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Aching joints, bad eyesight and weak bones can be signs of serious problems

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It’s a sad truth that getting older comes with an increased risk of health problems. 

Some find that over the age of 40 their eyesight starts to decline, while wear-and-tear arthritis can creep up after 45. 

But before you or your GP put your symptoms down to ‘just age’, read these women’s salutary tales, told to Angela Epstein, about how their serious health problems were initially blamed on the fact they were ‘getting older’.

Arthritis? No, it was a genetic disorder

Abbey Robb, 42, an integrative psychotherapist, lives near Wimbledon in South-West London

Abbey Robb, 42, an integrative psychotherapist, lives near Wimbledon in South-West London

Abbey Robb, 42, an integrative psychotherapist, lives near Wimbledon in South-West London.

Over the past few years I’ve had increasing pains in my joints, particularly my knees. My GP told me that this is what happens as we get older — that it was probably a sign of early wear and tear arthritis — and just to take ibuprofen for the pain.

But it got worse. It hurt when I tried to put my feet together — I felt like I couldn’t fully control my joints. I couldn’t kneel properly, and the misalignment in my knees started to put pressure on my other joints.

A physiotherapist gave me some exercises, such as squats, to strengthen the knees but it seemed to make it worse.

I was also told that I was overweight and that’s why I was in pain. But then I happened to be talking to a friend, who was a GP. 

He looked at the way I was moving my joints and told me it could be Ehlers-Danlos syndrome, which affects connective tissue and causes hypermobility.

I went to see a rheumatologist privately, who did various physical tests to assess my joints and concluded that I did indeed have Ehlers-Danlos syndrome. It was such a relief to get a diagnosis.

It turned out that the exercises the previous physiotherapist had given me were, in fact, the last thing I needed to do. I’m now waiting to see a physiotherapist who specialises in hypermobility. I’ve also been prescribed a drug called naltrexone for joint pain. This helps by stimulating the body’s natural pain relief system.

Of course I was upset to know I had this condition, but on the other hand it now means I can plan my life. For example, I’m renovating my bathroom so that I have a walk-in shower rather than a bathtub, which is difficult for me to access. I could have done all this months ago if I’d been listened to.

Expert viewpoint: Professor Tony Kochhar, a consultant orthopaedic surgeon at London Bridge Hospital, said: ‘Ehlers-Danlos syndrome is a connective tissue disorder where the ligaments and tendons that hold joints stable and help support bones and muscles are a little too stretchy.

‘Caused by a gene mutation, it is not something which can be put down to the ageing process. In fact, it usually starts in childhood. Signs can include ‘clicky joints’ or a history of spraining ankles when doing very simple things, such as going for a walk.

‘Pain might only start in adulthood as the condition is progressive. Treatment involves exercises to improve and strengthen the balance of muscles to compensate for the stretchiness of ligaments and tendons. Without treatment, there can be irreversible joint damage.’ 

It wasn’t menopause but cancer 

Sharon Dobbs, 54, a nurse, lives in London with her husband, Lawrence, 57, who works in funding accounting. She says: 'I was one of those people who rarely went to the doctor, but at Christmas time in 2016 I started to feel unwell'

Sharon Dobbs, 54, a nurse, lives in London with her husband, Lawrence, 57, who works in funding accounting. She says: ‘I was one of those people who rarely went to the doctor, but at Christmas time in 2016 I started to feel unwell’

Sharon Dobbs, 54, a nurse, lives in London with her husband, Lawrence, 57, who works in funding accounting.

I was one of those people who rarely went to the doctor, but at Christmas time in 2016 I started to feel unwell. My stomach felt bloated and very full, even if I hadn’t eaten, and I was going to the loo more often than usual.

This continued for a few weeks, so my GP referred me to a gastroenterologist. He arranged an ultrasound of my stomach but couldn’t find anything worrying.

However, my symptoms persisted. Being a nurse, I worried that I might have ovarian cancer because my symptoms — bloating, feeling unusually full — are also common signs of the disease.

So I persisted and was eventually referred to a gynaecologist in July 2017. I said I wanted a CT scan or a laparoscopy as these can reveal greater details of the ovaries. But the specialist said that it wasn’t necessary. He said that I was getting older — I was 50 — and was clearly going through the peri-menopause, the natural transition before menopause.

My problems had been going on for so long that I thought maybe he was right. However, my stomach continued to feel swollen and painful over the next few months, and I was exhausted all the time — I’d come home from work and just collapse on the sofa.

In October 2017, I decided to use private medical insurance to see another gynaecologist. This time he organised the right scans which, to my devastation, revealed I had ovarian cancer. It was stage 3 — advanced — and had spread to my bowel, ovaries and diaphragm.

I was shocked, terrified and angry. All this time my symptoms had been dismissed as just part of getting older. Was I going to die?

I needed immediate surgery to remove my ovaries, cervix and womb and three weeks later started five months of chemotherapy. It seemed to work, but then the cancer returned. I had to have more chemotherapy between January and June 2020 as it was found between my ribs. It was devastating once again.

Thankfully, at the moment I’m cancer free but I have no idea what the future holds. If I had been diagnosed early, I would have had a 90 per cent chance of eradicating the disease. Now it’s a case of watching and waiting.

It makes me furious to think how easy it is for such a serious issue to be dismissed as ‘getting older’. I’d urge any woman to listen to her body — whatever the experts say.

EXPERT VIEWPOINT: Professor Gordon Jayson, a consultant medical oncologist at The Christie Hospital in Manchester, who specialises in gynaecological cancers, said: ‘There are around 7,500 new ovarian cancer cases in the UK every year and the average age of diagnosis is between 58 and 60.

‘Unfortunately, I’ve treated countless women whose symptoms have been initially dismissed as getting older or part of the menopause. But unlike the menopause, symptoms of ovarian cancer, such as bloating, get worse over a period of weeks to months.

‘It’s vital that a woman who suffers abdominal pain and distension which is new and gets worse should be immediately investigated. This includes the right scans and a blood test to check for a substance called CA125 — which is produced by some ovarian cancer cells,’

Real cause of broken arm overlooked

Linda Beirne, 60, an admin assistant, lives in Birmingham with her husband Francis, 60, a retired civil servant. She said: 'I’ve always been fit and full of energy and imagined I would always be. Then, while visiting an aunt in hospital in December 2019, I slipped on a wet grass verge as I got out of the car'

Linda Beirne, 60, an admin assistant, lives in Birmingham with her husband Francis, 60, a retired civil servant. She said: ‘I’ve always been fit and full of energy and imagined I would always be. Then, while visiting an aunt in hospital in December 2019, I slipped on a wet grass verge as I got out of the car’

Linda Beirne, 60, an admin assistant, lives in Birmingham with her husband Francis, 60, a retired civil servant.

I’ve always been fit and full of energy and imagined I would always be. Then, while visiting an aunt in hospital in December 2019, I slipped on a wet grass verge as I got out of the car.

I knew immediately I’d done something to my left arm as the pain was awful. It turned out I’d broken my wrist in three places. I was surprised how bad the break was as I hadn’t fallen from a height — I’m only 4ft 10in — and the grass was quite soft.

Both of my sisters-in-law had broken bones in the past few years and, afterwards, were offered a bone density scan — known as a DEXA scan — to see how strong your bones are.

I thought I’d ask for one after the cast came off, just in case there was some underlying problem. I was concerned because I’d been through the menopause in my early 40s, which is a risk factor for osteoporosis, a condition that weakens bones and makes them more likely to break.

But the doctor said a scan was unnecessary, and that when we get older we tend to do a bit more damage when we fall. I wasn’t happy and kept pressing for the DEXA scan.

I was finally given one in July 2020, seven months after my fall. The consultant then called me and said I had moderate to severe osteoporosis. Hearing this, I felt utterly let down. I’d been made to feel like a clumsy woman who was ‘getting on a bit’ when they should have checked there wasn’t some underlying reason for such a bad break.

While there’s no cure for osteoporosis, I now take calcium supplements and alendronic acid pills to slow down the breakdown of bone.

Expert viewpoint: Arvind Sinha, a consultant rheumatologist at University Hospital Birmingham, said: ‘Osteoporosis is not a straightforward condition to diagnose as it doesn’t cause pain in itself, but it’s more common in older people — especially post-menopausal women because bone density is maintained by the hormone oestrogen.

‘Red flags include if a woman has had an early menopause — as Linda did. It is referred to as a ‘silent’ disease, as it rarely causes symptoms until a fracture occurs, but can be slowed down with treatment if detected early.’

Ageing’ eyes actually a muscle problem 

Georgie Frost, 36, a journalist, lives with her partner Jaime, 30, in North London

Georgie Frost, 36, a journalist, lives with her partner Jaime, 30, in North London

Georgie Frost, 36, a journalist, lives with her partner Jaime, 30, in North London.

In June last year, I went to see my optician because I’d noticed a change to my vision. I’d started seeing double when I was tired, especially when looking at the lines on the road, which made me feel unsafe driving. It was also making me feel nauseous.

It was hard to see an optician because of lockdown, as they were only doing emergency cases, but I really worried something was wrong. When I eventually got an appointment and explained my symptoms, the optometrist said: ‘Are you a woman of a delicate age?’

I was really offended and told him that I didn’t understand what he meant.

He explained that as we get older many of us need reading glasses, because the lenses of the eyes become less flexible and this makes it difficult to focus on close objects. He said this was clearly what was happening to me. I didn’t need reading glasses but I told myself that perhaps he was right and it was because I used a computer too much.

So I tried to cut back on my screen usage and take regular breaks at work. However, the problem still didn’t go away. Coincidentally, I started dating an optometrist a few months later. 

He had qualified in Spain so wasn’t yet working in the UK, but he told me that I should push for another appointment as he didn’t think my problems were down to age.

I saw another optometrist in January this year, who said I had esophoria — a condition in which the eyes drift outward due a muscular weakness and which has nothing to do with ageing.

It was a wonderful moment to be told I had a specific issue and, most importantly, that it could be treated.

I was referred to an eye clinic and have been prescribed specialist glasses. These have prisms in the lenses which help reverse the outward eye movement, stopping the double vision.

They’ve been a game changer. I don’t get double vision so the nausea has gone, and I don’t get tired when concentrating or feel unsafe driving.

It makes me furious to think that something so significant as sight problems were just put down to age and not immediately investigated. I’m not even 40 yet.

Expert viewpoint: Andrew Lotery, a professor of ophthalmology at the University of Southampton, said: ‘Esophoria affects eye coordination. It causes double vision because the eyes aren’t aligned, possibly due to muscle weakness or it could be down to the size and shape of the eye.

‘The condition can be intermittent or may come on only when you are tired or you don’t have the right glasses.

‘To make the diagnosis, you have to do specific tests such as covering and uncovering an eye in a particular way — and not all optometrists are trained in doing these tests.

‘But esophoria is easy to manage with specialist glasses and it’s important not to ignore it. If left untreated, it will lead to persistent and irreversible double vision.’

 

5 of the best alcohol-free drinks

Trying to cut back on the amount you drink? An alcohol-free option is the obvious solution, but is it as saintly as it seems? Nutritionist ANGELA DOWDEN assesses some of the options.

Eisberg Sparkling Blanc

£3.99 for 750ml, Waitrose

Drink in place of: Prosecco

Per 125ml: Calories, 31; sugar, 7.3g; alcohol, less than 0.05 per cent

Low-alcohol wines tend to have more sugar than normal wine because in the more alcoholic version, much of the grape juice is fermented into alcohol, reducing the sugar. 

A 125ml glass of prosecco has around half a teaspoon of sugar, while this has around two teaspoons per glass. However, without the alcohol you save around 50 calories.

Taste: Has a balanced acidity and sweetness; tastes more like wine than a soft drink. 

6/10

Big Drop Brewing Co Stout

330ml, £1.89, beerhawk.co.uk

Drink in place of: Guinness

Per 330ml bottle: Calories, 154; sugar, 13.2g; alcohol, less than 0.5 per cent

This isn’t completely alcohol free but you’d need to drink at least six bottles for it to equal one unit. It’s no lower in sugar than most stouts, but does have 25 per cent fewer calories.

Taste: Rich and lovely, it loses nothing for being low alcohol. 

5/10

Seedlip Spice 94

700ml, £26, ocado.com

Drink in place of: Gin

Calories, 0; sugar, 0g; alcohol, none.

Made with a variety of herbs, spices, peels and barks (allspice, cardamom, oak, lemon and grapefruit), distilled and blended to make a non-alcoholic spirit, this spicy option has zero calories — a measure of traditional gin has 61 calories.

Taste: Aromatic, with berry, cardamom and citrus notes. 

9/10

St Peter’s Without Gold

500ml, £1.30, Morrisons

Drink in place of: Craft beer

Per 500ml bottle: Calories, 120; sugar, trace; alcohol, none.

Because there is no alcohol, there are 120 calories in a 500ml bottle compared with about 300 in a traditional bottle of alcoholic craft beer. A 500ml serving is also almost sugar free.

Taste: Malty, full-bodied with a deliciously citrussy tang. 

9/10

Kopparberg Alcohol-Free Strawberry and Lime Premium Cider

500ml, £1.30, Tesco

Per 500ml bottle: Calories, 205; sugar, 50.5g; alcohol less than 0.05 per cent

This is just as high-calorie as a standard alcoholic sweet cider. A 500ml bottle has twice as much sugar as an average alcoholic sweet cider with two alcohol units.

Taste: Fruity, sweet and rather fragranced. 

1/10

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