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Medical Forum / Diseases and Disorders / Arthritis / February 2007

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Osteoarthritis Cause

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Steven - 28 Jan 2007 18:19 GMT
The cartilage decreases and there's less shock resistance and
lubrication, and the bones can start rubbing together.

But, what causes that to happen?

TIA
Fire Chief - 28 Jan 2007 22:53 GMT
> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?

Genetics

Injuries (especially sports injuries)

Wheel of Fortune <g>

Virus, germs, bugs

No one really knows.
Dean - 29 Jan 2007 05:47 GMT
1. Severe injury such as violent dislocation.

2. Prolonged cycles of compressive loading....everything wears out
sooner or later.

3. The other causes mentioned above.

> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?
>
> TIA
Cindy - 29 Jan 2007 13:25 GMT
Steven,
Yep what they said...
In my family...it is Genetics I believe...and then you add in the other
stuff...
Like being over weight for many years working in a factory standing on my
feet for 20 years surely had something to do with the wear and tear in my
knees and feet...
But I assure you...I never walked on my hands or my elbows...
But I started showing signs of OA very early before I was overweight and
working...As a Child..Not JRA either..
My Dad, his mother...Had very severe OA..and my Grandmother was a very small
woman...My daughter started early also..as a young teen.
She also has symptoms of FM which I have and I do believe she has
it...although not dx... of course I had not even heard of it until I was
about 44 when I was dx and I believe I have always had it...

Her daughter that is 4 now...since she was an infant when you lift her, you
can here her bones popping...
And my son's newest baby is the same way...
I am not a doctor so this is just specualtion on my part...
But I think for us...it is genetics along with the regular wear and tear of
life...
Cindy

> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?
>
> TIA
ironjustice@aol.com - 29 Jan 2007 18:13 GMT
>>Steven wrote:
The cartilage decreases and there's less shock resistance and
lubrication, and the bones can start rubbing together.

But, what causes that to happen?

TIA<<

When one moves .. the body NATURALLY has a spillage of blood into the
joint .. normal wear and tear.
EVERY joint experiences this release of blood.
Normally the blood would be CLEARED and recycled but when we have too
much iron in our body the iron from the spilled blood is NOT
**removed** and remains and destroys the joint.

This is evidenced by the number of drugs used in Osteoarthritis which
TARGET .. iron.

Aspirin , sulfasalazine , indomethacin and bucillamine are ALL iron
binding / targeting .. drugs.

Pretty simple .. really ..

: J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links
Synovial iron deposition in osteoarthritis and rheumatoid arthritis.
Ogilvie-Harris DJ, Fornaiser VL.
We examined the iron deposition in the synovia of 25 patients with
rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls
without joint disorders. Both osteoarthritis and rheumatoid synovia
contained iron, but in the latter greater quantities were present.
None of the controls with normal synovia had iron deposition. As
osteoarthritic patients had no concurrent systemic disorders, we
suggest that local factors are of major importance in the deposition
of iron, as opposed to the theory that iron deposition in synovium is
a reflection of a generalized disturbance of iron kinetics in chronic
disease.

PMID: 7354467 [PubMed - indexed for MEDLINE

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://jesuswasavegetarian.7h.com

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
Fire Chief - 29 Jan 2007 22:36 GMT
On Jan 29, 10:13 am, numbnutz again spewed:

> Man Is A Herbivore!http://tinyurl.com/a3cc3

Created with  CANINE TEETH  to bite and chew  MEAT.

... numbnutz tom always hits the nail right on the thumb.
Fire Chief - 31 Jan 2007 04:00 GMT
On Jan 29, 10:13 am, numbnutz "ironjust" posted before reading:

> : J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links

>  WE SUGGEST THAT LOCAL FACTORS ARE OF MAJOR IMPORTANCE in the
> deposition of iron, as opposed to the theory that iron deposition in synovium
> is a reflection of a  generalized disturbance of iron kinetics in chronic disease.
> PMID: 7354467 [PubMed - indexed for MEDLINE

> Man Is A Herbivore!http://tinyurl.com/a3cc3

Created with CANINE TEETH to rip, chew, and eat meat.

> DEAD PEOPLE WALKING

Scares the $hit out of numbnutz tom.

... numbnutz tom gets change back when he posts his 2 cents.
Ginnie - 01 Feb 2007 10:46 GMT
>>> Steven wrote:
> The cartilage decreases and there's less shock resistance and
[quoted text clipped - 6 lines]
> When one moves .. the body NATURALLY has a spillage of blood into the
> joint .. normal wear and tear.
<snip>

Tom, what's *your* definition of "spillage" as you used it here?

> Pretty simple .. really ..
>
> : J Rheumatol. 1980 Jan-Feb;7(1):30-6. Links
> Synovial iron deposition in osteoarthritis and rheumatoid arthritis.
> Ogilvie-Harris DJ, Fornaiser VL.

He couldn't find a document MORE RECENT than *1980*
to cite the causes of OA??  Nobody's looked into it since then?  ;-)

> We examined the iron deposition in the synovia of 25 patients with
> rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls
[quoted text clipped - 8 lines]
>
> PMID: 7354467 [PubMed - indexed for MEDLINE

Oy.

Ginnie &  >^..^<
__________________________
ironjustice - 12 Feb 2007 06:02 GMT
>>Ginnie wrote:Tom, what's *your* definition of "spillage" as you used it here?<<

Bend your finger .. imagine .. looking into the joint .. the red blood
cells .. millions of them are coursing through your finger ..

They are CRUSHED .. smashed .. twisted .. and distorted .. WHEN ..
you .. 'bend your joint' ..

These destroyed red blood cells .. are .. natural ..

Everyday .. stuff ..

UNLESS .. you screw it up ..

The iron FROM these destroyed red blood cells are naturally / normally
CLEARED .. or stored in ferritin to BE .. cleared .. and stored in the
ferritin to be .. cleared and stored in the ferritin to be ..
cleared .. UNTIL .. the ferritin is LOADED and it is turned into ..
hemosiderin ..

This ferritin would NEVER .. normally TURN INTO  .. hemosiderin ..
because .. ? .. we are NORMALLY slightly .. anemic .. and the spilled
iron would be .. recycled ..

When we are NOT .. slightly anemic .. this iron is NEVER .. cleared
and remains to be .. targeted by .. aspirin .. sulfasalazine .. and
the like .. drugs .. for the taking ..

>> He couldn't find a document MORE RECENT than *1980*
to cite the causes of OA??  Nobody's looked into it since
then?  ;-)<<

Your little smile at the end of the .. snide remark .. doesn't make
it .. any .. more .. friendly .. Ginnie .. and remember .. we go quite
a ways .. back ..

Don't .. we ..

Remember don't be taking any iron binding .. drugs .. now .. ya ..
hear ..

> > We examined the iron deposition in the synovia of 25 patients with
> > rheumatoid arthritis, 25 patients with osteoarthritis, and 20 controls
[quoted text clipped - 8 lines]
> >
> > PMID: 7354467 [PubMed - indexed for MEDLINE

>> Oy.<<

Unless you are .. Jewish .. this might be construed as .. anti-
Semetic ..

But we know .. you aren't .. racist / bigoted / retarded .. in any
manner whatsoever .. don't we ..

Heh .. heh ..

http://tinyurl.com/8nove

sid?er?o?phore (sdr--f?r)
n.
A large, extravasated, mononuclear phagocyte containing a granule of
hemosiderin. Also called siderophage.

<<snip>>
small foci with iron positive haemosiderophages, indicating prior
microtraumatic events, were found in 6/10 samples
<<snip>>

Ann Rheum Dis. 2005 Jul;64(7):1083-6. Related Articles, Links

Achilles tendinosis is associated with sprouting of substance P
positive nerve fibres.

Schubert TE, Weidler C, Lerch K, Hofstadter F, Straub RH.

Department of Pathology, Franz-Josef-Strauss-Allee 11, 93053
Regensburg, Germany. thomas.schub...@klinik.uni-reg?ensburg.de.

OBJECTIVES: To identify and characterise nerve fibres and
inflammatory
alterations in painful Achilles tendinosis and thus gain evidence
about

the origin of pain in Achilles tendinosis. METHODS: The composition
of
10 tendon samples from patients with a prior history of painful
Achilles tendinosis and 10 samples from patients with spontaneously
ruptured tendons but no previous pain was compared by
immunohistochemistry and conventional histology. RESULTS: The
presence
of granulation tissue was shown in 8/10 cases of Achilles tendinosis.
Nociceptive substance P (SP) positive nerve fibres were significantly
increased, and an inflammatory infiltration comprising B and T
lymphocytes was found. Additionally, small foci with iron positive
haemosiderophages, indicating prior microtraumatic events, were found
in 6/10 samples. None of the spontaneously ruptured tendons contained
granulation tissue or haemosiderophages. Inflammatory infiltration in
these patients consisted almost exclusively of granulocytes and SP
positive nerve fibres were decreased. The density of sympathetic
nerve
fibres did not differ in the two conditions. CONCLUSION: Achilles
tendinosis is associated with the presence of granulation tissue,
haemosiderophages, and SP positive nerve fibres, which may transmit
the

clinically pertinent pain. Achilles tendinosis may be caused by
repeated microtraumata with ensuing organisation that is accompanied
by

sprouting of nociceptive SP positive nerve fibres.

PMID: 15958764 [PubMed - in process]

------------------------------?------------------------------?-------------?-------

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://jesuswasavegetarian.7h.com

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
Ginnie - 22 Feb 2007 23:41 GMT
<snip>
<snip .. snip>
>>> Ginnie wrote:
>>> He couldn't find a document MORE RECENT than *1980*
[quoted text clipped - 6 lines]
>
> Don't .. we ..

<snip>
<more .. snippage>
<help-I'm-drowning-in .. snippage>

"we go quite a ways .. back ..

Don't .. we .."?

So...  what're you sayin' here, Tommy?
That we're "tight", after all these years?

"Homies"?

"Blood"?

Gee.  I didn't know ya felt about me "that" way, Tommy.
Careful what you say on these froups...  ya never know
how folks will spin this choice bit of info. Especially after
you've pronounced that blood is full of iron and other
[BAD-words-deleted] 'stuff '.  Could get icky.

So, as they say... thanks, but.

I'll take the iron, and skip THAT blood.  Besides, I'm anemic,
so the hospital's gonna "top me off" with a few fresh units
during surgery.  Either that, or (Yummmmmmm!) a great
big IV bag of iron infusion.

Ginnie &  >^..^<
______________________________
Fire Chief - 29 Jan 2007 22:34 GMT
> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?

Steven,  BEWARE  of numbnutz tom ranting and raving about "iron".

He's a psycho in diapers, not yet weaned from mama.

... Internet addiction is a terminal disease.
spodosaurus - 30 Jan 2007 04:42 GMT
>> The cartilage decreases and there's less shock resistance and
>> lubrication, and the bones can start rubbing together.
[quoted text clipped - 6 lines]
>
> ... Internet addiction is a terminal disease.

What ARE you talking about?

His mother kept him in a cage...

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
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http://www.marrow.org/

Cindy - 30 Jan 2007 14:12 GMT
Has he landed again...I would never know unless someone responds...as I
killfiled for good...good thing some of you are out there to warn the
unknowing and naive ones from the pscyho nut...

> > The cartilage decreases and there's less shock resistance and
> > lubrication, and the bones can start rubbing together.
[quoted text clipped - 6 lines]
>
> ... Internet addiction is a terminal disease.
tsedinger@yahoo.com - 31 Jan 2007 19:58 GMT
> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?
>
> TIA

Someone once said on this site that osteo starts with inflammation. I
subscribe to that theory. Something has to set off the wear and tear.
The things that are wrong with me are all related to arthritis-- both
hips replaced, an inflammatory bowel disease, with accompanying eye
involvement, and rosacea. I just wonder if there is some way to stop
the inflammation before it starts. Although it's too late for me and
loads of other people it would be a worthwhile thing to study since
arthritis is so prevalent.
d'huit - 01 Feb 2007 18:14 GMT
On Jan 28, 1:19 pm, Steven <s...@msn.com> wrote:
> The cartilage decreases and there's less shock resistance and
> lubrication, and the bones can start rubbing together.
>
> But, what causes that to happen?
>
> TIA

Someone once said on this site that osteo starts with inflammation. I
subscribe to that theory. Something has to set off the wear and tear.
The things that are wrong with me are all related to arthritis-- both
hips replaced, an inflammatory bowel disease, with accompanying eye
involvement, and rosacea. I just wonder if there is some way to stop
the inflammation before it starts. Although it's too late for me and
loads of other people it would be a worthwhile thing to study since
arthritis is so prevalent.

i'm one who subscribes to inflammation being the most destructive influence,
but i think irritation is at least one initiator of joint inflammation.  but
then, i don't know much.

kate
Jack N Dalton - 02 Feb 2007 08:43 GMT
These articles suggest that since we know that MMPs does the actual damage
in arthritis that
reducing them a tad might help. They specialize in cutting things up with
their Zinc ion tips. They
mistakenly cut up worn cartilage that cannot be easily replaced.

What causes this unwanted excessive MMP activity is unknown.

I have found that a number common meds and supplements (especially certain
families of flavonoids) have been shown to reduce these specific
MMPs involved in arthritis.(MMP-1, MMP-2, MMP-3, MMP-9, MMP-13)

Taking the correct ones to reduce a specific MMPs should be quite harmless
and helpful. I can elaborate on this if requested. Checking PubMed (NLM) on
MMPs and arthritis would be a good idea.

http://www.pubmed.gov

jack n dalton

P.S. I have posted this before but since no one seems  understand or care
about this approach I will just say  "Here it is again ..folks!!!"

Ann Anat. 2005 Nov;187(5-6):473-85. Related Articles, Links

Pathomechanisms of cartilage destruction by mechanical injury.

Kurz B, Lemke AK, Fay J, Pufe T, Grodzinsky AJ, Schunke M.

Anatomisches Institut der Christian-Albrechts-Universitat zu Kiel,
Olshausenstrasse 40, D-24098, Kiel, Germany

Mechanical injury is considered to be a major inductor of articular
cartilage destruction and therefore a risk factor for the development of
secondary osteoarthritis. Mechanical injury induces damage to the tissue
matrix directly or mediated by chondrocytes via expression of
matrix-degrading enzymes and reduction of biosynthetic activity. As a
consequence the mechanical properties of cartilage change. Some of the
pathomechanisms of mechanical injury have already been uncovered by the use
of a broad range of in vitro-models. They demonstrate that mechanical injury
induces tissue swelling and decrease in both the compressive and shear
stiffness of articular cartilage, probably due to disruption of the collagen
network. Injurious compression induces chondrocyte death by necrosis and
apoptosis and the remaining cells decrease their biosynthetic activity. The
tissue content of proteoglycans also decreases with time in injured
cartilage, and the tissue loses its ability to respond to physiological
levels of mechanical stimulation with an increase in biosynthesis. Immature
cartilage seems to be more vulnerable to injurious compression than more
mature tissue. The expression of several matrix-degrading enzymes like
ADAM-TS5 and matrix-metalloproteinases (MMP-1, MMP-2, MMP-3, MMP-9, MMP-13)
is increased after injury and may in part be regulated by an autocrine
vascular endothelial growth factor (VEGF)-dependent signalling pathway.
Apoptosis seems to be mediated by caspase activity and reactive oxygen
species.

For that reason activation of antioxidative defense mechanisms as
well as the inhibition of angiogenetic factors and MMPs might be key
regulators in the mechanically induced destruction of cartilage and might be
suggested as potential therapeutic interventions. This review summarizes
some of the most important data from in vitro injury studies dealing with
the pathomechanisms of cartilage destruction.

Publication Types:
 a.. Review

PMID: 16320827 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=16146751&query_hl=7&itool=pubmed_docsum

...
...
Front Biosci. 2006 Jan 1;11:529-43. Related Articles, Links

Matrix metalloproteinases: role in arthritis.

Burrage PS, Mix KS, Brinckerhoff CE.

Department of Biochemistry, Dartmouth Medical School, Dartmouth Hitchcock
Medical Center, Lebanon, NH 03756, USA.

The irreversible destruction of the cartilage, tendon, and bone that
comprise synovial joints is the hallmark of both rheumatoid arthritis (RA)
and osteoarthritis (OA). While cartilage is made up of proteoglycans and
type II collagen, tendon and bone are composed primarily of type I collagen.
RA is an autoimmune disease afflicting numerous joints throughout the body;
in contrast, OA develops in a small number of joints, usually resulting from
chronic overuse or injury.

In both diseases, inflammatory cytokines such as
interleukin-1 beta (IL-1 beta) and tumor necrosis factor-alpha (TNF-alpha)
stimulate the production of matrix metalloproteinases (MMPs), enzymes that
can degrade all components of the extracellular matrix.

The collagenases,
MMP-1 and MMP-13, have predominant roles in RA and OA because they are rate
limiting in the process of collagen degradation. MMP-1 is produced primarily
by the synovial cells that line the joints, and MMP-13 is a product of the
chondrocytes that reside in the cartilage.

In addition to collagen, MMP-13 also degrades the proteoglycan molecule,
aggrecan, giving it a dual role in
matrix destruction. Expression of other MMPs such as MMP-2, MMP-3 and MMP-9,
is also elevated in arthritis and these enzymes degrade non-collagen matrix
components of the joints.

Significant effort has been expended in attempts
to design effective inhibitors of MMP activity and/or synthesis with the
goal of curbing connective tissues destruction within the joints. To date,
however, no effective clinical inhibitors exist. Increasing our knowledge of
the crystal structures of these enzymes and of the signal transduction
pathways and molecular mechanisms that control MMP gene expression may
provide new opportunities for the development of therapeutics to prevent the
joint destruction seen in arthritis.

PMID: 16146751 [PubMed - in process]

>> The cartilage decreases and there's less shock resistance and
>> lubrication, and the bones can start rubbing together.
[quoted text clipped - 11 lines]
> loads of other people it would be a worthwhile thing to study since
> arthritis is so prevalent.
GARY Z - 02 Feb 2007 11:18 GMT
> These articles suggest that since we know that MMPs does the actual damage
> in arthritis that
[quoted text clipped - 10 lines]
> P.S. I have posted this before but since no one seems  understand or care
> about this approach I will just say  "Here it is again ..folks!!!"

Perhaps someday they MIGHT prove this is correct and MAYBE they will then
know how to deal with it.
Until then, I will hold judgement until they can actually PROVE their
theories. Obviously further studies are implicated by these articles, but no
definate conclusions can be drawn from them. When science PROVES something,
they say so. The rest is all conjecture.
GaryZ
spodosaurus - 02 Feb 2007 11:50 GMT
>> These articles suggest that since we know that MMPs does the actual damage
>> in arthritis that
[quoted text clipped - 18 lines]
> they say so. The rest is all conjecture.
> GaryZ

Nothing is ever "proven", it is either supported or not supported.
"Proof" is a legal term or a mathematical term, and it is rarely used in
science. Science looks for data as evidence to support theories. Very
rarely is anything advanced from theory to law in science.

Regards,

Ari

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Many people around the world are waiting for a marrow transplant. Please
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GARY Z - 02 Feb 2007 13:24 GMT
> Nothing is ever "proven", it is either supported or not supported. "Proof"
> is a legal term or a mathematical term, and it is rarely used in science.
[quoted text clipped - 4 lines]
>
> Ari

Hi Ari!
I will stand corrected here. There is so much conjecture these days in much
of the information we get. I kinda take medical reports as this comparison:
1) We believe there may be a gene that controls this function/disease,
2) We have identified the gene that controls this function/disease.
That is all.
GaryZ
spodosaurus - 02 Feb 2007 14:43 GMT
>> Nothing is ever "proven", it is either supported or not supported. "Proof"
>> is a legal term or a mathematical term, and it is rarely used in science.
[quoted text clipped - 12 lines]
> That is all.
> GaryZ

My post was really only to let you know a better way to word things when
talking about scientific evidence. People in the know often tune out as
soon as they hear the word 'proven', because it means that the person
using the word is either unfamiliar with the basic tenets of scientific
research or is selling something :-)I knew what you meant, though :-)

Ari

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
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http://www.marrow.org/

Gary Z - 02 Feb 2007 17:21 GMT
Thanks Ari!
GaryZ

> My post was really only to let you know a better way to word things when
> talking about scientific evidence. People in the know often tune out as
[quoted text clipped - 3 lines]
>
> Ari
Fire Chief - 02 Feb 2007 16:42 GMT
On Feb 2, 3:50 am, Ari wrote:

> Nothing is ever "proven", it is either supported or not supported.
> "Proof" is a legal term or a mathematical term, and it is rarely used in
> science. Science looks for data as evidence to support theories. Very
> rarely is anything advanced from theory to law in science.

That's why our automobiles, TV's, stereo sets, and computers are just
a figment of our imagination.  <g>

We're really not writing messages and sending them to the internet.
We don't really talk to others on the telephone.   Light bulbs really
don't produce light.   Planes don't fly, and no one has ever traveled
into outer space.

... Chef (n):  Any cook who swears in French.
spodosaurus - 02 Feb 2007 17:39 GMT
> On Feb 2, 3:50 am, Ari wrote:
>
[quoted text clipped - 10 lines]
> don't produce light.   Planes don't fly, and no one has ever traveled
> into outer space.

What are you rambling about Chief? :)

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
http://www.abmdr.org.au/
http://www.marrow.org/

Fire Chief - 02 Feb 2007 18:14 GMT
On Feb 2, 9:39 am, Ari wrote:

> What are you rambling about Chief? :)

Oh, I don't know.  <g>

Actually, repeating something an instuctor in a Navy "A" school said,
ca. 1957.

"You can't see it working, so it doesn't exist."

... The secret of life?  Just hang around until you get used to it.
Jack N Dalton - 02 Feb 2007 23:26 GMT
>> These articles suggest that since we know that MMPs does the actual
>> damage
[quoted text clipped - 19 lines]
> something, they say so. The rest is all conjecture.
> GaryZ

I guess this abstract from Lebanon is not an absolute "proof".

jackD
 
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