Be Aware of Traps from Occupations Be Alerted to Joint Health NOW Dr. Henry Ho

1. Be Aware of Traps from Occupations Be Alerted to Joint Health NOW Dr. Henry Ho Orthopedic Specialist 17 November, 2005

2. Causes of Joint Pains Cartilage degeneration, Joint wear-and-tear and muscular dystrophy Over 200 joints in one body Deteriorating living quality in the long run Impact on work and temper Arthritis/ Joint degeneration Medication or Surgery

3. Risk Factors of Arthritis / Joint Degeneration

4. Shoulder Joint

5. Frozen Shoulder(Shoulder Periarthritis) Symptoms • Movement restriction on shoulders • Disability of shoulder abduction/ elbow flexion/ arm rotation • Pains at shoulder “sleeves”

6. Frozen Shoulder(Shoulder Periarthritis) People at Higher Risk • Former wounds or injuries at the shoulder “sleeves” • Improper postures • People who always lift heavy things (e.g. carriers) • Prolonged and repeated gesture of raising up the hands (e.g. teachers, librarians) • People who repeatedly pose the same gestures (e.g. flight attendants, waiters, clerks, typists)

7. Tennis Elbow(External Humeral Epicondylitis) Humerus Symptoms • Feeing pressure and pains around the lateral epicondyle of humerus; sometimes pains are reflected on forearms, wrists or upper arms • Unable to pick up heavy things, feel weak when holding things; or in the worst the hands are unable to grip hold of anything. lateral epicondyle extensor tendon

8. Tennis Elbow(External Humeral Epicondylitis) People at Higher Risk • Housewives (such as frequent actions of slicing, frying, cleaning, sweeping and holding babiesin arms) • People whose jobs may require frequent exertion of pressure on rotating forearms, repeated tapping or carrying of heavy goods (e.g. hotel servants, waiters, carriers, typists, painters or other decoratinglaborers)

9. Facet Joints(Lumbar & Cervical Vertebras) Vertebral body Intervertebral disc Facet joints

10. Joint Pains on Back and Lumbar Vertebras Symptoms • Pains on the Back • Stiffed joints at lumbar vertebras • Numbed and painful legs(Neuropathic pain on ischium)

11. Joint Pains on Back and Lumbar Vertebras People at Higher Risk • Improper sitting posture (e.g. office workers, drivers) • Misuse of strengths and improper posture when lifting/carrying goods (e.g. carriers or carriers at the airports) • Prolonged standing people (e.g. flight attendants, waiters, salespeople) • People who frequently bend their bodies (e.g. construction site workers) • Ladies (due to prolonged wearing of high-heal shoes)

12. Joint Problems on Neck Vertebras Symptoms • Neck pains • Numbed joints at neck vertebras

13. Joint Problems on Neck Vertebras People at Higher Risk • Improper sitting posture • People who keep on lowering their head, or keep a prolonged gesture (e.g. clerks, typists, computer operators) • People who keep on lifting up their head (e.g. teachers, painter workers) • Physical laborers (e.g. carriers)

14. Knee Joint Knee joints with Arthritis Normal Knee Joints Femur Femur Osteophyma Narrowed joint segment PatellaLigament Patella Femur Cartilage meniscus Tibia Cartilage Inclined inwards; angulations deformity Ligament Tibia Fibula

15. Knee Arthritis Symptoms • Feeling weak and painful at the knees • Difficult to stand up after squatting • Numbed and inflexible knee joints • Feeling weak going up- or down-stairs

16. Knee Arthritis People at Higher Risk • People with obesity • Prolonged squatting, kneeling or bending of knees (e.g. clerks, drivers, decorating workers, cleaning staff, construction workers)

17. Knees with Arthritis Symptoms at an earlier stage Symptoms at a later stage

18. Knees with Arthritis

19. Curing of Arthritis

20. Curing • Suitable training and exercises • Physiotherapy • Medication • Surgical operations

21. Importance of Advanced Alert to Joint Care

22. Tips on Joint Protection for Working Class • Weight control • Pay attention to proper postures at work or exercise • Don’t keep the same posture for a prolonged time • Prevent over-loaded activities: repeated sitting and squatting, up and down-stairs • Develop proper sitting posture, lifting methods and don’t bend your back • Do proper exercises (e.g. swimming, tai-chi, extension exercises) • Having a proper diet and taking appropriate health supplements

23. Benefits of Triomega to Patients with Knee Joint Problems • The first clinical study, led by Professor Caterson of Cardiff University, that conducted clinical studies on humans with arthritis. • 31 UK patients with arthritis underwent the clinical studies 10-12 weeks prior to their joint replacement operation • Half of them took Triomega – extra high strength cod liver oil capsules daily; while the other half took placebo oil capsules. • Before the operation, their cartilage and joint tissues were examined to study the degree of cartilage degeneration. • 86% of the pre-operative patients with arthritis who took Triomega – extra high strength cod liver oil capsules daily had absent or significantly reduced level of enzymes that cause cartilage degeneration, compared with the 25% of those given a placebo oil capsule. Source of Information: Study on “High Strength Cod Liver Oil on Arthritis patients” in United Kingdom, Cardiff University, 2004

24. Thank you !