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No surgery. No medication. No drastic measures. Just healthy joints—for life!
In this groundbreaking book, leading orthopedic surgeon and former NFL player Richard Diana, M.D., applies his unique experience and training to tackle join pain. Based on cutting-edge research that has clarified the crucial role of a molecule known as NFkB in regulating inflammation, Dr. Diana's proven eight-week program teaches you to harness the power of this research to reduce inflammation, relieve pain and rejuvenate your joints.
THIS SCIENTIFICALLY-BACKED PROGRAM INCLUDES:
• Which delicious foods reduce inflammation
• Simple exercises tailored to your ability
• The right supplements to help increase your mobility
- Sales Rank: #548044 in Books
- Published on: 2014-01-28
- Released on: 2014-01-28
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x .89" w x 5.99" l, 1.00 pounds
- Binding: Paperback
- 352 pages
Review
"Rich Diana's Healthy Joints for Life is a must read for every athlete, whether a professional or a weekend warrior. It is a comprehensive, scientific yet highly readable book that I wish I had available to me during my 13-year professional football career. I could have minimized a lot of pain and lost time. I am recommending that all athletes, regardless of their level of competition, add this important book to their required reading. Kudos to my fellow NFL and Yale brother for sharing such important information."
-Calvin Hill, retired NFL veteran
"This is a must read for anyone looking to reduce pain and inflammation. I highly recommend it to the retired professional athletic community. A well-reasoned program from one of our own."
-Kellen Winslow, retired NFL veteran, NFL Hall of Fame
"Thirteen years of MLB pitching left me with joint pain. Dr. Diana's program was my solution. No surgery, no side effects, just relief."
-Ron Darling, Emmy Award-winning MLB broadcaster and NY Met 1986 World Series champion
"Healthy Joints for Life is a thorough, well-reasoned and well-presented book. Congratulations to Dr. Diana for his efforts to help those of us with joint pain."
-George Grande, ESPN, NY Yankees, St. Louis Cardinals, Cincinnati Reds play-by-play announcer
About the Author
RICHARD DIANA, M.D., retired from the Miami Dolphins after Super Bowl XVII to attend Yale School of Medicine. He has been an orthopedic consultant to several collegiate athletic programs as well as to the Boston Red Sox. Dr. Diana is a board-certified surgeon and has been named a Top 100 Doctor in America. He is a clinical instructor at Yale School of Medicine and attending surgeon at Yale-New Haven Hospital.
Excerpt. © Reprinted by permission. All rights reserved.
Let me tell you about my mother. By the time I graduated from medical school, my sixty-two-year-old mother had already suffered through several surgeries for her rheumatoid arthritis (RA), a despicable form of arthritis where the body attacks its own joints as it would invading bacteria. The resulting inflammatory response is incredibly intense. Multiple joints swell, hurt, and degenerate.
Her treatments were torturous. Regular injections of gold and methotrexate gave her nausea and headaches but didn't reduce her pain. Anti-inflammatory medicines gave her an ulcer. Nothing stopped the aggressive progression of her joint pain and joint destruction.
I was a budding doctor, working around the clock to learn all the answers about how to treat and heal medical conditions. Seeing her suffer from the disease was excruciating. Seeing the treatments make her worse was beyond heart-wrenching. I desperately wanted to help, but her aggressive RA wasn't going to wait for me or medical research. Or anything else. After treatments with countless medications failed miserably, she had surgery to reroute and repair ruptured hand tendons. Her left wrist had to be fused. As a result, she fed herself with difficulty and could barely hold a cup of water. Even before the hand surgeries, standing had become so painful that the ends of several eroded bones in both of her feet had to be removed. Like a relentless tide, the disease slowly but persistently ate away at her joints.
By her seventieth birthday her knees were bone on bone and her hips were equally bad. Her inactivity led to other medical problems, like diabetes and heart disease, so she wasn't healthy enough to have replacement surgery, and she could barely walk by the end. Sadly, my most intimate moments with my mom consisted of me draining the fluid from her swollen knees and shoulders. RA deprived my mother of some of the best days of her life, and all I could do was watch in horror. I was a grown man, a surgeon, and an ex-NFL player, and I cried for my mother-and my kids saw me. They saw my mother, they saw my helplessness, and they understood what RA was doing to all of us.
Because of my mother, I came to hate inflammation and joint pain and what they can do to a person. I will never forget what they did to my mother.
***
For four decades I've been witnessing the devastating effects of inflammation and joint pain both personally and professionally. For years I've been studying the science behind inflammation and devising ways to defeat it. I now have a battle-tested, scientifically sound game plan to deal with joint pain and inlammation.
As for this book, it will be my job to make the science behind joint pain understandable and interesting. I will spare you most of the gory details but will arm you with enough knowledge so you can better understand what is happening to your joints and how my program will help them. I'll tell you some stories from the NFL, college football, and my medical training and practice. I'll keep it simple and clear. Once you understand my program and put the plan into action, you will start to get your life back. You will start controlling your joint pain, and your joint pain will stop controlling you.
Almost every day of my life as an orthopedic surgeon, I'm asked what it was like to play in the Super Bowl. It always amazes me how important and alluring that one event is. Many of my patients think it's cool that I'm the only orthopedic surgeon to have ever played in the Super Bowl, but the Super Bowl has much greater importance to me than that.
The play-offs for the 1982 season were the first time that my parents ever flew on a plane. Those few weeks were some of the most exciting weeks of their lives. They were on TV, were interviewed by reporters, and were treated like royalty all because their son was playing for the Miami Dolphins in Super Bowl XVII. They came to practices, took pictures with legendary Dolphin coach Don Shula, and met the guys on the team. They sat on the fifty-yard line. For a short time they were treated like the celebrities that I always thought they were, and that meant more to me than anything.
The thing I remember most about the Super Bowl was a conversation that I had right before the game with the captain of our team, Bob Kuechenberg, or "Kooch," as we knew him. Kooch was making the rounds, trying to make sure everybody was ready. He approached me and said, "Rookie, you've been doing it all year for us. Now it's time to help the other guys do it, too." It was just five seconds of encouragement accompanied by a tap on the back. But it made me think like I hadn't before about my role as a player and a leader. It was time for me to step forward and become a team leader. The Super Bowl was the day when I realized that following was not good enough. My mission in life was to help people. hough football was the earlier and greater passion in my life, medicine became my ultimate vocation. Helping people would be my life's mission. Going through medical school, internship, and residency took a long ten years, and as a med student, intern, and resident, I was closely monitored and rigorously tested along the way. In school I wasn't exactly in a position to be a leader. But over the past two decades, I've helped a lot of people, and with this book I hope to help many more. Of course, Kooch couldn't have known what direction my life would take, but I'm convinced that when he spoke to me right before the Super Bowl, his words foreshadowed that my ultimate accomplishment would be leading people with joint pain toward pain relief.
In 2010 the Miami Dolphins invited players from the 1983 and 1985 Super Bowl teams for a reunion. Since my retirement twenty-seven years prior to the reunion, I'd been back to Miami only once, for Dan Marino's retirement celebration. On the light down I thought of all the sweat, pain, and violence we, as players, endured during our quest for the Super Bowl. We learned that success in football comes from dedication, intensity, focus, and passion. It was understood that while we might lose, we would never be outworked. We had an incredible commitment to one another and, of course, to winning. I shuddered as I thought about what we did to our bodies to play the game of football-to win.
It was wonderful to reunite with my teammates. In so many ways nothing had changed, and in so many other ways everything had changed. After retiring from the NFL I became an orthopedic surgeon, applying those principles learned from football to helping those with musculoskeletal problems. At the reunion, I learned quickly that most of my teammates suffered terribly from years of abusing their bodies. Several had knee and hip replacements, two had back fusions, most suffered with neck arthritis, and virtually everyone limped or at least complained of joint pain. Some had put on a few-or more!-pounds. Previous studies on ex-NFL players revealed that those extra pounds were often associated with life-threatening heart disease. I worried about these men, who, decades ago, were my family.
All of us had aged in those intervening decades, and in talking with my teammates, I realized that I had the ability to do something to help them not only with their joint pain but also with a potential scare: heart disease. Those talks with my teammates spawned the idea for this book.
During many nights of research and writing, it became obvious that while my teammates inspired Healthy Joints for Life, this book is long overdue for anyone and everyone who has joint pain and wants to avoid surgery. As an added bonus, the diet, exercise, and supplement recommendations are heart-healthy and cancer preventative, too.
I am conident that Healthy Joints for Life will reduce your joint pain and improve the quality of your life and perhaps even its length! With each chapter, the reward of joint-pain relief and improved health is that much closer. When you can walk on a beach or visit a museum without pain, you will be thankful. When you can make the long walk from the parking lot to see your children or grandchildren play a sport, you will know it's worth it.
Now that you know a little bit about my background, let's take advantage of my discoveries and get to work making your joints feel better.
Understanding Joint Pain
INFLAMMATION: The Cornerstone of Disease
I'm going to start you on the road to joint-pain relief with one simple statement: to control joint pain, you need to control inflammation. Get used to hearing about inflammation, because you are going to learn more about it than you ever imagined. Before you finish this book, you will understand many molecular details of inflammation, as well as some of the most obvious outward symptoms of joint pain, and how and why inflammation drives it. You are going to learn that when you reduce inlammation, you will significantly reduce your joint pain.
Inflammation is the body's mechanism of fighting infection, responding to irritants or injuries, and initiating healing. It comes in many forms. Its manifestations can be as straightforward as the swelling of a sprained ankle or as subtle as the slow, insidious development of joint-surface wear and tear that we call arthritis. Sometimes inlammation is good and necessary. In fact, inlammation plays a key role in the life-sustaining process of fighting infections. But in the case of joint pain, inflammation becomes excessive and it doesn't know when to stop. It's out of control, kind of like I was when I played on special teams for the Miami Dolphins.
Despite being small by NFL standards, I played on a lot of special teams for the Dolphins. One of my tasks was being a wedge buster on kickofs. he wedge buster is the guy who runs down the ield as hard as he can-talk about overzealous-and slams into the opponent's "wedge" of big, tough behemoths who block for the kickoff returner. After smashing the wedge, he tries to tackle the ballcarrier. he job of wedge buster is usually reserved for the craziest guys on the football team. Typically, these guys are beasts who are not on a life path to Mensa. heir marbles are a bit shaken up, partially because their brains were scrambled by gigantic hits while playing on special teams and partially because, well, they started out a little crazy. To run down the field at absolute full speed and slam into an opponent without regard to the well-being of your own body or your opponents' takes a certain perversity-not to mention a total disregard for life and limb. (Unfortunately, we are learning through research that by sustaining gigantic hits while playing on special teams, there may be future devastating brain effects.)
Well, there I was, a Yale graduate and a molecular biophysics and biochemistry major, and I had all sorts of regard for life and limb, but at the same time, I had a job to do. Oddly enough, I loved that job. I loved the contact, the intensity, and the camaraderie. Much more so than the average guy, I loved to smash into people.
During the last preseason game of 1982 I was sent out to wedge bust against the New York Giants. I was the second man to the right of the kicker, a prime spot for making tackles. Before each kickoff I tried to work myself into a frenzy by reciting some of Clint Eastwood's lines from The Outlaw Josey Wales. "When things look bad, and it looks like you're not gonna make it, then you gotta get mean. I mean plumb mad-dog mean. 'Cause if you lose your head and you give up, then you neither live nor win. hat's just the way it is." Other guys would psych themselves up by whacking their helmets until their ears rang. I psyched myself up by reciting lines from Clint Eastwood movies. I never looked at my routine as particularly crazy, but I guess in some ways I was really diferent from many of my teammates.
So there I was, reciting Clint Eastwood lines, smashing into freakishly large and strong brutes, fearing for my life, loving every minute of it, and at the other end of the kickoff was the Giants' mega-money first-round draft pick-a big, fast running back out of the University of Michigan named Butch Woolfolk.
Woolfolk caught the ball at the goal line, at least ten yards to my left, and within ive strides he was running full out. A hole opened at the fifteen-yard line, and Butch was nearly through it when I closed on him from the opposite side and hit him full speed with my helmet, making contact directly on his left hip.
Butch went flying five yards sideways with three twists and a flip. Fireworks went of in my head. Butch, who was tough as nails, got up quickly without the hint of a limp. Proudly, I staggered off the ield with a serious headache. Clearly, Butch's hip was harder than my head.
Inflammation run amok is even more dangerous to your body than Butch Woolfolk was to my head. But we can take care of it. he way we control inlammation is by controlling the way cells use molecules to communicate inlammatory signals.
This probably sounds complicated and technical, but don't worry. I'm not going to take you through all the biochemistry behind cells and molecules and how they work to create inflammation. I'm simply going to help you understand what inflammation does to the body-particularly your joints-and how it can be reduced and potentially stopped.
THE SCIENCE OF INFLAMMATION
Nearly any injury or disease that strikes the body involves inlam-mation. Inflammation afflicts the heart with heart disease and other organs with cancer. It can be the reason why your teeth fall out or why your toe hurts when you stub it.
What's ironic is that although there are multiple diseases where inlammation plays a role, inlammation is still a mystery to many. Mainstream doctors haven't fully embraced the inflammatory theory of disease or spread the news to the public, because when most doctors went through medical school, they weren't taught about the impact of inflammation on the body. That is starting to change and will continue to change over the next decade, particularly because, more and more, inlammation is being identiied as the core cause of so many diseases and illnesses.
Remember, inflammation isn't all bad. We could not cope or survive without the inflammatory cycle. If we stopped inflammation completely, we would die. That's why my program seeks to balance inflammation. Swelling is an important part of the inflammatory process. he right amount of swelling facilitates healing. Too much swelling slows healing. Trauma is a typical cause of swelling, but trauma isn't the only cause of swelling or inflammation. Sometimes swelling sneaks up on us, because it begins at the cellular level and we don't feel it until it causes a joint to swell, degenerate, and hurt; heart arteries to narrow and clog (heart attack); lung airways to constrict (asthma); or damaged cells to multiply out of control (cancer).
What causes inflammation? Mechanical stresses from obesity, pollution, job stress, fast foods, and food additives, to name a few. Over time, these irritants can deviously brew in our cells, leading to many insidious diseases, including joint arthritis. A key to maintaining health is balancing the positive and negative effects of inflammation. And the most significant negative effect of inflammation that I want to eliminate, or at least reduce, is joint pain.
Our overall health and the reduction of joint pain are dependent upon keeping inflammation in balance. Monitoring inflammation is a 24-7 job. By following my program, you'll balance inflammation and reduce joint pain.
Most helpful customer reviews
7 of 7 people found the following review helpful.
Works for me.
By Troy R. Davila
I have a lawn management business and the wear and tear on my body is pretty extreme. I walk about 15 miles a day. I have for 30 years now. I am about 250 pounds of solid man so moving all that weight was bound to eventually cause problems. I started having pain in one of my knees. When doctor told me I was doing damage to my organs with pain killers I started researching "knee pain" and trying to find alternatives to drugs. I came across this book and thought it made sense. He wasn't selling anything, he didn't have his own line of vitamins or fancy creams. He just gives you his insights into what he knows and what he has learned. I started taking the supplement list he suggests. It's expensive per month but not too much. Well, in my opinion, it has helped me tremendously. I don't take pain meds and I only take his suggested supplements. My knee pain is still there but very faint, not like it was before. So I can say that the book has helped me learn about my body, my joints and how to keep them in fairly good shape as I move into my 50's. I don't plan on slowing down with my business so I feel I am on the right track following Dr. Diana's advice. I hope it helps you as well. You have to try in order to know.
2 of 2 people found the following review helpful.
Recommended
By Rebecca Mugridge
With arthritis in the family, having been a runner through my mid-40s, (OK, a jogger), and having not too long ago passed the halfway mark (i.e., my 50th birthday) this book offered me a wealth of information about staying in good shape for a long time. Author Richard Diana was a professional football player who experienced significant trauma to his knees and body. As an orthopedic surgeon, he regularly treats people with severe arthritis. He wrote this book to share what he's learned about the best way to treat arthritis to maintain healthy joints.
Written in terms that a layman can understand, Dr. Diana describes the root causes of arthritis, particularly the role of inflammation. He outlines the basics of inflammation, how joints work and what can go wrong with them, the foods that help or hinder inflammation, the role of supplements, and how exercise helps. He follows this with an eight-week plan to reduce inflammation and reduce pain, providing different approaches for people with mild, moderate, or severe arthritis. The appendix provides more in-depth information about the cell science behind inflammation and pain.
I found Dr. Diana's recommendations to be helpful, but not all that surprising. Suggestions about diet and exercise are consistent with many other resources on health. What I found particularly useful were the discussions about the types of food that either cause or reduce inflammation (hint: carbohydrates are not so great). I was surprised by the lengthy list of supplements that Dr. Diana recommends, many but not all of which have strong evidence to support them.
This book would be useful to not only people who already have arthritis, but also to anyone who wants to maintain a healthy lifestyle. Even folks who already eat healthily and exercise could glean more tips from this book about what foods to add to their diet and which ones to cut back on. I'm not a big fan of supplements, so I'll withhold judgment on that chapter.
2 of 2 people found the following review helpful.
Read this if you have pain or frustrated with your weight
By Amazon Customer
wow; if you have arthritis and/or joint pain read this book before any surgery. Compelling scientic studies covered in interesting way mixed in with his football and pts anecdotes. thank you dr. Diana for writing this book based on your years of practice. My neighbor, a pharmacist brought it to my attention after she lost wt and has greatly reduced her horrible hip pain by following his advice. Worth reading even if you aren't willing to follow every step of his advice. His coverage of supplements is thorough and fair minded. I like how he has you start with small steps and supplements and add to pile as the week wear on. I already exercise and stretch and takes some of the supplements he mentions but will carefully consider each of his suggestions. Read it if you or your loved one has pain or are overweight and "stuck" following the glycemic index and lowering carbs..work with exercise (even if we don't want to do it at first) you will feel better. sensible. practical. do able.
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