The Difference Between Arthritis and Rheumatism

The Difference Between Arthritis and Rheumatism
Leong Y.H..M.D

‘Rheumatism’ is a traditional and non-specific term used in the East and West to refer to a variety of conditions affecting the bones, joints, skin, heart, kidneys, lungs. This term is rapidly falling out of favour in the West today because modern medical science has discovered that most of these conditions have different aetiologies (causes) requiring very different treatments.
You can say that it’s a word mainly used in Chinese (& traditional) societies; it’s also used by a minority of Westerners into homeopathic and alternative medicine. The only common characteristics among these conditions are: 1) they cause long-term chronic pain, and 2) they are very difficult to treat.
‘Arthritis’ is a broad term refers to inflammation of the joints, but doesn’t say anything about the cause. Includes conditions like osteoarthritis, rheumatoid arthritis, psoriatic arthritis, infective arthritis, gouty arthritis, etc.
Generally, I’d divide arthritis into 2 big groups:
1) Osteoarthritis (OA)
This is primarily a ‘wear and tear’ condition affecting older people. Arises from overuse (e.g. marathon runners), previous injuries (football players), overweight, heredity. A lot of older Asian women get OA of the knees while the Americans and Europeans get it in the hips. The pain is more mechanical than inflammatory. So you get pain in the later part of the day after a lot of walking and climbing stairs.
Because it’s mainly a mechanical problem, treatment with painkillers is only a temporary solution. Long-term lifestyle changes are more important – reduce weight, mobility and muscle-strengthening exercises, reduce all kinds of weight-bearing activities (walking, jumping, running, carrying heavy objects). In severe cases, surgery may be warranted.

2) Inflammatory (‘Rheumatic’) Arthritis
This group comprises the various types of arthritis which are mainly inflammatory , not mechanical, in nature. They usually result from an auto-immune condition, which causes the body’s immune system to go haywire and attack the joints and other parts of the body. E.g. rheumatoid arthritis (RA), SLE (skin, kidneys, joints, brain), psoriasis (skin, joints), ankylosing spondylitis (back, heart), gout (joints, skin, kidneys), rheumatic heart disease/fever (joints, heart, skin). All these conditions require different forms of treatment.
I’ll talk a bit about RA, the commonest condition in this group. Unlike OA, RA can occur at any age and is usually hereditary (we now have a test for the RA factor in the blood). Pain is usually in the early morning, worse when it’s cold, and gets better with activity and use. That means an RA sufferer suffers from morning stiffness and pain, but gets better in the afternoon when it’s warmer and when he has moved around a bit.
Treatment, unlike OA, is mainly through drugs – painkillers, anti-inflammatory drugs like steroids, cytotoxic drugs like sulfasalazine and MTX. In Asia, treatment is mainly through accupuncture, medicated plasters and ointments. With the vast arsenals of drugs and non-drugs alternative treatments available today, RA can be controlled very well and the sufferer can actually lead a very active life. Many OA sufferers on the other hand may eventually require surgery since we don’t have very effective drugs for OA. About the Author
Dr Leong Y.H is a western trained medical doctor with a keen interest in Oriental medical treatment. He contribute articles to http://www.quick-pain-relief.com and http://www.chinese-culture.net. You may distribute this article as long as mention is made of the author and the website.

Relief for Arthritis

Relief for Arthritis
Nestler

Inflammation or degeneration of the joints is a common problem
especially as one ages, and sufferers are constantly on the
lookout for arthritis
relief.

Popping a pill may be the first thought that comes to mind,
perhaps a pain killer or one of the anti-inflammatory
medications. The latter come in the form of pills, ointments,
gels or salves and may provide the desired relief. However, if
the problem persists, use of medication should be discussed with
a physician so the sufferer is aware of possible side-effects
and precautions with their use.

In spite of the pain, moderate daily exercise, such as swimming,
walking, or perhaps physical therapy is critical if the
arthritis sufferer is to maintain mobility in the joints. A
therapist will help design an exercise program which, when
interspersed with rest periods, will help reduce joint
inflammation. Moist heat is helpful in reducing pain and
increasing ease of movement. Heat is soothing and infra-red is a
penetrating heat. Placed about 60cm or 24inches from the
affected joint, for about 20 minutes, up to 3 times daily, it
may be helpful, especially just before beginning an exercise
routine. However, there is probably no long term benefit.

A physiotherapist may give advice on maintaining correct
posture, during sitting and standing. Some individuals seek
relief from various forms of alternative medicine. . Needless to
say, excess body weight aggravates the problem.

In severe cases, surgical procedures may be necessary;
artificial joints may be implanted to replace those damaged
beyond repair.

Some detective work on the part of the sufferer may be called
for. By determining when the symptoms pop up, it may be possible
to manage some of the suffering. Pain in a joint may be felt
during or after use, or after a period of inactivity. Discomfort
may signal a change in the weather or be felt during it.

Although there’s no cure for arthritis, available treatments can
relieve pain and help you remain active. At the first signs of
the illness, treatment should begin. Rest and easy exercise such
as swimming may be effective starting points along with some
over the counter medications to ease the pain and improve joint
functioning.

Among the treatments your doctor may suggest are medication,
self-care, physical therapy and occupational therapy.
Occasionally surgery is recommended.

In addition, how well you live with arthritis often depends on
your behaviors and attitude. If you actively manage your
arthritis, you may be able to gain control over your pain.

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Learn about arthritis and how it can affect you

Learn about arthritis and how it can affect you
Dr Leong Y.H

‘Rheumatism’ is a traditional and non-specific term used in the East and West to refer to a variety of conditions affecting the bones, joints, skin, heart, kidneys, lungs. This term is rapidly falling out of favour in the West today because modern medical science has discovered that most of these conditions have different aetiologies (causes) requiring very different treatments.
You can say that it’s a word mainly used in Chinese (& traditional) societies; it’s also used by a minority of Westerners into homeopathic and alternative medicine. The only common characteristics among these conditions are: 1) they cause long-term chronic pain, and 2) they are very difficult to treat.
‘Arthritis’ is a broad term refers to inflammation of the joints, but doesn’t say anything about the cause. Includes conditions like osteoarthritis, rheumatoid arthritis, psoriatic arthritis, infective arthritis, gouty arthritis, etc.
Generally, I’d divide arthritis into 2 big groups:
1) Osteoarthritis (OA)
This is primarily a ‘wear and tear’ condition affecting older people. Arises from overuse (e.g. marathon runners), previous injuries (football players), overweight, heredity.
A lot of older Asian women get OA of the knees while the Americans and Europeans get it in the hips. The pain is more mechanical than inflammatory. So you get pain in the later part of the day after a lot of walking and climbing stairs.
Because it’s mainly a mechanical problem, treatment with painkillers is only a temporary solution. Long-term lifestyle changes are more important – reduce weight, mobility and muscle-strengthening exercises, reduce all kinds of weight-bearing activities (walking, jumping, running, carrying heavy objects). In severe cases, surgery may be warranted.

2) Inflammatory (‘Rheumatic’) Arthritis
This group comprises the various types of arthritis which are mainly inflammatory , not mechanical, in nature. They usually result from an auto-immune condition, which causes the body’s immune system to go haywire and attack the joints and other parts of the body. E.g. rheumatoid arthritis (RA), SLE (skin, kidneys, joints, brain), psoriasis (skin, joints), ankylosing spondylitis (back, heart), gout (joints, skin, kidneys), rheumatic heart disease/fever (joints, heart, skin). All these conditions require different forms of treatment.
I’ll talk a bit about RA, the commonest condition in this group. Unlike OA, RA can occur at any age and is usually hereditary (we now have a test for the RA factor in the blood). Pain is usually in the early morning, worse when it’s cold, and gets better with activity and use. That means an RA sufferer suffers from morning stiffness and pain, but gets better in the afternoon when it’s warmer and when he has moved around a bit.
Treatment, unlike OA, is mainly through drugs – painkillers, anti-inflammatory drugs like steroids, cytotoxic drugs like sulfasalazine and MTX.
In Asia, treatment is mainly through accupuncture, medicated plasters and ointments. With the vast arsenals of drugs and non-drugs alternative treatments available today, RA can be controlled very well and the sufferer can actually lead a very active life. Many OA sufferers on the other hand may eventually require surgery since we don’t have very effective drugs for OA. About the Author
Dr Leong is a Western trained doctor with a keen interest in Chinese medical treatment. He contributes articles to http://www.quick-pain-relief.com. This article may be republished provided acknowledgement is made of the author and the original website.

How to treat Rheumatoid Arthritis

How to treat Rheumatoid Arthritis
Mike

Arthritis is the term used for over 100 rheumatoid and joint related diseases, with the most common being Osteoarthritis and Rheumatoid Arthritis.
The word arthritis refers to “joint inflammation” and rheumatoid arthritis is actually an attack on the immune system where the system turns on itself and attacks the joints.
Rheumatoid arthritis causes joint pain and swelling, redness, warmth and can affect other organs of the body like skin, eyes, lungs, heart, blood, nerves or kidneys. Rheumatoid arthritis affects approximately 1% of the population, in which 75% of those diagnosed are women. The exact cause of rheumatoid arthritis is unknown, but scientists attribute this disease to a combination of genetic, environmental and hormonal factors. With rheumatoid arthritis, something seems to trigger the immune system to attack itself. This could happen after a sudden trauma or a surgery, and the severity is not the same in all people. Some theories suggest that a virus or bacteria alter the immune system. Therefore, since the root cause of rheumatoid arthritis is so different from osteoarthritis, of course the treatment and remedies are different also.
Rheumatoid arthritis is diagnosed by a positive Rh factor, (a blood test), and x-rays that show rheumatoid deterioration in the joints. There are many different ways to treat rheumatoid arthritis, which include medication, rest, exercise and surgery. The medications fall into two specific categories, NSAIDs and DMARDs, and attempt to reduce the pain, swelling and inflammation. Humira, one of the latest discoveries, attempts to isolate the diseased cells so they cannot reproduce and cause more harm.
In the past 10 years, alternative medicine has also taken a predominant place in the treatment of rheumatoid arthritis.
Some of these non-prescription methods include:
* ibuprofen
* herbs such as cat’s claw and white willow to reduce pain
* glucosamine and chondriton are used to promote new cartilage growth
* warm baths in Epsom Salts
* application of menthol ointment to the affected joints
Rheumatoid arthritis is not to be taken lightly or ignored, so investigate the treatments and choose the best for yourself.
About the Author
Learn more about arthritis and what you can do to treat it: go to Arthritis Relief and Prevention