Category Archives: All

Winter Joint Pain

Image result for joint pain

Source: Pain Doctor

Andrea Hernandez

Have you ever had a sharp pain in your ankles or shoulders when you were taking a walk in cold and rainy weather? Many people ascribe such symptoms to the effects of atmospheric pressure and humidity changes. When it is cold, there is higher pressure in the atmosphere. When it rains there is lower pressure and higher humidity.

There is no argument that our body’s tissues are stiffer in the cold.  And this stiffness might be uncomfortable.

A study observed the joint paint of people with rheumatoid arthritis (RA) and osteoarthritis (OA). A pair of people lived in a chamber that controlled temperature, humidity, barometric pressure, air flow, and air ionization for a two-week period.  Six of the eight people with RA and all four of the people with OA reported more pain and stiffness when humidity increased and atmospheric pressure was decreased. The small sample and short amount of time in the chamber make these findings interesting, but very preliminary.

There are alternative explanations for the association of weather changes with joint pain.  For instance, it may be that a person is less likely to exercise when it is cold outside, and the lack of activity might contribute to joint pain.  

https://www.webmd.com/pain-management/features/weather_and_pain#1

https://www.oline.org/open-access/effect-of-cold-weather-on-the-symptoms-of-arthritic-disease-a-review-of-theliterature-2329-9126-1000275.php?aid=82154#8

https://ac.els-cdn.com/030439599400215Z/1-s2.0-030439599400215Z-main.pdf?_tid=d372cc1a-212a-431a-91de 42d7ed05bd47&acdnat=1543609846_b25a1291cdc3f79c3981c399fff367e0

https://nyaspubs.onlinelibrary.wiley.com/doi/pdf/10.1111/j.21640947.1961.tb00760.xhttps://www.health.harvard.edu/healthbeat/the-secret-to-joint-pain-relief-exercise

 

Chocolate Milk: Post Workout Drink?

Image result for chocolate milk workout

Source: Stack

Isabel Draper

‘Got Milk?’ ads were everywhere at one point. Recently, I saw an ad for drinking chocolate milk for recovery after a workout (https://builtwithchocolatemilk.com/). It seems the milk industry is advertising chocolate milk as a viable choice for refueling after a workout. Is there some value to a specific drink over a balanced diet to get healthy after exercise?

One particular study is often cited as supporting the use of chocolate milk as a post workout drink.  This study has an interesting design: it compared the observed difference between the performance of three different groups of cyclists who rode for two hours and then refueled with either water, chocolate milk, or gatorade. The cyclists then rode until exhaustion. Riders that drank chocolate milk had a greater time to exhaustion and  total work than riders who drank a carbohydrate replacement drink with the same carbohydrate content. The abstract states that these “results of this study suggest that chocolate milk is an effective recovery aid between two exhausting exercise bouts.” One issue with this study, like many other nutritional studies, is that it is observational in nature. The conclusion that chocolate milk is a superior recovery drink is solely based on the observation that those riders who drank chocolate milk had a slightly greater time to exhaustion and total work in comparison to the other riders.

Chocolate milk from the grocery store has a ratio of carbohydrates-to-protein of about 6-1 and contains a significant amount of sugar. The desired ratio of carbohydrates-to-protein for a recovery drink is 4:1. Drinking an excessive amount of calories in the form of sugar after a workout may not be better than a balanced diet. Different levels of activity necessitate different caloric intakes after each activity.  That said, if you enjoy a cold glass of milk after working out, then you can continue drinking it as long as you keep in mind its extra calories. But, don’t add a glass of milk to your routine simply based on marketing by the milk industry.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569005/

Don’t Believe the Dairy Industry—Chocolate Milk Isn’t An Ideal Post-Workout Recovery Drink

https://www.washingtonpost.com/lifestyle/wellness/why-you-should-try-chocolate-milk-after-a-workout/2015/02/02/efe27658-a708-11e4-a7c2-03d37af98440_story.html?utm_term=.4306f8f12a6e

https://www.ncbi.nlm.nih.gov/pubmed/29921963https://www.acsh.org/news/2015/12/31/if-you-are-fed-up-with-nutrition-science-youre-not-alone

Knuckle Cracking

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Source: Harvard Health

Victor Liaw

Many people crack their knuckles to release tension or feel like they’re giving their fingers a stretch. The cracking results in a loud pop or snapping sound, which can be unsettling to other people. Although the science behind knuckle cracking is not definitive, the most popular theory involves a process known as bubble collapse. Bending and distracting the joints creates a space and a relative vacuum, which causes the formation of gas bubbles in the joint fluid which then pop, resulting in the cracking sound. A second and more recent theory suggests that the sound is not produced by the popping bubbles but rather by the formation of the cavity itself. There have been studies that support both theories, so it’s difficult to say which one is correct.

For some time, the practice was thought to increase the risk of arthritis. However, multiple scientific studies have shown that knuckle cracking does not increase the chance of osteoarthritis. Most of these experiments included large numbers of patients, but perhaps the most peculiar experiment was done by Dr. Donald Unger. For 50 years, he would crack the knuckles on his left hand at least twice a day while doing nothing for his right hand, and he did not develop arthritis at all, with “no apparent differences between the two hands.”  

https://www.medicalnewstoday.com/articles/259603.php

http://www.jabfm.org/content/24/2/169

http://www.scientificamerican.com/article/crack-research/