This is What CAUSES and WORSENS Knee Arthritis.
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- Опубліковано 7 чер 2024
- In this video, I will review what causes and worsens arthritis. Did you know that there’s much more to osteoarthritis than just a simple wear and tear disease? We now understand that arthritis is far more complex, involving not just the joints, but also our weight, metabolic health, and even our lifestyle choices. And the reason you should care is because osteoarthritis is a complex interplay of metabolic factors and inflammation, all of which can be controlled through lifestyle modifications and a proactive approach to self care.
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
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Website: www.jeffreypengmd.com/
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I have never been overweight or have a metabolic dysfunction, and follow a Mediterranean diet and IF. I walk everyday and bike and other exercises, although I did not always. I still have osteoarthritis. My only inflammatory contributing factor was long term stress.
I have a complex case too and cannot figure out why I have stiffness each morning from arthritis. I removed sugar and eat oatmeal, chicken, salmon and lots of salmon and no processed foods. I also exercise each week….
Have been doing everything I can due to this arthritis. Age 57 and been physically active my whole life.
@@lindagalentino8864 I have chronic back pain, surgery is complicated and chose not to have it. I had two TKR that did not take the pain away.
I have to workout everyday just to keep mobile. The lack of activity after each knee replacement and the pandemic aggravated my symptoms. You go down hill fast, but it takes years to go back up.
Thanks for sharing, hang in there! :)
Me too very similar except my autoimmune diagnosis is the culprit but I am looking for ways to repair or slow down the damage
Thank you the same here
I fixed my arthritis in December after nearly 40 years of severe arthritis in both knees. Bilateral total knee replacement. Best thing I ever did.
Not everyone has good results with bilateral TKR. 30% of patient continue having knee pain, including me.
Not everyone had a great experience with bilateral TKR. In my case, because of complications, allergy reaction, and postponed PT (pandemic) I’m still in pain. I have not done anything in regard to my spinal osteoarthritis because of that. Just walking, stationary bike, PT and core strength training.
Well I hate to hear about y’all’s bad experiences with your TKR surgery.
All I can say don’t give up and I believe that our Lord does listen so I will say a prayer for you both. God bless and take care.
P.S I’m a tower crane operator and back to work six months after my surgery. Therapy was hard, but I never gave up and pushed myself every day to get better because all I wanted to do was feed my family. They were my drive.. in fact, I’m in the Tower Crane right now sending this message after climbing 300 feet downtown Atlanta.
Thank you.
This is one of the best video I have seen on arthritis
Thanks!
You did a very nice excellent job on this video. Thank you for your work!
This was a very informative video. By far the best I have come across. Excellent. Thank you!
I've watched many vids on this subject but Dr. Peng's was definitely the best and so informative. Thanks for your insights.
You are hands down the best MD on the net. THAN YOU Dr. Jeff!
🙏🙏
Excellent teaching. Thank you
Thanks lots of advice and valuable information
Very informative video.Thank u.God bless
Thank you very much for well explained information that one needs to know in order to manage the condition. Iam very grateful for tunning to your channel ❤
Glad it was helpful!
You’re terrific at explaining complex things, thank you for sharing.
Glad it was helpful!
@@JeffreyPengMDagreed!!!
GREAT VIDEO. THANK YOU!
It would be interesting if you discussed the reaearch on Time Restricted Eating and Intermittent Fasting as a way to activate autophagy and reduce inflammation. Obviously TRE and IF are well known to increase insulin sensitivity, improve metabolic health as well as support weight loss and appetite regulation too.
Thank you so much for your effort and amazing videos
Glad you like them!
Amazing lesson. Thank you!
Im 33 with severe hip oa since i was 29. On the road to a hip replacement. Never been overweight or had high blood sugar.
Excellent. Thankyou :)
Thank you I just found you and subscribed 😊
Fantastic information 👌
This is by far the most informative and interesting video on osteoarthritis I have watched. Thank you very much for your to the point and well covered content.
Very helpful, thank you.
Glad it was helpful!
Please comment about what is known about genetics and osteoarthritis. I have always been active with normal weight, low blood pressure and a stellar cholesterol profile. I.m 70 now and have been challenged by OA for decades.
Maybe it's your "stellar" low cholesterol
Another informative video for osteo patients. I am failing to loose weight. I bring down my weight it bounces back with in a few days.
Keep at it!
@@JeffreyPengMD TRY a life style change do not go back to the junk food , and see if you can cut out the sugar , read labels. I hope this helps.
Try the carnivore diet. If your kidneys are fine, it should bring your weight down and still make you strong.
LOVE your videos ... but I must be the exception regarding "weight loss improving arthritis" ... starting in my early 60s i had pain in my left hip ... (yes i was obese ... i'm 5' 6" and weighed a max of 226 pounds) ... over the years, gradually ... the pain got worse and i started limping ... June 20, 2021 my left thumb started twitching by itself! I've been to a neuro/MDS ... I don't "present with Parkinson" ... but I now have tens of thousands of "internal tremors" daily ... So today is day #620 of my O.M.A.D. (one meal a day) diet ... because "diet and exercise" are the only known ways to slow down PD ... So I lost nearly 60 pounds! However... my left hip pain and limp became more severe ... I visited an orthopedic doctor 2 weeks ago ... was xrayed ... and diagnosed with osteoarthritis and he said I need a TOTAL HIP REPLACEMENT (which is why I'm watching your videos! LOL) ... So sadly, weight loss did not slow down, let alone stop my OA.
Hi sir. Really inspiring to see a doctor making time out of their busy schedule for us. My dad has had prp done for his left knee joint. A few days after it started getting better. But, 2 weeks passed and he is in severe pain again. Not able to sleep cause of pain, not able to stretch his leg straight, He keeps the knee bent and says he is not able to straighten it. Do you think it's the arthritis getting bad or should we wait for the prp to work?
Thank you.
Thanks Dr
This was I think your best video. Could you do a video on sciatica. What exercises help
Thanks!! That really means a lot. You've been around since the start!
Sciatica is... complicated to say the least. I might need a few drinks to get in a mental state to take that one on, ha!
Absolutely agree. All the pain is gone...!! Just quit eating sugar and most of the carbs, starting yoga and meditation. Wonder how my knees will look like in a couple of years. Guess how … .😉. The modern health system is so damn sick. Without channels like this, l already might have artificial knee joints.
What about all of these extra skinny folks walking around with chronic arthritis 😒 🤔
This video is absolutely correct. I am about 30 pounds overweight. I am dropping about one pound per week. I do not consume sugar, high carb food or alcohol. Taking 4 capsules of moringa got rid of my knee pain in about 3 days. I highly recommend it. I had a lot of inflammation and it’s gone.
Hi, so glad you find some relief. .ind telling what type of mornigna you use? I'm suffering so badly in my knee and hip. Been taking 10MG of college, seems like it's working, but not really 😢
@@snowblo1 I get mine from Amazon. Pura Vida brand.
I take moringa but I still have to avoid Lectin rich foods that causes inflammation.
@@kellyb8237What are lectin rich foods? And what type of Moringa do you use ?
You can google lectin rich foods and it will tell you.
My wife has no negative contributive factors. She is not over weight, doesn't like sugary stuff, etc but she still has osteoarthritis the last few years, now 81yrs old
Thank u 🙏 dr
thanks
Wow, thank you, God bless you Dr. , now I can share these information base on your credentials, people need to hear this from a Dr. Also I would avoid alcohol too! 👍🏻🍻🍹
Tell something about rheumatoid arthritis
Very helpful thanks!
Thoughts on soft wave tissue regeneration therapy ? So you have a video on this ?
Hope you are fine, number of diseases can be treated with herbal remedies, without any therapies, but it should be a best consultant to get relief, Planet Ayurveda provides the best herbal treatment,
I have arthritis of ankle joint and kneecap. Cartilage is thick and healthy. No injury, good metabolic Heath numbers. Not overweight, never have been.
you have psuedo gout
Two easy things that help me is, sit on a table and swing my legs to get the synovial fluids moving (for about 5 minutes, for kneecaps) also drink a bunch of water and usually the pain goes away or at least improves. My ankles are better after I changed to good sneakers.
Just eat real food, no processed food. And make sure it’s super low carb. My knee inflammation went away in 5 days on the carnivore diet.
Mine actually started 6 months into carnivore
Can long term stress cause the inflammation that contributes to osteoarthritis?
Grain of all forms (even wholegrains) can cause inflammation in many.
Some processed foods are branded as wholegrain too which is misleading as the grain is still highly refined.
Im taking glocosamine sulfate which i learned is good for the cartilage ,, i have osteosrtritis,, how is this possible Doc,, how true is it😥
What about oxalates, know to cause precipitations by binding with minerals and causing arthritis among other things?
I started the sodium acid jell shots in my knees after taking 2 in the left one in the right I refuse to take any more cause they r making my knees so bad I can't walk; bend my knees and the severe pain?? I listen to u when I find u on my phone?? Oh how I wished I had never started them and listen to the doc I was going to at that time 6:20
Oxalates are a big factor in inflammation and bone degeneration. Do you eat almonds, spinach, Swiss chard, rhubarb, sorrel, kiwi, star fruit, most nuts, beets and beet greens, buckwheat, soy foods, parsley, cocoa, dark chocolate, carob and so many more foods? Sally K. Norton is the best authority on this. She has a new book called TOXIC SUPERFOODS.
Are you saying mentioned foods are bad?
@@rebekkahaascetin3733 Yes, that's what she's saying. Those on the carnivore diet experience little or no inflammation and remain lean and strong. Unless you have kidney problems it should work. But don't take my word, do your research and make an informed decision.
@@bionborys1648 Thanks for chiming in on this issue. I'm not carnivore but I hear glowing reports of people who do it right. It has taken me 10+ months to dump oxalates that were causing SEVERE inflammation in my body. I'm moving more in the direction of carnivore, but it is hard when my husband refuses to accompany me on that journey. We were both ovo-lacto vegetarian years ago. My health was significantly damaged by that and it took years to recover.
Long live the Cavemen ! Even up to 22 !
@1charlastar886 take it slow if you do.
fabulous information
Thanks!
Dr. Peng, is it true that diet soda & artificial sweeteners cause inflammation?
Yes, sweeteners cause a leaky gut.
Could you address heredity and the long term exposure to stress to OA? As you know I’m not obese, u have no metabolic disease and follow your recommended exercise and diet guidelines. If inflammation is the culprit of my O A it had to be something else.
Doctor please bringing out such informative videos it helps us. In India the orthopadic doctors are prescrobing rosehip tablets. Can I supplement this with bosewellia which I am taking 125 mg tablet daily. By following a multi prong approach I have managed my knee arthritis to a great extent and I am leading a near normal life.
What is bosewellia medicine plz explain
Best to discuss with your docs! Good luck
ua-cam.com/video/klEePIw76Is/v-deo.html
I wonder if the carnivore diet can improve osteoarthritis. I don't have arthritis but will still try it out and see if it at least decreases inflammation. I love meat but I also love desserts, it will be tough.
Eliminate sugar first. Then all wheat... pastas and breads
I did carnivore for 5 months and my joints and connective tissues never felt better. My digestive issues turned around but went too far the other way, you might need something to help it moving through your system. Sugars and carbs are terrible if you’re wanting to reduce inflammation
@@jenniferhahn2851 I do mostly carnivore but with some salad and veggies.
@@hokeywolf3416 Same here, but with some fresh fruits.
Vegetables are also packed with anti nutrients Grains and seeds are packed with phytates 😮
This kid id good.
Unsa na lang jud kabakakon nkgstorya pa ni milchizedek!nanguha rani info ba unsay moves
I really don't understand how at 45 I have moderate left hip osteoarthritis. I dont have any of the major risk factors described, besides thst my HDL could be better. Overall cholesterol is borderline. I'm 120lbs, 5ft 5". No FAI, no labral tear. I do however have Hypermobility syndrome and SI joint Hypermobility. I have always been active and exercised regularly, weights and elliptical. Stopped aerobics at 24 to avoid high impact. My mother has arthritis. In 2018 my hip xrays looked normal. Started getting pains in area 2020. Did not do much weight training 2020-2022 due to gyms being closed. Mostly cardio & stretching, lost muscle and I was sitting a lot for work. I fell hard on that hip 10 years ago but was fine after. Could the cartilage have gotten damaged? I'm so confused I don't understand what caused it and would like to get some clue because I'm afraid for the right side. I have resumed weight training, stretching, pilates as of November. Any input would be so appreciated 🙏
Me too. I am so confused. I got checked out in my early 30s that I had high cholesterol, low HDL, high triglycerides. I have been taking meds to keep those in check. So does that not count? Over night I developed bone one bone knees. At the same time. Nothing really changed for 15 year. I finally got TKR. I took everything, did everything people said to do. I was never or have been obese. I rarely sit around until knees went south. I believe walking is the worst exercise for you. I can't help to think walking wore my knees out. Could it have been walking incorrectly? Who knows. If walking was good for you I would be super healthy. I believe you need to get you heart rate up. Even if it's 10 minutes a week. Why after being diagnosed with bone on bone knees and OA has it not gone to other part of the body? I still haven't totally ruled out sugar. I have tried substitutes like honey but from what I read sugar is sugar. I don't drink or smoke. Sodas and tea are my vices if you will. I drink those daily but not like more that a liter of either. Then turn to juices and add water to reduce the sweetness. I can't help to think the is not something in the air or water.
At the end of the day, genetics plays a large role in some people with osteoarthritis.
@@JeffreyPengMDI think in majority of people. The metabolic syndrome is making worse but it's not causing OA.
@robertchateau3597 just today my mother who has had 2 knee replacements said that she thinks walking wore down her knees. She walked and walked a lot of her younger life to go everywhere. She has hypermobility syndrome too and this can affect how you walk, thus putting pressure on knees. My HDL is now lower than what it should be and my LDL is higher than what it should be, but overall cholesterol is borderline. I also drink diet soda daily but no more than about 2 glasses. During the pandemic when my hip degraded I was walking and stretching for exercise and not doing much weights as gyms were closed. But I believe as doc said genetics has a large part to do with it.
Thank you so much for all your in depth information, especially on prp. It has really helped me navigate through this period post diagnosis 👏
Doctor I am 75 years old I have author of arthritis I have bone against bone in my knee I have a lot of arthritis in my body I am only weigh 123 pounds at the age of 75 I’m suffering from everything that you’re saying I am not a diabetic but I do have high blood pressure I have vascular problem on my neck what can I do thank you
Thanks for commenting. This is best discussed with your doc and an in depth evaluation of your metabolic health (which includes blood pressure!). At the end of the day, metabolic health is a very common cause of arthritis, but not the only cause! Genetics, injury, biomechanics, etc all play a role
@@JeffreyPengMD Thank you so much doctor for the reply earlier I’ve been suffering through this quite a bit with my knees really bad knee against Boeing against Palm and arthritis and like I said I have of Escalade us but thank you very much I appreciate it keep the good work up I think you so so much and I’ll keep looking at you at UA-cam thank you so much I appreciate that
@@magicalwishes7715Watch videos from Dr.Ken Berry.
Avoid precessed foods, high cholesterl foods, High glycemic index foods 🎶🍀🎵💚🐸
High cholesterol is healthy.
I lost 20 kg and I make exercise it really helps , eating row and rich of minerals vitamins have made me repaired all my body , now i know and the rest of my life i will go on like this no other way , i am 56 years old , never replacement , i would become a robot 2 hips 2 knees and back
I have knee cartilage degeneration but i eat a raw vegan diet and exercise. I am thin and have perfect sugar. So now what can i do?
Watch videos from Dr.Ken Berry
From my research, you hit the mail on the head that metabolic syndrome is the cause….sorry to say though you lost me with your diet recommendations. Keto has cured thousands of people of metabolic syndrome. My husband and I are proving this also by eating keto/mostly animal foods lifestyle 👍🏼❤️👊🏽
Our ancestors that were carnivores lived a very short life. Most communities that are in blue zone, healthy and with long lives, usually eat very little meat. Purchase their food daily and do not drink soda or juice. They also walk and climb stair a lot. I prefer a Mediterranean diet to keto. All keto accomplished, for me, was to spike my cholesterol. I’m otherwise healthy with lower BP, A1C etc. my only issue is my osteoarthritis.
Bariatric surgery does not last, people gain the weight back unless they drastically change what they eat and how much of it. I have a friend that went through that surgery…the outcome was not great in the long term.
Arthritis is much more complicated than weight, blood sugar and cholesterol. I've always been thin with normal blood sugar, normal cholesterol and eat only whole and unprocessed foods yet I have arthritis. I don't use sugar or eat refined carbs either. Go figure.
True!
My orthopedic surgeon says that arthritis can be heredity.
@@lindag9975 Yes, my grandmother had arthritis and now I have.....
Look into gadolinium used in the MRI (about 1 out of 3 times). It's link to osteoarthritis.
You dont have to diabetes or prediabetes to have chronically high blood sugar or frequent spikes. We'd all do well to moderate our carb intake and replace refined sugars for non-starchy vegetables, berries, protein, wholefood forms of fats such as avocados, olives, nuts and seeds etc.
Carbs are less inflammatory when from beans, butternut squash and fruit.
Lack of Estrogen for me
I am 70 and have OA. My distant relative is 77 and has no OA. My knees grind when i put my palm on my knee and flex it. His knee moves smoothly like in a child.
The problem is genetic.
You really think that OA is due to metabolic health ? No way. I am healthy,( retired already ), all my blood tests are brilliant, but I have OA . So , what is your answer now ? Sorry but you didn't say anything regarding OA.
Maybe they use incorrect profile levels for blood panels. We need to consider that these numbers are wrong for a majority of the general public.
Agreed same here
Agreed, same here
It's difficult for lay people to connect to the medical terminologies given in your explanations. All we need are solutions to alleviate the pain. Therefore, it would be helpful, if you could provide us with various specific ways in which we are able to help ourselves.
"Promosm" 🎊
Are you sure?
No animal-based food.
Wrong!
Eat more vege n fruits..less meat..dont forget exercise..especially walking..
Wrong.
Nothing new in this video...
Amazing! You must be very up to date on all this information. I get so many questions and comments about this topic in my other videos all the time!
Google college light wisdom
excellent info!!
I have never been overweight or have a metabolic dysfunction, and follow a Mediterranean diet and IF. I walk everyday and bike and other exercises, although I did not always. I still have osteoarthritis. My only inflammatory contributing factor was long term stress.