Tag: Anti Inflammatory Drugs

Rheumatoid arthritis treatment

Rheumatoid arthritis treatment
Robert Kokoska

Rheumatoid arthritis is a condition where involves inflammation
of joints which leads to further swelling and pain. It causes an
upset inside the body where the immune system starts attacking
joint tissue, cartilage and other organs.

However the causes of rheumatoid arthritis are still not known
fully. This type of arthritis is the most common and affects one
in every 100 people. Rheumatoid arthritis affects people of all
ages but mainly effects people within the ages of 30 – 50. Women
are three times more likely to be effected as men. Patients
carrying this form of arthritis most often complain of
fluctuating pain and inflammation of joints, which can get gets
worse during flare-ups.

This article aims to offer an insight into several treatments
that can be used against rheumatoid arthritis.

There are two main kinds of drugs used against rheumatoid
arthritis; first line drugs, fast acting drugs, and second line
which are slow acting drugs.

First line drugs include nonsteroidal
anti-inflammatory drugs (NSAIDs). Examples of NSAIDs are
aspirin, ibuprofen and etodolac. These can be used to reduce
pain and swelling of joints.

Aspirin has long been used to decrease inflammation. It can be
used to treat rheumatoid arthritis by using doses that are
higher then those used during fever. Newer types of NSAIDs are
effective as aspirin and require fewer intakes per day. However
just like all medication, it has its own side effects which
include stomach pain, abdominal pain and a few others. In order
to minimize the side effects of NSAIDs, they are regularly taken
with meals.

Another type of first line drugs includes Corticosteroids. They
are more powerful then NSAIDs and are given either orally or
through an injection to the inflamed areas such as joints.

Corticosteroids are given in small doses, mainly during
flare-ups as it reacts more strongly to inflammation. However it
can have serious side effects on the body if given for an
extended period of time in high doses. These include weight
gain, easy risk of infection, easy bruising and others. The side
effects can be minimized by decreasing the level of doses given
to the patients slowly as the condition of the patient improves.
A sharp decline in the doses given to the patient is discouraged
as it can lead to flare-ups and other symptoms of the disease.

Second line drugs include Disease-modifying
Anti-rheumatic Drugs or DMARDs. These drugs are mainly used to
prevent destruction of joints and deformity. DMARDs are used for
an extended period of time in order to be effective. DMARDs can
often be used with a combination of other second line drugs as
therapy.

Some examples of DMARDs include Sulfasalazine,
Hydroxychloroquine, D-penicillamine and others.

Apart from the above methods, there are some other approaches
that can be used to treat rheumatoid arthritis. The patients can
undertake exercise that can help them improve their physical
condition and improve joint mobility. Additionally it is
important to have a healthy intake of food.

Many often patients with rheumatoid arthritis can experience
weight loss. This can be combined with medication and therapy to
come up with a more potent combination against the condition.
Depending on your position, you can under go either
physiotherapy or occupational therapy. This will help improve
flexibility, mobility, and reduce pain in your joints.

The aforementioned approaches to rheumatoid arthritis have been
used time and again. However it is essential to seek your
nearest doctor to get firm guidance. Each arthritis case shall
be dealt on an individual basis.

With the passage of time, new and more effective treatments
against arthritis are starting to come through. However the only
way to gain the maximum benefit from the existing treatments
will be to remain punctual throughout the course of the
medication. It is important to constantly consult your doctor
and keep him or her up to date with your condition, so that the
doctor can advise you further and give more effective feedback.

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Common Lower Back Pain Treatments

Like with a number of things, beginning with lower back pain treatment has to start somewhere. It must start with a number of basic steps.

Foremost, you have to be diagnosed of a certain condition and be sure that you have discussed with your doctor the lower back pain treatment that is appropriate with your case.

However, lower back pain may often be undiagnosable and many are caused by certain complications that are too hard to recognize even for experts on the field. For some cases on the other hand, symptoms are evident due to anatomical abnormalities and usually require immediate treatments.

For the more common lower back pain, treatment may start with the following routines:

Rest
It is important to rest the spine when beginning the treatment yet it is equally important to note that rest must only comprise of a day or two. Other than this, resting may be more damaging than good as too much rest may lessen muscle strength. This may also lead to persistent lower back pain. After the symptoms subside, avoid too much physical exertion and activities.

Due to the nature of muscle strain, it is best to avoid irritation on the affected part especially on the spine and the muscles that surround this area.

Anti-Inflammatory Medications or Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
Medications that are covered by NSAIDs are often used in treating inflammation associated with lower back pain and other pains. These medications may both be prescribed or may be bought over the counter.

Heat Application
This procedure may help ease discomforts caused by muscle spasm that trigger lower back pain. Methods using heat may include hot water, hot bottles, hot bath and heating pads.

Exercise
This probably is the most essential step in lower back pain treatment. This increases muscle strength and flexibility. Once muscle strength is increased, weight may be better distributed and less force will burden the spine.

Narcotic Pain Medications
Narcotic medications may be both addictive and dangerous but they are rather effective against pain. It is important that the person using narcotic pain medications is under strict supervision.

Muscle Relaxers
Muscle relaxing medications may be very effective in treating the symptoms of back pain through relieving muscle spasm. Among these are trade names such as Flerexil, Valium, and Soma.

Physical Therapy
The focus of physical therapies is the exercises concerned on the back, naturally enough. Yet, if symptoms did no subside using this method, there are other forms of treatments that may be employed such as ultrasound, yoga and aquatherapy.

All these methods of treatments may be used separately or may be combined with other modalities to induce immediate body response.

Advanced Medications for Back Pain Treatment

Fortunately for most patients, the present medicines, option treatments and therapies available work well. But just as each person has individual sets of symptoms and conditions, not all treatment options may be appropriate. Now if you are a back pain patient, it is best to seek medical help to customize a treatment plan that would work best for your case.

Discussed in the following section of this article are the available back pain treatment medications. Though it must be understood that they apply differently and may have varying effects.

Drug therapies
Today’s patients have a wide spectrum of medication choices to treat their persisting back pains. Some drugs are especially designed to treat certain conditions only but many are rather so versatile that their use may apply even for releasing muscle tension, inflammation and treat spasm. Yet, as unfortunate as any treatments may be, there are medications that may have extreme side effects. It is wise that you first discuss with your doctors the medications you will take and the plans to conquer or even minimize the side effects.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
This type of medications often consist of aspirin, Naproxen, ibuprofen, Ketoprofen and a lot more others. These anti-inflammatory drugs often induce healing from back pain and reduce inflammation and swelling. When used on minimal doses, NSAIDs may act as mild analgesics but larger doses may bring the effects of genuine anti-inflammatory drugs. The most common side effects of conventional Non-Steroidal Anti-Inflammatory Drugs are gastrointestinal conditions. However with the newer released items for NSAIDs (e.g. COX-2 Inhibitors), patients may be allowed to take higher doses without the accompanying risks of side effects.

Acetaminophen
Acetaminophen such as Anacin-3, Valadol, Phenaphen, and Tylenol, are commonly known to have the effects of ordinary analgesics- the typical alternatives to NSAIDs. Analgesics medications are employed for acute pain treatment. However, on some special instances these may also be used as treatments for chronic pains.

Opiods
Because of their addictive nature, Opiods are rarely used as treatment for back pain but if so, only for the most severe cases that needs immediate, quick pain relief. These medications are generally not prescribed and many physicians refute that they may do more harm than good. Opiods include codeine and morphine, meperidine (Demerol), Oxycontin.

Muscle Relaxants
Muscle Relaxants are known to induce the efficiency created in most Non-Steroidal Anti-Inflammatory Drugs and are often prescribed only for severe back pains. These include medications such as cyclobenzaprine (Flexeril), methocarbamol (Robaxin), carisoprodol (Soma), and diazepam (Valium).

In order for these medications to work at their optimum, guidelines for using them must be followed and the doctor’s advises are the only things that may help you best aside from other medical assistance.

How Fish Oil Can Cure Inflammation

Inflammation occurs as our body’s natural protective response to fend off any outside aggressors and to begin the process of healing. Its effect on our tissues usually involves pain, heat and redness. However, there are some cases that this outward effect is not visible.

Inflammation is a double-edges sword; its effect can be helpful or harmful depending on the circumstances. When an inflammation is in chronic state, devastating consequences are likely to happen like arthritis, heart disease or stroke. It usually happens when the cause of inflammation is continually reintroduced or if the acute inflammatory response is not able to eliminate it. This situation is very likely to happen nowadays because of our exposure to implausible amounts of toxins.

Some of these toxins can be avoided like poor food choices, smoking, and prolonged sun exposure. While some things arise from things from things we dont have control like genetics, accidents and pollution. Inasmuch as there are factors you cant help being exposed to unnecessary and harmful factors detrimental to your good health, you can also take food supplements effective in strengthening your body against the sometimes lethal effect of inflammation. The most effective food supplement according to recent studies happens to be fish oil.

The prevalence of destructive or chronic inflammation among Western countries makes it imperative for many specialists to deal with preventive measures. The reason behind this is that the Western population is more exposed to stress, obesity and poor health in general. Many pharmacological anti-inflammatory drugs offer reduction of inflammation, however, long-term medication have potentially lethal side effects.

So what is your safest option if you have inflammation? Research on alternative medicines revealed that certain dietary supplements can help reduce levels of pro-inflammatory factors, with significantly lower side effects. One of these dietary supplements is the essential fatty acids or EFAs.

Essential fatty acids are necessary for various aspects of normal physiology like: mediating immune response, regulating bodily secretions and their viscosity, dilating and constricting blood vessels, regulating collateral circulation, directing endocrine hormones to their target cells, regulating smooth muscles and autonomic reflexes, being primary constituents of cell membranes, regulating the rate of cell division, maintaining the fluidity and rigidity of cellular membranes, regulating the flow of substances into and out from cells, transporting oxygen from red blood cells to the tissues, maintaining proper kidney function and fluid balance, keeping saturated fats mobile in the bloodstream, preventing blood clots, mediating the release of inflammatory eicosanoids that may trigger allergic conditions, and regulating nerve transmission and communication. (Source: Fish Oil: The Natural Anti-inflammatory by Joseph C. Maroon and Jeffrey Bost, 2006, page 39).

For this reason, it is very important for over-all health to have a regular intake of foods rich in omega-6 or omega-3 EFAs. The omega-3 pathway, activated by trauma, injury, or chemical stimulus, is the process of converting the omega-3 EFAs found in the cell membranes to various eicosanoids. If the omega-3 EFA components of the cell membranes become dominant, an anti-inflammatory state can result, with preventive health benefits.

Fish oil is the best source of the omega-3 essential fatty acids. But why fish oil, you might ask? The needed nutrients can also be found in green plants; algae (phytoplankton); leaves and seeds of the perilla plants; and linseed oil but fish oil is considered the most important dietary source of omega-3 EFAs because it contains concentrated amounts of the ALA derivatives with APA and DHA.

The two mentioned nutrients can almost exclusively found in seafood. Fish contains high amount of EPA and DHA because they are at the top of food chain based on algae, a single-marine organism that manufactures huge amount of EPA and DHA.