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.

The Arthritis-Hypnosis Connection

The Arthritis-Hypnosis Connection
Paul Gustafson RN, BSN, CH

Did you know that we all have the ability to enhance self-healing, increase comfort and improve nutrition, exercise, communication and flexibility? This article explains clinical hypnosis and how it can bring relief to clients suffering from arthritis. Hypnosis is easy to learn, you can do it on your own and it empowers you to take an active role in your healthy well-being.The subconscious mind has many jobs. It quietly and effectively regulates our bodily functions and stores all of our values, beliefs and memories. It also balances our blood pressure, heart rate and co-ordinates each step we take everyday of our life. The negative effects of arthritis extend into many areas of a clients life, as does the positive resolve and relief of hypnosis. Hypnotherapy is the simple process of accessing and directing the subconscious mind to support certain positive changes. It is the language of the mind, it access the most powerful level of awareness and down loads new applications of freedom and relief.Osteoarthritis is the most common type of arthritis. It causes a deterioration of the protective lining of cartilage in our joints. This deterioration occurs due to a breakdown of the chondrocytes that form cartilage. Osteoarthritis affects men and women equally. Most people over 30 years of age have some features of early osteoarthritis. The degree of limitation depends on the location of the inflammation. The major areas of concern are hips, knees and spine. The development of osteoarthritis may be related to trauma, aging or heredity.The symptoms of stress play a big role in exacerbating the situation. Communication with family and friends plays a key role in managing stress and hypnosis makes this a lot easier. Suggestions offered to a client during a hypnosis session encourage them to share whats on their mind enabling them to offload concern and frustration, giving them more time doing things they enjoy.It takes energy to deal with any physical or emotional burden. Hypnosis creates ideal sedation allowing for sound sleep. We all follow the path of our most dominant thoughts and if the last thoughts a client has at bedtime involve deep restful sleep, they are in a much better position to recharge their body and mind for tomorrows challenges. For those suffering with arthritis its often difficult just keeping up with the fast pace of day-to-day life. Hypnosis helps individuals adjust to a more appropriate pace and also to release the frustrations and anxiety associated with any limitation. Clients who routinely relax with hypnosis are more centered, balanced and less affected by things they can not control. Increasing muscle tone reduces stress to affected joints, which increases mobility and comfort. Low impact activities like swimming; walking and range of motion exercises are commonly recommended to clients with arthritis. With hypnosis its easier to integrate new regimes and to establish positive subconscious connections between healthy activity and improved mobility, comfort and freedom.The more protection in your joints, the more comfort and mobility you create. Since the subconscious controls the multitude of our bodily function, hypnosis can direct it to increase the production of chondrocytes, which increases the growth of healthy new cartilage. Pain is often the biggest issue with arthritis. Some pain, however, is necessary; it acts as a warning system telling us that something isnt right. The responsible approach with hypnosis is to only reduce unnecessary pain, leaving intact the bodys ability to signal us and protect us from further complications.Hypnosis can also be used to regulate the flow and distribution of endorphins, which are the feel good chemicals the body uses to create comfort and relaxation. Using hypnosis to regulate endorphin production plays a big role in putting the client in control. Hypnosis can also alter the perception of where the pain is located. By redirecting sensitivity away from key areas such as hips, knees and vertebrae to a less critical part of the anatomy like a finger tip, the client has much more control.The same approach can be used to attach a different quality to pain. A sharp pain can be perceived as dull; burning pain can be perceived as cool. Involving other senses is one of the distinct advantages hypnosis offers in managing the symptoms of arthritis. Another technique involves using one color to represent pain and another to represent comfort, and then blending the two offering instant relief.Lastly, by attaching a number value to pain creates the option of change. By imagining a yardstick during hypnosis a client can pick the number that best reflects their current level of pain, and then they are directed to different numbers which changes their perceived level of discomfort. With hypnosis arthritis sufferers gain a distinct advantage in managing and even reversing the limitations of arthritis. Hypnosis is simple, empowering and extremely effective. A few sessions with a hypnotherapist gets you started and with a little practice you begin to effect healthy positive changes in your life. We all have remarkable self-healing abilities and hypnosis is an excellent way to jumpstart a return to a healthier more active life. About the Author
Paul Gustafson RN, BSN, CH runs HealthyHypnosis.com of Burlington, Massachusetts. His 11 years of acute cardiac and hospice experience offer a solid foundation supporting his clinical approach to hypnotherapy. Visit HealthyHypnosis.com or call toll free at 888-290-3972.

Suffering from Osteoarthritis? Acupuncture to the Rescue

Suffering from Osteoarthritis? Acupuncture to the Rescue
C. Bailey-Lloyd/LadyCamelot

Keeping in tune with our commitment to providing the latest, medical breakthroughs, I recently had the rare pleasure of speaking with Professor Jorge Vas Ruiz , (Subdirector of the Master University of Acupuncture, ACMAS Huangdi located in Sevilla, Spain) regarding acupuncture’s effectiveness on osteoarthritis of the knee. For over 8 years, Professor Ruiz and his team of elite professors have investigated the effectiveness of Acupuncture treatment. In the past two years, his work focused on a trial of 40 patients whereby acupuncture and relative therapies were applied. The discoveries were that Acupuncture Techniques relatively proceeded to exceedingly heighten internal healing organisms. Professor Ruiz writes, “The art of traditional Chinese Medicine categorized Osteoarthritis as ‘Bi Syndromes,’ Blockages in Qi energy circulation, which results in ill health. From Ancient Widsom, analgesic properties were founded through points of acupuncture. Numerous studies have demonstrated which nervous system neurotransmitters and natural antigens respond to the stimulus of Acupuncture; and how the analgesic effectiveness of acupuncture fine tunes the peptide pathways and allows natural opiote substances into the undefined gray areas. In the case of Osteoarthritis, acupuncture has effectively reduced and alleviated pain improving mobility of the joints, and finally, increasing the quality of life and overall wellbeing. Recognizing which treatment is greater for the majority as opposed to surgery, our Investigation demonstrated that acupuncture is a good treatment for arthritis of the knee. Normally, 10-12 repetitive treatments are a necessary process depending on seriousness. Normally, patients did not require treatment past 6 months. Dr. Ruiz further explained that, “…Leading trials from patients affected by chonic neck pain were completed just a month ago and should have published results shortly. Another trial centered on acupuncture’s effectiveness on shoulder pain involving 500 patients is set to begin in one month as well.” In closing, Professor Ruiz elaborated that, “Overall, the process of osteoarthritis responds well to acupuncture. Depending on one’s initial stage of arthritis, this medical treatment can effectively help with pain and inflammation.” Professor Jorge Vas Ruiz is the Subdirector for, ACMAS Huangdi a practicing and teaching university of Acupuncture and traditional Chinese Medicine. His research has been featured on several medical media journals, including the British Medical Journal.____________________________________________________________________________ To read this and other articles like this one, go to www.holisticjunction.com today! 12/2004 Suffering from Osteoarthritis? Acupuncture to the Rescue Report by, C. Bailey-Lloyd aka. LadyCamelot Public Relations’ Director & Staff Writer www.HolisticJunction.com www.MediaPositiveRadio.com www.911LawOffices.com About the Author
12/2004 Suffering from Osteoarthritis? Acupuncture to the Rescue Report by, C. Bailey-Lloyd aka. LadyCamelot Public Relations’ Director & Staff Writer
www.HolisticJunction.com www.MediaPositiveRadio.com www.911LawOffices.com

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.