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.

Eczema in Children

When a skin rash cannot be blamed on poison ivy or chicken pox, the culprit is eczema. In this condition, the skin turns red, scaly and develops sores. The itching is beyond the limit and the skins starts to shed in the form of scales. Dermatitis is the other name for eczema. Dermatitis actually means inflammation of the skin and the skin turns pink and sore. Eczema is a common child problem as out of ten kids at least one kid gets eczema and majority of them get it before they turn five years old. Children who are above five years are also at a risk of developing eczema, but once they become teenagers, the chances are negligible.

Not only does eczema dries the skin, it also makes it itch horribly. The skin break out can even take the form of rashes. Eczema is a condition which comes and goes frequently and therefore it is chronic. When any foreign bodies come in contact with the skin, a special kind of cells present in the skin will react to them. Basically, they inflame the skin as a measure of protection. The harmful foreign objects trigger the reaction and make these special cells to over react. This turns the skin itchy, sore and red. Children, who get eczema frequently, have a larger quantity of these special cells.

Usually, people who have family members with asthma, hay fever or any allergies are more prone to getting eczema. It is in their genes to get eczema and this problem is passed over to them by their parent. Some scientists say that people, who as children have had eczema, are at a higher risk of developing asthma or hay fever later in their life. Allergies can only make eczema worse. The good news is that eczema is not contagious, so children can be happy about not catching the infection. The first symptom of eczema is rash development. These rashes may seem to go away in the beginning, but will return back. Although eczema itches badly, not all rashes will itch. Eczema will start to develop behind the knees and inside of the elbows. It will slowly spread to the face and other body parts.

Because rashes can be caused due to many other reasons apart from eczema, the doctor will examine the rashes and its cause very carefully. If eczema is confirmed, the child may have to use a moisturizing cream or lotion to stop the itchiness and drying of the skin. In serious cases, the patient will be recommended corticosteroids. It is a steroid cream or ointment which needs to applied to check skin inflammation. If the itching is really irritating, antihistamine can be taken in either liquid or pill form. And if the scratching had resulted in an infection, antibiotics will also be prescribed. The problem doesnt get solved forever, but it makes the condition better for the time being.

There are certain things which trigger eczema and should be avoided by children who get eczema frequently. Perfumes, detergents, soap, dry air in winters with very little moisture, and sweaty and hot skin. Also when coming in contact with dust mites and scratchy fabrics can increase skin irritation. The child must abstain from scratching even if the skin is itching badly, as that will make the skin itch more badly. The skin can also get infected with bacteria because of skin breaking and bleeding. A washcloth can be dipped on cool water and placed on the area of itchiness. The parents should cut the nails short of the child so that he/she doesnt hurt himself while scratching. Lastly, lots of water should be consumed to provide moisture to the dry skin.

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Testosterone Talk: Symptoms of Male Menopause

Shrugged shoulders this is mens common reaction whenever menopause is discussed by their significant other. Perhaps the reaction can be taken into account with the fact that it is hard to understand something that you do not personally experience.

What if men experience menopause? Will they begin to understand a womans menopausal plight?

It may be a resounding yes or no. Medical studies show that women are not the only ones who experience menopause, men does too. The term is referred to as male menopause commonly known as andropause. Viropause is another term for male menopause. This is described to be the cause of low testosterone levels. Others view it as an end to first adulthood and an indication to begin second adulthood. Some individuals on the other hand view andropause in a sexual manner, wherein it signifies deterioration of sexual desires and performance.

Men may find this fact alarming. Perhaps then, they will start to realize and later on comprehend how it is like to have drastic hormonal change. Menopause for women has distinct and defined symptoms such as stop of menstrual cycle, hot flashes which is evident on the face, chest and neck, too much perspiration, dryness in the vagina, throbbing heartbeat, body aches, itching skin, the growth of hair increases specifically on face but growth of hair decreases on armpit and pubic hair.

On the other hand, dropping of testosterone produced is the most well-defined symptom of male menopause. This can be screened and identified after consulting a physician since decrease in testosterone may also be associated with other illnesses such as diabetes. Once testosterone level has gone down, the following symptoms may be transparent:

Physical exhaustion from simple tasks. The usual alertness and drive to easily accomplish tasks decreases. Being usually tired however does not contribute for a man to gain better sleep. At this stage, he may suffer from insomnia.
Furthermore, increase in weight and body fat is evident yet unexplainable.
Mental fatigue. The ability to concentrate lessens. He may need time to digest things being discussed over a conversation, on a written material or even audio-related matters.
Emotional exhaustion. At this time, a mans temper varies. He may feel happy now and suddenly sadness might strike him. Sadness aside, he may depict an angry attitude most of the time. Moreover, a man experiencing male menopause can easily be observed as always nervous.
Decrease in sexual desire. This may be due to failure to get or sustain an erection.

Andropause is not an alarming situation if men have apt knowledge on facts about male menopause. It will also be helpful if he gains knowledge on its symptoms so he can gauge whether or not he is suffering from andropause. To further verify the condition, a visit to a physician is highly recommended.

The situation will be less distressing for men if their significant others will well support him. If women needs heightened support, love and understanding during the menopausal stage, men in the same way needs it.

Now that there is a male version of menopause, maybe then the successor of Adam will be able to understand what is going with a womans body when she begins to experience menopause. Perhaps now there will be no more shrugging of shoulders. Instead there will be a shoulder to lean on hard times such as undergoing andropause.

Conjunctivitis or Pinkeye in Children

Conjunctivitis or pinkeye is a common problem in school going kids. The eyes become red, itchy, and swollen. There can also be a discharge of gooey liquid from the eye which can be of the color white, clear, green or yellow. Conjunctivitis is also known as pinkeye because the eyes white part turns pink or red. When the child experiences itchiness and redness in the eyes, he/she should inform the elders as soon as possible, as pinkeye is very contagious and spreads very easily.

It is possible that only one eye can get affected by conjunctivitis, while the other eye dose not. In usual cases, both the eyes get infected. Conjunctivitis doesnt hurt usually, but the eyes sure do itch badly. There can be a sensation similar to an eyelash or tiny particle getting in the eye, which can be very annoying. The infection lasts for about a week and usually goes away by itself. But if the itching is very troublesome, it should be treated with medicine. Some children can have conjunctivitis accompanied with ear infections, as the bacteria responsible for causing pinkeye is also responsible for causing ear infection.

Conjunctivitis is caused by virus or bacteria. Viruses which cause conjunctivitis are also responsible for cold. Bacteria which cause conjunctivitis also cause ear infection. Conjunctivitis spreads by touching. If a person touches the hand of the infected person, who has recently touched his eyes, also gets the infection. And since infected children deal with their parents and children, they also pose the risk of getting the infection. The prevention in this case is to wash hands often with warm water and disinfecting soap. Conjunctivitis when caused by bacteria & virus, and is contagious is known as infectious conjunctivitis. Conjunctivitis can also be caused due to allergies or because of entry of irritating foreign body into the eyes. Conjunctivitis caused by this medium is not contagious.

A doctor should be approached upon if the itchiness is very irritating. The doctor will check the eyes for redness and liquid discharge. The doctor would ask about the encounter with any friend or known person who seemed to have pinkeye or whether the conjunctivitis was caused because of some allergy or entry of foreign object into the eye. The doctor can also check the ears for the possibility of ear infection. If the pinkeye is caused because of bacterial infection, the doctor will recommend antibiotic eye ointment or drops. Usually infants are given eye ointment, whereas children and adults are given eye drops. The parents should put the drops or ointment into the childs eyes four to five times a day for nearly seven days or so. The dosage and timings should be maintained to get rid of the infection completely.

If the conjunctivitis is caused due to virus, there is nothing much the antibiotics can do. And if the pinkeye is caused by allergies or any foreign object, the doctor can recommend special eye drops to deal with the allergy symptoms. Warm water can also be splashed on the eyes to ease the itching. A cool or warm washcloth can be used to clean the discharge. Parents can clean the eyes carefully with cotton balls and warm water and remove the crusty stuff which is formed at the ends of the eyes. The towels and washcloths used for cleaning should head straight to the laundry so that the infection doesnt spread to other family members.

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