How to Treat Osteoarthritis
My name is Dr. Troy Giles. I am a doctor of chiropractic and a natural internist. Today I want to
talk to you a little bit about osteoarthritis, or degenerative arthritis. A picture of that on this slick is pretty cool. I am going to show you this. This actually just sticks to the wall. See that? That is really cool. Osteoarthritis is a degenerative arthritis, where the joint actually starts to decay,usually from trauma, or from overuse. Osteoarthritis is that of old age, if you will. However, it can start in the our younger ages as well. Trauma, in the form of football injuries, or slips and falls, or car accidents, injure a usually healthy, normal cartilage. When that becomes injured, then there are different inflammatory states. Chemicals that are released within our body that start to irritate and cause inflammation, trying to heal the area. But generally speaking it creates weakness and overall degeneration, where this cartilage here, starts to wear down and become like this, to where you have bone on bone and just where all that good cartilaginous tissue has been lost and irritated and degenerated. So in the spine it looks similar to this. This is where the disc space is that holds those vertebrae apart. It starts to degenerate. Over time the disc space diminishes and now the hole that used to be there, that used to be open, that would allow the nerve root or part of the spine. Lets say this rod is a spinal cord and it runs down the center of the vertebrae. At various areas there are places where nerve roots actually exit the spine and go out and go to an organ. When this joint space here becomes diminished or degenerated, the actual hole starts to diminish and now you are having inflammatory states and inflammation and degeneration of the nerve root as well. So now you start to have organ dysfunction. You start to have pain in the joints, down the legs and so forth. That is the reason why people come in and see me generally. Chiropractically speaking it is because of the pain. Now on x-ray, of an actual person here, you can see that this space here, this dark space, so this space here, this space is diminished. You can see the front and you can see the that there is a bone spur off the front, one here off the back as well. That is degeneration. More than likely, she was in a whip-lash injury. In fact, she was. This area here became irritated. It became inflamed and started to degenerate. The very exact same thing that has happened over her. Over time these will start to degenerate. The doctors and orthopedists around here in Bountiful have seen some amazing things as either over use or traumatic. I would suggest always traumatic is what starts the inflammation and then the inflammation many times does not go away. Because of the amount of sugars that we eat, sugar is inflammatory and it continues that process moving and degenerating. So the idea is to be able to stop that. We do that through chiropractic adjusting. We do that through the changing of the diet, taking specific nutrients that will help. I have just brought on a supplement here called Arthroben. Arthroben helps to give nutrients and it is a powder that we give the patient, that they take every day that will actually help to repair and start to strengthen, shutting down the inflammation and giving specific nutrients to the joint capsule, to start to repair those joint surfaces, so they can become stronger again. Same thing in the spine. We want to be able to do that. So we want to get a better position. Let me just take you over here for a minute. I want to show you this space. Each nerve root, I have explained this before, but each nerve root exits the vertebrae and runs down to an organ. So if we touch, for example, C7, you can see how the energy passes down the arms. So many times patients come in and they say “Hey, I have got numbness and tingling in my hands.” Well, we can do a nerve conduction velocity test to find out if these nerves are being affected anywhere down the vertebrae, or we can look at it and see what is happening. Is there space between the vertebrae where these nerve roots are being irritated and shutting down the energy? What’s more important to me is the pain that the patient is having is not as important as the intervention or nerve control to the organ. For example, one of the first vertebrae to wear out in the neck is here at C6, 7-T1. So it runs down the arms. The patients comes in saying “I’ve got pain in my hands.” I say “Great. I feel badly that you have pain in your hands. Let’s see if we can help you.” But, even more importantly than that, is that it runs over to the heart and lung. If we come down here to L5, L5 runs out. It runs to the uterus, the ovaries, the bladder, the colon, basically all the way through the lumbar spine. It is going to run out into an organ of digestion. The L5 vertebrae is the number one vertebrae to wear out in the back. It controls your ability to have ejaculate and ejaculation, sexual function, which is all run by L5 as well. So I suggest people get upside down on an inversion table to help pull those vertebrae apart. It is the other thing that we can have them do, besides regular adjusting. You can see the same kind of concept here, where those nerve roots exit. They will shoot out and head out to the different organs. So maintaining the motion and helping a patient repair after trauma, making sure that those joints are moving well, is how we keep things moving, how we keep the nerve roots exiting appropriately to the organs and feeding the organs information. So it is more than just pain. Chiropractic isn’t just about making sure that you are straight. There is a reason behind the madness. When your vertebrae are straight…let’s go back over here to the x-ray…this x-ray, again, is scoliotic. There is scoliosis here. This particular spine is short. On the right side, this patient is short by a full centimeter. She is 6.4 from the top of the femur head down and on the left side 7.4 from the top of the femur head down. So she is 10 mm or 1 full cm, about that much short on the right side. That makes this turn like this. So she will wear down over here, on the concave side and wear down over here. Indeed, you can see that, see how close this is as opposed to over here. This is wide open. It is as though she were, you know, looking at a pie shape. So she is wearing down over here and not wearing down as much up here. All the fluid in the disc is being pushed to the outside. So making sure that you don’t have curvature is very big. I would encourage anybody, anywhere in the world, wherever you are, to make sure that you have at least got a lumbar view, a low back view, including the femur heads, to see if there is a diminishment of the actual hip height. It is not actually a longer/shorter bone. It is just that the foot is sometimes prone in or dropping inward, dropping one side down. Ultimately, that is going to degenerate, shutting off the nerve root and nerve flow to the organs. You can live and be fine with a curved back, but as that starts to shut down the energy to the organs, they start to dysfunction as well. So there are things we can do, chiropractic adjustment, exercise, physical therapy, getting specific nutrients to help those tissues repair and be strong. So I hope that has been beneficial for you. So if you suffer from degenerative arthritis, osteoarthritis, different that rheumatoid arthritis. Rheumatoid has other issues to it. Osteoarthritis is more wearing down and just not ever getting in to be adjusted. Patients that I see, people that I know around the neighborhood, have never seen a chiropractor and they are 50 or 60 years old. Well I just kind of get through my life. Get in and find out what is happening that there is something that can be done about it. I hope that has been beneficial for you. Until we talk next time, have a great day.