SM 247a - Integrative Medicine Flashcards
Which diet was best for treating/preventing osteoarthritis?
Mediterranean type diet
- Vegetables > fruits
- Whole grains
- Healthy fats
- Fish
- Little red meat
- Low-fat great yogurt
- Spices reduce need for salt
What is the effect of CBD oil on OA?
Decreased pain
Increased activity
(n=16 study involving dogs)
What is the effect of curcumin/turmeric on osteoarthritis?
Curcumin decreased pain scores and decreased use of NSAIDs compared with placebo
Is chiropractic intervention helpful for knee osteoarthritis?
No
Is energy medicine helpful for knee osteoarthritis?
No
What alternative treatments work for knee arthritis?
- Tai Chi
- As effective as PT
- Weight loss
- Exercise
- Glucosamine + Chondroitin
- Healing environment
(Traditional treatments that work = NSAIDs, total knee replacement)
How do ice and heat affect osteoarthritis?
- Ice
- Benefit on ROM, function, knee strength, swelling
- Did not help pain
- Heat
- No statistically significant benefit
What is the efficacy of knee replacement in patients with osteoarthritis?
Total knee replacement is an effective way to treat end-stage knee arthritis
Is homeopathy helpful for knee osteoarthritis?
No
What are some of the challenges of using botanicals and supplements?
- Inconsistent quality
- Effective dose is often unknown
- May be expensive with unproven efficacy
Are there any medications that can help with knee osteoarthritis?
Glucosamine-chondroitin = best
Celecoxib = 2nd best
Tylenon = least effective, most likely to have side effects
What is the effect of smoking on osteoarthritis?
Smokers had lower rates of OA than nonsmokers
=> Quitting smoking is unlikely to reduce OA symptoms
What foods should be avoided in order to prevent osteoarthritis?
Red meat
What is the effect of running on risk of osteoarthritis?
Running reduces the risk of developing arthritis
More reduced risk than walking
Is using a cane helpful for knee osteoarthritis?
Yes - “Likely effective”