What To Eat (And Skip) on a Rheumatoid Arthritis Diet To Reduce Painful Inflammation

From womansworld.com

Plus, a doctor debunks RA myths about nightshade veggies, carbs and dairy

When you’re living with rheumatoid arthritis (RA), the fatigue, pain and joint stiffness can make even simple tasks seem difficult. And while following an anti-inflammatory diet eases symptoms, what does that actually entail? And how much do you have to give up on a rheumatoid arthritis diet? Fortunately, there’s good news to report: You don’t have to overhaul how you eat to get the benefits, says Susan J. Baumgaertel, MD, a primary-care physician founder of myMDadvocate. 

“Managing a chronic illness like RA can feel overwhelming,” says Dr. Baumgaertel, who has been living with RA for 24 years. “It’s easy to feel like there are too many barriers and tasks, and people often give up.” Instead, the key is focusing on balance and quality when it comes to a rheumatoid arthritis diet. 

Here’s what you can enjoy, what to eat in moderation and what to avoid to reduce your risk of future RA flare-ups.

What is a rheumatoid arthritis diet?

Rheumatoid arthritis is an autoimmune disorder where the immune system mistakenly attacks healthy tissues, leading to joint inflammation and pain. Beyond the joints, RA can cause fatigue, fevers and affect the heart, lungs and skin.

Diet may not be as significant a risk factor as smoking, but what you eat influences inflammation and gut health, both key to managing rheumatoid arthritis, says Dr. Baumgaertel. 

“Instead of focusing on restrictions, think about ‘eating the rainbow,’” she says, noting a colourful plate of fruits, vegetables, whole grains and lean proteins can provide a wide range of nutrients to keep inflammation in check. 

“Packaged and processed foods might contain additives or ingredients that could trigger your inflammatory system without you knowing exactly what is doing it,” she explains.

What to eat and drink on a rheumatoid arthritis diet

• Protein and calcium: Lean heavy on beans, legumes, tofu, eggs, dairy and leaner meats such as chicken and turkey, Dr. Baumgaertel advises. These are good sources of essential nutrients that support muscles and joints. Calcium-rich foods like spinach, kale, broccoli, and bok choy also benefit bone health.
• Omega-3 fatty acids: Fatty fish like salmon, walnuts and flaxseeds are rich in omega-3s fatty acids, which research shows reduce inflammation. Not a fan of seafood? You can also get the benefit with fish oil supplements.
• Water: Hydration is not directly linked to RA flares, but drinking enough water may reduce inflammation and keep your joints cushioned, Dr. Baumgaertel says. There is general guidance to drink eight glasses of water a day, but this can fluctuate depending on your needs. “Just aim for what feels right,” she says. And note that fruits and vegetables contain water, too. Bonus: Anti-inflammatory beverages like green tea and cranberry juice also count toward your daily water consumption.
• Fibre-rich foods: Incorporating whole grains like brown rice, quinoa and oats can provide the fibre needed for digestive health. Whole grains also support overall inflammation reduction by stabilizing blood sugar levels and promoting gut health.
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What to limit or avoid on a rheumatoid arthritis diet

• Processed foods: These can trigger inflammation, as they often contain unhealthy fats, added sugars and refined carbs. They may also increase the risk of developing cardiovascular disease among those with RA.
• Saturated fats: Saturated fats, which are often found in red meat and full-fat dairy, can increase inflammation. Swap these for plant-based proteins or lean meats, Dr. Baumgaertel suggests.
• Alcohol and salt: Excess alcohol can increase inflammation, and too much salt may lead to fluid retention, exacerbating joint pain. Reducing alcohol and sodium intake can help ease RA symptoms.
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Two rheumatoid arthritis diet myths debunked

Still not totally sure what you can eat and what you should skip? There are some diet myths that can mislead people with rheumatoid arthritis. Dr. Baumgaertel helps clear up two common ones:

• Myth: You can’t eat nightshade vegetables: “Some believe nightshades (like tomatoes, eggplants and peppers) worsen RA, but it varies from person to person,” she says. “Listen to your body, but don’t feel pressured to eliminate them unless they bother you.”
• Myth: You have to completely eliminate carbs and dairy: Cutting out carb or dairy out of your diet won’t cure rheumatoid arthritis. “Balance is more important than extreme restrictions,” says Dr. Baumgaertel. “You need carbs for energy and dairy for bone health.”
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The Mediterranean diet is the gold standard for rheumatoid arthritis

If you’re looking for an overall eating plan to follow, the Mediterranean diet is a great option for folks with rheumatoid arthritis. It’s rich in fruits, vegetables, whole grains, legumes and healthy fats like extra virgin olive oil, says Dr. Baumgaertel.

“Embracing a Mediterranean diet can be helpful because it’s more like a [healthy overall] approach to eating rather than a diet,” she says.

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

https://www.womansworld.com/wellness/pain-management/rheumatoid-arthritis-diet-what-to-eat-to-reduce-inflammation-and-pain

Doctor says constant tiredness combined with stiff hands and feet can be hidden sign of rheumatoid arthritis

From ladbible.com

Dr Ahmed took to TikTok to urge people to contact their GP if they are experiencing these symptoms 

If you just can't seem to shake your tiredness no matter how much sleep you have gotten and your limbs are feeling rigid each morning, it might be time to get the once-over from a medic.

It may very well be something and nothing, but it's better to be safe than sorry - as according to this doctor, these symptoms can be a sign you may be suffering from a common condition which requires urgent treatment.

Without wanting to cause panic, Dr Ahmed took to TikTok to warn that without prompt medical intervention, patients can end up with 'severe bone destruction'.

The UK-based medic explained that 'feeling tired all the time' as well as having stiff hands and feet 'especially in the morning', could be an indicator that you have rheumatoid arthritis.

According to the NHS, this is an autoimmune disease which causes pain, swelling and stiffness in the joints, which typically affects the hands, feet and wrists.

Sufferers can experience excruciating flare-ups as well as living with day-to-day pain, which is a result of the body's immune system mistakenly attacking the cells that line the joints.

As a result, they are swollen, stiff and painful - and over time, the joints, cartilage and nearby bone can suffer significant damage.

In a TikTok video, Dr Ahmed explained that symptoms of rheumatoid arthritis are generally 'symmetrical', meaning that both sides of a patient's body will be affected.

He told social media users: "The main symptoms are pain, stiffness, swelling and redness of the affected joints.

"But there are other widespread symptoms as well - these can include a high temperature, feeling tired all the time, weight loss, poor appetite and mood problems."

The doctor explained that if a patient is suffering from any of these, medics will book them in for blood tests to rule out whether it is rheumatoid arthritis or not.

He added that X-rays and MRI scans can also help doctors determine whether someone is suffering from the condition, while emphasising that time is of the essence when it comes to a diagnosis.

"We diagnose and treat rheumatoid arthritis early, because if left untreated, it can cause severe bone destruction," Dr Ahmed continued. "And it can cause widespread inflammation, which can affect many other organs.

"These organs can include the lungs and heart, so it can cause pulmonary fibrosis, pleurisy or pericarditis, which is inflammation of the heart.

"It can also affect the eyes and cause vasculitis, which is inflammation of the blood vessels."

The NHS warns that those with rheumatoid arthritis may also experience carpal tunnel syndrome, as well as being more at risk of suffering a heart attack or stroke.

The social media medic continued: "Obviously, these complications can be very serious which is why treatment is so important - especially early - to help not only manage your symptoms, but stop you getting any of these complications."

However, he did warn that the medication offered to people with rheumatoid arthritis can also cause some 'nasty side effects', which is why patients are closely monitored by their GP and rheumatologist.

Social media users praised Dr Ahmed for his latest informative video and flooded the comment section with their thoughts.

One person wrote: "Yes, I have this every morning and throughout the day. I also have pain in knees and ankles."

Another commented: "Thank you for your info."

A third wrote: "I have it and it's not fun."

And fourth added: "It's a shame you're not my GP!"

https://www.ladbible.com/news/health/uk-doctor-explain-symptoms-rheumatoid-arthritis-180916-20240914

Is It Bad to Drink Coffee if You Have Rheumatoid Arthritis?

From healthcentral.com

Most people with RA can still enjoy their morning coffee—in moderation 

You love your morning cup of coffee but if you have rheumatoid arthritis (RA), you may sometimes wonder if you should be cutting back—or skipping it completely. While coffee consumption has been linked with acid reflux, sleep troubles, and increased anxiety (depending on how much you drink), there’s no data showing it’s harmful for people with RA. In fact, it might even be helpful. Let’s take a deeper look at some of java’s pros and cons.

Is Coffee Bad for RA?

The short answer is no. But that’s not always the same answer for everyone: Coffee affects people differently, so it’s possible it could bother some people with RA. “If there are certain triggers that people find to be personal, I’m not one to tell them that it’s not true,” says Lena Eder, M.D., a rheumatologist and internal medicine doctor at Duke Health in Raleigh-Durham, NC. “Everyone’s autoimmune and symptom profile is personal. I wouldn’t be surprised if we find out that for some people coffee can be a trigger.”

When you have a cup of coffee, you’re really ingesting a drink with potentially two powerful aspects. First, coffee beans contain healthy plant-based compounds. “The hydrocinnamic acids and polyphenols in coffee have quite powerful antioxidant properties,” says Lena Bakovic, a registered dietitian nutritionist with Top Nutrition Coaching in Palm Beach Gardens, FL.

Second, coffee naturally contains caffeine, a stimulant. (Decaffeinated coffee also contains very small amounts of caffeine.) According to the Food and Drug Administration (FDA), consuming up to 400 milligrams (mg) a day of caffeine is safe (that’s about four to five cups of coffee, depending on the brew type and how big your mug is). The more you drink, the more noticeable its stimulant effects may be (regardless of whether or not you have rheumatoid arthritis). “However, some people may experience negative side effects—jitteriness, anxiety, or difficulty sleeping—with even lower amounts of caffeine,” cautions Bakovic.

Of course, anything you add to your coffee, whether that’s creamers, sweeteners, syrups with additives and/or preservatives, can potentially impact your RA symptoms and negate some of the beverage’s potential health benefits.

Benefits of Coffee

Overall, coffee has a winning reputation, at least in studies. Research has linked coffee consumption with a lower risk of type 2 diabetes, dementia, certain cancers, depression, and Parkinson’s disease, according to experts at Harvard T.H. Chan School of Public Health. “The antioxidants contained within coffee may have an anti-inflammatory effect, which may be helpful with RA symptoms,” says Bakovic. Antioxidants help fight cell damage, which is part of many chronic health conditions, as well as the aging process. “Coffee consumption been linked with improved longevity as well,” says Dr. Eder.

Coffee also may be heart-protective: A review published in 2023 in Ochsner Journal found that regular coffee consumption is linked with a lower risk of developing high blood pressure, heart failure, atrial fibrillation, and all-cause and cardiovascular-related early death. This is important for people with RA, who have double the risk of developing cardiovascular disease (CVD) due to elevated levels of inflammation in the body, according to a study published in The Lancet Rheumatology.

Just note: There is some research showing drinking unfiltered coffee can increase levels of “bad” cholesterol, which can contribute to CVD risk, and caffeine may temporarily elevate blood pressure, according to the American Medical Association. Try to drink your coffee filtered, and if you have any blood pressure issues, check with your doctor about your caffeine habit and whether it’s still serving you.

Coffee and RA Medications

Many people with RA take disease-modifying anti-rheumatic drugs, a.k.a. DMARDs, such as methotrexate, adalimumab, or Janus kinase (JAK) inhibitors. “Coffee shouldn’t interfere with these medications,” says Kevin Byram, M.D., an associate professor of medicine in the division of rheumatology and immunology at Vanderbilt University Medical Centre in Nashville, TN. It may even help you tolerate some of the side effects of these drugs. “Some patients have what’s called the ‘methotrexate flu’ the day or so after they take the drug,” says Dr. Byram. Symptoms can include headaches, fatigue, and malaise. “One of the things that may help is to drink an extra cup of coffee on those days,” he says, since the caffeine can give you an energy boost and potentially help resolve head pain.

Coffee and RA Symptoms 

When used moderately (not exceeding the 400-mg-a-day recommendation), coffee shouldn’t exacerbate any RA symptoms, whether they’re coming from the disease process itself or side effects from medications. But since everyone’s symptoms, medication side effects, and severity can differ, it’s always possible coffee could be having a negative impact.

Some of the most common symptoms of rheumatoid arthritis include joint pain, stiffness, and swelling. People with RA may also complain of fatigue, depression, fever, heart and lung problems, dryness in the eyes and mouth, and more, according to Johns Hopkins Arthritis Center. While caffeine can be a diuretic (making you pee more and contribute to feelings of dryness or fatigue), coffee is mostly water, so it shouldn’t cause dehydration, according to experts at the Mayo Clinic.

It's not uncommon for people with RA to have gastrointestinal (GI) problems, according to the Arthritis Foundation, which can include diarrhoea, constipation, reflux, or nausea. Some of these symptoms could also be due to medications, which tend to have a long list of possible side effects. Drinking coffee could contribute to GI distress, including reflux, nausea, or diarrhoea.

Coffee and RA Management

Coffee shouldn’t interfere with your ability to manage your condition, but diet and supplements can impact your RA—in good and bad ways—says Dr. Eder, so be sure to talk with your doctor about what you’re eating and taking. “It’s okay to drink coffee, but keep in mind the recommendation ‘everything in moderation.’ And try to stick to a Mediterranean-style diet, which has the most research for being beneficial for RA.”

Coffee Alternatives for RA

If you find coffee exacerbates any of your RA symptoms (or causes discomfort in general), cut back on your consumption, try decaffeinated coffee, or switch to another drink. Tea contains lower levels of caffeine but is also packed with healthy plant-based compounds, especially green tea. Herbal teas, called tisanes—such as peppermint, ginger, turmeric or chamomile—can also be beneficial for various RA symptoms. “Yerba mate, matcha, and chai are some alternatives to tea and coffee,” says Bakovic. “They each have their own nutritional benefits.”

You might be surprised to discover you don’t need coffee for energy. In fact, healthy lifestyle habits may be able to make up for the energy you’re missing if you skip coffee (and they’ll help your RA as well, says Dr. Eder). Good sleep, exercise, a healthy diet, and staying on top of your RA treatments can help you feel your best.

Talking With Your Doctor

If you drink coffee, ask your doctor if they expect it to have any effect on your current RA picture (your stage, whether you’re in remission, your medications, and other health issues). It may prompt a discussion about other aspects of your diet. If you’re not sure how your diet rates for fighting inflammation, ask for a referral to a dietitian who can make sure everything you eat and drink is helping to address inflammation and lower your risk of flares as well as other chronic diseases.

Bottom Line

If you’re enjoying coffee in moderation, there’s probably no need to give it up. If you think it’s exacerbating your symptoms or interfering with your medications, try cutting it out of your diet and see how you feel. That’s the easiest way to know if it’s causing problems: Just do it gradually to avoid the dreaded caffeine-withdrawal headache.

https://www.healthcentral.com/condition/rheumatoid-arthritis/rheumatoid-arthritis-and-coffee

Bacteria behind gum disease worsens arthritis, study shows

From oralhealthgroup.com

Researchers from Tokyo Medical and Dental University have discovered that Aggregatibacter actinomycetemcomitans, a bacterium known to cause gum disease, can exacerbate rheumatoid arthritis (RA).

Published on August 15, the study used mice to examine this link and found that infection with this bacterium triggers an immune response that aggravates arthritis symptoms.

Previous clinical studies have shown that A. actinomycetemcomitans is associated with “aggressive periodontitis,” an inflammation of the tissue surrounding the teeth, and may potentially worsen RA. However, the exact mechanism remained unclear until this study.

Key player protein

The researchers identified a key player in this process: a protein called caspase-11. When A. actinomycetemcomitans is present, caspase-11 activates the inflammasome, a group of proteins within immune cells that leads to increased inflammation in the joints. This heightened inflammation exacerbates arthritis symptoms.

Interestingly, when the researchers blocked caspase-11 or employed treatments to reduce inflammasome activity, the mice experienced significantly milder arthritis symptoms.

“Joint swelling and immune cell infiltration were notably lower in caspase-11-deficient mice compared to wild-type mice following A. actinomycetemcomitans infection,” the study notes.

This finding suggests that targeting this pathway could offer a new approach to treating or managing rheumatoid arthritis, particularly in patients with concurrent gum disease.

https://www.oralhealthgroup.com/oral-health/bacteria-behind-gum-disease-worsens-arthritis-study-shows-1003981220/ 

8 ways to keep your knees healthy

From restless.co.uk

Our knees are the largest joint in the body and we rely on them for pretty much all movement – including walking, running, jumping, and climbing. This means that – alongside factors like ageing, injury, weight gain, genetics, and osteoarthritis – it’s not unusual for our knees to undergo a certain amount of wear and tear over the years.

While knee pain and stiffness can become more common as we age, it doesn’t have to be inevitable – and the good news is that there are things you can do to help keep your knees as healthy as possible.

Here, we’ll cover eight ways to protect and care for your knees.

How do our knees change with age?

With each step we take, our knees fight against gravity and absorb body pressure. People of any age can experience knee pain, but mature adults are generally more at risk.

This is because knee cartilage gradually breaks down over time, which can make muscles and ligaments weaker. Together, these factors can increase the risk of knee injury, pain, and/or swelling.

What other factors can affect knee health?

As well as ageing, there are a number of other factors that can impact knee health.

This includes genetics, activity levels, and previous knee injuries like bursitis, tendinitis, and fractures. Even if an injury occurred a long time ago, there can be long-term damage to the bones, joints, muscles, and ligaments.

Some of the most common knee problems and symptoms include pain, swelling, redness, stiffness, weakness, popping or crunching sounds with movement, and an inability to fully straighten the knee.

According to the NHS, a type of knee pain called patellofemoral pain syndrome (also known as runner’s knee) is one of the most common conditions. It occurs when the knee cap rubs against the thigh bone during movement – and is thought to affect around a quarter of all adults at some stage. It’s usually caused by overuse of the leg.

Knee pain can also be an issue for those with osteoarthritis because the condition is associated with deterioration of the cartilage in the knee joint.

8 ways to keep your knees healthy

So, what can you do to improve your knee health?

We’ll cover some ideas below…

1. Maintain a healthy weight

Being overweight increases the pressure placed on your knees. Not only can this add stress to the joint, but it can also speed up the breakdown of cartilage.

In fact, research estimates that a force of nearly three to six times a person’s body weight is placed on the knee while walking. This means that being only 4.5kg overweight can increase pressure on the knee by between 13-27kg each step.

According to experts, this makes overweight women nearly four times more likely to develop knee osteoarthritis, and overweight men five times more likely.

If you’re looking to lose weight in a healthy way, you’ll find plenty of tips on the diet and nutrition section of our website. This includes guides on popular diets and articles such as 10 tips for healthy eating out and 15 quick and easy diet swaps for a healthier lifestyle.

2. Add low-impact exercise to your routine

It can be tempting to avoid exercise if you’re struggling with knee pain. But this can  be counterproductive as studies have found certain types of exercise to be beneficial for maintaining healthy joint function, reducing knee pain, and improving strength and range of motion in the knees.

Low-impact exercises are a good option for anyone wanting to stay active without putting too much pressure on their joints.

Some examples of low-impact exercise include rowing, swimming, yoga, Pilates, and walking netball or football. For more ideas, check out our articles; 15 low-impact exercises and 7 low-impact exercises you can do at home.

You might also like to check out Rest Less Events, where you’ll be able to browse a range of online fitness classes. There’s something for everyone here, whether you’d like to join a yoga class, try Tai Chi, or sign up to DISCOaerobics.

Browse fitness events

3. Work on strengthening the muscles around your knees

Strengthening the muscles that surround your knee joint can be beneficial for knee health.

This is because having stronger muscles reduces the amount of pressure and strain placed on the knees. Ultimately, the stronger your legs are, the more they can help to cushion your knees during movement.

Some of the most beneficial areas to work on for knee health include the outer, middle, and inner thigh muscles – and resistance training is a useful way to do so.

You can build strength both at home or in the gym – and with minimal equipment. For more information on how to get started, check out our article, The importance of building strength and balance in your 50s and 60s, or have a read of our guide to joining the gym.

4. Improve your posture

Having good posture is all about keeping your spine in neutral alignment. When your spine is aligned, the rest of your body follows.

Good posture puts us in a better position to improve flexibility and build strength and balance – all of which can have a significant impact on the amount of stress placed on joints. Research has also found that good posture is important for keeping joints lubricated, which helps to prevent stiffness and pain.

If you’d like to get started, why not give these 5 exercises to help improve your posture a go?

5. Eat a joint-friendly diet

Diet can be a powerful tool when it comes to knee health.

Various nutrients – including vitamins A, C, D, and K, calcium, and omega-3 fatty acids – have been found to be particularly beneficial for joint health. Examples of foods rich in these nutrients include fatty fish, walnuts, ginger, broccoli, spinach, and olive oil.

For example, studies show that broccoli’s vitamin C content is important for protecting and creating cartilage – which is essential for allowing bones to glide over one another smoothly.

Research has also revealed that people who eat higher amounts of omega-3 fatty acids are less likely to develop rheumatoid arthritis – a condition that commonly affects the knees.

Meanwhile, alcohol, added sugars, red meat, refined carbohydrates, and processed, fried, or high-fat foods have all been found to have a negative effect on knee health. Take this study, which found that eating too much processed and red meat can increase inflammation in joints and cause pain and stiffness.

For more information on how to tailor your diet to boost knee health, check out our article; 10 best foods for healthy joints and which to avoid.

6. Stretch regularly

Very few of us take the time to stretch regularly, but there are many benefits to doing so.

Stretching the muscles that support your knees in particular helps to improve mobility across the entire joint. According to research, stretching can improve overall knee health and help prevent common types of knee pain from developing.

Experts recommend focusing on stretching your quadriceps, hamstrings, hips, glutes, and core. For tips and ideas on how to add stretching to your routine, Very Well Fit has a useful list of 10 essential stretches for the knee. w

Note: Many people assume it’s best to stretch before exercising, but it’s also important to warm up slowly before stretching. This will help to increase blood flow to the muscles and reduce the risk of injury.

7. Invest in the right shoes

Wearing shoes that are flimsy and unsupportive can place unnecessary strain on your knees.

Running and athletic shoes designed to provide joints with cushioning and support and keep your feet in alignment are generally good options for knee health. However, there are several things to look out for as research has suggested that not all specialist sports shoes deliver what they promise.

For example, this study found that patients with knee osteoarthritis experienced no difference in levels of knee pain between walking in regular trainers and enhanced athletic shoes.

As a general rule of thumb, experts advise wearing shoes that are flexible and bendable. This is because shoes that are too stiff or hard can restrict the foot’s range of motion. As this study found, when people with knee osteoarthritis wore specially made mobility shoes that mimicked walking barefoot, their walking style changed in a way that improved load on the knee – even when the shoes were no longer worn.

On the other hand, it’s best to avoid wearing shoes like stilettos and other high heels. This study found that high heels place more pressure on your knees than being barefoot. Other dress shoes with slightly elevated heels (such as pumps or wedges) have also been found to place more strain on the knees and are advised to be worn in moderation.

That said, it’s always worth getting an expert opinion as everyone will have slightly different needs. This is particularly true if you suffer from any compounding issues like plantar fasciitis, wide feet, flat feet, or back pain.

8. If necessary, wear a knee brace when exercising

Wearing a knee brace* can be a useful tool for protecting your knees during exercise because it helps to take weight off of the joint.

A good knee brace should provide a certain amount of compression and improve blood flow around the knee. Better blood flow helps to make sure that the synovial membrane in the knee receives a steady supply of oxygen, nutrients, and synovial fluid – which is important for keeping the knee joint lubricated during movement.

Wearing a knee brace can be particularly beneficial for those who play sports that involve lots of movement. This is because quick movements the body isn’t ready for can increase the risk of knee injury; for example, lunging forwards to hit a quick return in tennis.

Knee braces can provide valuable support during sports and increase the overall impact that your knees can withstand.

There are a number of different types of knee brace and finding the right one for you will depend on a couple of factors, such as what sort of support you need and how long you plan to wear it for. For guidance on what to look out for when choosing a knee brace, check out this article from Expert Reviews.

Note: It’s important not to wear a knee brace for unnecessarily long periods of time because it can cause other issues, like skin irritation. It’s also worth speaking to your GP if you’re not sure which type of knee brace is right for you, or if you’re unsure whether you should wear one.

Final thoughts…

The knees are the body’s largest joints and are responsible for almost all movement – so it’s important to take care of them.

While knee issues are fairly common, the good news is that making simple changes, such as wearing supportive shoes, improving your posture, and making small diet swaps, can make all the difference.

For further reading, head over to the general health section of our website. Here, you’ll find information on everything from immune health to important health checks.

https://restless.co.uk/health/healthy-body/ways-to-keep-your-knees-healthy/?bsft_aaid=3fb5a0c8-1d80-4f30-8749-7b9799f02c6c&bsft_eid=c2a9d662-b34c-4a35-b37d-6e17c2c38dbb&bsft_pid=ff187156-9ab3-4c17-8897-eb0ec6c0c349&utm_campaign=job_alert_24-09-10_jobs_verian&utm_source=job-alerts&utm_medium=email&utm_content=job_alert_24-09-10_jobs_verian&bsft_clkid=0f040be4-1eae-4787-b24c-308e8be334ad&bsft_uid=fefc9996-3bf0-4a4f-be46-02819b1cb965&bsft_mid=f58c7a85-904b-4445-b83b-ec4e8d6fca73&bsft_txnid=72a093e8-5f6b-445e-98bd-47c587401786&bsft_pp=1&bsft_mime_type=html&bsft_ek=2024-09-10T05%3A20%3A08Z&bsft_lx=14&bsft_tv=5&bsft_bk=non_hero_content