haven't heard that term in a while, but now I am old people. But rheumatism is used synonymously with arthritis. It's a catchall term and it doesn't necessarily refer to rheumatoid arthritis. And listen, there are over 100 different types of arthritis, but today we're only going to focus on osteoarthritis because it's by far the most common affecting over 32 million people in the United States. And the prevalence is increasing, making it the third most common disease that is going upward behind high blood pressure and dementia. Grandpa can tell it's going to rain because his rheumatism is acting up, and in fact, damp weather can make arthritis pain flare, but it's more than just aches and pains. Osteoarthritis is serious. In fact, it's the leading cause of disability in the United States. It's also expensive. The price tag is reported to be over $150 billion a year. Some of that is lost wages and some is because of joint replacement, and it is important to see a doctor and have your pain evaluated. Let's go to mini medical school and learn about joints. No, not that kind of joint. Although CBD oil and marijuana have been studied for joint pain and they are effective - every bit as effective as placebo, that smells like weed. Go figure. But I meant the articulation between bones and other structures that allow us to move. Now that I think about it, the word joint can refer to your banking account, something you smoke, a fastener to hold the roof on your house, or in this case, a place where bones meet. So let's look at all the players that gather in this meeting place besides bones. You've got ligaments and tendons that hold the joint together, and both of these are strong bands of connective tissue. The ligaments connect bone to bone. And that supports and limits movement while tendons connect muscle to bone and that controls movement. You've also got cartilage that covers the surface where two or more bones meet and that's designed to reduce friction. You know when two or more are gathered, there's always friction, so you need something to smooth things out. Another structure that helps reduce friction is a fluid filled sac called the bursa, and this is filled with a thick, clear, sticky fluid called synovial fluid that is secreted by the synovial membrane and that lines the joint and seals it into a capsule. And there are lots of different types of joints besides the ones I mentioned earlier. Some of them move in just one direction, like your elbow, and those are called hinge joints. Others allow rotation like your neck. That's called a pivot joint. Shoulders and hips are the ball and socket joints to allow movement in several directions. And the wrist is similar, but without pivots, so it's called an ellipsoidal joint. Okay. Now you've completed orthopedics 101. Oh, wait. Since we're discussing osteoarthritis today, you probably need to know that osteo means bone. And you've probably heard people say that they had a knee replacement because it was bone on bone. Well, osteoarthritis occurs when the cartilage is gone, and it's a gradual process that occurs over many years usually. You probably know that the biggest risk factor for osteoarthritis is age. But listen, it's not a normal part of aging due to wear and tear, though clearly it can develop where there's been a prior injury. It's hard to think about it when you're young and doing back handsprings or shooting hoops or making tackles, but often those old injuries do eventually catch up with you. But, even without an injury, repetitive occupational or avocational activities can leave their mark. But get this, being sedentary does its own damage. Does that mean that runners are destined to ruin their knees? Actually no. Even though they're asking a lot from that three to five millimeter layer of cartilage, genetics plays a role too. So choose your parents very wisely. But even if your parents have osteoarthritis, it doesn't mean that you will, because lifestyle is a huge factor. And since I'm here to talk to you about lifestyle medicine. Let's talk about the things you can control, and we're mostly going to focus on two pillars of lifestyle medicine, and ...
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