Supplements for joint health?

I guess I am talking about joint issues as well as ligaments. As I said, I am 41 years old and have been training (off and on) for 25 years. Currently I have some hip pain from squatting, which I am thinking is a result of poor hip flexability (and I’m working on that). I recently began aggaravating an elbow (ligaments) from either poor form or insufficient warmup (or both). And I can no longer military press with a barbell (front or back) and must use dumbells (a “California” press I believe, rotating out at the top). So I am currently working with & around injuries, and I want to troubleshoot anything else from coming down the pike.


I did not realize that ligament issues were completely separate from joint problems…how could I not know that? Any suggestions for tendinitis/bursitis (elbow)? I know how to alternate ice & heat, and I am stretching more and warming up more carefully. I think I ran into problems by not doing warmup sets for each new exercise. In other words I was only doing warmup sets for the start of each new bodypart. Live and learn, hopefully. Thanks for your advice everyone.

Glad to help out to the extent that I can. It sounds to me like you’ve just been beating up your body for too long. Have you thought about laying off the weights and doing something else for a while? I’m 51, and I find that taking anywhere from a couple of weeks to a couple of months away from the iron can sometimes be really helpful for healing nagging injuries. I get itchy, irritable, and impatient, but I tell myself it’s necessary.

You might think about something like Matt Furey’s “Combat Conditioning.” His program was discussed in T-mag a while back. I think that his website is www.combatconditioning.com. (I occasionally do a few weeks of his stuff – it’s definitely challenging.) If it strikes you as interesting, order the book. I wouldn’t bother with the videos unless you really get into his program. The book is fairly reasonable (maybe $20 or $30), and it’s all you really need; he does try to leverage your interest into a purchase of other really expensive stuff, though – I keep getting e-mails trying to sell me the $1995 fitness course – I just ignore that stuff. If “Combat Conditioning” doesn’t strike your fancy, maybe something like yoga would. The reality is that joints (and everything else)heal slowly, especially when you reach “a certain age.”

When it comes to “joint health,” there seem to be three separate issues: cartilage, lack of which is the major cause of arthritis pain; ligaments; and tendons. I don’t know of any supplements that specifically address the last two, but I’ve never really needed to look for that kind of information. Maybe someone else on the forum has looked into that?

Where, exactly does your hip hurt when you squat? It could be any of a number of things ranging from arthritis (if the pain is in the front) to a strained piriformis (if the pain is more to the rear or side). Have you been to see an rheumatologist,orthopedist, or sports medicine specialist? Do you take anti-inflamatories? What kind of medical treatment, if any, have you had for these problems?

I don’t know much about elbows, since I’ve been fortunate enough never to have injured one.

Is your overhead pressing problem caused by your elbow, or do you have a shoulder problem as well?

I've taken lots of time off from training over the years, possibly too much time off LOL. As far as hip pain, it is a deep "agitation" that travels partway down my thigh. It feels like it is originating at the "core" (bone level) and it is in the front. It's almost like a deep muscle ache combined with a slight "pulling" feeling, originating where my thighs "insert" with my hips. Sorry, I am a bit ignorant about physiology, so I can't get more specific. With some attention to stretching, I've noticed some improvement. I first started noticing the hip problem after adding some running to my routine (which I've layed off of). I was weighing about 235 at the time.

As far as the shoulder, I had some impingement on the left side and had ART treatment. Now I am noticing similar problems on the other side. I haven't been keeping up with the prescribed rehab exercises, so I realize that I have created my own problems. The shoulders are what hurts during barbell military press.

The elbow was aggravated during "skullcrushers" and trying to use too much weight. This is pretty recent, so I am tiptoeing around the problem and seem to be able to not aggravate it, by being careful.

Lumpy wrote: “I’ve taken lots of time off from training over the years, possibly too much time off LOL.”

Porkchop replies: I’m not suggesting that you take time off from training, just that doing something other than pushing heavy iron for a few days or weeks might give your body a break. There’s a lot of stuff you can do with bodyweight exercises, such as the ones Furey teaches.

Lumpy wrote: “As far as hip pain, it is a deep ‘agitation’ that travels partway down my thigh. It feels like it is originating at the ‘core’ (bone level) and it is in the front. It’s almost like a deep muscle ache combined with a slight ‘pulling’ feeling, originating where my thighs ‘insert’ with my hips.”

Porkchop replies: It sounds like you could have either osteoarthritis or tendonitis. This is really something that a doctor should look at, particularly if you’ve had it for a while. You probably need an x-ray of the hip in order to see if there is arthritis present – whether there is sclerosis (hardening of the bones around the joint which can be seen as whiter, i.e., denser, areas on an x-ray)and/or narrowing of the joint space. Do you have any restriction on the movement of your hip joint? But that particular pain might also be tendonitis, in which case there are some pretty effective physical therapies. I take it that you have had this for some time, which would probably rule out an infection in the joint. (My daughter once had a type of infection in her hip called toxic viral synovitis, where the virus got into the lining (synovium) of one of her hip tendons – it’s very painful, but is accompanied by a low-grade fever and only lasts a week or two.) The bottom line from me is that if it hurts enough to continue to complain about over a period of time, it’s worth a visit to the doctor to figure out what the problem is.

Lumpy wrote: “I first started noticing the hip problem after adding some running to my routine (which I’ve layed off of). I was weighing about 235 at the time.”

Porkchop responds: One thing that some people develop when they start running unaccustomed distances is “iliotibial band syndrome.” The “ITB” runs along the outside of the leg, though, so it doesn’t sound like what you’ve described. You might want to have that checked out anyway, though.

Lumpy wrote: “As far as the shoulder, I had some impingement on the left side and had ART treatment. Now I am noticing similar problems on the other side. I haven’t been keeping up with the prescribed rehab exercises, so I realize that I have created my own problems. The shoulders are what hurts during barbell military press.”

Porkchop responds: I had a shoulder impingement about 4 years ago. The orthopod went in and cut off the end of my collarbone and then cleaned out some arthritic spurs on the underside of the acromion. It’s good now, but if you can avoid going to those lengths by getting serious with your rehab exercises, I’d definitely recommend the exercises.

I will check into this “iliotibial band syndrome” as the pain DOES run down the outer part of my thigh. I just assumed it was hip-based because the pain is sort of diffuse and hard to pin-point. But it feels “tight”, and I do associate it manifesting with my forays into running.

During the worst moments it was hurting when I would do ANY running (run for the bus, etc). As I said, it has been showing improvement since I dropped the post-weights run, and added a more concerted effort to warmups and stretching. THANK YOU for your informative posts!

You’re very welcome. I hope this helps. Let us know how things work out. Maybe we can all learn a thing or two from your diagnosis and whatever therapy you get.