1. Presented by: Dr. Daniel Leonard

2.  Osteoarthritis  Rheumatoid Arthritis  Gout  JRA  Psoriatic arthritis

3.  Degenerative joint disease  Affects 27 million Americans  Occurs most often in the knees, hips, and hands  “Wear and Tear”  Age is related to increased risk of OA www.arthrtis.org

4.  Cartilage is the firm, rubbery tissue that cushions your bones at the joints, and allows bones to glide over one another.  Cartilage can break down and wear away. As a result, the bones rub together, causing pain, swelling, and stiffness.  Bony spurs or extra bone may form around the joint, and the ligaments and muscles around the hip become weaker and stiffer. Pubmed.com

5.  Age Wear and tear  Muscle weakness If muscles surrounding joint are weak, increases risk of stress  Obesity (increased stress on joints) For every one pound of body weight gained, you add four pounds of pressure on your knees and hips  Injury or Overuse Repetitive motion www.arthritis.org

6.  Pain and stiffness in the joints- worse with exercise or when placing weight or pressure on the joint  Rubbing, grating or crackling sound when you move the joint  Mourning stiffness  Joint swelling  Limited range of motion  Tenderness

7.  Exercise Swimming, walking, and cycling 30 minutes of exercise five times a week Start slow and increase by no more then 10 percent each week

8.  Maintain a healthy body weight Reduces stress on joints Exercise combined with a healthy diet

9.  Chiropractic Care Joint Manipulation  Increase range of motion  Restore normal movement  Relax muscles  Improve joint coordination  Reduce pain Rehabilitation  Muscle strength/ endurance  Joint stabilization

10.  Nutritional supplements Bromelain, 250 mg twice a day  Reduces inflammation and promotes tissue healing Omega-3 fatty acids  Reduces joint inflammation Glucosamine/ Chondroitin 500-1,500mg/Day (Elations)  Reduces joint swelling and stiffness

11.  NSAIDS- can cause decreased repair and rebuilding within the joint (www.alleghenyhealth.com)  Tylenol (Acetomenaphen) FDA reports in 2009, number one leading cause of acute liver failure (http://www.medscape.org/viewarticle/518380 )  NSAIDS- common side effects include gastrointestinal ulceration and bleeding Kill 16,500 people each year from side effects (www.naturalnews.com)

12.  Managing your osteoarthritis through the combination of exercise, diet, and manipulation is proven to be extremely effective

13. Thank you!! THE END

14. Farabaugh Chiropractic Office 2879 East Dublin Granville Rd. Columbus, Oh 43231 (614)898-0787 www.chirocolumbus.com Copyright © 2012 Dr. Ronald J. Farabaugh