Tag: osteoporosis

For Arthritis Patients the Wrong Doctor Could Spell Disaster

For Arthritis Patients the Wrong Doctor Could Spell Disaster
Rudy Silva

For Arthritis Patients the Wrong Doctor Could Spell Disaster

New Book “Take Back Control of Your Arthritis: The 12 Critical Steps” Debuts During National Arthritis Awareness Month in May

San Antonio, Texas – April 14 /Xpress Press/ – Choosing the wrong physician may have disastrous consequences for an arthritis patient,” says Dr. Joel Rutstein, a board-certified rheumatologist and author of the new book “Take Back Control of Your Arthritis: The 12 Critical Steps.”

Dr. Rutsteins book debuts during May, which is also National Arthritis Awareness Month.

“Finding a Doctor You Can Trust” is the books first chapter and first step in Dr. Rutsteins 12-step road-map, which teaches arthritis sufferers how to avoid “the wrong doctors” and better self-manage their rheumatic condition.

How do you know if you are seeing the “the wrong doctor”?

— Dr. Rutstein suggests asking yourself the following questions the next time you see or call your doctor. If you answer yes to any of them, you may be seeing a physician who is not providing treatment that is in your best interest.

— Is your doctor unsympathetic when it comes to your complaints about pain?

— Does your doctor under-treat your pain, or do you feel your doctor does not believe your complaints of pain?

— Is your doctor excessively busy or a “bad listener”? Does he or she seem uninterested in hearing your medical history or evaluating your multiple complaints?

— Is your doctor too rough when examining your joints and muscles? Do you sometimes leave the medical office in more pain then when you arrived?

— Finally, is your doctor a poor communicator? Is your doctor not explaining your diagnosis and plans for treatment clearly and in simple and understandable terms?

Patients should spend as much time picking the perfect doctor as they would the perfect spouse, cautions Dr. Rutstein. “After all, your physician is the medical expert responsible for making life and death decisions concerning your health.

“Take Back Control of Your Arthritis: The 12 Critical Steps,” ($19.95, 229 pages) is available for sale at www.ArthritisMall.com or by calling toll free 800-980-6255. Multiple helpful video programs, including innovative exercise videos, are also available for purchase at the site.

About Dr. Joel E. Rutstein

Dr. Rutstein is the publisher of ArthritisCentral.com, one of the largest patient information websites dealing with the subject of arthritis and osteoporosis. A Spanish language version of the site may be accessed at www.ArtritisCentral.com.

In 1978, Dr. Rutstein founded the Arthritis Diagnostic & Treatment Center in San Antonio. He is currently the clinic’s director. He is a fellow member of the American College of Rheumatology and the American College of Physicians and is also the Clinical Professor of Medicine at the University of Texas Health Science Center at San Antonio. BestDoctors.com recently named Dr. Rutstein as one of the “Best Doctors in America for 2003-2004.”

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Press Release

Eating Disorders in Adolescents

Since the adolescence is the age where bones are sprout and grow rapidly, well nourished food must be given to the adolescent to facilitate normal growth & development. The nutritional intake must be monitored regularly and modified depending upon the growing needs. Teenagers tend to develop eating disorders which affect their nutritional health. The eating behavior must be corrected as early as possible as it can lead to the development of complex illnesses. Eating disorder is the third common chronic illness, especially in adolescent females and the number has been increasing rapidly from the past thirty years.

There are two subcategories of eating disorders, anorexia nervosa and bulimia nervosa. Anorexia nervosa is the restrictive form, where the intake of food is limited severely. In bulimia nervosa is the eating disorder where the adolescent binges on food and then tries to minimize the effects by forcibly vomiting, fasting, and catharsis or over exercising. When handling adolescence eating disorders, they must be handled differently from adult eating disorders. Adolescents face problems such as growth retardation, suppressed height, abnormal weight, pubertal delay, menstrual periods absence, and menses unpredictability. When the adolescent is growing there will be critical tissue components loss like loss of body fat, muscle mass and bone mineral.

Nutritional imbalance is also caused which reflect abnormalities in the levels of vitamins, mineral and other trace elements. The problem is that these abnormalities cannot be recognized clinically. But since protein and calories are essential to the growth of the adolescent, it is important to trace their abnormalities. Because of the problems, healthy adulthood is not a possible thing. Because of all these reasons, it is important to diagnose adolescence eating disorders as early as possible. Eating disorders give rise to peak bone mass impaired acquisition in case of adolescents. When they turn into adults, this problem aggravates to osteoporosis. Even internal organs get affected due to eating disorders. All this can be prevented by early intervention so as to limit, prevent and ameliorate medical complications, which can turn become life threatening.

Adolescents who practice unhealthy weight control practices and are obsessive about figure, weight, food or exercise should be treated clinically. Not only should the symptoms be checked, but their duration, intensity and frequency should also be checked. Although most of the physical complications caused due to eating disorders get solved with the help of nutritional rehabilitation some of the conditions become irreversible and the long term consequences of this are very dangerous. It is best if the eating disorders are recognized in the early stages as it wont result in irreparable damage. The medical monitoring should be pursued till the adolescent returns back to appropriate psychological and medical health.

Eating disorders not only result in physical abnormalities, but also psychological abnormalities. Adolescents with eating disorders take onto social isolation, low self esteem, affective disorders, low self concept, substance abuse, anxiety, and depression. Usually adolescents switch to unhealthy eating habits because of depression and lack of knowledge about affective techniques to lose weight. So the patients who are being treated for eating disorders must also be treated for psychiatric illness, if they have any. Even if the habits doesnt fit the strict criteria, adolescents who limit food intake, binge, vomit or purge accompanied with or without harsh weight loss, should be monitored because of the involvement of risk of even death. Early treatment will have an improved outcome. But the level of intervention in adolescents should be less when compared to adults.

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Arthritis Management Through Diet

Arthritis Management Through Diet
Kathryn Whittaker

The term arthritis refers to the chronic inflammation of joints throughout the body. Arthritis is one of the most rapidly growing chronic conditions in North America. Osteoarthritis, the most common form of arthritis, is also known as wear and tear arthritis and degenerative joint disease. This form of arthritis classically affects the knee joint, the hips and other weight bearing joints. Other forms include rheumatoid arthritis and gouty arthritis.

New treatments for arthritis are constantly researched. The most common arthritis medications are non-steroid or steroid anti-inflammatory drugs which, although effective, have serious side-effects. They can have unpleasant side effects: cause weight gain, acne, osteoporosis, hypertension, diabetes, cataracts and infections. The side effects of steroids impact on almost every system of the body, and the more steroids you take, the more side effects you are likely to experience.

The newest findings link arthritis not only to poor diet and obesity, but also to the overall state of the immune system. Quite recently, researchers have found a protein in the immune system that malfunctioned in patients who have arthritis or other inflammatory diseases. Doctors believe they can block this protein to reduce the need for steroids.

As the general population ages, the number of people with arthritis is growing. Today arthritis medications are aimed at baby-boomers who have spent more years living with obesity than the previous generation. Researchers at Beth Israel Deaconess Medical Center have found that there are more cases of obesity-related arthritis among baby boomers compared to the previous generation.

What we eat often plays a large role in setting the stage for the start of arthritis. There are a few changes anyone can make to their diet to successfully offset arthritis even without using arthritis medications.

The typical North American diet contains an overwhelming amount of cooked, processed and other acid forming foods. A healthy diet should be 70lkaline and 30cidic. Unfortunately, the average North American diet has reversed this ratio.

Instead of eating cooked foods that are acid forming, a diet of mostly raw, fresh vegetables, fruits and reducing the consumption of meats are an excellent way to help reduce inflammation throughout the body.

To ease your arthritis symptoms without succumbing to arthritis medications, avoid foods that form acid in your body. These foods include bread, coffee, corn, honey, oatmeal, peanuts, rice, soy, pasta and wheat. When treating arthritis, stay away from saturated fats, such as butter, cream, and margarine.

Antioxidants in brightly colored fruits and vegetables offer substantial protection against arthritis. By eating more yellow and orange fruits and vegetables you will consume antioxidants called carotenoids, which can lower your chances of developing inflammatory arthritis. Some dietitians suggest that night-shade vegetables are unsuitable for arthritis patients, which means you should think twice about eating peppers, (red, green and yellow), potatoes, tomatoes and eggplants.

Build your arthritis diet around such alkaline-forming products as most berries, bananas, dates, figs, prunes, raisins, almonds, asparagus, avocado, fresh beans, beets, carrots, grapes, plums, spinach, apricots, broccoli, all kind of cabbage, cantaloupe, celery, cherries, chestnuts, chicory, coconut milk, fresh sweet corn and cucumbers. Focusing on vegetables instead of proteins will ease many other symptoms and help you reduce weight too.

Proper hydration is a must. Drink half your weight in ounces that would be 75 oz of water for a person weighing 150 pounds. If you must drink alcohol, coffee or soda, drink an extra 16 oz of water for every alcoholic drink and cup of coffee or soda you consume in addition to the water you would normally drink.

Arthritis is a condition that takes years to develop. In many cases, arthritis can be avoided or effectively managed through the use of alternative methods that include proper nutrition, hydration and specific nutritional supplements that can reduce the damage done to aging joints.

About the author:

Kathryn writes articles on a number of different topics. For more information on Arthritis please visit http://www.arthritis-resource.comand for additional articles on Arthritis http://www.arthritis-resource.com/arthritis-articles/

Arthritis Drugs – Is the Cure Worse Than the Disease?

Arthritis Drugs – Is the Cure Worse Than the Disease?
Wendy Owen

Copyright 2005 Wendy Owen

Research is always ongoing into new and better medications for
arthritis which is a very good thing. But where is all this
leading us?

Of course we need effective pain medication for arthritis to
enable sufferers to live normal lives. But are all these
expensive medications controlling the disease or simply masking
the symptoms?

Here’s a “quick and dirty” lowdown on what’s currently available
both “over the counter” (OTC) and on prescription only.

For mild cases of arthritis –

Some milder cases of arthritis never make it into the doctor’s
surgery. Indeed the sufferer might not even be aware that they
are suffering from arthritis at all. They may be feeling a few
“aches and pains” which they put down to old age or even the
cold damp weather.

That may be all well and good, but even OTC medications can be
dangerous if taken over a long period of time. The concept of
“more is better” can also happen if the pain gradually becomes
worse. This can lead to serious side effects.

OTC medications include aspirin and ibuprofen. These medications
can cause intestinal bleeding and kidney damage in large doses.
Aspirin also destroys vitamin C in the body leading to lower
immunity.

For More Advanced Arthritis-

By this stage most people have consulted their doctor.
Prescription medication at this stage normally consists of the
Nonsteroidal anti-inflammatory drugs or NSAIDS. These do target
the pain and inflammation of arthritis symptoms but have a range
of side effects including stomach upset, abdominal pain, and
ulcers.

People with high blood pressure, those with kidney problems and
especially people who have heart problems are especially at risk
with NSAIDS.

Enter the COX-2 inhibitors. These have been designed for people
whose stomach problems cannot tolerate the above. Unfortunately
the risks remain for chest pain, heart attack and stroke victims.

For Advanced Arthritis-

For those suffering extreme pain and swelling the medical
profession brings out the heavy artillery – Corticosteroids.
These drugs contain man made cortisone and can be injected
directly into the affected joints or taken orally.

Long term use of these can produce sleep problems, weight gain,
osteoporosis and loss of immunity. Also available to those for
whom nothing else seems to work are Biologic Response Modifiers
(Biologics). Biologics are derived from live sources, plants and
animals and are not manufactured chemically. They are mainly
used for sufferers of Rheumatoid Arthritis and are given
intravenously or by injection. They can’t be taken in tablet
form.

Biologics suppress the immune system which leaves people prone
to infections. They are also very expensive and can’t be stored
without freezing.

Also available mainly to Rheumatoid Arthritis sufferers are
Disease-modifying anti-rheumatic drugs (DMARDS) These work by
stopping the immune system from attacking the joints. DMARDS may
take up to three months to reduce symptoms but they do help to
stop joint damage even though they can’t repair any previous
damage.

Although these drugs are a boon to many, they work mainly at
masking the symptoms of arthritis and can’t reverse the damage
already caused. Most people thinks this is impossible, it isn’t!

Natural treatments for arthritis do exist and can significantly
stop some cases of arthritis, relieve pain and inflammation and
in some cases, reverse joint damage.

Definitely worth a try!

About the author:
Find out about the healthy way to treat osteoarthritis,
rheumatoid arthritis, gout and fibromylagia. Visit:
http://www.natural-arthritis-medication.com and sign up for our
6 part course. Wendy Owen is a health researcher and author.