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.

Arthritis News

Arthritis News
Thomas Recker

Osteoarthritis is the most common form of arthritis affecting 16 million Americans usually over the age of 40. This condition begins gradually with the deterioration of joint cartilage, the cushion between bones causing stiffness. As deterioration increases the bones rub causing spurs, then the spurs grind together causing pain. Osteoarthritis is considered neither preventable or curable but many advances have been made in efforts to slow the advancement of the disease.
Studies have shown Glucosamine as a major cartilage building supplement that has proven effective and the most popular. Often, MSM is combined with Glucosamine as an effective enhancement since MSM has been shown effective in slowing joint cartilage deterioration. Though not a cure this combination is by far the most popular and effective for most.
Chondroitin Sulfate is another proven cartilage builder as well as Niacin amide, a form of Vitamin B, is popular for knee pain relief. The combination of Glucosamine, MSM, Chondroitin Sulfate, and Niacin amide can be found in separate supplement form or often combined in a joint relief, or joint building, supplement formula.
SAMe (Sadenosylmethionine) is a cartilage builder from the Amino Acid Methionine. It has good anti-inflammatory properties and has proven very effective but it is the most expensive and out of reach for most people at this time. Hopefully the effective supplement will come down in price in the future.
In efforts to reduce joint pain the herbs Boswellia, White Willow, and Brome lain have anti-inflammatory affects and are available separately or often combined with the supplements listed above. Cayenne Cream applied to joints topically blocks the pain signals but the short duration time of 3 to 4 hours is the average expectation and fine if the discomfort is temporary.
A number of inroads surrounding diet and osteoarthritis, and rheumatoid arthritis as well have been recently coming around. Carbohydrates are being looked at closely; apparently reduced carbohydrate diets are showing some effectiveness as well as certain food sensitivity towards arthritis. Tracking suspected food in relation to joint pain, or a short term low carbohydrate diet as well, is easily accomplished and recommended in 8 week personal trials.
Suspected foods include sugar, grains, and highly processed foods. A diet high in Omega-3 Fish Oils may help arthritis sufferers. Moderate, low impact exercise is also highly recommended with emphasis towards stretching and strength training. Start slow, keep track of pain and changes, its not an overnight cure but effective stop to the degeneration is the first step.
Thomas Recker is a contributing editor for www.iwantvitamins.com http://www.iwantvitamins.com
About the Author
Thomas Recker Editor for
www.iwantvitamins.com

Arthritis & Joint Health

Arthritis & Joint Health
StarHerb

Arthritis & Joint Health :Many millions of people are affected by pain and suffering from Arthritis and research has shown that Glucosamine and Chondroitin sulphates combined have given these people new hope and relief from their painful ailments. Arthritis it causes pain, stiffness and sometimes swelling in or around joints. This can make it hard to complete simple movements you rely on every day for work or taking care of your family. But you can take steps now to avoid arthritis or to reduce pain and resume normal daily activities.There are more than 100 different types of arthritis and the cause of most types is unknown. Scientists are currently studying what roles three major factors play in certain types of arthritis. These include the genetic factors you inherit from your parents, events which occur during your life and how you live on a day-to-day basis. The importance of these factors varies by type of arthritis.Even though there is a lot of mystery surrounding arthritic joint pain, there is also a tremendous amount of research that points to certain nutrients that help nutritionally support this condition.Both short and long term studies have been performed with a nutrient called Glucosamine Sulfate. Glucosamine works to stimulate joint function and repair. It is most effective in treating osteoarthritis, the most prevalent form of arthritis. A number of studies over the last 20 years have shown this to be true. For example, a 1982 clinical study compared usage of the NSAID ibuprofen with glucosamine sulfate, for osteoarthritis of the knee. The over-all results showed that 44% of the glucosamine group had pain relief compared to 15% for ibuprofen.A long-term effects study was done with glucosamine and arthritis reported in the Lancet. the authors concluded that, “Glucosamine sulfate prevents the progression of osteoarthritis of the knee, in addition to relieving the symptoms.” The health supplements carry by StarHerb for Arthritic and Joint Pain not only contain all of these nutrients; it utilizes the exact forms that were shown in the studies to be effective. The forms which are the best to look for are:Glucosamine Sulfate 2Kcl which is the exact form used in most of the studies showing benefit.It is hard to enjoy your family, friends, hobbies or even money without your health and joint pain is definitely one of the big contributing factors to a poor quality of life. StarHerb Health Nutrition products formula brings these great joint nutrients to nutritionally support the body along with 100% of your daily needs of the essential nutrients all in one formula. About the Author
http://www.starherb.com

Arthritis Its Debilitating and Detrimental Effects

Arthritis Its Debilitating and Detrimental Effects
John Robben

Arthritis: Its Debilitating and Detrimental Effects

Did you know that Arthritis is one of the most disabling
diseases? It’s true! Arthritis currently affects more than 40
million Americans and that figure is expected to rise to 60
million by the year 2,020. It is imperative that you read this
article and find out what this devastating disease is truly
about.

Arthritis: What it Is

Basically, Arthritis is inflammation of the joints. There are
currently over 100 forms of Arthritis and remarkably, that
number continues to rise. The most common forms of Arthritis
include: Osteoarthritis, Rheumatoid Arthritis, and Gout (see our
next article, “Symptoms of Arthritis” for more information).
Osteoarthritis is the result of degenerative joint disease, or
simply “wear and tear” on the joints. Rheumatoid Arthritis is
the result of an over active Immune System that results in
inflammation. Gout is the oldest form of Arthritis and is the
result of too much Uric Acid. The Uric Acid deposits crystals in
the joints, leading to “Gouty Arthritis”. The joint pain,
inherent to all Arthritis sufferers, is referred to as
“Arthralgia”. Not only are the joints susceptible to attack, but
the surrounding muscles, tissues, and organs are vulnerable to
the effects of Arthritis as well. In fact, Arthritis has been
known to attack the heart, kidneys, lungs, and liver.

Many people mistakenly believe that Arthritis is a disease that
only affects the elderly. This simply isn’t the case. Yes it’s
true that seniors, especially senior women, are effected the
greatest by Osteoarthritis, yet the average age for onset of
Arthritis is 47 years old, and sufferers are generally afflicted
between the ages of 20-50. Sadly, even infants have been
diagnosed with forms of Arthritis.

One of the most devastating effects of Arthritis has to be that
it is a chronic condition. Arthritis is so weakening that it
only grows worse with time. In fact, Arthritis is so detrimental
that of the diseases that instill chronic physical disabilities,
Arthritis is second only to Heart Disease.

The cost of Arthritis is not only measured in the loss of
quality of life, but it is also measured by dollars and cents as
well. It is estimated that over $150,000 is lost by an
individual over the course of a lifetime due to the debilitating
effects of Arthritis. This is totaled by lost wages, medical
treatments, and the cost of medically based needs and care.

The overall conclusion is that Arthritis is a seriously
unbearable condition that causes chronic pain and weakness. It
does not only affect seniors, but forms of Arthritis also
plagues children. There are over 100 forms of Arthritis and all
Arthritis sufferers share one thing in common, chronic joint
pain. The top three common forms of Arthritis include
Osteoarthritis, Rheumatoid Arthritis, and Gout. We have seen
that Arthritis isn’t cured, but managed. Some steps
and treatment plans used by Arthritis sufferers include:

Losing Weight (thereby reducing stress and strain on the
joints)
Increasing their Nutritional
Intake
Reducing Stress (both physical and
emotional)
Participating in Gentle Stress Free
Exercises such as Stretching
Using both Hot and
Cold Therapies
Protecting Joints by use of
Splints and Braces
Drug Therapies
Surgery

If you suffer from Arthritis, don’t give up. There are many
people who are discovering that with the proper management and
health care provisions, they can live better, healthier, and
pain free lives.

Stay tuned for the next article in our series on Arthritis,
Symptoms of Arthritis”.

About the author:
Written by John
Robben of Ultimate Water Massage, Inc.

Providing Massage Services and Pain Relief products. Visit our
Arthritis Information
Center