Dr. Paul Waytz
speaker
98 appearances
1 recordings
1 series
first heard Jun 2024
last heard Jun 2024
Dr. Paul Waytz’s voice in public audio — every appearance, attributed to the second.
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And so young men in their 20s and 30s, and I think the original data suggests that 30% of Korean War casualties had wear and tear arthritis in their neck, already noted. So the process may start early. Now, you may not have symptoms for a long time. But we know something may well be going on, which then goes back to say, well, maybe there is a genetic issue with wear and tear arthritis.
Maybe there is a disturbance of the autoimmune system that leads to this as well. So it was a fascinating study.
Before Barry, so, and then you have to rehab that other side too.
So it's like you can't win. Yeah, yeah. Go ahead.
Sure. Yeah. And starting right there with working on a computer is... as I was winding up my career, we were seeing a lot more neck problems because of the position you need to get into to work on, um, uh, a computer. So, you know, we talk about, you know, raising the screen so that it's at eye level, not that you're bending over it.
We see a lot of overuse issues with the hands, not only carpal tunnel syndrome because of the hand use on keyboards and things like this, but tendonitis and, you know, potentially even some wear and tear in small joints. and things like that because of overuse.
So again, an overuse of small joints, you have the kind of the sedentary issue of, you know, sitting at a desk for six, seven, eight hours. So all of that contributes. So that's, Part of the answer. So I think we're seeing a new phase of the last two decades of people with wear and tear problems. and the shoulders as well. Yeah, lifestyle changes, weight loss is obvious.
That's something that we always talk about and people think about, but I think the right amount of exercise that you put joints through your ranges of motion and things like that, that you strengthen, you mobilize. We think about certain physical activities such as swimming, which is not weight bearing.
a non-weight-bearing exercise, so you don't have the pounding on the lower body and the lower back that you would get from walking, from running, and maybe even walking, depending on how much arthritis you have. problem with swimming, it's a terrible exercise for osteoporosis, which is the loss of bone mass, which can lead to fractures, which is not a fun thing as we age.
So, you know, I don't run anymore. I used to run and I walk and I always say that if I knew about cross training, you know, 50 years ago, I'd still be running because I would have added biking, I would have added swimming and this type of thing. So I think, you know, I think it's,
I think our health in general depends on how we treat ourselves, what we put into our systems, and how we take care of ourselves.
Right, right. Well, in general, as we're, when we're younger, our joints and our soft tissue, when I say soft tissue, we're talking about ligaments, tendons, they're Flexibility is maintained by their ability to stretch and move. And some of that or a lot of that relates to fluid. I mean, there's little bits of fluid in our tissues that if you did a biopsy, you might not see it, but it's there.
We recognize that, that the chemicals that help us be flexible, the muscles, the tendons. and, uh, uh, and the ligaments as we age, we kind of lose that fluidity and some people lose it at a different age. Um, some people lose it when they're in their forties and fifties, some people not to their sixties or seventies.
So what happens is that you lose the flexibility or the ability of the muscle or the tendon and ligament to stretch as freely and as painlessly. And so, um, um, So things are tighter.
It's like if you had a very, a brand new rubber band that doesn't have the fluid, but as you stretch it more, you know, that it's the opposite issue there, but it's just, it's sadly a natural phenomenon that, that you. You get stiff. So as an aside, you know, Minnesota is home to so many Somali people, Somali people, the Somali language doesn't have a word for stiffness, right? Interesting.
And we would see a lot of Somali patients and I had an interest in taking care of them. And most kinds of arthritis, people feel stiff, especially rheumatoid arthritis and osteo. So they use a descriptive term like it's as if I have metal in my body, which is, you know, if you think about it, it's as if you have metal.
Yeah. And that's a multifactorial thing. With lupus, people die of kidney disease or they can die of brain disease. With... There are other kinds of inflammation. And again, people who don't even have joint problems, they have inflammation of blood vessels such that the blood flow is reduced maybe to the brain or to the heart.
And it's almost as if there's a clot there and they have strokes or they could die or they could have heart attacks. The other thing, and especially with rheumatoid arthritis is that people, With these new medications, that's changed, Clarence, but people would be very sick. They would be bedridden. They couldn't exercise. They couldn't move well. They would get pneumonia easier.
They would just be... chronically ill to the point that they couldn't participate in daily activities. And those people were just sicker in general, and they had earlier heart attacks than the general population. They would get pneumonia, and that would cause death. So that's changed a lot with our newer medications. And With rheumatoid arthritis in particular, there's two issues.
People with rheumatoid arthritis, their cholesterol levels and their lipid levels will go up. So that adds to the cardiac issue. The other issue is that inflammation in our systems will raise lipid levels. And
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