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Active Retirees : Active Retirees Feb-March 2013
HEALTH Water “As we age our thirst mechanisms deteriorate,” says Macfarlane. “This means that we no longer get the signals to tell us we’re thirsty.” Aim for six to eight glasses of tap water a day. Unsweetened tea can account for a couple of glasses, but not all of them, and alcohol doesn’t contribute to your fluid intake at all. ASK THE PROF Q I enjoyed the Arthrowand article in Active Retirees Aug/Sept 2012. It sounds like what I need in my left knee. However I have bursa problems in both legs from knees to hips. My GP sometimes treats me with cortisone, but not very successfully. Do you have any advice? A A bursa is a small sac of fluid that lubricates the space between bone and tendon. Repetitive movement of a tendon can cause inflammation of the bursa, known as bursitis. Resting the area followed by a short course of anti-inflammatory medication and a physiotherapy stretching program usually fixes the problem. An occasional cortisone injection may provide short term relief although it is not usually a long term solution. Bursal problems are rare causes of knee or hip pain, commonly mistakenly reported on ultrasound scans. HEALTHY HABIT BOOSTERS The NSW Food Authority has a free wallet-sized NIP reference card that you can download and take shopping W: www.foodauthority.nsw.gov.au Food Standards Australia lists the details of hundreds of additives and their numbers. W: www.foodstandards.gov.au RSPCA is a great resource for finding out more about farming practices in Australia. W: www.rspca.org.au Nutrition Australia provides further information on healthy eating at any age. W: www.nutritionaustralia.org An accredited practising dietitian can help tailor a personalised nutritional plan to your individual needs. See your GP for a referral and to find out if you’re eligible for rebates through Medicare, and find a dietitian through Dietitians’ Association of Australia. W: dsn.daa.au Find out more about food sustainability and what you as a consumer can do to improve farming practices at the NSW Government’s Love Food Hate Waste campaign website. W: www.lovefoodhatewaste.nsw.gov.au 34 | www.probussouthpacific.org Before any treatment advice can be given a diagnosis has to be made. To make a diagnosis a history must be taken and a physical examination performed. Following this, appropriate investigations are undertaken to confirm the diagnosis. If a clear diagnosis is not made before ordering investigations then any condition that is found on a scan will be mistakenly taken to be the cause of the problem. In the case of 'bursas' an ultrasound of the knee may show various bursas which are mistakenly taken to be the cause of knee pain when the real problem is wear and tear changes in the knee (osteoarthritis). A further discussion with your GP may clarify these issues. Associate Professor Nigel Hope, Orthopaedic Surgeon, is available to talk at Probus club meetings in Sydney. Contact Angelique to arrange a talk for your club. T: 0499 773 700 Do you have a medical question? E: email@example.com
Active Retirees Dec-Jan 2013
Active Retirees April-May 2013