Tag: disease

The Care of Rheumatoid Arthritis

The Care of Rheumatoid Arthritis
Leroy Gastering

There are different forms of arthritis each painful and possibly debilitating. Often attributed to those of advanced age, arthritis can afflict anyone and can develop for a number of reasons, depending upon the type. Since this particular disease affects the joints, the agility and mobility of the patient can be significantly impacted as it progresses sometimes to the extent of physical deformity.
Rheumatoid arthritis is a disease of the immune system which often targets the hands of the patient. In addition to great pain and inflammation of the joints, those who suffer from this form of arthritis will often experience a deformity of the hands and fingers. The disease typically affects both hands simultaneously and can cause exquisite pain, swelling and loss of normal function, in addition to severe deformity.
In broad terms, arthritis refers to inflammation of the joints. Where rheumatoid arthritis is concerned, the actual linings of the joints is what becomes inflamed. This causes the cartilage in the joints to grow and swell, which over long term erodes the joints. This is what causes the very characteristic crippling deformities that occur in the fingers and hands of rheumatoid arthritis sufferers.
People diagnosed with rheumatoid arthritis comprise only 1% of the population. (Vast numbers of people who suffer from other types of arthritis.) This disease affects women much more frequently than men. So far, there is no known cure for rheumatoid arthritis. Therefore, the only recognized treatment at this point, is to manage the pain. Doctors prescribe various remedies which depend upon the patient’s medical history, overall profile and other related factors.
Of the many types of pain control, oral medications are often used to control the swelling and pain thats associated with rheumatoid arthritis. Other options include braces and splints which gird weakened joints and remove excessive pressure from them and surgery, in more critical cases. The latter option not only aids in reducing pain, but also provides greater mobility and improves the appearance of the hands. These surgeries may consist of a synovectomy, osteomoty or joint replacement.
When diagnosed early enough, there are many steps that can be used to reduce pain and the other consequences of this type of arthritis. So, even though theres no known cure, if one experiences pain, swelling, or diminished use of the hands, one should contact a doctor immediately. A plan can be outlined to reduce pain, and prepare for future surgery.
No-one should have to live with pain of arthritis, now that so much progress has been made in the field of pain management. The first steps in managing the pain may be as simple as common aspirin or other medications. If they do not work, a doctor will then prescribe medication that specifically targets arthritis pain. But before that can happen,there has to be open communication between the doctor and the patient regarding the pain early in the treatment. So, it is not advisable to suffer quietly in this case.

About The Author

Leroy Gastering is the owner of Arthritis Biz, inc. which is a complete resource center for anything and everything related to Arthritis. For more details please visit http://www.arthritisbiz.com.

Shoulder Hemiarthroplasty In Patients With Juvenile Idiopathic Arthritis

Shoulder Hemiarthroplasty In Patients With Juvenile Idiopathic Arthritis
Mike Cliff

Replacement of the berm in juvenile person idiopathic arthritis is not often performed and at that place rich person been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular adolescent idiopathic arthritis. The mean keep up-up was six days (59 to 89 months). The mean age at the time of operation was 32 old age. Surgery took place at a mean of 27 age subsequently diagnosis.

The results indicated excellent easing from painful sensation. At that place was restoration of useful office which deteriorated with time, in part because of progression of the systemic disease in this severely affected group. No patient has required revision to date and in that location has been no radiological evidence of laxation or osteolysis around the implants. We discuss the pathoanatomical challenges unique to this group. In that location was very little space for a prosthetic marijuana cigarette and, in some cases, bony deformity and the belittled size necessitated the wont of custom-made implants.

Arthritis of the shoulder joint is rarely an early feature of jejune idiopathic arthritis. Involvement of the hip joint and stifle is more common and can be treated by arthroplasty.’~8 That of the articulatio humeri is seen later in the course of ongoing systemic or polyarticular puerile idiopathic arthritis with an incidence of 15% at 15 eld from the onset of the disease.9 Persistent arthritis of the immature produces a maldeveloped proximal humerus and glenoid cavity (Fig. Later in the course of the disease, erosion of ivory and cartilage whitethorn cause medial migration and superior subluxation of the humeral head. Consequent dysfunction of the impairs basic daily activities such as toileting and the utilization of crutches or a stick, which English hawthorn be required during rehabilitation later surgical operation on the coxa or knee joint.

If the elbows become involved, the role of the upper limb deteriorates further. Another (case 6) complained of persistent paraesthesiae and annoyance affecting the lateral aspect of her forearm afterwards surgical procedure which did not respond to simple analgesia and physiotherapy. She remains unable to self-toilet effectively because of a poor range of movement and her purpose has deteriorated with time. Peripheral nerve-conduction studies were comparable with those of the contralateral arm and within normal limits. MRI of her cervical spine showed degenerative changes consistent with a C6 radiculopathy, merely she has declined further intervention.

Thither wealthy person been no other significant complications to date. This is a diminished series of patients with no unoperated control group other than the contralateral of four patients with significant arthritic involvement. Our methodology is otherwise reasonable.

About The Author:
Mike Cliff http://www.qualitymanual.net

Copyright Mike Cliff – http://www.qualitymanual.net

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.

Rheumatoid Arthritis: Will It Strike You?

Rheumatoid Arthritis: Will It Strike You?
Travis Lawrence

Many think that when they get older they will deal with rheumatoid arthritis. But, many are sadly mistaken if they think that this condition is far off for them. In many cases, it starts much earlier than you would think. Having the knowledge you need, though, can help you to see the symptoms, understand what is happening to you and to seek out the right treatment for it. Rheumatoid arthritis strikes thousands of people every day. Will it strike you?
An Overview
Rheumatoid arthritis is a condition that is chronic meaning that it does not go away. Most of the time, it is thought of as a condition of inflamed joints. Long term damage to the joints is what leads to severe pain. Eventually, it will worsen to an extreme in which the individual can no longer use the joint and can become disabled for it.
There are three stages of the disease. In the first, there is often swelling in the synovial lining. This is the lining of the joints. The swelling will cause pain, stiffness and even a feeling of warmth in the area. The joint and the area surrounding it will be swollen.
In the second stage, the disease is characterized by the growth of cells. The cells will grow and reproduce quickly. This causes the lining or synovium to thicken rapidly.
In the last stage, these cells are now inflamed. They are releasing enzymes that will begin to actually work away at the bone and cartilage of the joint. The joint will become misshapen and its alignment will be off. In turn, this causes more pain and leads to the loss of function of the joint all together.
It is also important to note that Rheumatoid arthritis can lead to other conditions throughout the body. The disease can effect many organs and therefore cripple the lifestyle that you know. It is important to seek treatment early on before the condition worsens beyond control.
Rheumatoid arthritis affects about two million people within the United States. There is no cure for it, but medications can slow and even stop the progression of the disease and therefore prevent it from becoming severe. The cause of the disease is also unknown.
Do I Have it?
Understanding the symptoms of rheumatoid arthritis can help you to know when you should take action. It can affect any joint within the body. Smaller joints are the most common area for it to begin. For example, fingers, the hands and the wrists are the mot common first signs of the disease. Most common systems include the following.
 Stiffness in any joint. It tends to be worse in the morning or after sitting still for long periods of time. The longer this stiffness lasts, the worse the diseases is.
 Fatigue can be a symptom as well.
 Flu like symptoms including a fever may be present.
 Feelings of weakness.
 Pain may be evident especially when there are long periods of sitting or stillness.
 The disease can go into remission in which it may not feel as bad. Many mistakenly think that they are better. But, it will flare up again.
 Muscle pain may be evident.
 Also, a loss of appetite, the onset of depression, anemia, sweaty hands and feet and weight loss can be a sign that there is something happening.
As the disease progresses, symptoms will worsen. Pain becomes more so and there is a withdrawal from activity because it is just too painful.
Seeking Help
The treatment that you will receive will be fitted to your specific conditions. Because the disease of rheumatoid arthritis is so varied, treatment must be administered to your severity and your symptoms. It is important to seek the advice of a doctor when you begin to experience pain because early detection can slow and stop the progression of the disease. It can help to stop the spread as well.
It is important for you to seek early treatment for any joint pain that you may have. As mentioned, rheumatoid arthritis is a condition that can affect other systems within the body. These will worsen as the disease progresses. Taking the first steps when you first see a problem can help you to maintain your lifestyle without having to stop because of the pain that rheumatoid arthritis is bound to cause.
About the Author
For more rheumatoid arthritis treatment information visit http://www.rheumatoid-arthritis-info.org/ . You may freely reprint this article on your website or in your newsletter provided this courtesy notice, link and URL remain intact.