Searching for Osteoarthritis Pain Relief?

Searching for Osteoarthritis Pain Relief?
Kristy Haugen

Osteoarthritis or degenerative joint disease is a wear and tear disease of the joints typically seen in the older adult (usually over 60 years of age). Cartilage within the joints breaks down causing pain as the bones rub against each other. Osteoarthritis is commonly found in the knees, hips, hands, spine, and feet.
Obesity is a risk factor for developing osteoarthritis in the knees and hips. These weight bearing joints carry much of the weight causing increased wear and tear. Weight loss can significantly reduce the chance of developing osteoarthritis and can alleviate pain in people who currently have osteoarthritis.
Currently osteoarthritis treatment is limited because no medications are capable of preventing or retarding the disease process. Osteoarthritis treatment involves focusing on pain relief, the maintenance of quality of life, and functional independence. Let us take a look at some of the treatments that currently exist for osteoarthritis.
Many doctors recommend acetaminophen (Tylenol) as the initial analgesic (pain medication) of choice for the treatment of osteoarthritis. Acetaminophen has very few side effects. When using acetaminophen as a pain reliever, remember to follow the directions correctly. Acetaminophen is commonly overused by patients. You are recommended to not exceed 4,000 mg of acetaminophen in a twenty-four hour period. Acetaminophen is metabolized or processed by the liver. Excess acetaminophen can cause damage to the liver. Acetaminophen is also found in other pain medications such as Darvocet, Percocet, and Tylenol Cold. In fact, acetaminophen is found in quite a few prescription pain medications.
Traditionally NSAIDs (nonsteroidal anti-inflammatory drugs) have been useful in the treatment of osteoarthritis associated pain. One major concern with the use of NSAIDs is irritation to the stomach lining. In more severe cases, gastrointestinal bleeds or ulcers may form. NSAIDs can affect the bodys blood clotting ability and interfere with kidney function. NSAIDs should always be taken with food to decrease stomach irritation or upset. Do not drink alcohol while taking NSAIDs. However, these drugs should not be taken for extended periods of time unless directed otherwise by a qualified medical provider. Some common types of NSAIDs are ibuprofen (Advil), naproxen (Aleve), and aspirin.
Cyclooxygenase-2 inhibitors (COX-2 inhibitors) are a class of NSAIDs. COX-2 inhibitors suppress arthritis pain much the same way but with less stomach irritation. Many of us know of COX-2 inhibitors but not by this name. Vioxx (refecoxib), Celebrex (celecoxib), and Bextra (valdecoxib) are COX-2 inhibitors. Vioxx and Bextra have been removed from the market. These drugs can significantly increase the risk for stroke and heart attack. Celebrex remains on the market but does have a black box warning stipulating this drug also can increase the risk for cardiovascular events and gastrointestinal bleeding.
Capsaicin (Capsagel, Zostrix) which is derived from chili peppers can be applied topically for the treatment of osteoarthritis pain. Capsaicin will cause vasodilation, itching, and burning to the skin but after repeated applications desensitization will occur, decreasing ones pain. Methyl salicylate creams such as Ben-gay can also be used for osteoarthritis pain. Studies have shown that oral glucosamine and chondroitin supplements have a mild to moderate analgesic effect with arthritis.
For osteoarthritis patients who cannot tolerate their pain, glucocorticoid injections may be done. Glucocorticoids are similar to the hormone cortisol in the body. Glucocorticoids help alleviate pain by decreasing inflammation and swelling within the joint. Side effects are typically seen if you receive these injections too frequently.
Hyaluronan (viscosupplementation) injections can be injected directly into the joint for treatment of osteoarthritis. This medication helps supplement the synovial fluid. The synovial fluid is a lubricating fluid allowing the bones to move smoothly within the joint. This injection should relieve pain and improve your mobility of the joint. This treatment involves 3-5 shots within 5 weeks. You may experience pain and swelling after the injections but this should dissipate. Reduced osteoarthritis pain may last up to 6 months.
For patients that have decreased function and mobility of the joint, surgical intervention may be necessary. Surgical involvement should also be considered in patients whose pain has progressed to unacceptable levels. However, good surgical candidates are usually considered ideal for surgery. Certain health conditions can affect post-operative rehabilitation and healing. Surgery can hold just as much of a health risk as medications have side effects.
Osteoarthritis is not curable but there is hope for the future with advancements in medicine. Along with the above treatments for pain management, it is also important to remain active and healthy. Exercising regularly can help maintain mobility of the joint. Exercise also creates natural pain relievers such as endorphins. Pain may be a part of osteoarthritis, but pain doesnt have to be a part of your life!
Copyright 2006 Kristy Haugen

About The Author

Kristy Haugen is a mother working to finish her second bachelor degree in Chemical Engineering. She is also a Licensed Practical Nurse with a current bachelor degree in Biology and Chemistry. She writes to inform consumers about nutrition and health topics. Learn more about weight loss supplements at http://weightlosssupplements.vitaminmaniac.com. Learn more about vitamins and your health at http://blog.vitaminmaniac.com.

Aleve, Vioxx, Celebrex, and Bextra: What You Need to Know

Aleve, Vioxx, Celebrex, and Bextra: What You Need to Know About Arthritis Pain Medications
R.L. Fielding

Aleve, Vioxx, Celebrex and Bextra:What You Need To Know About Arthritis Pain MedicationsRecent controversy about the safety of pain medications for arthritis has left patients and health care professionals alike confused about which medications are safe to use. In fact, a recent survey by the Boston-based Rippe Lifestyle Institute indicated that many people with arthritis are suffering unnecessarily because they have stopped or reduced their use of pain relievers due to confusion about which drugs are considered safe.The survey also showed that now, more than ever, those with arthritis need to understand the benefits and possible side effects associated with all arthritis pain medications. In order to do so, people with arthritis, their caregivers and families must be familiar with recent news about the two types of drugs most commonly used to treat arthritis pain non-selective, non-steroidal anti-inflammatory drugs (NSAIDs), and another group of NSAIDs known as cyclooxygenase-2 (COX-2) specific inhibitors. COX-2 specific inhibitors vs. Other NSAIDsCOX-2 specific inhibitors are the newest members of the NSAID class of medications. Available by prescription only, they became widely used in recent years to reduce joint pain and swelling. COX-2 specific inhibitors work by selectively blocking, or inhibiting, one of the two enzymes associated with inflammation. Some experts think that this selective inhibition may be one reason for some of the negative side effects currently associated with COX-2 specific inhibitors.Non-selective NSAIDs were developed earlier than COX-2 specific inhibitors and have been widely used to relieve arthritis pain and inflammation for many years. Unlike COX-2 specific inhibitors, non-selective NSAIDs inhibit both major enzymes involved in the inflammatory process, COX-1 and COX-2. The non-selective NSAID category includes a number of different medications that are available in both prescription and over-the-counter (OTC) products.Timeline of EventsTo understand the current state of affairs, it is important to understand the sequence of events. The controversy started when a study published in the October 21, 2004, issue of the New England Journal of Medicine cited the COX-2 specific inhibitor, Vioxx as potentially causing major adverse events, including heart attack and stroke, among patients taking the drug. As a result, Merck (the drugs manufacturer) voluntarily withdrew Vioxx from the market. However, in the months following, the safety of the other available COX-2 specific inhibitors such as Celebrex and Bextra, as well as other arthritis pain medications in the non-steroidal anti-inflammatory (NSAID) class, were also called into question.Consequently, in February 2005, the US Food and Drug Administration (FDA) convened a special Advisory Committee, made up of members of the Arthritis and Drug Safety Advisory Committees, to review the cardiovascular safety of these arthritis pain medications.FDA Directive: Stronger Warning Labels for Some Pain MedicationsOn April 7, 2005, taking into account the recommendations of the Advisory Committee, the FDA issued the following directives: Bextra, a COX-2 specific inhibitor manufactured by Pfizer, was withdrawn from the market.All prescription NSAIDs must revise their labeling to include a black box warning that highlights the potential increased risk for cardiovascular (CV) events as well as the potentially life threatening gastrointestinal (GI) bleeding associated with these drugs. Celebrex, the only COX-2 specific inhibitor remaining on the US market, was included in this directive.All OTC NSAIDs (except aspirin) will be required to revise their labeling to include more specific information about the potential for GI and CV side effects, a stronger reminder to follow label instructions, as well as a warning about potential skin reactions.To further evaluate the potential for increased CV risk, the FDA also announced that all NSAIDs must conduct and submit to the FDA a comprehensive review and analysis of pertinent safety data from clinical trials. Aleve (naproxen sodium) is supported by clinical studies conducted to gain approval of naproxen as a prescription product and as OTC that do not provide any evidence of increased risk of cardiovascular events. Treatment Options: What Should Arthritis Patients Know?For some people who suffer from pain associated with arthritis, their symptoms can be managed with exercise, heat/cold therapy, joint protection, assistive devices, weight control, or in some severe cases, surgery. For others, medications are needed to help manage the symptoms associated with arthritis. When taken as directed OTC medications such as Aleve provide a safe and effective way to treat mild to moderate pain of minor arthritis. If patients have questions, they should consult their health care professional about which treatment option is most appropriate.Why Its Important to Treat ArthritisArthritis affects approximately 66 million Americans and is the nations leading cause of disability. There are over 100 different types of arthritis, and they all have different symptoms that vary in severity from person to person. The most common form of arthritis, osteoarthritis, is characterized by the breakdown of cartilage that causes the bones to rub together, resulting in pain, loss of movements and stiffness . Arthritis is usually a chronic condition. For more information on Aleve and naproxen, visit the Aleve website at www.aleve.com. For more information on arthritis pain relief, visit www.arthritis.org. About the Author
R.L. Fielding writes on a number of subjects.

Muscle Pain and Sleeplessness

Fibromyalgia is a painful condition that affects the muscles and joints and is seen in only 3-6% of the general population in the world. It’s generally seen more in females than males with a ratio percentage of 9.1 according to the College of Rhumatology and is commonly diagnosed in females between the ages of 20-50 though it’s been noted that the onset happens in childhood. This is not a life-threatening disease though the degree of pain in the condition can vary day to day with periods of flare ups and remission. The disease is being argued and viewed as non-progressive, but that’s a point that remains in limbo.

This is a problematic issue that can be a reason to keep someone up at night because the pain can be unbearable with the tingling and achiness in the muscles. This drives many who deal with this to endless and chronic deprivation of sleep. Those who suffer fibromyalgia also note issues with memory and other neurological issues, but the most frequent is the issues with sleeping that individuals go through when they deal with painful, annoying flare-ups.

Other issues that surround this problem, which can make sleeping very difficult, are irritable bowel syndrome with constipation, which affects mostly women and few men. Skin disorders like dermatological disorders, headaches, myofacial twitching, and symptomatic hypoglycemia. Stress, excessive physical exertion, lack of sleep, changes in temperature and baromic pressure. This condition can worsen when individuals don’t sleep or getting the proper rest and not overdoing on things in their daily lives.

The American Medical Association had officially recognized fibromyalgia as a medical condition back in 1987 when the disorder was around since the 1800s. It’s been said that flare ups are not identical to the ones that are found in people with rheumatoid arthritis, but ibuprofen like Advil, Acenomenofen (Tylenol), and Neproxine (Aleve) which are anti-inflammatory and can bring some comfort to those with fibromyalgia flare ups. Massage has also been ideal in helping those who deal with fibromyalgia to find comfort when they have flare ups. Massage helps to transfer fluids from the muscles and joints and increases circulation to the affected areas to bring some temporary relief for inflammation and flare ups.

Which can actually help improve sleep for someone in pain, but it’s best to get a massage when you’re not on any medication due to the high risk of side effects that can be triggered from massaging tissue and muscles.

Fibromyalgia is a manageable problem if you follow your doctor’s instructions and take your medication as directed and getting the right amount of sleep and getting plenty of exercise and eating a nutritious diet consisting of fresh fruits and vegetables and drinking plenty of water and limiting things in the diet that can also aggravate flare ups. When you take care of yourself properly you can actually improve the quality of sleep as well as decreasing the debilitating pain.

That can keep someone up all night long instead of allowing them to sleep and getting in a decent amount of time for rest and feeling stress free and more relaxed, so that they can face the day with no painful flare ups and discomfort that can be annoying.

Few Things to Consider When Seeking Lower Back Pain Relief

Few Things to Consider When Seeking Lower Back Pain Relief

The best thing that you may probably have considered in your search for an efficient lower back pain relief is to find out what really cause this condition. There are quite a number of factors that may result to lower back pain though there are conditions for which the causes are unknown. Nonetheless, the pain is real and sometimes excruciating.

Among these factors are muscle spasm, muscle strain, ligament sprains, joint problems, herniated disc, improper posture, too much weight carried by the lumbar section of the back bone and several more others.

A herniated disc, or sometimes called as degenerated disc is caused by the bulging between the bones. This condition may press on the nerves and cause the excruciating pain. However, many people don’t know what affected their back bones that induced this pain.

To allow lower back pain relief, there were different exercises and body positions, which may help raise the possibility of releasing the back bone from too much stress. Most physical therapists would suggest that the patient lie on the floor with pillows underneath his head and knees. It is important that the hips and knees are bent in this posture. This will help free the back from the weight and stress it is carrying.

If your case is severe, you may need to rest in this position for one to two days. However, you may need to reinforce your muscle strength during this period through walking, though this may hurt quite a bit.

If you would not want to risk muscle strength in this or the idea of walking while your lower back aches, you can use heating pads, ice packs and massages as alternatives. Their effects may be impermanent but temporary treatment may as well prove a great relief.

Nonprescription drugs may also be excellent aids for reducing pain and swelling. These include the following: aspirin, naproxen (Aleve), acetaminophen (Tylenol), ibuprofen (brand name: Motrin) and ketoprofen (Orudis).

Lower back pain may either be a continuous process or may be a series of attacks. For ongoing back pain, the ideal action to take is direct the treatment at the actual causes. This may mean loosing weight. Obesity is pointed as one reason why people suffer lower back pain. As we know, the lower back carries all the weight that may be induced on the upper body. Once the body is overweight and too much force is created to stress out the muscles and the bones on the lower back, the end result may be extreme lower back pain. Two other things that you might want to consider is to correct your posture and to put your muscles in shape.

These things, if addressed correctly may prove beneficial in searching for lower back pain relief