Living And Coping With Arthritis – How To Stay Active And Independent
Richard Clement
Arthritis pain can be frustrating.Nagging and crippling
arthritis pain can continue day after day. How much happier
would you be if you could stop your arthritis pain right now and
feel great all day? Knowing the nature of the disease can really
bring you the right answers.
What is arthritis ?
Arthritis comprises over 100 different diseases and conditions.
The word arthritis means “joint inflammation”. When joints are
inflamed, it causes pain and usually also limits movement of the
joints that are affected. For many people, arthritis pain has a
large impact on their life. Arthritis is second only to heart
disease as a cause of work disability. Arthritis limits everyday
activities such as walking, dressing and bathing for more than
16 million Americans. Each year, arthritis results in 750,000
hospitalizations and 36 million outpatient visits. Arthritis is
not just an old person’s disease. Nearly two-thirds of people
with arthritis are younger than 65 years including nearly
300,000 children. Arthritis affects children and people of all
racial and ethnic groups but is more common among women and
older adults. The disease can affect different parts of the
body. Two of the most common forms are osteoarthritis and
rheumatoid arthritis.
Rheumatoid arthritis (RA) is an autoimmune disease in which the
joint lining becomes inflamed as part of the body’s immune
system activity. RA is one of the most serious and disabling
types, affecting mostly women. Rheumatoid arthritis is two to
three times more common in women than in men and generally
strikes between the ages of 20 and 50. Both sides of the body
are usually affected at the same time. Symptoms of RA differ
from person to person but can generally include:
Joint tenderness, warmth, and swelling.
Pain and stiffness lasting for more than 1 hour in the morning
or after a long rest.
Joint inflammation in the wrist and finger joints closest to
the hand .
Fatigue, an occasional fever, and a general sense of not
feeling well . Osteoarthritis (OA) is the most common form of
arthritis. It is a degenerative joint disease in which the
cartilage that covers the ends of bones in the joint
deteriorates, causing pain and loss of movement as bone begins
to rub against bone. OA commonly affects the joints of the
fingers, knees, hips, and spine. Osteoarthritis is more common
in older people because they have been using their joints
longer. Using the joints to do the same task over and over or
simply using them over time can make osteoarthritis worse.
Younger people can also get osteoarthritis. Athletes are at risk
because they use their joints so much. People who have jobs that
require the same movement over and over are also at risk.
Injuries to a joint increase the risk of arthritis in the joint
later on. Excess weight can accelerate arthritis in the knees,
hips and spine. The most common symptom of Osteoarthritis is
pain in the affected joint(s) after repetitive use. Joint pain
is usually worse later in the day. There can be swelling,
warmth, and creaking of the affected joints. Symptoms of OA may
greatly vary. Some patients can be debilitated by their
symptoms. On the other hand, others may have remarkably few
symptoms in spite of dramatic degeneration of the joints
apparent on x-rays. Symptoms also can be intermittent. These 2
forms have very different causes, risk factors, and effects on
the body, yet they often share a common symptom—persistent
joint pain.
What are the causes of arthritis ? Primary OA is mostly
related to aging. With aging, the water content of the cartilage
increases and the protein makeup of cartilage degenerates.
Repetitive use of the joints over the years irritates and
inflames the cartilage, causing joint pain and swelling.
Eventually, cartilage begins to degenerate by flaking or forming
tiny crevasses. Inflammation of the cartilage can also stimulate
new bone outgrowths (spurs) to form around the joints. Sometimes
osteoarthritis follows an injury to a joint. For example, a
young person might hurt his knee badly playing soccer. Then,
years after the knee has apparently healed, he might get
arthritis in his knee joint. RA is an autoimmune disease. This
means the body’s natural immune system does not operate as it
should; it attacks healthy joint tissue, initiating a process of
inflammation and joint damage. RA is a type of chronic arthritis
that occurs in joints on both sides of the body (such as hands,
wrists or knees). This symmetry helps distinguish RA from other
types of arthritis. Rheumatoid arthritis occurs most frequently
in the 30-50 age group, although can start at any age. It is
strongly associated with the HLA marker DR4 – hence Family
history is an important risk factor. The disease affects
Females:Males in a 4:1 ratio. Other conditions can also cause
arthritis. Some include:
Gout, in which crystals build up in the joints. It usually
affects the big toe.
Lupus , in which the body’s defense system can harm the
joints, the heart, the skin, the kidneys, and other organs.
Viral hepatitis ,in which an infection of the liver can cause
arthritis.
What can you do about it ?
Some people may worry that arthritis means they won’t be able to
work or take care of their children and their family. Others
think that you just have to accept things like arthritis. While
there is not yet a cure for arthritis, much can be done today to
reduce pain and boost joint function. Learning how to manage
pain over the long term is essential to maintaining a good
quality of life. There are things you can do to keep the damage
from getting worse. They might also make you feel better.Here
are some simple things to do:
Lose weight if you’re overweight
Exercise regularly for short periods. Going for a walk every
day will help, too.
Use canes and other special devices to protect your joints.
Avoid lifting heavy things.
Don’t pull on objects to move them-push them instead
Use heat or cold to reduce pain or stiffness.
The pain and disability that accompany arthritis can be
decreased through early diagnosis and appropriate management.So
if you have persistent symptoms lasting more than several days –
go see your doctor. The doctor will examine you and may take x
rays (pictures) of your bones or joints to decide if you have
arthritis and what kind you have.
After the doctor knows what kind of arthritis you have, he or
she will talk with you about the best way to treat it. The
doctor may give you a prescription for medicine that will help
with the pain, stiffness, and inflammation. The good news is
that now there is a way to stop your pain with a medication .
Celebrex is a nonsteroidal anti-inflammatory drug (NSAID),
specifically a COX-2 inhibitor, which relieves pain and swelling
(inflammation). It represents a huge breakthrough in the
treatment of pain, inflammation, and stiffness of arthritis.
Celebrex is believed to fight pain and inflammation by
inhibiting the effect of a natural enzyme called COX-2. Unlike
the older medications, however, it does not interfere with a
similar substance, called COX-1, which exerts a protective
effect on the lining of the stomach.Celebrex doesn’t cause the
stomach bleeding and ulcers that traditional nonsteroidal
anti-inflammatory drugs (NSAIDs) might.
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About the author:
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