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If I have right knee osteoarthritis, do I have to work out my left side as well?
I was recently asked by a patient why he had to work out both sides of his body in physical therapy if only his right knee hurt. I can understand some of the confusion. After all, if your right shoulder were painful and inflamed and required an injection, the medication would only be put at the site of inflammation -- in your right shoulder. You would not be a candidate for a right and a left shoulder injection! However, physical therapy, for the most part, is much different. I'll explain.
There are two basic components to physical therapy -- passive and active. In the passive component, the therapist may apply ice, heat, ultrasound, electrical stimulation, and other modalities to the painful area. For the most part, these modalities are only placed at the site of injury (there are a few exceptions that are beyond the scope of this blog). So, in this sense, physical therapy is functioning si...
A couple of months ago, I had coffee with a friend who had just started an exercise program. She would grimace anytime she got up, obviously her muscles and joints rebelling against her new regimen. To ease the pain, many people would use the heating bad, a massage or a hot bath with lots of Epsom salts. Those all are great ways to ease the discomfort, but there are other options you can use as well.
For instance, your dietary choices can make a big difference! “Food works on a cellular level, so you might not notice a difference in the first hour after eating them,” Jessica Crandall, a Denver dietitian and member of the Academy of Nutrition and Dietetics, told The Wall Street Journal . However, some foods can decrease muscle inflammation and can help you recover. These foods and beverages include:
Omega-3 fatty acids - The University of Maryland Medical Center reports that eating foods with omega-3 fatty acids help to reduce inflammation. The George Mateljan Foundation poi...
Creatinine is a breakdown product of creatine, which is an important part of muscle. Creatinine is removed from the body entirely by the kidneys. This article discusses the test done to measure the amount of creatinine in your urine.
A blood test can also be used to determine your creatinine level. See: Serum creatinine
Urine creatinine test
How the test is performed
A random urine sample or a 24-hour collection may used. For information on how to collect a 24-hour urine sample, see: 24-hour urine collection .
How to prepare for the test
Your health care provider may tell you to temporarily stop taking certain medicines that may interfere with test results. Such medicines include:
How the test will feel
The test involves only normal urination, and there is no discomfort.
Why the test is performed
You should know
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