If you take a simple stroll down the foot product isle at your local drug store you will find an array of foot products and inserts. You will find inserts for cushion, for comfort, for support and for control. Many questions may cross your mind. What are the differences? Is the $15 insert better than the $7 insert? Are these orthotics? Will they help my foot pain? You may take the time to study the package details closely, but in most instances it doesn’t really matter which pair you grab. Most of the inserts at the local drug store are essentially the same.

An insert slips into the shoe and will give you some comfort, cushion and a little support. In some cases, inserts purchased at the drugstore will help alleviate some arch or heel pain and give relief to sore, tired feet. But, an insert is not an orthotic. Orthotics are devices which fit into the shoe and aid in foot function. The most important difference is an orthotic controls abnormal motion and corrects foot function, while an insert will only provide cushion and comfort.

A prefabricated orthotic is a device that is pre-made and designed to fit the most common foot types. Typically, a prefabricated orthotic needs to be purchased at a sports store and they are more expensive than inserts, costing $25-$30. The prefab orthotic is more rigid than an insert and is designed not only to support the arch, but also to help control motion, which will decrease stress on the tendons and ligaments in the arch. Many individuals will do very well with a prefabricated orthotic. Prefab orthotics generally last for one or two years before replacement is necessary.

A functional custom made orthotic is a device that is even more rigid than a prefab orthotic. The custom made orthotic must be rigid to help control the motion in the foot and add support. If the orthotic is soft, the weight of the body would collapse the device and it would no longer function. A custom made orthotic is not only custom molded to your foot and arch, corrective wedges and covers are built into the device to help with motion control and to improve the mechanics of the foot. Individuals with flatfeet, tendonitis, plantar fasciitis, certain foot deformities, knee, hip and back problems may benefit from custom made functional orthotics. The orthotic should make standing, walking, jogging or running more comfortable. Custom made functional orthotics will generally last 7-12 years before needing to be replaced, and can cost between $300-$600.

Functional orthotics are a successful treatment for many problems affecting the lower extremity. In a recent article in the Journal of the American Podiatric Medical Association, 75% of patients surveyed had good to excellent results using functional orthotics to treat heel pain, arch pain, arthritis, bunions, pain from flatfeet or high arches, knee, hip and back pain. A recent article in USA Weekend magazine stated the opposite. The article referenced a study in Foot & Ankle International in which researchers followed 874 healthy, young Israeli army recruits without foot problems. The recruits were given soft custom, semi-rigid custom, soft prefab or semi-rigid prefab orthotics to wear in their boots during basic training. The researchers found no difference in the development of foot problems between the custom made orthotic group versus the prefab orthotic group. The conclusion from this study is that custom made orthotics will not help prevent foot problems from developing. What is important to understand is this study did not evaluate individuals with foot pain or foot problems. The population evaluated was a group of young, healthy, active individuals without any existing foot problems. Therefore, we cannot conclude from this study that prefab orthotics treat foot conditions better than custom-made orthotics.

Individuals with plantar fasciitis (heel and arch pain) who also have flatfeet usually respond best to custom-made orthotics. Certain types of tendonitis respond well to orthotics and other types require orthotics. Posterior tibial tendonitis is the tearing and inflammation of the tendon that helps to hold up the arch. When this tendon is overstressed by arch collapse it cannot heal. Custom made orthotics are essential in the treatment of this condition.

Individuals with high arches may also require orthotics, but they do not respond as well. Custom made orthotics can help slow the progression of bunions and hammertoes, but they will not prevent this process. Orthotics may help with some pain at a bunion, but they will not “cure” the bunion. When the motion in the foot is contributing to the problem, orthotics are generally recommended. If the foot is stable and does not require support, the bunion, hammertoe, neuroma, tendonitis or even plantar fasciitis may not require custom made orthotics for treatment. These individuals may do well with a pre-fabricated orthotic. If you do not have foot pain or an existing foot condition, a custom made orthotic is not necessary for prevention of foot problems.

A custom made accommodative orthotic is soft and designed to reduce pressure and prevent excess friction. Diabetics can develop numbness and loss of circulation in the feet. This numbness and circulation loss puts them at risk for developing open sores on the feet called ulcerations. To help prevent excess rub and friction in certain areas on the feet, accommodative orthotics are recommended. Diabetics who do not have numbness or circulation loss (as diagnosed by their doctor) do not need to have accommodative orthotics, unless the foot has a deformity, like a bunion or hammertoe, then accommodative orthotics are necessary.

Both types of custom-made orthotics are formed by taking a mold of the foot. A functional orthotic mold is fabricated by wrapping the foot in plaster. The foot is held in a corrected position while the plaster is setting. To obtain an accommodative orthotic mold, the patient steps into a foam box. An impression of the foot in a standing position is then created. The molds are sent to a lab and scanned into a computer. A reverse image is produced and the computer generates an image of the foot in neutral position. The computer adjusts the image based on the corrections recommended. A model of the foot is then cut out, in some cases out of wood. The orthotic material is pressed over the foot model and the orthotic is created. The most common material for a semi-rigid custom made orthotic is polypropylene, but other materials, such as graphite are used. A foam-like material is typically used for custom-made accommodative orthotics.

The bottom line is that if you have foot pain, a foot deformity or condition, let your podiatrist evaluate you and decide if orthotics should be part of the treatment. If your insurance will not cover the orthotics and you cannot afford custom made orthotics, consider trying prefabricated orthotics. If you are looking to help prevent foot problems or looking for some extra support, a prefab orthotics is a good option for you, especially if you are active in sports. If you are just looking for a little extra cushion and comfort, an insert at your local drug store will be your best bet.

I am a strong believer in Cetyl Myristoleate for the treatment of arthritis. For the last three years I have been researching and writing about Cetyl Myristoleate. I am constantly searching for new research and contact and interview every doctor I can find that works with it. The purpose of the article is to evaluate the claims made about Cetyl Myristoleate on the myriad of web sites that sell it. It you want more information on the research that documents the effectiveness of Cetyl Myristoleate then do a search for my article, “Cetyl Myristoleate: Science or Speculation”.

Cetyl Myristoleate is an Immune Modulator. This is a tough question. We do not have any medical research yet that documents that it is an immune modulator. Many doctors believe that it is based on observations of their patients. Some people respond so well it appears that the benefits go beyond joint lubrication and a decreases in inflammation. Base on these results some doctors theorize that it is helping to correct some peoples immune systems. While this sounds wonderful it is a bold statement to make. I am not ready to call it an immune modulator.

Cetyl Myristoleate is a cure for arthritis. This is not only a bogus claim it is a lie. Not only is it a lie it is illegal to make that claim. If you are at a web site that makes this claim, leave, this person is not the kind of person you want to do business with. They need to be reported to the Federal Trade Commission.

All you need is one 15 or 20 day protocol. There are several companies that make this type of claim. You will notice that the companies that make this claim are among the most expensive. I believe that they use this to justify their high prices. Who would pay this price on a regular bases. While the double blind studies show that many people start finding relief in this amount of time, they were all short term studies and did not evaluate how long the results lasted. Every doctor I have talked to has disagreed with this statement. The people who find relief from Cetyl Myristoleate usually start seeing good results by the two week mark. But they continue to improve for the next two to four weeks. Almost everyone who discontinues use finds that with in a couple of weeks their symptoms begin to return. But they also find that once they max out their benefit they need much less to maintain that level of relief.

Cetyl Myristoleate helps 97% if the people who use it. I have seen this claim several times. It is simply not true. The research does not back it up and neither do those doctors who use it in practice. The percentage is closer to 70%. Of course the percentage changes depending on the type of arthritis you have. With nearly 100 types of arthritis nothing is going to work well on every type.

Cetyl Myristoleate is an anti aging agent. This is a powerful marketing tool. Every one wants to look and stay young. There is no research to back up this claim. Some of the doctors I have talked to believe it base on their observations. I have over a dozen family members and friends who take CM faithfully and none of us look younger. Yet almost all of us feel younger because we can now do things again that we had to give up because of our arthritis. If this is what they are talking about I concur. But if they are claiming it will make you younger or keep you from aging I think they are stretching it.

It is necessary to take digestive enzymes with Cetyl Myristoleate. This is a hard one. I personally do not think everyone does. Some people have a hard time digesting fats. If taking CM causes you stomach upset then you need to take a digestive enzyme. Make sure it has lipase because it is the enzyme that digests fat.

Cetyl Myristoleate will help you grow new cartilage. This is another unfounded claim. There is nothing in CM to help you grow cartilage. Once the inflammation is down then your body may find it easier to replace the cartilage damaged by the inflammation.

Will Cetyl Myristoleate help me with my arthritis? I would like to end the article with the question most ask of me. The answer is I do not know. All I can say is the research and my experience and the experience of the doctors I have talked to says that there is a 60% to 70% chance. Be reasonable about your expectations. CM is not going to repair bone damage, remove calcium deposits or repair other types of damage created by your arthritis. If you decide to try it do not pay too much. There is no need to pay $50, $80, $100 dollars or more. There are several good products in the $20 to $50 range. If the first bottle does not work for you do not waste your money on a second.

When you ask what arthritis is, professinals will tell you it’s inflammation of one or more joints. But you know it better as pain, swelling, stiffness, deformity, and/or a diminished range of motion of those joints! It’s estimated that over 50 million Americans suffer from osteoarthritis, rheumatoid arthritis and other related conditions.

Osteoarthritis is the most common form of arthritis. Osteo arthritis seems to come with the wear and tear of aging and affects nearly three-quarters of those over 50. The onset of arthritis is marked by morning stiffness, crackling joints, and perhaps some pain. As it progresses it causes discomfort, more pain, and some disability. It also causes an enormous consumption of painkillers and anti-inflammatory drugs that can have undesirable long-term effects.

If left untreated, osteo and rheumatoid arthritis, along with other forms of rheumatoid disease, can become progressively worse… painful crippling can result. This is particularly true of rheumatoid arthritis, which can destroy joints, unless effective treatment is administered in time.

Modern medicine doesn’t have much to offer for these chronic conditions… offering only symptomatic temporary relief. True, painkillers along with the so-called NSAIDs, non steroidal anti-inflammatory drugs, are effective in reducing symptoms quickly. However,these often cause serious side effects such as ulcers and gastrointestinal bleeding, and they don’t stop the progression of the disease. In the long run they have actually proven to worsen the condition by accelerating joint destruction.

Coping with the chronic pain of arthritis can be frustrating. You get the feeling you’re all alone facing the daily challenges caused by your arthritis symptoms. And, the traditional treatments leave a lot to be desired. It doesn’t have to be this bad!

The last few years of research on arthritis have brought some hope to this dismal picture. Old herbal remedies such as ginger, nettle, and willow bark, as well as fish oils and the already well-known cartilage constituents glucosamine sulfate and chondroitin sulfate, are about to revolutionize the treatment of arthritis. These substances not only give symptomatic relief, but, actually intervene at the root of the arthritis problem and help the body to rebuild functioning joints.

As they quickly sooth your pain, these powerful creams help repair, restore and regenerate cartilage, tendons, muscle and ligaments. Fast acting, these creams increase mobility and optimal repair of joint structures as they help reinforce the body’s protective linings and lubricating fluids by recovering cell stability and function to stop further damage. Really powerful stuff. You can learn more about this non-traditional arthritis treatment at our website.

Monitoring your CRP level is vitally important because it is one of the best indicators of heart disease. C-Reactive Protein has proven to be one of the best indicators of looming Heart disease.

Find out why high cholesterol alone is NOT responsible for heart disease. And you will find out how to keep your CRP Level in the normal range.

Because your body produces C-Reactive Protein as part of your body’s defense ? like when you are injured, it signals your immune system for help. Your immune system sends out white blood cells and inflammatory molecules (including C-Reactive Protein) to the injured area.

This defensive system causes inflammation which is damaging to blood vessels and leads to heart disease. Because this is an continuous process, not like an ankle injury which heals and then inflammation goes away.

Elevated C-Reactive Protein levels are an early indication of inflammation in the body. When there is inflammation in the body, there is usually a problem. Realize this is why C-Reactive Protein is a great indicator.

Naturally you can easily understand that C-Reactive Protein is a better indicator of heart disease than cholesterol. A huge study on CRP backs this up.

The New England Journal of Medicine published A report where nearly 28,000 people participated in a study of CRP. Researchers in the study used LDL cholesterol and CRP to predict heart attacks and stroke.

What the researchers found was that CRP was a better predictor of cardiac events than LDL cholesterol -1

So ? what can you do to keep your C-Reactive Protein level low? In a word, exercise. Activity is the best way to keep CRP levels low. Just taking a walk is a good way to get your activity level up.

There are also important nutrients to help limit the damage from the inflammation.

Here are several nutrients you have heard of:

Vitamin C

Vitamin E

And Folic Acid ? protects the blood vessels.

Two others you may not have heard as much about:

Taurine - is an amino acid-like compound and a component of bile acids, which are used to help absorb fats and fat- soluble vitamins. It is found in meat and fish.

L-arginine - A naturally occurring amino acid found in food proteins that the body uses to make Nitric Oxide.

You can easily get plenty of these nutrients through food and supplements combined.

Talk to your doctor about a simple test for CRP levels, it is like a blood test. It is best to keep your levels under 5 mg per liter, preferably 3 mg per liter.

1 - Ridker P., et al. Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. NEJM 2002 Nov 14; 347(20): 1557-1565

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Since 1982 Accutane has been a reliable, if not controversial, drug for treating severe acne. Now with FDA representative David J. Graham’s statement that Accutane should be taken off the market, and pharmaceutical manufacturer La Roche’s defense of Accutane’s safety in a Florida courtroom, access to Accutane faces mounting restrictions.

Author of Acne Messages: Crack the code of your zits and say goodbye to acne, Naweko San-Joyz, understands the concerns facing acne sufferer’s who desire Accutane-like results. San-Joyz conducted research to inexpensively mimic the effects of Accutane. ” Accutane provokes five acne-fighting actions that anyone can replicate using nutrition and self-care”, explains San-Joyz.

Reduce excess oil secretion:

Accutane is a derivative of vitamin A and reduces the secretion of oil by the oil glands.

Foods that supply the body with Vitamin A and beta-carotene (which is converted to vitamin A by the body) include: Liver, oily fish, whole eggs, carrots, sweet potatoes, and broccoli.

Encourage extreme shedding of the skin:

Using a peel is the easiest method to promote shedding of the skin. Exfoliation releases the build-up of dead skin cells, oils and bacteria trapped in the pores, which could lead to the formation of blemishes.

Extreme peels

Peels come in varying degrees, from mild to harsh. The trichloroacetic acid (TCA) peel is an extreme peel that can cost from $100 to $1000 depending on the degree of the treatment. It is only performed in a doctor’s office. The TCA is not a save all however. The peel can make the skin sensitive to the sun cause hyper-pigmentation.

Home use peels:

Several over-the-counter peels contain papaya enzymes or glycolic acid. These peels lightly exfoliate the skin and are safe for weekly use.

Reduce the spread of bacterial infection:

Using an astringent such as witch hazel or apple cider vinegar to disinfect the skin significantly reduces the presence of bacteria on the face. This reduction limits skin inflammation and the likelihood of a pimple developing.

Enhance Fat Metabolism:

Free fatty acids can irritate the skin and provoke acne eruptions. Reducing intake of foods containing hydrolyzed fats will improve fat metabolism. However, do consume essential fatty acids such as Omega-3 and Omega-6, which are found in foods such as salmon and olive oil. These essential fats aid the gastrointestinal tract eliminate pro-inflammatory substances, which reduces the possibility of experiencing acne lesions.

Reduce inflammation:

A strong immune system serves as a buffer against inflammation. Stress reducing activities such as exercising, eating a well-balanced diet and sleeping well boosts the immune system. A diet supplemented with B-Complex, zinc and vitamins C and E likewise enhances the effectiveness of the immune system.

Like Accutane, these five steps will not work overnight. Accutane works via creating a bodily environment that is not conducive to acne. By adhering to the nutritional and aesthetic steps above, anyone can attain clear skin while simultaneously augmenting their health.

Today there are about 70 million Americans with arthritis?that’s one person out of every four who suffer both pain and the expense of this crippling disease. In one year alone, arthritis will be responsible for over half a billion dollars in lost wages. The economic consequences of arthritis are important to review because each year, arthritis takes a devastating financial toll on our society.

Over the course of ten years, arthritis related work loss has been associated with a 37% drop in income for arthritics ? all those without arthritis had a 90% rise in income over the same period of time!

If you?a friend?or a relative has arthritis, it’s important to know that early treatment can help sufferers continue with their normal daily lives and remain productive members of the community.

The term “arthritis” is derived from the Greek: “arthron” meaning “joint” and “itis” meaning inflammation. Arthritis is a word that describes over 100 different conditions, some involving inflammation and others not.

Arthritis is not a single disease. It encompasses about 100 different conditions, that affect joints and that pose unique problems for diagnosis and treatment.

Some common types of arthritis include osteoarthritis, rheumatoid arthritis, gout, pseudo-gout, ankylosing spondylitis, polymyalgia rheumatica, psoriatic arthritis, Reiter’s disease, systemic lupus erythematosus, and fibromyalgia.

Most types of arthritis involve joint inflammation. Inflammation is the body’s natural response to injury or infection.

For an example of inflammation, take a simple scratch?your body automatically releases chemicals that cause fluids to accumulate and white blood cells to gather around the area of the scratch. As your body fights foreign substances and bacteria, inflammation?redness?heat?swelling?and pain occur at the sight of the injury.

In arthritis, unfortunately, this natural defense mechanism goes awry. Elements from the blood designed to fight infection and repair injury attack the body instead.

And, unless this inflammatory process is halted, it will continue to attack the body and cause joint destruction.

So you can begin to see how treatments that just relieve the pain associated with arthritis ? but that do not reduce inflammation ? may not adequately treat this disease.

Getting proper treatment early on is important?because proper care can help arthritis sufferers lead more active and comfortable lives.

Yet many people with arthritis delay going to a physician. Either they have fear about going to a doctor or they feel that nothing can be done for arthritis. Other reasons include the notion that all arthritis medicines are harmful or arthritis is just a normal part of aging.

Some people try unproven remedies which also delay proper diagnosis and treatment.

Since arthritis may evolve gradually, people often ignore its early warning symptoms or signs. These include persistent pain, tenderness, or swelling in one or more joints?symptoms that should not be dismissed as signs of age.

Other warning symptoms are joint pain and stiffness?especially when they appear in the morning.

Low back pain is one of the earliest symptoms of arthritis. For people over the age of 60, arthritis is the most frequent cause of low back pain.

The activity of arthritis varies unpredictably. Symptoms are cyclic in nature and seem to come and go.

Therefore, it is important to remember that any symptoms or signs of arthritis that last for more than six weeks ? no matter how mild ? should be checked by a physician. And, if symptoms are severe, then even waiting six weeks might be too long.

The two most common types of arthritis are osteoarthritis and rheumatoid arthritis. Joint inflammation is involved in both.

But, these types of arthritis differ in terms of?age of patients who are affected?the joints involved?the pattern of stiffness?and the potential for disability.

Close to 16 million Americans have osteoarthritis ? the most common type of arthritis. Although osteoarthritis can occur at any age, it most often begins in people in their 50’s and 60’s.

Osteoarthritis or degenerative disc disease is a disorder of cartilage ? the gristle that covers the ends of long bones. Cartilage is made of cell called chondrocytes which sit inside a framework made up of collagen and proteoglyens. Under normal conditions, chondrocytes make collagen and proteoglycens ? in other works ? they make the framework they sit inside. With osteoarthritis, chondrocytes behave abnormally and begin to make destructive enzymes such as collagenasese, stromelysin and others. These enzymes degrade cartilage?these enzymes also attract inflammatory cells which secrete substances called cytokines which cause further inflammation and damage to cartilage, underlying bone, and the joint lining.

This process results in progressive pain, stiffness, and loss of function.

Joint pain and stiffness are the most noticeable symptoms of osteoarthritis. Morning stiffness is usually brief lasting less than 15 minutes. Osteoarthritis usually affects weight bearing areas particularly the neck, low back, hips and knees.

It may also affect the fingers and hands and bony knobs may appear at the finger joints. The base of the thumb may also be affected. The typical pattern of osteoarthritis in the hands involves the distal and proximal interphalangeal (DIP and PIP) joints of the fingers, and the carpometacarpal (CMC) joint of the thumb.

Osteoarthritis is considered to be a degenerative joint disease. Along with inflammation, there is wear and tear on the inside of the joint.

This causes damage to the cartilage (the substance that forms the surface of the joints and works as a shock absorber). As the cartilage wears thin, the underlying bone is damaged. This process results in progressive pain, stiffness, and loss of function.

Osteoarthritis does not need to be disabling and with the proper medical care can be managed easily.

Rheumatoid arthritis is the other most common type of arthritis. It is more common in women and affects 7 million Americans?or one out of every five arthritis patients. It may affect any age group, although onset is most common in middle age.

Rheumatoid arthritis is usually characterized by heat, swelling, and pain in multiple joints in both the right and left sides of the body, including the hands, wrists, elbows, hips, knees, ankles, and feet. Spinal involvement also occurs on occasion.

The typical pattern of rheumatoid arthritis in the hands involves the proximal interphalangeal (PIP) joints, the metacarpal phalangeal (MCP) joints, the wrists, and the elbows.

Unlike osteoarthritis, rheumatoid arthritis can affect the entire body. People with this disease may feel sick all over?tire easily?lose their appetite?and lose weight.

In rheumatoid arthritis, the tissue that surrounds and nourishes the joints is attacked by the body’s immune system. The body mistakenly perceives its own tissue as foreign, and it reacts by sending special white blood cells and toxic chemicals called cytokines to destroy the foreign material. (The cytokine abnormalities that cause the damage in rheumatoid arthritis are different from the abnormalities seen in osteoarthritis.) This process of white cell migration and cytokine release damages the joint.

Although we do not know the cause of rheumatoid arthritis, researchers are investigating several possibilities.

Another interesting point about rheumatoid arthritis is that this disease can affect the internal organs including the lungs, skin, blood vessels, spleen, heart, and muscles.

If rheumatoid arthritis is not well controlled it can damage the joints irreversibly and cause serious disability.

To diagnose rheumatoid arthritis, the rheumatologist establishes the presence of joint pain and inflammation lasting at least six weeks and then looks for signs of the course of the disease that are characteristic for rheumatoid arthritis.

There are also blood tests that aid in the diagnosis of rheumatoid arthritis.

Patients with rheumatoid arthritis have a series of flare-ups followed by a period where there are mild or no symptoms. Usually, the pain and disability of rheumatoid arthritis progresses gradually.

Morning stiffness generally lasts longer than half an hour and may last several hours depending on the severity of the condition.

Most forms of arthritis persist for the patient’s lifetime. Medication cannot usually reverse the bone and soft tissue damage caused by arthritis.

However, new methods of measuring inflammation and its response to medication and other treatments offer valuable information to physicians?and can help to evaluate the arthritis sufferer’s discomfort.

Magnetic resonance imaging is one such technique. This method using the effects that strong magnets have on water molecules to provide exquisite images of the interior of the body. MRI has been used to diagnose and also assess the degree of damage within joints of patients suffering from arthritis. It is also helpful for evaluating the effect of new drugs.

Although there is no cure for arthritis, proper treatment can help tremendously. The goal of arthritis treatment is to relieve the pain and stiffness due to the progressive destruction caused by inflammation, and to maintain or increase freedom of movement.

Among the advancements that have taken place in the medical treatment of arthritis are various disease-modifying medications that not only relieve symptoms but also help slow down the progression of disease.

Other advances include various cartilage sparing drugs, cartilage growing drugs, and also biologic remedies. These drugs act by blocking the destructive effects of enzymes such as metalloproteases in osteoarthritis and cytokines in rheumatoid arthritis. By targeting specific processes, relief of symptoms and healing of damage can take place with presumably fewer side effects.

What can you do if you think you have arthritis?

First, you can consult your doctor. This is important because medical issues are complicated and your doctor, who understands your health needs, can prescribe the best treatment for you.

The type of doctor who can best evaluate arthritis is called a rheumatologist. These are physicians who have completed four years of medical school, three years of internal medicine residency, and three years of rheumatology fellowship.

While arthritis can be a serious disease that can progress and cause disability, science has come up with some new answers for arthritis sufferers. It is now up to the arthritis sufferer to recognize early warning signs and symptoms and to see a rheumatologist. With proper medical care, the course of this crippling disease may change and people can help to be returned to fully active lives ? without pain and crippling disability.