Tag: Pain Management

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.

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.

Arthritis Pain Relief 101

Arthritis Pain Relief 101
Charlene J. Nuble

Coming of age equals coming of a variety of body pains. And do you know what most of our oldies would complain about regarding this issue? Arthritis. An estimate of over 50 million Americans suffer from osteoarthritis, rheumatoid arthritis and other conditions related conditions.The most common form of arthritis is osteoarthritis. It is the kind of arthritis that usually affects nearly three-quarters of those over 50. At the onset of arthritis, pain is not a part of the major system yet. Morning and after rest stiffness and crackling joints are usually the first few symptoms that confirm the diagnosis of the condition. Upon the development of the disease, patients are expected to suffer from more discomfort, disability and pain.If left untreated, it can become progressively distressing and painful crippling can result. This is particularly true with rheumatoid arthritis. Rheumatoid arthritis usually affects women. It is prevalent with age group of 20 to 45.Arthritis is not only caused by the wear and tear the joints undergo. There are other factors that aggravate this condition. Rheumatoid arthritis is considered an immune deficiency syndrome where antibodies develop against components of joint tissue, and mistakenly and aggressively attack the joints. Misdirected neovascularization leads to displacement of water while decreasing the volume and viscosity of synovial fluid (fluid between joints), further lessening the flexibility and cushioning power of the joint, until the surfaces of raw unprotected bone painfully begin to wear against each other, as it happens in conditions of Osteoarthritis. Inborn recessive genetic errors may also predict the inclination of a person to develop arthritis.Dealing with the chronic pain of arthritis can be frustrating. Pain from arthritis is often caused by inflammation, a localized protective reaction of tissues to irritation or any kind of injury and is often characterized by pain, redness, swelling and even disability. Crepitation is a process that can also cause the pain that is felt by an arthritis patient. It is the rubbing together of two bone fragments that cause a crackling sound. Muscle tension and fatigue can also cause the pain.The usual treatment for arthritis is through the use of painkillers. Non-steroidal Anti-Inflammatory Drugs (NSAIDs) like aspirin can help relieve the pain of arthritis. But they only target the symptom and not the disease itself. Studies even show that the continual use of these NSAIDs may even cause joint deterioration thus making arthritis worse. Modern medicine does not have much to offer for the cure of this disease.The traditional temporary arthritis pain relief medications available leave a lot to be desired. Other pain solutions can be relied on to achieve arthritis pain relief. Massage therapy, hydrotherapy and cold packs are a few of the simple methods of pain management. Herbal remedies such as ginger, willow bark and fish oils and the well-known cartilage constituents glucosamine sulfate and chondroitin sulfate are also promising a lot in revolutionizing the treatment of arthritis. Aside from the symptomatic relief they offer, they actually interfere with the origin of the disease. They are also being considered to help the body rebuild functioning joints. Also reported to be fast acting,in cream form, they increase mobility and optimal repair of joint structures as they help reinforce the body’s protective linings and lubricating fluids by recovering cell stability and function to stop further damage. Those discovered treatments among many might just be the best among the elusive arthritis pain relief that are commercially available. But above all, no matter how clichd it may sound, an ounce of prevention is better than a pound of cure.————————-Note: This article may be freely reproduced as long as the AUTHOR’S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes.————————- About the Author
Charlene J. Nuble 2005. For up to date links and information about arthritis, please go to: http://arthritis.besthealthlink.net/ or for updated links and information on all health related topics, go to: http://www.besthealthlink.net/

A Look At Arthritis: America’s Leading Cause of Disability

A Look At Arthritis: America’s Leading Cause of Disability
Larry Denton

The word arthritis literally means joint inflammation, but it is often used to refer to a group of more than 100 rheumatic diseases that cause pain, stiffness, and swelling in the joints. The most common are osteoarthritis, rheumatoid arthritis, fibromyalgia, and gout. Most forms of arthritis are associated with pain that can be divided into two categories: acute and chronic. Acute pain is temporary. It can last a few seconds or a few minutes but diminishes as healing occurs. Acute pain is associated with burns, cuts and fractures. Chronic pain, such as that felt by people with arthritis, ranges from mild to severe and can last days, months, years or even a lifetime. Osteoarthritis is one of the most frequent causes of physical disability among adults. More than 20 million people in the United States, alone, have the disease. By 2030, according the National Institutes of Health (NIH), 20 percent of all Americans–about 70 million people–will have passed their 65th birthday and will be at a higher risk of osteoarthritis. Arthritis limits the everyday activity of 8 million Americans, and this disability creates huge burdens for the individuals, their families, and the nation as a whole. Each year, arthritis results in 9,500 deaths and 750,000 hospitalizations. According to the National Center for Chronic Disease Control, in 1997, medical care for arthritis (in the U.S.) was $51 billion. This disease affects each person quite differently. In some people it progresses quickly and in others the symptoms are much more serious and painful. Medical practitioners do not yet know what causes arthritis, but they suspect a combination of factors including: being overweight, the aging process, family history, joint injury, and stresses on the joints from work or sporting activities.There is no single treatment that applies to everyone who suffers from arthritis. With your personal input, a medical specialist will develop a management and treatment plan designed to minimize your specific pain and improve the function of your joints. A number of treatments can provide short-term relief. They include: medications such as acetaminophen or ibuprofen, the use of hot and cold packs, using a splint or a brace to protect painful joints, or perhaps using muscle-relaxing massages.In the long-term, pain relief may be found with: new drugs, called biological response modifiers, which reduce inflammation in the joints; corticosteroids such as Prednisone; weight reduction; dietary changes; exercise (swimming, walking and low-impact aerobic exercise); and even surgery to replace a joint that has badly deteriorated. In some instances, nutritional supplements may be helpful. The long-term goal of pain management is to help you cope with this chronic, often disabling disease. You may be caught in a cycle of pain, depression, and stress. To break this cycle, you need to be an active participant in managing your pain. The role you play in planning your treatment is very important. You and your health care providers must work together closely to develop a personalized and effective treatment program. Research has shown that patients who are well informed and participate actively in their own care, experience less pain, make fewer visits to the doctor and lead a much more enjoyable life. About the Author
Larry Denton is a retired history teacher having taught 33 years at Hobson High in Hobson, Montana. He is currently Vice President of Elfin Enterprises, Inc. a business dedicated to providing information and resources on a variety of topics. For an therapy room full of information and valuable resources to assist you in dealing with arthritis, visit http://www.ArthritisAide.com