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關節保養靠葡萄糖胺?醫師推薦「這個」免錢、保證有效!- 第3頁

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醫生推薦省錢又保證有效心法:肌力訓練



看完了以上四大天王,是不是感到頭很暈:「到底是要不要吃?」

從一個復健科專科醫師的立場,我還是以「333」為營養品補充的原則:「不超過3樣」、「3個月內要見效」以及價格「不超過3000」,在時間、效果與價格的控制下,自己的身體有沒有改善,自己最有感覺。

若是肩友們擔心補充營養品的不確定感,那我可以提供一個保證有效、免錢、又簡單的護膝法就是:深蹲。


肌肉就是關節的最好鎧甲,甚至有研究拿玻尿酸注射與運動對退化性關節炎比較的療效,發現打玻尿酸跟運動都可以改善中早期的症狀,但是運動更方便、安全、無感染疑慮,符合成本效益,更適合做疾病早期之首選治療喔!

換句話說,把椅子拿走,現賺3000以上(雙腳兩支玻尿酸)喔,如果長期蹲,還可以免去開刀的住院及擔心害怕,穩賺不賠,快來一起蹲吧!

參考資料:
  1. 周正亮, 羅元廷, 柳復威, 黃麗龍, & 陳俊忠. (2012). 退化性膝關節炎病人注射玻尿酸的生理功能療效評估: 初步報告. 台灣復健醫學雜誌, 40(2), 77-83.
  2. 江鴻生. (2015). 膝關節骨科醫學與微創手術. 台灣醫學, 19(1), 30-35.
  3. Nagaoka, I., Nabeshima, K., Murakami, S., Yamamoto, T., Watanabe, K., Tomonaga, A., & Yamaguchi, H. (2010). Evaluation of the effects of a supplementary diet containing chicken comb extract on symptoms and cartilage metabolism in patients with knee osteoarthritis. Experimental and therapeutic medicine, 1(5), 817-827.
  4. Tashiro, T., Seino, S., Sato, T., Matsuoka, R., Masuda, Y., & Fukui, N. (2012). Oral administration of polymer hyaluronic acid alleviates symptoms of knee osteoarthritis: a double-blind, placebo-controlled study over a 12-month period. The Scientific World Journal, 2012.
  5. Jensen, G. S., Attridge, V. L., Lenninger, M. R., & Benson, K. F. (2015). Oral intake of a liquid high-molecular-weight hyaluronan associated with relief of chronic pain and reduced use of pain medication: Results of a randomized, placebo-controlled double-blind pilot study. Journal of medicinal food, 18(1), 95-101.
  6. Ricci, M., Micheloni, G. M., Berti, M., Perusi, F., Sambugaro, E., Vecchini, E., & Magnan, B. (2017). Clinical comparison of oral administration and viscosupplementation of hyaluronic acid (HA) in early knee osteoarthritis. Musculoskeletal surgery, 101(1), 45-49.
  7. Nelson, F. R., Zvirbulis, R. A., Zonca, B., Li, K. W., Turner, S. M., Pasierb, M., … & Wu, W. (2015). The effects of an oral preparation containing hyaluronic acid (Oralvisc®) on obese knee osteoarthritis patients determined by pain, function, bradykinin, leptin, inflammatory cytokines, and heavy water analyses. Rheumatology international, 35(1), 43-52.
  8. Crowley, D. C., Lau, F. C., Sharma, P., Evans, M., Guthrie, N., Bagchi, M., … & Raychaudhuri, S. P. (2009). Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial. International journal of medical sciences, 6(6), 312.
  9. Bagi, C. M., Berryman, E. R., Teo, S., & Lane, N. E. (2017). Oral administration of undenatured native chicken type II collagen (UC-II) diminished deterioration of articular cartilage in a rat model of osteoarthritis (OA). Osteoarthritis and cartilage, 25(12), 2080-2090.
  10. Woo, T., Lau, L., Cheng, N., Chan, P., Tan, K., & Gardner, A. (2017). Efficacy of Oral Collagen in Joint Pain-Osteoarthritis and Rheumatoid Arthritis. J Arthritis, 6(233), 2.
  11. Tony, B., Stephen, B., Neil, C., & Christopher, G. (1992). Rook’s Textbook of Dermatology (5th ed,).
  12. Dai, W. L., Lin, Z. M., Guo, D. H., Shi, Z. J., & Wang, J. (2019). Efficacy and Safety of Hylan versus Hyaluronic Acid in the Treatment of Knee Osteoarthritis. The journal of knee surgery, 32(03), 259-268.
  13. Clegg, D. O., Reda, D. J., Harris, C. L., Klein, M. A., O’dell, J. R., Hooper, M. M., … & Lane, N. E. (2006). Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. New England Journal of Medicine, 354(8), 795-808.
  14. Runhaar, J., Rozendaal, R. M., van Middelkoop, M., Bijlsma, H. J., Doherty, M., Dziedzic, K. S., … & Zeinstra, S. B. (2017). Subgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis: a systematic review and individual patient data meta-analysis from the OA trial bank. Annals of the rheumatic diseases, 76(11), 1862-1869.
  15. Roman-Blas, J. A., Castañeda, S., Sánchez-Pernaute, O., Largo, R., & Herrero-Beaumont, G. (2017). CS/GS Combined Therapy Study Group: Combined treatment with chondroitin sulfate and glucosamine sulfate shows no superiority over placebo for reduction of joint pain and functional impairment in patients with knee osteoarthritis: A six-month multicenter, randomized, double-blind, placebo-controlled clinical trial. Arthritis Rheumatol, 69(1), 77.
  16. Knapik, J. J., Pope, R., Hoedebecke, S. S., Schram, B., & Orr, R. (2019). Effects of Oral Chondroitin Sulfate on Osteoarthritis-Related Pain and Joint Structural Changes: Systematic Review and Meta-Analysis. Journal of special operations medicine: a peer reviewed journal for SOF medical professionals, 19(1), 113-124.
  17. Kawasaki, T., Kurosawa, H., Ikeda, H., Takazawa, Y., Ishijima, M., Kubota, M., … & Doi, T. (2009). Therapeutic home exercise versus intraarticular hyaluronate injection for osteoarthritis of the knee: 6-month prospective randomized open-labeled trial. Journal of Orthopaedic Science, 14(2), 182-191.


作者簡介:許嘉麟,輝馥診所主治醫師、壢新醫院復健科主治醫師。專長:肩關節整合治療、五十肩治療、肩關節囊擴張術。 許嘉麟醫師臉書粉絲專頁復健科許嘉麟醫師行醫點滴網站

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投票去 調查時間: 2021-06-11 ~ 2021-06-28