#112 What is osteoarthritis? And how to prevent chronic pain from a cartilage problem?

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Published 2022-09-11
Doctor Andrea Furlan explains that osteoarthritis is a slow and low-grade inflammation that attacks the cartilage of the joints. The amount of pain a person has is not a good measure of how much damage there is in the cartilage. Some people have a lot of damage and not much pain, and others, have mild damage and feel a lot of pain.
Dr. Furlan explains what the drivers of ongoing chronic inflammation are, and how to prevent its progression.
Osteoarthritis affects a lot of people who are overweight and obese. The adipose tissue, or fat tissue, produces substances called "adipokines" and these substances maintain the pro-inflammatory state in our bodies. This pro-inflammatory state leads to the ongoing destruction of the cartilage that protects the joints.
If you want to slow the progression of osteoarthritis and decrease the intensity of pain, try these strategies: 1) lose weight, 2) move the joints as much as you can, 3) avoid central sensitization doing mind-body therapies, and 4) start an anti-inflammatory diet.

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Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.

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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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All Comments (21)
  • @esther.f.g
    When doctors told me I had osteoarthritis I started searching for solutions and I found about the inflammation issue. I started a keto diet, today low carb diet, and I feel much better. Low carb diets reduce inflammation and help a lot
  • @mvl6827
    I was diagnosed with osteoarthritis in my early 60’s, but probably the diseasewas there already many years earlier. My fulltime job was gardener, on hands and knees a lot of the time and always on the move. I have never been obese or even overweight. Wear and Tear was the likely cause of my hip pain. Now I am almost 70, retired for two years and the pain comes and goes in the course of a year. I hardly ever take ibuprofen but if I do it works. I do tai chi, other exercises, walk and undergo radon therapy once a year. This therapy works a dream. I try and avoid any operation and artificial hip replacement. So far so good. Thank you for your informative video’s. They are very helpful.
  • @getube9
    It's one thing to be delightful, it's something else to be helpful and informative at the same time. Thank you Dr. !
  • @haqzahoorul
    Very impressive. I am a physician. I learned a lot from your video. The way you explain everything is amazing. Thanks very much. (subscribed) 👏👏👏
  • @kv7654
    Thank you for this! I was told that it’s not from inflammation, but from wear and tear. I knew that wasn’t the case because, firstly, I’ve been careful with my joints my whole life. But, secondly, when I’m eating non inflammatory foods, my pain is close to zero. Literally an hour after eating sugar, my joints go crazy for a few days. Also, movement does really help me.
  • Excellent explanation. Thank you doctor for your kindness and patience. I learn a lot more from your advice than tons of doctors around
  • @lantanalanta1709
    Great video, thank you. Hand Osteoarthritis is very troubling.
  • @ChitBits
    Beautifully explained and simple to understand ❤
  • @arlesstereo8859
    Thank you so much Doc Furlan for the info about osteoarthritis am suffering for that disease and it's painful one
  • Mil gracias Dra. Andrea por su aporte para el bienestar de las personas que padecen esa enfermedad. Usted es una persona generosa porque dona su tiempo y conocimiento al servicio de la humanidad! Bendiciones!
  • Madam,your instractions are very very useful for arthritis patients .lot of thanks.
  • When I’m in excruciating pain due to osteoarthritis in my hips.. it’s so hard to get moving.. almost impossible without crying!! Meds really aren’t helping much.. I try to work thru the pain but it’s very hard!!!!!
  • @ameetachadda7495
    Superb explanation... I took notes... and I will follow all your videos... TY Doctor,
  • You have explained this very well Dr Andrea. I love your channel.
  • @kathimeci5179
    So informative and easy to understand from a physician with a credible background. Thank you, Dr Furlan. You've given me a pathway in the management of my OA.
  • @nancyjo1957
    This was very helpful. I have fibromyalgia and now osteoarthritis and have a great deal of pain. So much good advice and actions that I can do to reduce the pain. Thank you!
  • @ess1883
    Oh my goodness! Thank you so much Dr. Furlan. This just answered all the questions I had for OA. I also have Fibro, which magnifies my pain so much!
  • @JanasSpace
    Wonderful work, loved this Dear Dr. I have it in neck spine and this info from you was very helpful, hank you!
  • Dr Andrea, thank you for this excellent very informative video. I have learnt so much. Thanks again!!
  • Thank you doctor for this simple yet informative talk.I have been suffering from Osteoarthritis for several years. Will work on your suggestions.Looking forward to more helpful suggestions.