{"id":4122,"date":"2017-11-17T16:08:10","date_gmt":"2017-11-17T16:08:10","guid":{"rendered":"https:\/\/www.testofuel.com\/tf\/?p=4122"},"modified":"2017-12-05T16:00:55","modified_gmt":"2017-12-05T16:00:55","slug":"low-testosterone-joint-and-back-pain","status":"publish","type":"post","link":"https:\/\/www.testofuel.com\/tf\/low-testosterone-joint-and-back-pain\/","title":{"rendered":"Low Testosterone: Joint and Back Pain"},"content":{"rendered":"<h3><span style=\"color: #ff6600;\">Chronic joint and back pain affects over 115 million US adults.<\/span><\/h3>\n<p>It is a painful and debilitating illness that can leave you feeling frustrated and depressed.<\/p>\n<p>Science is now showing that the hormone testosterone may play a bigger role than first thought, and with androgen receptors located in joint fluid, the relationship between the two seems a\u00a0 strong one.<\/p>\n<p>If you want to know more about joint pain and low testosterone read on&#8230;<\/p>\n<hr \/>\n<h2>Testosterone and Health<\/h2>\n<p>Testosterone is the primary male hormone responsible for promoting health, masculinity and athletic performance.<\/p>\n<p>As a natural hormone, it is released from your testes as part of the hypothalamic-pituitary-gonodal axis. This means that in order for your testes to release the hormone, it has to receive stimulation from two glands in your brain &#8211; firstly the hypothalamus, and secondly the pituitary.<\/p>\n<p>Testosterone is categorized as a steroid hormone under the family\u00a0<em>androgens<\/em>. It regulates male characteristics such as:<\/p>\n<ul>\n<li><strong>Anabolic &#8211;<\/strong> muscle development, bone mass and muscular strength<\/li>\n<li><strong>Androgenic &#8211;<\/strong> hair growth, size and shape, voice tone<\/li>\n<li><strong>Sex characteristics &#8211;<\/strong> testes size, sex drive, libido, stamina and performance<\/li>\n<\/ul>\n<p>From puberty onward, you experience a surge in testosterone production. It&#8217;s like your body finally found the &#8216;on-switch&#8217; for the glands that trigger testicular release. You all of a sudden begin to grow facial hair, your shoulder get broader and you develop lean, muscular arms and chest.<\/p>\n<p>You quickly become a man.<\/p>\n<p>When your levels are optimized, testosterone is associated with good health, phenomenal stamina and strength. It affects your mood and temperament too &#8211; giving you an assertive yet powerful personality.<\/p>\n<p>The problem is though that these benefits don&#8217;t last forever&#8230;<\/p>\n<hr \/>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-3811\" src=\"https:\/\/www.testofuel.com\/tf\/wp-content\/uploads\/2017\/08\/Older-man.gif\" alt=\"Older, grey-haired man smiling at the camera looking happy\" width=\"800\" height=\"450\" \/><\/p>\n<hr \/>\n<h2>Low testosterone &#8211; More than just low libido<\/h2>\n<p>Although you enjoy the benefits of high testosterone during your late teens and twenties, circulating levels begin to decrease as you reach your forth decade of life.<\/p>\n<p>With a steady decline of around 1-2% per year, both your assertive and confident personality and your muscular, lean physique begin to deteriorate.<\/p>\n<p><strong>Hypogonadism<\/strong> &#8211; the clinical name for low testosterone &#8211; comes with a number of unfortunate symptoms, ranging from metabolic and vascular, to cognitive and neurological.<\/p>\n<p>When you think of low testosterone levels you might think low libido and sex drive.<\/p>\n<p>But there&#8217;s much more to it than that.<\/p>\n<p>Large scale\u00a0research reviews suggest that hypogonadism is a reliable indicator of disease risk, and that maintaining a high testosterone level from age 30 onward is key to reducing long-term illness [1].<\/p>\n<p>The main diseases associated with low T are:<\/p>\n<ul>\n<li>Metabolic disorders such as diabetes, obesity and elevated blood lipids<\/li>\n<li>Coronary artery and heart disease<\/li>\n<li>Neurological illness such as stroke and Alzheimer&#8217;s<\/li>\n<li>Osteoporosis<\/li>\n<\/ul>\n<h3>Low testosterone can contribute to early death<\/h3>\n<p>Hypogonadism can affect your health so much that it even <b>contributes to &#8216;all-cause\u00a0mortality&#8217; &#8211; early death.\u00a0<\/b><\/p>\n<p>A recent study in the\u00a0<em>Journal of Clinical Endocrinology and Metabolism <\/em>[2] found that men who had hypogonadism (classified\u00a0as a total testosterone levels of below 241 ng.dL) were as much as 40% more likely to die than those with higher hormone levels.<\/p>\n<p>It&#8217;s that important to make sure your body runs as optimally as it can.<\/p>\n<hr \/>\n<h2>Low Testosterone and Joint Pain &#8211; Is There a Link?<\/h2>\n<p>There are numerous potential causes of joint pain.<\/p>\n<p>From playing a bit too much sport or hitting the gym with just a little too much enthusiasm, through to inflammatory, auto-immune disease such as rheumatoid arthritis. Swelling and pain in your joints can be both painful and debilitating.<\/p>\n<p>And unless you&#8217;ve suffered from it you won&#8217;t understand just how bad it can be.<\/p>\n<p>Redness, loss of function, loss of strength, swelling and searing pain are an inevitable part of the illness.<\/p>\n<p>Although ageing can be a big risk factor for joint and back pain, there are also number of other contributing factors too. These include:<\/p>\n<ul>\n<li>Genetics, gender and race<\/li>\n<li>Lifestyle and diet<\/li>\n<li>Previous injury or illness<\/li>\n<li>Body composition and fat mass<\/li>\n<li>Hormonal health<\/li>\n<\/ul>\n<hr \/>\n<h2><img decoding=\"async\" class=\"aligncenter size-full wp-image-4160\" src=\"https:\/\/www.testofuel.com\/tf\/wp-content\/uploads\/2017\/11\/Back-pain.gif\" alt=\"Older man suffering with back pain in bed\" width=\"800\" height=\"450\" \/><\/h2>\n<hr \/>\n<h2>The Testosterone and Joint Pain Relationship<\/h2>\n<p>According to research, <strong><em>&#8220;there is evidence that androgens play a role in immune and inflammatory pathways&#8221;<\/em><\/strong> [3].<\/p>\n<p>That&#8217;s more than likely because androgen receptors are present in synovial fluid &#8211; the small sack of lubricant that keeps your joints supple and unrestricted.<\/p>\n<p>Recent research now shows that lower testosterone levels are a risk factor for joint pain from rheumatoid arthritis [4].<\/p>\n<p>In the\u00a0<em>Annals of Rheumatic Diseases<\/em>-published case control study, other factors such as age, gender, body weight and year of screening were taken into account. And even then, those with the <strong>lowest androgen levels were much more likely to develop joint pain.<\/strong><\/p>\n<p>Those with lowest testosterone levels also showed a sharp increase in follicle stimulating hormone right before the onset of rheumatoid arthritis too. As a hormone that is indicative of a poorly functioning reproductive system and hormone production, FSH is a good indicator of hormonal health.<\/p>\n<p>The authors of the study concluded by saying that <strong>not only does low testosterone create a risk factor for joint pain, it can also make symptoms worse.<\/strong><\/p>\n<h3>Testosterone related to disease risk genes in joint pain<\/h3>\n<p>Another study found that there was a clear link between low serum testosterone levels and a type of gene called HLA [5].<\/p>\n<p>As a type of antigen, HLA genes are important regulators of joint health and when levels are not functioning, risk of joint diseases increases (arthritis, Reiter&#8217;s disease and ankylosing spondylitis).<\/p>\n<h3>High frequency of hyopgonadism in arthritis sufferers<\/h3>\n<p>Lastly, a study published in the aptly titled journal\u00a0<em>Rheumatology\u00a0<\/em>[6] suggests that there are a significant number of men with rheumatoid arthritis that have low androgen levels. The study went on to suggest that low testosterone may have a &#8216;pathogenic role&#8217; in joint, bone and back conditions.<\/p>\n<p>From 104 men with joint pain, 33 were found to be hypogonadic. Although that might sound like a huge number, compared to the 7 that didn&#8217;t have low T makes it a more than significant amount.<\/p>\n<p>The men were found to have low testosterone as well as other regulators of healthy androgens too.<\/p>\n<hr \/>\n<hr \/>\n<h2>References<\/h2>\n<ol>\n<li>Zarotsky, V et al.\u00a0<em>Systematic literature review of the risk factors, comorbidities, and consequences of hypogonadism in men.\u00a0<\/em>Andrology. 2014; 2(6): 819-34<\/li>\n<li>Laughlin, GA et al.\u00a0<em>Low serum testosterone and mortality in older men.\u00a0<\/em>J Clin Endoc Metab. 2008; 93(1): 68-75<\/li>\n<li>Hall, GM et al.\u00a0<em>A randomized trial of testosterone therapy in males with rheumatoid arthritis.\u00a0<\/em>Br J Rheumatology. 1996; 35: 568-573<\/li>\n<li>Pikwer, M et al.\u00a0<em>Association between testosterone levels and risk of future rheumatoid arthritis in men: a population-based case-control study.\u00a0<\/em>Ann Rheum Dis. 2014; 73(3): 573-9<\/li>\n<li>Ollier, W et al.\u00a0<em>Are certain HLA haplotypes responsible for low testosterone levels in males?\u00a0<\/em>Dis Markers. 1989; 7(3): 139-43<\/li>\n<li>Tengstrand, B et al.\u00a0<em>Bioavailable testosterone in men with rheumatoid arthritis\u2014high frequency of hypogonadism.\u00a0<\/em>Rheumatology. 2002; 41(3): 285-289\n<p class=\"wi-article-title article-title-main\">\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Chronic joint and back pain affects over 115 million US adults. It is a painful and debilitating illness that can leave you feeling frustrated and depressed. Science is now showing that the hormone testosterone may play a bigger role than first thought, and with androgen receptors located in joint fluid, the relationship between the two [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":4161,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[54],"tags":[598,599,597],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.2.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Low Testosterone: Joint and Back Pain - TestoFuel Blog<\/title>\n<meta name=\"description\" content=\"Joint pain such as arthritis can be caused by any number of things. But more and more research is emerging showing that testosterone may be related. 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