Stiffness leads to arthritis
Chapter 4.2 – Stiffness leads to arthritis – Movement and its effect on your joints.
That’s right I said it! Stiffness leads to arthritis. But, that doesn’t really mean what you think it means.
Let me explain.
Almost every day a new patient will inform me that they have arthritis or that arthritis runs in their family. The term arthritis is confusing. Arthritis literally translates to joint inflammation. And while I do think that most people today are walking around with high levels of inflammation, I don’t think that’s what they are referring to.
Arthritis is often used as a lay term for any joint pain or joint condition. The most common type of arthritis is not even inflammatory as the name would imply. The term arthritis would most accurately describe an autoimmune arthritis, gout arthritis or even infectious arthritis where the joint is degenerating under chronic inflammation. I will elaborate on auto-immune and inflammatory arthritis conditions in chapter 8, Chronic Stress.
So what do most people mean when they say they have arthritis?
What they are referring to is commonly known as Osteoarthritis. This is more technically known as Degenerative Joint Disease or Degenerative Disc Disease. To be clear, these are neither diseases nor are they familial or genetic. This more accurately is a consequence of entropy, not inflammation. This is not to say that degeneration of the joint won’t lead to inflammation and that inflammation of the joint won’t lead to degeneration.
Entropy is a universal law that relates that everything falls apart. (It reminds me of the Uroboros that I first read about in Jordan Peterson’s book Maps of Meaning.) This is to say and relate that Degenerative Disc Disease isn’t a disease but rather a constant adaptative state of the human structure. A consequence of existence.
Think of it like tooth decay. We know that tooth decay is a universal truth for all of us. The difference here is that we also know that we can slow down the rate at which our teeth decay by controlling multiple environmental factors. These include consistent brushing, flossing, good nutrition and avoiding traumas. It doesn’t include covering up your symptoms of decay with orthotics and pain relievers.
Despite great marketing, you don’t have a deficiency of Ibuprofen.
Your joint health isn’t much different. Entropy will inevitably degenerate your joints over time but because there is living tissue within the joints you can positively manipulate the rate at which you degenerate by encouraging a healthy environment similar to your dental hygiene.
What does a healthy joint environment look like?
First off, we know that cartilage is made up of living cells. All living cells need to produce and eliminate waste as well as absorb nutrients. Most of the cells in our body will have a direct blood supply in order to ensure these processes take place. Here’s the thing though, the articular joint cartilage does not. It has no blood supply and no lymph system to produce these actions. So first, a healthy joint environment will need to have some semblance of an exchange system in order for that living tissue to remain alive and well. The answer lies in the function and purpose of the joint.
So how do joint capsules receive nutrients and eliminate waste?
Let’s look at the joints function to better answer the question. All joints have two main functions to be considered a healthy joint.
- To have a full range of motion within their specific joint type characteristics. (Mobility)
- To provide stability while maintaining range of motion. (Stability)
A functionally healthy joint requires a balanced marriage of mobility and stability. The human skeletal system is rigid and protective creating a stable environment for which to safely engage with the physical world. This stability serves as the great protector of your nervous system as well as all other systems, but it is joint mobility in this rigid system that allows us to physically interact within the world.
If mobility increases beyond normal and stability decreases then trauma may ensue usually to the components of the joint capsule. This instability will usually lead to a sharp rebound in favor of stability through muscular guarding and therefore decreased mobility of the joint for healing purposes. A chronic decrease in mobility will result in physiological adaptation towards permanent osteogenic stability. (DJD, eburnation, osteophytes, bone remodeling)
Balance is key in this relationship. Chronic or extreme deviation from a balanced relationship of physical stress will result in adaptive changes always favoring stability. Physiologically the body will produce osteogenic stabilizing changes characteristic of “Degenerative Joint Disease” such as ligamentous thickening, bone remodeling and bone spurs. Wolff’s law states that bone in a healthy person or animal will adapt to the loads under which it is placed. Bone lays down where it’s needed and is reabsorbed where it is not. This bony process of remodeling and eburnation creates a more solid surface area thus creating sustainable stability. Unfortunately, this physiological survival technique forgets that mobility serves multiple purposes to the human body as you can read about here in 12 critical reasons your entire body needs exercise.
The function of mobility is obviously also critically important to our survival as a species, but for now, let’s focus on why it is essential to these living tissues within a joint capsule. In order for articular cartilage to indirectly receive nutrients and eliminate wastes an exchange of hyper-filtered blood known as synovial fluid must occur through movement of the stable joint.
A synovial joint capsule such as the elbow will engage in a synovial fluid exchange with the surrounding blood vessels with every flexion and extension motion produced.
A vertebral disc (cartilaginous joint) uses a process known as imbibition to suck in this hyper-filtered blood and push out the toxins. It’s best to think of this like a sponge. The multiple spinal ranges of motion will allow for disc compression and decompression thus creating a squeezing out and sucking in of synovial fluid. This creates the nutrient and waste exchange needed for living cells.
Every movable joint including discs require movement to make this fluid exchange happen. Without movement (subluxation) the articular cartilage begins to decay and degenerate from lack of nutrients and build-up of wastes. It is these initial degenerative changes of articular cartilage that can lead to the break down of the joint and thus chronic inflammation surrounding these joints and eventually within the joint.
What are some common variables that can increase or decrease these degenerative changes?
5 Ways Movement Impacts Arthritis.
1.) Traumatic movement – Avoid traumas but when they do inevitably happen, you need to stop what you’re doing and rehabilitate the problem. As I explained above, toxic physical stress (increased toxic mobility) such as a motor vehicle accident can create splinting or guarding. Joints like the ankle will swell with inflammation creating hypomobility so the joint can repair the damaged tissue. The general advice is to stay off the damaged joint and slowly increase mobility as well as weight-bearing exercises as tolerated. Spinal joint damage will result in similar symptoms with the added splinting of involuntary postural muscles. The old advice was to stay in bed and let the damage heal. What we know now is that most joint injuries recover better when safe mobilization of the joint happens as soon as possible. The mobilization of the joint will allow for fluid exchange as described above but also allow for the brain to reset its proprioceptive awareness of the damaged joint. The neurological rehabilitation of the joint is equally important for the full recovery of the joint segment. A joint left immobile or hypomobile (altered movement) will result in the mechanical degenerative condition described above as well as the neurological damage as described in 7 scientific ways movement improves your brain. This is the case for every joint but especially the 139 synovial joint articulations and 23 discs in the human spine. The inevitable traumatic injuries in life are enough to understand why everyone should be under the care of a good Chiropractor and consistent corrective exercises. A joint left immobile for extended periods of time will adapt with an increase in degenerative osteogenic changes (overstabilization). Bone spurs are an effective way to increase the surface area of an unstable joint and efficiently stabilize the guarded area. Restore joint mobility after any trauma and you can stop the degenerative process and increase the regenerative process of “arthritis”.
2.) Altered movement – Correct your movement form. Form comes before function. Proper movement needs proper form. Improper form provides an imbalance of chronic toxic physical microstressors thus causing abnormal joint strain. A great example would be Upper Crossed Syndrome. This malpositioned form, with rounded shoulders, tight pecs and weak neck muscles creates a poor environment for the function of the shoulder complex, upper back and neck. This chronic malposition of the upper body will ultimately result in the early degeneration of these musculoskeletal systems. It is my opinion that this is the most common cause of joint damage in today’s society. I have multiple blog posts related to diagnosing and correcting your posture. Many of the physical stressors in life may never reach toxic traumatic levels if someone’s posture is correct and strong enough for the physical task at hand. I know that almost every person reading this blog has heard “lift with your legs”. This statement relates using proper form and function of the body is physically healthier than using bad form and function when lifting with the back. This poor alteration away from correct biomechanics will lead to abnormal force loading at the expense of the articular cartilage as well as the whole joint complex. Multiple small traumas over time will lead to the same degenerative results as one large acute trauma described above. The answer is to restore proper form, therefore, restoring proper mobility.
3.) Repetitive similar movements – Constant varied movement – Ok, maybe not constant, but near-constant motion is ideal. A sedentary life will create chronic immobilization and therefore chronic lack of nutrient exchange. The articular cartilage and any other tissue relying on nutrients will begin to degenerate. The body will adapt to its new environment and effectively remove your joint space for a more protective and stable bony structure. Constant varied motion does not mean you cannot rest, but rather you should have short periods of rest. In our culture of convenience today we leave our bodies at rest more than we actively pursue motion. We were not built to sit for long periods of time, yet many will sit for 8-14 hours a day. If you recall in our last blog about movement and the brain, I relate the idea that we need a balance (hormesis) of stressors for the positive progress of our well-being. Sleep is the greatest of physical rest, unfortunately, we often take it for granted as if it were an inconvenience.
Find ways to create constant and varied motions in your everyday activities. Repetitive similar motions create movement but tend to wear out the joint if not varied. This is to say, change your daily environment to keep you safely moving within your capabilities. For those of you that need more of a practical example. Get a standing desk and a sitting desk. Change your position regularly. Try not to do joint stacking in any of your positions. Let your muscles remain consistently engaged for proper postural control.
4.) Movement of nutrients – As described above, the synovial exchange of nutrients depends highly upon the movement of your musculoskeletal system. Another factor in the movement of your nutrients from blood to synovial fluid is the chemical composition of your blood. This portion of the nutrient exchange depends upon the viscosity of your blood as well as the nutrients in the blood. This factor most often depends upon your lifestyle choices. In my blog posts on Eat Real Food, I try to relate to you the importance of diet on the entire human structure as well as the absurdity of our fast-food culture. You are what you eat is one of the truest summary statements I have yet to hear. The nutrients in your food, feed your cells which ultimately make up every part of your body. This factor alone should help you to make better choices, but I’ll stick to my original point. The chemical composition of your blood carries nutrients as well as many other factors. These factors such as the inflammatory chemicals released under chemical, physical or emotional stress will thicken the blood. Increased blood sugar due to an imbalance in macronutrients will also lead to thickening of the blood. Dehydration, another factor due to poor habits of water intake, will increase the viscosity of blood. This high viscosity of the blood will impede the effect of imbibition as well as the synovial fluid exchange needed to provide nutrients to the articular cartilage of a joint. The movement of nutrients through the permeable joint capsule highly depends on movement of the joint, but also on the movement capability of the fluids.
5.) Guarded movement – Restraint of the musculoskeletal system due to chronic emotional stress. Hopefully, you now understand the importance of rehabilitating restricted movement post-trauma (physical stress). This lack of movement due to acute physical stress creates an ideal environment that is intended to lead to healing. This same restriction of movement if left unattended or chronically disrupted can instead lead to degenerative adaptive changes described above. Similarly, emotional stress can create restricted movement with muscle guarding due to the sympathetic nature of the stress response. I’ve elaborated on this response in 3 Ways Chronic Stress Kills You Faster. Here, in this post, I want you to understand that this stress response is ingrained in us for survival purposes. The mere threat of a physical threat, real or perceived, can trigger this cascade of chemicals used to ensure that you live to see another day. A person living under chronic emotional stress (chronic fight or flight /sympathetic dominance) will, in fact, have an increase in muscle tone and a decrease in range of motion as to prepare for an imminent threat. I often relate this to an emotionally abusive relationship, but in truth, this type of emotional stress is common in today’s culture of social media ideals and constant fear of missing out. We live in an amazing time to be alive but are often too buried by the stress of these ideals to notice. My best advice to you is to reduce unnecessary stress and/or find coping strategies, such as exercise, that help to offset the negative effects of the sympathetic stress response. Here in my blog post 7 Scientific Ways Movement Improves Your Brain, I explain how exercise reduces the negative effects of stress.
“An ounce of prevention is worth a pound of cure”
― Benjamin Franklin
Arthritis prevention is ideal, but can we reverse it?
Yes, it can be reversed or more accurately rehabilitated. You can stop the effects of “arthritis” and regenerate the living tissue inside the joint capsule. This is not to say that you can turn back time or become a superhero. You can, however, rehabilitate the living tissue of a healthy human and strengthen for any damages that are unable to be naturally mended. We have discussed Wolff’s law, hormesis and the needs of living tissue. If you can restore joint mobility, strengthen for altered motion, consistently move your joints, feed your joints the proper building blocks of cellular life and decrease the chronic stress you are placed under, then you can reverse the process that we commonly refer to as arthritis, osteoarthritis, degenerative disc disease or degenerative joint disease. We are all subject to aging and entropy, but it can be done gracefully. Here, one of my mentors and favorite characters of Chiropractic, Dr. John Bergman discusses how we can reverse arthritis naturally.
Chiropractic Soapbox
“Medicine is the study of disease and what causes man to die.
Chiropractic is the study of health and what causes man to live.”
– BJ Palmer
This whole chapter on movement constantly brings me back to Chiropractic. Movement at its core is essential to Chiropractic. We restore motion to a subluxated segment. That restoration of motion allows for the physiology of the body to continue to function normally. This will have positive effects on all other 11 systems of the human body including the nervous system. There are many anecdotal stories of Chiropractors decreasing musculoskeletal pain as well as many stories of their patients reporting beneficial outcomes from more organic conditions such as acid reflux, vision impairment, hearing conditions, heart palpitations, bowel issues, asthma and more. Many of these stories at a time when food was always organic, medicine was used sparingly, primarily in acute critical conditions and chronic stress wasn’t the norm.
In the early days of Chiropractic, patients weren’t inundated with fake food, toxic chemicals and chronic stress. The Chiropractic adjustment could remove subluxation and the healing process would begin. Nowadays, it has become one piece of the puzzle when creating a wellness plan for the patient to juggle.
Today’s Chiropractor should be: well-grounded in adjusting techniques to remove subluxations and restore mobility back to any joint compromised. Well versed in exercise physiology and physiotherapy so that they may help a person restore their strength and posture back to their physical structure as well as recommending good physical habits to keep these systems healthy. Well educated in nutrition and physiology of the human body for recommendations on how to create a wellness plan that juggles all the necessary essentials of a healthy life.
For these reasons and more, I believe Chiropractors have an advantage in the utmost care of their patient’s well-being.
In Summary...
“Arthritis” – AKA – Osteoarthritis, Degenerative Arthritis, Degenerative Disc Disease, Degenerative Joint Disease, Spondylosis.
- Non-inflammatory joint degeneration.
- Not a disease or syndrome.
- Not genetic or familial.
- Movement of joints is needed to exchange nutrients and wastes.
- Proper nutrients are needed to regenerate the living cells of cartilage.
Movement – Joints need a full normal range of motion for ideal health. Guarded movement or hypomobility due to:
- Trauma
- Posture
- Stress
- Sedentary lifestyle
- Lack of synovial fluids and nutrients
The Fix – Restore joint mobility and a healthy joint environment:
- Rehabilitate from trauma and work to avoid new trauma.
- Rehabilitate posture for your type.
- Decrease stress emotional or otherwise to avoid unwanted muscle tension.
- Intentionally varied daily movement.
- Eat Real Food for proper nutrients to rebuild cartilage.
One Adjustment Action Step
- Find a good Chiropractor. One that will adjust to remove a subluxation, but also encourage health with postural correction, exercise advice and nutritional direction.
- Read previous blog posts on posture to understand your structure and begin to perform the exercises associated with your postural type.
- Understand the role of stress for survival and how chronic stress contributes to most of our illnesses today. Read – 3 reasons chronic stress kills you faster.
- Make a plan to move. Movement is life delves into the reason why “sitting is the new smoking”.
- Read Eat Real Food for a basic understanding of good nutrition necessary for healthy joints. ( Real Food Reset coming soon)
- Understand why hydration with pure water is necessary for all functions in life especially the joints.
This blog post on movement and its effects on the musculoskeletal system was not originally planned as I thought that this knowledge had already been explained and that it was assumed. I have been informed by a few readers that when I assumed, that I made an ass out of myself. So… onto the next topic of movement and how it can affect your immune system. I hope you are enjoying. Please feel free to leave me a comment. Follow me on Twitter or share this article on your social media channels.
Thank You,
–Nick the DC
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