Tag: disease

Arthritis Pain Relief 101

Arthritis Pain Relief 101
Charlene J. Nuble

Coming of age equals coming of a variety of body pains. And do you know what most of our oldies would complain about regarding this issue? Arthritis. An estimate of over 50 million Americans suffer from osteoarthritis, rheumatoid arthritis and other conditions related conditions.The most common form of arthritis is osteoarthritis. It is the kind of arthritis that usually affects nearly three-quarters of those over 50. At the onset of arthritis, pain is not a part of the major system yet. Morning and after rest stiffness and crackling joints are usually the first few symptoms that confirm the diagnosis of the condition. Upon the development of the disease, patients are expected to suffer from more discomfort, disability and pain.If left untreated, it can become progressively distressing and painful crippling can result. This is particularly true with rheumatoid arthritis. Rheumatoid arthritis usually affects women. It is prevalent with age group of 20 to 45.Arthritis is not only caused by the wear and tear the joints undergo. There are other factors that aggravate this condition. Rheumatoid arthritis is considered an immune deficiency syndrome where antibodies develop against components of joint tissue, and mistakenly and aggressively attack the joints. Misdirected neovascularization leads to displacement of water while decreasing the volume and viscosity of synovial fluid (fluid between joints), further lessening the flexibility and cushioning power of the joint, until the surfaces of raw unprotected bone painfully begin to wear against each other, as it happens in conditions of Osteoarthritis. Inborn recessive genetic errors may also predict the inclination of a person to develop arthritis.Dealing with the chronic pain of arthritis can be frustrating. Pain from arthritis is often caused by inflammation, a localized protective reaction of tissues to irritation or any kind of injury and is often characterized by pain, redness, swelling and even disability. Crepitation is a process that can also cause the pain that is felt by an arthritis patient. It is the rubbing together of two bone fragments that cause a crackling sound. Muscle tension and fatigue can also cause the pain.The usual treatment for arthritis is through the use of painkillers. Non-steroidal Anti-Inflammatory Drugs (NSAIDs) like aspirin can help relieve the pain of arthritis. But they only target the symptom and not the disease itself. Studies even show that the continual use of these NSAIDs may even cause joint deterioration thus making arthritis worse. Modern medicine does not have much to offer for the cure of this disease.The traditional temporary arthritis pain relief medications available leave a lot to be desired. Other pain solutions can be relied on to achieve arthritis pain relief. Massage therapy, hydrotherapy and cold packs are a few of the simple methods of pain management. Herbal remedies such as ginger, willow bark and fish oils and the well-known cartilage constituents glucosamine sulfate and chondroitin sulfate are also promising a lot in revolutionizing the treatment of arthritis. Aside from the symptomatic relief they offer, they actually interfere with the origin of the disease. They are also being considered to help the body rebuild functioning joints. Also reported to be fast acting,in cream form, they increase mobility and optimal repair of joint structures as they help reinforce the body’s protective linings and lubricating fluids by recovering cell stability and function to stop further damage. Those discovered treatments among many might just be the best among the elusive arthritis pain relief that are commercially available. But above all, no matter how clichd it may sound, an ounce of prevention is better than a pound of cure.————————-Note: This article may be freely reproduced as long as the AUTHOR’S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes.————————- About the Author
Charlene J. Nuble 2005. For up to date links and information about arthritis, please go to: http://arthritis.besthealthlink.net/ or for updated links and information on all health related topics, go to: http://www.besthealthlink.net/

Sore Throat Set off by Acid Reflux

Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.

To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.

The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.

Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.

The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.

But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.

Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.

Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.

Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.

Keeping people with Alzheimer’s busy

Alzheimer’s disease is considered the 7th leading cause of death in the United States in 2004. The death toll continues to rise every year. The disease is the third most costly in the U.S. Heart disease and cancer are the first and second most costly respectively. It is recorded that there 24 million people with dementia worldwide, the figure will more than double by 2040.

Alzheimer’s is a progressive disease that is irreversible with no known cause or cure. The disease affects two major types of abilities. Alzheimer’s affects the very simple everyday activities such as dressing, eating, bathing, dressing, using the toilet, and even walking. One needs to be assisted in order to accomplish such tasks.

The other ability affected by the disease are the performance of more complex tasks like managing finances, driving a car, preparing and cooking meals and working in a job. It is normal for people with the disease to experience problems with complex tasks first which later on move to the more simple everyday jobs as the disease progresses.

Treatment is vital for people with Alzheimer’s disease. Treating a patient requires the conglomeration of the expertise of a family doctor and various medical specialists like psychiatrists or neurologists, psychologists, therapists, nurses, social workers, and counselors. Because the disease affects not only the patient but the whole family as well.

It is very important that family members work closely with the doctors in administering the treatment. The family should be informed of activities that are dangerous for people with Alzheimer’s disease. Some of these activities include driving or cooking.

Treating dementia related symptoms of Alzheimer’s vary. But such treatments can only be effective if the dementia is caused by factors like medications, alcohol, delirium, tumors, depression, head injury and infections. There are, however, some treatments that are being used to “cure” the well being of a person afflicted with the disease.

Activities like playing music, personal interactions, playing videotapes of family members, walking and light exercise and pet therapy have been found to be successful in helping people develop friendship, mutual support and spiritual connectedness with the people around them.

However, one should remember that such activities can be beneficial to one but could be detrimental to another patient. The best activity for a person with Alzheimer’s varies. Former hobbies or points of interest of a person could also be used to help people with the disease and their families to cope.

One could assist the person to engage in activities like supervised gardening, singing, cooking, painting and drawing as long as routine is established. It is very important to engage in these activities on a regular basis for this could help the person establish a sense of stability.

Some therapies combine various activities and have proved to be fairly successful and garnered some favorable results. Such programs combine music, exercise, crafts and relaxation which obtained the best results.

Some even add various structured sessions like meditations, sensory awareness and guided imagery in their attempts to calm and pacify the already unstable behaviors of patients with Alzheimer’s.

Aside from daily physical exercise and social activities, some of the things that you also need to consider in treating a patient are proper nutrition and health maintenance; daily activities that will give the feelings of accomplishment for the individual; keeping the patient out of harm’s way; and knowing the physical and emotional limitations of the patient, the care giver team and the family.

Arthritis Of The Foot

Arthritis Of The Foot
Dr. Jeffrey A. Oster, Medical Director Of Myfootshop.com.

Arthritis is a term used to describe a number of diseases that cause inflammation of joints and results in the progressive destruction of joints. Arthritis is actually a collection of many different joint diseases that affect the body and the foot in many different ways. In this article, let’s talk a bit about arthritis and how it affects the foot. We normally discuss treatment alternative for conditions, but due to the scope of this topic, we will not discuss treatment of each of the individual forms of arthritis.

Osteoarthritis

Osteoarthritis is by far and away the most common form of arthritis. Osteoarthritis is known as the wear and tear type of joint disease and will effect most of us at one point in our lives. In our discussion on osteoarthritis, please refer to the nomenclature and anatomy sections below for definitions of the terms that my be unfamiliar to you.
When I think of osteoarthritis (OA), I think of my grandmother’s hands. Those hand have done a lot of work in their time and have a bit of arthritis to show for it. The fingers, crooked and bumpy show many of the changes brought on by osteoarthritis. The bumps on the fingers are called Heberden’s Nodes. Heberden’s Nodes are a very obvious example of how osteoarthritis occurs. If you’ve ever known anyone whose experienced the symptoms of OA, they’ll tell you that a joint will flare for a period of several weeks. It may be mildly painful or even painful to the degree that the joint is unusable. And then suddenly, just as passively as it came, it leaves. Occasional, brief morning stiffness was not unusual for grandma. The pain that had been present in her hands was actually due to a series of small micro-fractures that occurred in the subchondral bone (just beneath the cartilage). It seems that in cases of osteoarthritis, the bone just below the cartilage becomes very fragile. When loads are applied to this fragile bone, it breaks down. The more the joint is used, the more the bone seems to break down.
Over time, as the bone undergoes a series of flare ups, the ability of the bone to support the cartilage becomes unstable. The subchondral bone creates an unstable supporting surface for the cartilage. When the joint tries to complete its’ normal range of motion, the cartilage is irregular and progressively erodes. This moves us into the second phase of OA pain, and that’s when we have joint range of motion that is bone on bone. Cartilage has no nerve endings to sense pain, but bone on the other hand, has plenty. As the joint moves and the bone is eroded, significant pain can be experienced.
This erosive process seen in OA seems to occur at different rates in everyone. In fact, every joint seems to undergo the changes of OA at a different rate. The rate of change does seem to be effected by the history of damage to the joint. In fact the classifications used to describe OA include Primary (idiopathic or no known cause) and Secondary (some known cause for the disease such as trauma). Past injuries seem to accelerate the rate of OA in most joints. We all know someone with that old football injury, right?
The cause of OA is unknown. Many authors have speculated that the cause may be mechanical as described above, but others have described changes such as biologic, biochemical or enzymatic; or even a combination of each of these.
Changes that occur in the foot with OA are numerous. The most common is midfoot pain that is diffuse. The midfoot is a jigsaw puzzle of pieces that are difficult to manage when effected by a systemic disease of this nature. Other finding include atrophy (loss) of the plantar fat pad of the forefoot and heel. The big toe joint is often effected by the changes of OA with bunions and hallux limitus as common complaints.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a very complex and debilitating disease that affects approximately 1% of the general population. Women are 2-3 times more prone to develop RA. RA is a process where the body’s immune system attacks the cell lining the joint capsule (synovial cells). The end result is thickening and fibrosis of the joint with destruction of the cartilage.
Symptoms of RA include an abrupt onset of inflammation. The swelling associated with RA may be isolated to one joint or effect several. Symmetrical involvement is typical with both hands or both feet being affected. In comparison to OA, morning stiffness seen in RA may last more than 30 minutes.
The finding of RA in the foot often progresses to subluxation of the joints, particularly the metatarsal phalangeal joints. Atrophy of the plantar fat pad is common.

Psoriatic Arthritis

Psoriatic arthritis (PA) is an interesting form of sero-negative arthritis. PA is associated with psoriasis in many cases, but it is not unusual to find the symptoms of PA in a patient with no previous history of psoriasis of the skin or nail.
The symptoms of PA in the foot include focal swelling of the interphalangeal joint (the toes). The toe will appear to have swollen and become painful with a limited history of injury or pain. X-rays often show slow changes that exhibit erosion called a pencil and cup appearance. This finding is common on the metatarsal phalangeal joint.

Reiter’s Syndrome

Reiter’s Syndrome (RS) is an unusual form of arthritis that is usually found in men.. RS is often described as a sexually transmitted disease due to the history of the disease occurring following sexual intercourse which resulted in a chlamydial infection. It is suggested to treat those with RS, and their sexual partners, for C. trachomatis infections.
The symptoms of RS include burning upon urination (urethritis), dry eyes and joint pain. Joint pain in the back and feet are common. These symptoms occur 7-14 days following sexual intercourse and subside over a period of several months to years. Recurrence of pain is not unusual. About the Author
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle surgeon. Dr. Oster is also board certified in pedorthics. Dr. Oster is medical director of Myfootshop.com and is in active practice in Granville, Ohio.