Avocado and Soybean Oil to Relieve Arthritis Pain

The pain of arthritis is very common. In fact, this is one of the most common reasons for people to see a doctor and certainly one of the main reasons to go onto disability. There is no cure for arthritis at this time, but there are a number of medications to treat symptoms. Most medications have side effects, however, and often cannot be used for arthritis pain.

There are a variety of natural supplements that can be taken for arthritis pain. Most supplements have decent science behind their use. One should remember that supplements or medication work best to treat arthritis pain when paired with a program for weight loss and with low-impact aerobic exercise.

Piascledine

There is an intriguing supplement on the market in Europe called Piascledine that is derived from avocado and soy. The supplement concentrates the active ingredient considered crucial for the control of arthritic pain. This supplement has been tested in placebo-controlled trials in France by the company that makes it. The Cochrane Collaboration, an independent science group, has evaluated these studies.

Basically, Piascledine has “moderate to high” evidence that it works in the short-term to relieve pain. This is good news as this is a natural product with little to no side effect profile. A more long-term study (three years) found little difference in pain control between the supplement and placebo. A review study in 2008 found that the use of the avocado-soybean oil supplement reduced and even stopped the need to use NSAIDs (anti-inflammatory pills).

The French company that makes Piascledine, Laboratoires Expanscience, sells this product in 46 countries but not yet in the USA. The French experience has demonstrated the safety of the supplement over a 15 year span of use in that country.

 

Anti-Inflammatory

The avocado combination provides anti-inflammatory activity and has also been shown in laboratory testing to build up cartilage. This unsaponifiable and anti-inflammatory product has shown a decrease in destruction of the joints over time. This has been examined at the University of Arizona.

According to the Arthritis Foundation, the supplement blocks pro-inflammatory substances, can help to rebuild cartilage cells and also prevents the deterioration of the synovial (joint) lining. Typically, the supplement works better than simply eating the vegetables as the ingredient is concentrated for you that way. The dosage ranges from 300 to 600mg per day.

The product is derived from the unsaponifiable part of the vegetable oil. This is a tiny fraction of the overall mass of the soybean and the avocado. The amount of avocados and soybeans that would need to be consumed to equal the unsaponifiable dose in the supplement is too large to recommend a dietary source for this substance.

This product is another natural remedy with a good side effect profile that has been found to be an effective way to treat the pain of arthritis.

If you want natural relief without heavy medicinal fog, reach for our full line of safe, holistic pain-fighting products. You should check with your doctor to make sure any of these natural remedies will not interfere with any current supplements of medications prior to trying them for yourself.

Healthy Strategies For Boosting Your Immune System

ORTHOPEDIC SURGEON & NATURAL MEDICINE SUPPORTER, DR. MEREDITH WARNER, DISCUSSES WHAT SHE IS TELLING HER PATIENTS TO DO.

DURING THESE TIMES, WE HAVE TO MAINTAIN OUR BODIES AND KEEP THEM STRONG.

 

Now more than ever, it’s important to strengthen your immune system to fight off viruses and keep your body healthy and protected. All of us at Well Theory are here to help.

The name of the game is to keep your stress under control so you can reduce your body’s inflammatory response.  Inflammation is thought to be one of the leading causes of many different types of chronic conditions and diseases. 

Secondly, ensure your body has the nutrients it needs to fight off illness.  You should be getting most of these nutrients from your diet but if that is not the case, supplementation is going to be critical.  

Our First Tip: Supplementation With An Immunity-Boosting Multivitamin

 

Orthopedic surgeon Dr. Meredith Warner formulated this multivitamin complex with essential vitamins, minerals, antioxidants, and hemp to improve the health of your immune system. We use high-quality, key ingredients to keep you feeling your best from the inside out:

  • Full Hemp Powder lowers chronic inflammation that can lead to autoimmune disorders.

  • Magnesium Oxide alleviates muscle cramps, bone pain, and symptoms of anxiety and depression, as well as boosting nerve function and promoting better rest.

  • Vitamin C is a powerhouse ingredient for boosting immunity and improving tissue repair and healing.

  • Zinc Gluconate improves cell health and development and aids in the body’s ability to fight off bacteria and viruses.

  • Vitamin D3 helps the body to absorb calcium, strengthens bones, and protects against chronic disease and respiratory issues.

  • Calcium Citrate promotes stronger bones and encourages healthy nerve function by balancing blood and calcium levels.

Our Next Tip: Strong At Home

Stay on top of physical activity and overall wellness from the comfort of your own home! From arm exercises to yoga and cardio, there are plenty of ways to incorporate low and moderate intensity workouts into your day. Just 30 minutes of activity can go a long way in boosting your mood and your strength.

Here are 10 exercises that we’ve shared to improve your home workout.

Don’t forget the benefits of sunshine! Go for a walk, soak up some sun, and enjoy some fresh air, and exercise. Follow this up with a hobby at home and plenty of rest.

Our Final Tip: Tools For Stress

A healthy mind and body can be cultivated with exercise and by nourishing the body. Pair our Immunity Boosting Multivitamin Complex with our Broad Spectrum CBD Oil Tincture, designed to provide you with the full benefits of hemp-derived CBD for stress reduction, improved joint health, and inflammation reduction.

Looking for healthy recipes to aid in strengthening your immune system? Make sure to check out The Herbal Kitchen for balanced nutrition backed by science.

From all of us at Well Theory – stay healthy, stay positive, and do something today that you enjoy for a life lived well.

A Life Lived Well

Beyond the medicines formulated for pain relief and overall wellness, Well Theory provides you with sources to craft a happy, balanced lifestyle. From a cooking show centered around healthy recipes to informative blogs and notes from Dr. Warner herself, Well Theory helps you take control of your life so that you can age vibrantly, alleviate pain naturally, and live well.

Dr. Warner believes that small steps can make a huge difference in how you live.

10 Body-Sculpting Workouts To Do At Home

Remember that strengthening the body with exercise and balanced nutrition is essential to strengthening your immune system! A strong immune system will help your body to fight off illness.

During this period of social distancing, it can be difficult to prioritize your health and exercise. We’re here to help by sharing 10 exercises that you can easily do to improve flexibility, build strength, and break a sweat at home for a thorough workout routine.

1. Leg Extension Yoga Stretch

Start by laying on your back on a yoga mat.

Loop a belt or resistance band around the ball of one foot, holding the ends in your hands. Slowly extend this leg straight up towards the ceiling, keeping the sole of your foot parallel to the floor.

Keep your opposite leg extended out on the floor, or bend at the knee if this is more comfortable.

Using the belt or band, gently pull your leg towards your chest, taking deep breaths and remembering to keep your leg straight. Hold this stretch for three deep breaths, and then repeat with your other leg.

 
 

2. Supine Twist Yoga Stretch

This is a great stretch to alleviate tension in your lower back. Lay flat on your back on a yoga mat and draw your upwards into a 90-degree bend. Cross your right leg over the left, and then gently twist your hips and low back to the right until your legs are resting on the ground.

Extend your arms out to the sides and look over your left shoulder, feeling the twist and stretch from your lower back to your neck. Hold this stretch for three deep breaths before repeating in the opposite direction.

 

3. Happy Baby Yoga Stretch

Lay on your back on a yoga mat and pull your knees into your chest. Gently hug your knees into your armpits, feeling a stretch in your thighs and lower back. Bring your hands in between your knees to grab the soles of your feet, and bring them parallel to the ceiling. Slowly rock to the left and right, breathing deeply as you stretch and open the hips.

 

4. Side Stretch

Stand straight with your hands extended towards the ceiling, fingers interlaced.

Slowly bend from side to side, feeling the muscles of your abdomen stretch and extend. Remember to breathe deeply, exhaling as you bend to the side.

Take this stretch slowly. Repeat multiple times on each side of the body, stretching and loosening your oblique muscles.

 

5. Lateral Pulse

Work out the backs of your upper arms using a resistance band. Extend your arms straight in front of your with the resistance band around your palms. Make small pulses outwards, allowing the resistance band to activate the muscles of your arms. Do two repetitions of these for 15 seconds each.

 

6. Tricep Kickbacks

Use 5lb weights for this exercise. Stand with your feet a shoulder-distance apart and extend one leg a short distance behind you. Lean forward slightly and tighten your abdominal muscles, tucking your elbows up towards your body.

Grip the weights and extend your arms behind you, gently extending your elbow and engaging your tricep muscles, and then slowly curl them back until your wrists are in line with your elbows. Do 10-15 repetitions twice, resting in between each set.

 

7. Bicep Curls

Stand with your feet a shoulder-distance apart, knees bent slightly, and lean your shoulders forward to feel your abdominal muscles tighten. Using 5-10lb weights, grip your weights with your arms extended at your sides.

Bend your elbows and curl your hands towards your shoulders, and then lower them back towards your hips. Remember to keep your elbows as stationary as possible. Repeat this 10-15 times, rest, and then do one more set of 10-15 curls.

 

8. Rear Deltoid Press

Stand with your feet a shoulder-distance apart and roll your shoulders back. Bend your knees gently and lean forward slightly to engage your abdomen.

Grip your 5lb weights, hanging your arms at your sides with your elbows slightly extended. Stretch your arms out straight behind you and then slowly bring them back forward until they touch your thighs. Do 10-15 repetitions two times, resting in between each set.

 

9. Bent-Over Rows

Stand with your feet together and bend at the waist. Hook a resistance band under your feet and pull the band up towards your chest. Tuck your elbows into the body as you pull the band upward, exhaling as your elbows reach your waist. Do two sets of 15 rows, resting between each set.

 

10. Teapot Core Workout

Stand straight with your legs a shoulder-width apart. Hook a resistance band under your left foot and stretch the band upward with your left hand. Touch your right hand to your right temple, keeping your elbow pointed away from your body.

Keep your lower body tight and bend to your right with your upper body, feeling the stretch in your left oblique before returning to bend towards the left side. Repeat this for 15 times, rest, and do a second set before repeating on the opposite side.

 

We hope that you give a few (or all!) of these exercises a try to get your blood pumping at home, and strengthen your immune system even further with our line of Well Theory products for stress management, inflammation reduction, and overall health.

 

How to Prevent and Treat Gout Flare-ups

Gout is a sophisticated form of arthritis, one that’s characterized by the quick and severe waves of pain, tenderness, and redness – often in the big toe. It can subside, bringing days without pain, only to be followed by another onset of attacks, known as flare-ups. There is no cure for gout, although prevention and management techniques exist to reduce the side effects of this painful illness.

How is Gout Caused?

Gout is caused due to too much uric acid in the blood. High levels crystallize the acid, which forms around the bone or cartilage. The exact cause can be attributed to genetics, diet, and various medical conditions. Those with gout cannot process these crystals properly, and so they collect in the joint.

Genetics has the strongest influence on your uric acid levels, while medical conditions can also affect them, with diet far behind. For the latter, it is believed that a healthy diet, mixed with exercise, can help manage uric levels. Specifically, avoiding foods such as shellfish, red meat, and beer help to control gout.

How can you Prevent Gout?

The best way to prevent gout is to focus on your uric acid levels, doing what you can to keep them under control. Achieving this involves lifestyle and dietary changes, focusing on drinking plenty of fluids to flush out the uric acid, as well as eating foods with low levels of purine (the compound that creates uric acid).

To manage your uric acid levels, you should lead a healthy lifestyle. That being said, there is no sure-fire, end-all solution out there, only ways to lower your uric acid levels. There is no available pharmaceutical explicitly used to treat gout, just medication to treat other illnesses that help with controlling uric acid levels associated with gout.

As far as medications, Allopurinol is often used to give baseline control. Colchicine and Indomethacin are used to help with flares.

 

What do you do during a Flare-Up?

Prevention is an excellent method of dealing with gout; however, if you already have it, what do you do during a flare-up to alleviate the pain? Let’s assume you are woken up in the middle of the night by an attack: first, you need to schedule an appointment with a doctor as soon as you can.

Gout is usually not life-threatening, but getting treatment within the first 24 hours of the start of attack is recommended. Professional help is recommended to treat flare-ups. Generally, a physician will first advise you to take some anti-inflammatory, over-the-counter medicine such as Motrin, Advil, or Aleve. Do not take any aspirin, as it can make the flare-up worse. You can also create an ice pack for yourself, putting it on the affected area, and drink plenty of fluids while you do this. Take the pressure off your foot and elevate it so that it’s higher than your heart.

Avoid alcohol and try to relax – there’s not much else you can do until you see your doctor. Also, if you don’t have any allergies to them, consider eating tart cherries or tart cherry extracts for management of gout. You can also try our soothing Pain Cream or Pain Relieving Spray for steady, natural relief from pain + inflammation.

What’s Causing Your Shoulder and Neck Pain?

Many people experience shoulder and neck pain while moving their upper extremities or lifting heavy weight.


In order to resolve this kind of pain, it helps to first understand the potential causes and the anatomy of this area of the body.

The shoulder joint is formed by the ball shaped head of the humerus (long bone of the upper arm) articulating with the socket of the scapula (shoulder blade) and the clavicle (collar bone). The socket where it articulates is called the glenoid cavity. There are many muscles and tendons that support the joint and form a rotator cuff around the joint preventing dislocation.

Causes

Shoulder and neck pain can be caused by rheumatoid arthritis, osteoarthritis, inflammation of the tendons, fracture, radiating pain from distant places, dislocation, frozen shoulder or bursitis.

  • Arthritis: Typically experienced as pain and limited range of movement while moving the hand above the shoulder – like while combing hair, arthritis is caused by inflammation of the synovial fluid and the synovial membrane.
  • Osteoarthritis: Related to wear and tear of the joints, osteoarthritis causes the formation of bony spurs (also called as outgrowths) on the smooth surfaces of the bones. The articulating surfaces become rough and there is decreased joint space, which causes pain with movement.
  • Tendonitis and Bursitis: The tendon is a strong cord-like structure that connects the muscle to the bone. Whenever there is a jerky movement, there is a pull produced in the joint that eventually leads to wear and tear of the tendon. Tendonitis can be acute or chronic. In acute tendonitis there is pain suddenly starting due to forceful and erroneous movements, while chronic tendonitis is due to repeated movements of the same joint.
  • Bursitis: A bursa is a small fluid-filled sac that acts as a cushion between the articulating bones to reduce friction during the gliding movements of the body. Pain occurs when the bursa in the joint become inflamed.
  • Frozen Shoulder: A sudden pain and spasm of the shoulder joints and muscles supporting the joint, frozen shoulder restricts the abduction movements (when the upper arm moves away the body), especially above the level of the shoulder. Exercise can help reduce the muscle stiffness and pain.
  • Fracture: A crack or break in the bones can be caused by injury, trauma or an accident. This is an extremely painful condition and typically will take a long time to heal. A cast will be necessary to keep the joint immobile until it heals.
  • Radiating Pains: Whenever there is chest pain or myocardial infarction (heart attack) it leads to squeezing pain on to the left side of the chest and in the heart muscles as well. This chest pain typically radiates from the heart to the left shoulder blade and the shoulder joint. If the patient has past history of heart problems as well as dyspnea and an unstable electrocardiogram then one should rule out angina pain immediately.
  • Dislocation or Subluxation of the Joint: The head of the humerus may come lower down from the socket in case of loosened tendons and ligaments and increased strenuous activities. The dislocation is medically termed as subluxation. It may be partial or complete. In case there is dislocation once there may be repeated dislocation on account of worn and loose ligaments. The limb will be stiff and the head of the humerus dislocates downward, causing pain while moving the hand upwards.

 

Diagnosis of shoulder and neck pain is typically conducted by taking a detailed history and clinical examination.

This may include:

  • X-rays will give information about the contour of the bones and can detect minute hairline fractures. This is the most basic test done by the orthopedic surgeon.
  • CT scan will show detailed structure about the bones and surrounding soft tissues of the shoulder joint.
  • MRI scan will show injuries and abnormalities of the soft tissues like tendons and ligaments.
  • ECG will help interpret cardiac functioning, rate and rhythm.
  • Arthrogram is a specialized X-ray wherein a dye is injected into the joint. This chemical dye produces a contrast effect when an X-ray is taken for the joint, enabling a better view of the bones, ligaments and the tendons.

Treatment for Shoulder & Neck Pain

Treatment consists of lifestyle modification, conservative modalities of treatment and medications or surgery. In case of lifestyle modification, one has to give intermittent rest to the joint that is painful, avoiding exertion and excessive use. Conservative treatment allows the patient to increase joint flexibility with physiotherapy exercises. Medications that can help relieve pain include:

  • Trigger Point Dry Needling
  • Analgesics (painkillers)
  • Supplements like calcium and ginseng, which allow the bones to become strong and stable.
  • Antibiotics are helpful in case of tendonitis and bursitis as they reduce the inflammation levels.
  • Non Steroidal Anti-Inflammatory Drugs are given in case of rheumatic arthritis of the shoulder joint for longterm relief.

Surgical intervention is needed in case of fracture or break in the bones. Cast or crepe bandage is useful in cases where rest and support to the ligaments is needed in cases like dislocation of shoulder.

Using natural means of reducing inflammation may be beneficial to include in your treatment plan. Our Bone & Joint Multivitamin was designed by an orthopedic surgeon, based on the vitamin recommendations she gives her patients every day! This multi is designed to steadily reduce pain + inflammation at its source by harnessing the power of your body’s endocannabinoid system.

Treating Ankle Arthritis With Ankle Replacement

For years ankle fusion has been the only treatment option available for people suffering from severe ankle arthritis. Fusion has always been an effective treatment technique, but it’s an option that completely alters the patient’s gait, changing the way they walk for the rest of their lives. It totally eliminates ankle motion and causes severe arthritis in the rest of the foot too.

New advancements in medical technology have offered a solution, that can produce long-term mobility, flexibility, and stability. Total Ankle Replacement surgery allows the patient to retain motion in the ankle joint, creating a new joint that functions like the old one, but without pain. Below we’ll explain why Dr. Meredith Warner prefers Total Ankle Replacement surgery for her patients, and detail each step of the procedure.

Ankle arthritis is a condition caused by damage to the joint that connects the foot to the leg, also known as the tibiotalar or ankle joint. There are three bones connected in this joint: the tibia, the fibula, and the talus. Ankle arthritis can involve any or all of these bones. Symptoms vary but most commonly include pain during movement, swelling, tenderness, and difficulty walking.

About 50 percent of people over the age of 60 are affected by ankle arthritis every year and seek out a treatment that may help relieve pain. Most ankle arthritis is post-traumatic and can usually be traced to an injury.

Fusion

Ankle fusion is one of the most common ankle arthritis solutions offered by medical professionals in the United States, yet often comes with a variety of complications. During the procedure, the doctor will extract damaged cartilage and use pins, plates, and screws to set the joint in a stable position. The joint is removed, allowing the bones to fuse and grow together over time.

The procedure is often successful and reduces pain, however adjacent joint disease may develop in the months and years following surgery. Also, by removing the joint, range of motion is reduced in the ankle, ultimately affecting gait. The change can negatively impact the knee and hip, causing injury or damage.

An Innovative Alternative: Ankle Replacement

Total Ankle Replacement surgery may not be as conventional as total hip or knee replacements at this time, but is a solution that can be as viable and successful for individuals living with arthritis. Dr. Meredith Warner prefers this treatment method over fusion because it allows patients to maintain a more normal gait post-surgery.

During the procedure, damaged cartilage is removed, and a new metal and plastic joint is implanted in order to restore function. The method relieves ankle arthritis pain and offers patients more mobility and flexibility than fusion. Following surgery, the patient can safely move the ankle joint, meaning less stress is transferred to adjacent joints.

Most patients can begin weight bearing on their ankle within one month and begin physical therapy just a week following surgery. Studies have shown that ankle replacement leads to more normal gait than a fusion. On average, replacement joints start to wear out after about ten to 15 years. Once the total joint is worn down a doctor may recommend a second ankle replacement or at that time a fusion may be appropriate.

For many patients with ankle arthritis, an ankle replacement may be the best treatment path to explore to ensure long-term success, comfort and to protect the rest of the foot and leg from arthritis problems.

At Well Theory, we always advise working with your primary physician to find the least invasive option available to you for the successful treatment of your condition. Dr. Warner, the founder of Well Theory, uses this methodology with her own patients, and this led her to develop a line of natural, safe, pain-relieving products that harness herbal medicine and modern medical therapies. Click here to view our full line of wellness products!

Myofascial Pain and Breast Cancer

Up to 45% of those undergoing or post breast cancer treatment have pain. Usually, this pain is in the upper limb or mid-back region. It is generally thought that this pain is due to a myofascial trigger point, or areas of hyper-irritable spots in the skeletal muscle. These spots continually contract and/or become fibrotic. These spots are painful and cause muscle dysfunction around them and gradually increase pain in the area.

The myofascial matrix of the body is the area where muscle and fascia integrate. The myotendinous zone is where muscle and tendon integrate. There are weaker tissue connections and many nerve fibers at transition zones in the body. The myofascial area can become very painful. This is especially true if a faulty spot, or trigger point, is created.

Trigger Points

Trigger points not only are extremely tender and painful in and of themselves, but they also refer pain. As well, they can cause distant motor and autonomic or sensory effects. For example, a trigger point in the sternocleidomastoid muscle (front of the neck) can cause headaches that move to the crown.

Treatment

Common areas of trigger points and pain in breast cancer patients include the upper trapezius muscle, pectorals, serrates anterior, and some shoulder muscles. In addition to being painful, the neck, mid-back, shoulders, and scapular areas may become stiff.

Treatment is possible and generally safe. First-line treatment should be with a physical therapist. These professionals have a variety of techniques to treat muscle and fascial pain. A good physical therapist will create an individualized program to include stretching, massage, deep tissue work, strengthening, and passive relief modalities for the patient. If physical therapy is not successful or fast enough, a physician can perform trigger point injections with a numbing medication and/or anti-inflammatory. These injections are directed into the painful trigger point itself.

Insurance covers both therapy and physician trigger point injections and treatments. In many states, there is a provision to allow direct access to a therapist for patients. 

At Well Theory, we advocate for patient-led, holistic alternatives to invasive procedures. Therapy is a great option for addressing discomfort caused by myofascial pain – and so are natural pain relieving products that harness the power of herbal remedies. Click here to view all of our surgeon-designed, safe, and holistic pain-relieving products!

A Solution to Arthritic Knee Pain Without Replacement

A minimally invasive, office-based treatment for chronic knee pain from arthritis.

 

Osteoarthritis of the knee is one of the most disabling conditions in the world. It is present in about 20-30% of the elderly population (over 65-years-old). With the aging of the population and the increasing number of people working longer, this is expected to increase. Also, most individuals are more active now than ever. The pain of arthritis is long-term and can render one unable to do even basic daily activities.

There are many non-operative treatments available for chronic knee pain from arthritis. These treatments range from braces to hyaluronic acid injections. However, many physicians recommend a replacement of the natural knee with a metal and plastic one when other treatments don’t work.

Many people do not want to undergo the trauma and expense of a total knee replacement. Some people are not healthy enough to undergo such a surgery. Some individuals wish to delay such a surgery for any number of reasons.

Also, 20-30% of patients still have pain and disability even after having a total knee replacement.

Treatment Options

There is a way to treat the pain without replacing the knee joint. By blocking the sensory nerves that provide the pain signal from the knee to the brain, the pain can be treated. First, the nerves must undergo a temporary block to see if the pain relief is adequate. Then, a minor procedure is completed that prevents the nerves from working to create a pain signal. The pain is effectively gone. This has been shown to provide a significant amount of pain relief in a number of scientific studies. While there is no cure for arthritis, there is a potential treatment for the pain of arthritis of the knee.

The nerve block is done in the clinic. An area around the kneecap undergoes a series of injections with a medication that numbs the nerves. If this proves to provide enough relief, the next stage of treatment occurs.

Procedure

The patient with the painful arthritic knee is mildly sedated, and numbing medication is injected into the area to provide relief during the procedure. Specialized cannulas and probes are placed around the kneecap in key positions. Each probe is inserted under the skin into an area known to have a sensory nerve. Once positioned, the probes area activated and render the nerves ineffective. The probes utilize radio frequency to produce a minimally invasive heat source that essentially burns the nerve. The surrounding tissue has minimal to no damage due to the design of the probe and the procedural technique.

If successful, this procedure can provide an individual with long-term pain relief without the need for medication.

For daily, natural relief without medicinal fog, reach for our Pain Relieving CBD Cream! The holistic blend in our CBD cream is designed to relieve pain on contact, and interact with the endocannabinoid receptors in your body to further regulate inflammation.

Three Ways a Total-Knee Replacement May Affect an Arthritic Ankle


If you’re living with an arthritic ankle, a total knee replacement can have a tremendous effect on your life. Below we’ve shared three ways a total knee replacement can affect the health of an arthritic ankle.

Change The Position of the Ankle

When a total knee surgeon places a total knee implant, they must consider the position in three planes. It must be position in the lateral (side-facing), coronal (front-facing) and finally the axial (cross-section) planes. Often, a position of external rotation in the axial plane is selected to place the patella correctly in its femoral groove.

Anatomy

Sometimes the rotation of the femoral and tibial total knee components changes the rotation of the tibia (shin-bone), ultimately affecting the ankle.

If you have ankle pain or feel that you wear out shoes differently since your total knee replacement, it may be worth seeing a foot and ankle surgeon.


Tendinitis May Develop Due to Changes in Range-of-Motion

People with pre-existing ankle arthritis usually have limited range of motion; the same is true of the knee of course. Over time, with an arthritic knee and ankle, the walking pattern accommodates to the limits of both joints.

Once the knee is replaced (assuming all goes well), the knee will have a much better range of motion. This knee range of motion then puts additional stress on the already limited and arthritic ankle. It is not unusual to develop Achilles tendinitis, plantar fasciitis, peroneal tendinitis or posterior tibial tendinitis in the ankle region due to the changes in walking.

Reduced Flexibility in the Hindfoot

Again, total knees will change the alignment of the knee from being either valgus (knock-kneed) or varus (bow-legged),  and change the angle of the ankle in the forward-facing plane.

Because the ankle has changed its angle, the calcaneus (heel bone) must change its relative position.  If an ankle has been in valgus, typically the calcaneus compensates by moving varus.  Conversely, if an ankle has been in varus, the heel will correct by moving into valgus.  The goal of the body is to maintain an overall neutral position of the leg and body relative to the ground.

When the total knee is placed and suddenly the knee is straight (neutral) again, this places the ankle in a different plane. The change is happening along with the tibial rotation change discussed in the first point. The heel bone will need to compensate less but often becomes stiffer due to the new biomechanics of the ankle joint. A stiff hindfoot will increase midfoot and forefoot pain, contribute to plantar fasciitis and make navigating uneven ground difficult.

All this to say, if you find that you are having more foot and ankle pain after total knee surgery, you should be evaluated. Sometimes a simple custom insert is necessary. Other times, professional physical therapy can help. Injections, massage, and other techniques can reduce the discomfort also. Rarely surgery is required, but it happens.

Our Bone & Joint Health Multivitamin was designed by an orthopedic surgeon to naturally reduce pain + inflammation in the joints. Get all the essential vitamins and minerals your body needs with added mood-boosting and anti-inflammatory benefits from pure Full Spectrum CBD.

How Does Your Overall Diet Affect Your Skin?

What we eat everyday affects your skin in more ways than one!
Additionally, many people do not realize that your overall health and your skin are closely related. Eating bad foods such as items with too much sugar or even fast food can really wreak havoc on your skin. For example, sugar has been proven to cause inflammation. This in return produces enzymes that break down collagen and elastin, resulting in sagging skin and wrinkles.

Check out these easy and delicious 3 ways to alter your diet to heal you achieve healthier skin:

Eat “Clean” with Fish, Fruit, and Veggies

Eating more fish, leafy greens, and fruit can play a major role in the health of yoru skin. People who eat diets like this have more omega-3 fatty acids from fish that keep skin cells strong an elastic.

Reduction of skin elasticity is a fact of aging for most people. Skin elasticity is the skin’s need to stretch and then go back to normal. Preserving the elasticity in your skin allows for it to look more youthful.

Cut Back on Bread and Pasta

Lowering the intake of carb-heavy foods actually lowers the stress hormone cortisol. Lowering your cortisol levels helps to minimize pesky breakouts.

Breakouts can eventually lead to long-term blemishes that can really ruin your overall completion and can may require extra work to try to clear up. Swap these foods for better choices such as zucchini pasta instead of traditional pasta to lower your carb intake.

 

Introduce Olive Oil into Your Diet

Not only is olive oil a good way to help you skin within your diet, but it also can be applied directly to skin to reap the benefits. Olive oil also contains monounsaturated fat, unsaturated fats that are known to increase your overall cardiovascular health.

Increasing your intake of these foods can help you to achieve and maintain healthier, more attractive looking skin. Your diet has the ability to directly affect your skin and making healthier food choices can help you to fight against elasticity loss and premature skin aging.

Choosing a beneficial multivitamin is a fantastic way of ensuring you’re getting the daily recommended amounts of all your essential vitamins and minerals. Our multivitamin was designed by orthopedic surgeon Dr. Meredith Warner, who selected each ingredient according to what vitamins she recommends to her patients.