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Pain and Arthritis Newsletter
February 25, 2008


In This Issue
• 5 Problems With Feet That Men Shouldn't Walk Away From
• Generic Versions of Fosamax Approved
• Criteria Predict Women's 5-Year Risk for Fracture
• Health Tip: Got Low Back Pain?
 

5 Problems With Feet That Men Shouldn't Walk Away From


SUNDAY, Jan. 13 (HealthDay News) -- Many men don't bother to see a doctor when they have foot troubles, but there are five foot problems they should never ignore, says the American College of Foot and Ankle Surgeons:

  • Heel pain. This is often caused by tissue inflammation but can also result from a broken bone, a tight Achilles tendon, a pinched nerve, or other problem.
  • Ankle sprains. They always require prompt medical attention. Skipping medical care increases the likelihood of repeated ankle sprains and the development of chronic ankle instability.
  • Big toe stiffness and pain. This usually develops over time, as cartilage in the big toe joint wears down and eventually leads to arthritis. The sooner it's diagnosed, the easier it is to treat.
  • Achilles tendonitis. This causes pain and tenderness at the back of the foot or heel. This is usually the result of a sudden increase in physical activity. The risk of an Achilles tendon rupture can be reduced by treating the symptoms of Achilles tendonitis.
  • Ingrown toenails. These can pierce the skin, allowing bacteria to enter the body. Men shouldn't try to perform dangerous "bathroom surgery" in such cases. A doctor can perform a quick procedure that will stop the pain and permanently cure an ingrown toenail.

More information

The American Podiatric Medical Association has more about foot health  External Links Disclaimer Logo.


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Generic Versions of Fosamax Approved


WEDNESDAY, Feb. 6 (HealthDay News) -- The U.S. Food and Drug Administration has approved the first generic equivalents of Fosamax (alendronate sodium), Merck & Co.'s osteoporosis drug.

In a statement, the Israeli firm Teva Pharmaceutical Industries Ltd. said the FDA had approved its new drug application to market the medication in doses of 5 milligrams, 10 milligrams, 35 milligrams, 40 milligrams, and 70 milligrams. Shipment will begin immediately.

The brand-name drug had annual U.S. sales of about $1.9 billion for the period ended Sept. 30, Teva said.

New Jersey-based Barr Pharmaceuticals Inc. also announced that it had received FDA approval to produce a 70-milligram dose of generic Fosamax.

More information

The FDA has more information about this medication.


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Criteria Predict Women's 5-Year Risk for Fracture


TUESDAY, Nov. 27 (HealthDay News) -- Scientists have a developed a model to help doctors predict which postmenopausal women are likely to sustain a hip fracture over a five-year period.

The algorithm includes 11 different factors -- such as age and family history -- and applies to postmenopausal women of different ethnic backgrounds.

"Knowing the 5-year risk of fracture will permit patients to make informed choices when balancing ... lifestyle changes against undergoing medical interventions," explained a team led by Dr. John Robbins, of the department of internal medicine at the University of California School of Medicine, in Sacramento.

His group published their findings in the Nov. 28 issue of the Journal of the American Medical Association.

Some experts have predicted a coming epidemic of fractures among Americans over the next few decades as the population ages.

In particular, postmenopausal women are vulnerable to fractures resulting from osteoporosis, a degenerative weakening of the bones. About 329,000 hip fractures occur each year in the United States, according to the National Center for Health Statistics

The critical question is how to prevent such debilitating, and possibly fatal, fractures, and how to spot who's most at risk. Treatments that strengthen bone do exist, and might help shield people from fracture.

In devising the new algorithm, Robbins' team looked at data on almost 100,000 women who participated in the U.S. government-sponsored Women's Health Initiative (WHI).

The 11 predictors chosen were validated on 68,132 women and tested in 10,750 women who had undergone dual energy x-ray absorptiometry scans (DXA) to assess bone mass density.

The 11 factors that help predict hip fractures within five years are: age, self-reported health, weight, height, race/ethnicity, self-reported physical activity, history of fracture after age 54, parental history of hip fracture, current smoking, current corticosteroid use and treated diabetes.

The model still needs to be tested in diverse populations, the authors pointed out. And it doesn't identify which women would benefit from which specific prevention measures. "However, we believe [the] 11 readily available clinical variables offer a simple means of stratifying the 5-year risk of hip fracture in postmenopausal women," they concluded.

One outside expert thinks the model will help.

"This gives us a way to pinpoint which women need aggressive preventative therapy," said Paul Brandt, an associate professor of neuroscience and experimental therapeutics at Texas A&M Health Science Center College of Medicine in College Station.

More information

Find out more on osteoporosis at the American Academy of Orthopaedic Surgeons.


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Health Tip: Got Low Back Pain?


(HealthDay News) -- The effects of low back pain can range from a mild inconvenience to debilitating. Some pain may go away on its own after the back has had a chance to heal, but sometimes surgery may be needed.

Here are potential treatments to help ease low back pain, courtesy of the U.S. National Institute of Neurological Disorders and Stroke:

  • Pain-relieving and anti-inflammatory medications.
  • A cold compress immediately after the injury to reduce swelling.
  • Heat on the back several days after the injury to help relax muscles.
  • A short period of bed rest to allow muscles to heal.
  • Gentle exercises to stretch and strengthen back muscles.

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