SM 247a - Integrative Medicine Flashcards

1
Q

Which diet was best for treating/preventing osteoarthritis?

A

Mediterranean type diet

  • Vegetables > fruits
  • Whole grains
  • Healthy fats
  • Fish
  • Little red meat
  • Low-fat great yogurt
  • Spices reduce need for salt
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2
Q

What is the effect of CBD oil on OA?

A

Decreased pain

Increased activity

(n=16 study involving dogs)

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3
Q

What is the effect of curcumin/turmeric on osteoarthritis?

A

Curcumin decreased pain scores and decreased use of NSAIDs compared with placebo

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4
Q

Is ​chiropractic intervention helpful for knee osteoarthritis?

A

No

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5
Q

Is ​energy medicine helpful for knee osteoarthritis?

A

No

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6
Q

What alternative treatments work for knee arthritis?

A
  • Tai Chi
    • As effective as PT
  • Weight loss
  • Exercise
  • Glucosamine + Chondroitin
  • Healing environment

(Traditional treatments that work = NSAIDs, total knee replacement)

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7
Q

How do ice and heat affect osteoarthritis?

A
  • Ice
    • Benefit on ROM, function, knee strength, swelling
    • Did not help pain
  • Heat
    • No statistically significant benefit
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8
Q

What is the efficacy of knee replacement in patients with osteoarthritis?

A

Total knee replacement is an effective way to treat end-stage knee arthritis

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9
Q

Is homeopathy helpful for knee osteoarthritis?

A

No

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10
Q

What are some of the challenges of using botanicals and supplements?

A
  • Inconsistent quality
  • Effective dose is often unknown
  • May be expensive with unproven efficacy
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11
Q

Are there any medications that can help with knee osteoarthritis?

A

Glucosamine-chondroitin = best

Celecoxib = 2nd best

Tylenon = least effective, most likely to have side effects

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12
Q

What is the effect of smoking on osteoarthritis?

A

Smokers had lower rates of OA than nonsmokers

=> Quitting smoking is unlikely to reduce OA symptoms

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13
Q

What foods should be avoided in order to prevent osteoarthritis?

A

Red meat

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14
Q

What is the effect of running on risk of osteoarthritis?

A

Running reduces the risk of developing arthritis

More reduced risk than walking

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15
Q

Is ​using a cane helpful for knee osteoarthritis?

A

Yes - “Likely effective”

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16
Q

How did cancer patients using exclusively alternative medicine fare compared to those receiving standard of care treatment?

A

Worse (more death)

17
Q

Are PRP injections helpful for knee osteoarthritis?

A

“Likely effective”

18
Q

Is ​acupuncture helpful for knee osteoarthritis?

A

No

19
Q

How does obesity worsen knee arthritis?

A
  • Increased load on the knee
  • Adipocytes are inflammatory cells
    • Increase pro-inflammatory cytokines and adipokines
20
Q

Do steroids injections help knee OA?

Are they safe?

A

No difference in pain at 12 weeks

  • May help initially, but no difference in the long term
  • Increasing evidence shows greater cartilage loss with intra-articular steroids in OA patients