Inversion tables and their relation to arthritis pain / sports injury issues?
Hello, Dr.
Shi!
1) I have osteoarthritis and am currently undergoing a treatment regimen of two phases of hyaluronic acid injections per year.
Each treatment cycle lasts five weeks, with an injection each week.
However, the results have not been significant, as I experience severe pain in my left foot every morning upon waking, making it nearly impossible to stand.
After resting for a while, the pain gradually improves.
Additionally, if I walk for too long, my knees also hurt, requiring me to take breaks before continuing to walk.
2) I play table tennis about 3 to 5 days a week.
Aside from experiencing soreness in my lower back, I am able to participate in matches.
I am concerned whether this type of exercise could cause indirect or hidden injuries to my knees and lumbar spine without my awareness.
I hope you can provide insights based on your rigorous professional experience regarding the pros and cons or advantages and disadvantages of such activities, with the hope of finding some improvement.
3) I have also come across an "inversion table" and have tried it.
I found it to be quite pleasant and did not experience any dizziness.
I believe it may provide some beneficial traction for my osteoarthritis (pain caused by cartilage wear) and lumbar spine.
Do you think this could be helpful, or could it potentially cause harm? Of course, I understand that I need to consult a professional doctor for a proper assessment before making any purchases, so I am hesitant to proceed without professional confirmation.
I appreciate your time and assistance in this matter.
Thank you in advance!
Best wishes,
LION
08.26.'15
lion, 70~79 year old female. Ask Date: 2015/08/26
Dr. Shi Guozheng reply Orthopedics
Knee joint degeneration is almost a common issue among older adults.
If hyaluronic acid injections have not improved the condition, it may be necessary to evaluate whether surgical treatment is required.
Engaging in light exercise is acceptable, but activities involving excessive running or jumping are not recommended.
There is no medical evidence supporting the effectiveness of inversion tables.
Reply Date: 2015/08/26
More Info
Inversion therapy, often associated with the use of inversion tables, has gained popularity as a potential treatment for various musculoskeletal issues, including arthritis and sports injuries. However, its efficacy and safety can vary significantly based on individual conditions and the nature of the injuries or ailments being treated.
Understanding Inversion Therapy
Inversion therapy involves positioning the body at an inverted angle, typically between 30 to 90 degrees, to allow gravity to decompress the spine and joints. Proponents claim that this therapy can relieve pressure on the vertebrae, improve circulation, and enhance flexibility. For individuals with arthritis, particularly osteoarthritis, the idea is that by relieving pressure on the joints, pain and stiffness may be alleviated.
Benefits for Arthritis and Sports Injuries
1. Pain Relief: Some users report temporary relief from pain and stiffness in the joints after inversion therapy. This may be due to the increased blood flow and reduced pressure on the joints during the inverted position.
2. Improved Flexibility: Inversion therapy may help improve flexibility and range of motion, which can be beneficial for those recovering from sports injuries.
3. Decompression of the Spine: For individuals with back pain, inversion therapy can help decompress the spine, potentially alleviating discomfort associated with conditions like herniated discs or sciatica.
Risks and Considerations
Despite the potential benefits, there are several risks associated with inversion therapy, especially for individuals with pre-existing conditions such as arthritis or those recovering from sports injuries:
1. Increased Pressure: Inversion can increase pressure in the eyes and head, which may not be suitable for individuals with glaucoma or hypertension.
2. Joint Stress: For those with arthritis, particularly in the knees or hips, the inversion position may place additional stress on already compromised joints, potentially exacerbating pain rather than alleviating it.
3. Balance and Coordination: Individuals with balance issues or those who are not accustomed to inversion therapy may risk falls or injuries when attempting to use inversion tables.
4. Temporary Relief: While some may experience temporary relief, inversion therapy is not a substitute for comprehensive treatment plans that include physical therapy, medication, or other interventions.
Recommendations
1. Consult a Healthcare Professional: Before starting inversion therapy, especially if you have arthritis or are recovering from a sports injury, it is crucial to consult with a healthcare provider. They can assess your specific condition and determine if inversion therapy is appropriate for you.
2. Start Slowly: If cleared by a healthcare professional, begin with short sessions at a low angle to gauge your body’s response. Monitor for any increase in pain or discomfort.
3. Combine with Other Treatments: Inversion therapy should not replace traditional treatments such as physical therapy, medication, or lifestyle modifications. It may be beneficial as a complementary approach rather than a standalone treatment.
4. Listen to Your Body: Pay attention to how your body responds during and after inversion therapy. If you experience increased pain, dizziness, or discomfort, discontinue use and consult your healthcare provider.
Conclusion
Inversion therapy may offer some benefits for individuals with arthritis and sports injuries, particularly in terms of pain relief and improved flexibility. However, it is essential to approach this therapy with caution, especially for those with existing health conditions. Always consult with a healthcare professional before starting any new treatment regimen to ensure it aligns with your health needs and goals.
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