What You Should Know About Arthritis

What You Should Know About Arthritis
Robert Thatcher

Should the person experience some muscle pain which lasts more than 2 or 3 days, there is a strong chance that one has arthritis.
Arthritis is a common disease that affects millions of people worldwide. This can be felt in the persons joints, skin and organs inside the body. Should the person feel anything wrong, it is advisable to go straight to the doctor.
Doctors have discovered that there are over 100 types of arthritis. Given the number, the doctor will not be able to know which one is affecting the person without an examination.
There are 2 common forms of arthritis. The first is rheumatoid arthritis which is considered a chronic disease. There is inflammation in the joints caused by cartilage damage. Anyone who has this will suffer long term joint damage that will lead to chronic pain and disability. Pain is usually felt when waking up in the morning and will gradually disappear during the day.
Rheumatoid arthritis is a problem that will not go away. This happens in three stages. The first is swelling. The second is the rapid division and growth of cells. The third is when these cells release enzymes that will eat the bone causing the joint to lose shape until the person will not be able to move it anymore.
Since this is systemic disease, it can spread and affect other organs in the body. The best way to prevent is from happening is detecting it early to prevent the person from being disabled.
This can be treated with proper medication and therapy. There many drugs available that the patient can use. Some drugs offer pain relief to reduce the inflammation. Others can just do one function.
The second is called osteoarthritis. This happens more often than rheumatoid arthritis but unlike the first, there is no inflammation present. The cartilage in the joint is damaged and will eventually degenerate. Pain will slightly be felt when the person gets up but this will hurt later on during the day.
Osteoarthritis can either be primary or secondary. When it is primary, it is often associated with age. It is similar to a car where the parts have to be replaced due to wear and tear. Doctors consider this to be normal as people grow older.
The secondary type is often associated with something else that has caused this to happen. Some of these factors are an injury that took place, heredity, obesity and bone density.
Osteoarthritis can be treated with medication, exercise, weight control, joint protection, physical and occupational therapy. This is done to relieve the pain and slow the progression of the disease.
Both of these are caused by different things. The common thing between these 2 types is that joint pain can happen anywhere in the body.
Given the many medications available to treat this disease, the patient has to be aware of the side effects of each before choosing which one to use. The doctor should explain these to the person in order to make the right decision.
Arthritis and its different forms will not go away. Since this is an insurable disease, the best thing that the doctor and others can do until a cure if found is to help the patient ease the pain the slow the growth of the disease.

About The Author

Robert Thatcher is a freelance publisher based in Cupertino, California. He publishes articles and reports in various ezines and provides arthritis resources on http://www.your-arthritis-resources.info.

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.

Types of Physiotherapy That Help Lower Back Pain

Lower back pain plagues Americans to the extent that 80% will suffer from it at some time in their lives. It is one of the most common reasons people visit the doctor. For many, the problem is more than a passing incident; they need physiotherapy.

Physiotherapy of different types can be used to treat lower back pain. Acupuncture is fast becoming an important method for the relief of such pain. The doctor has the patient lie face-down and inserts the acupuncture needles across the back. The doctor then finishes the procedure for lower back pain. Pain relief after a series of treatments usually lasts months.

Massage is also used for lower back pain. The massage used must be done by someone well-versed in the treatment of lower back pain. A massage done by an untrained person may do more harm than good.

These methods are called passive therapies, or modalities. They are done to the patient and not by the patient. There are other modalities that are commonly used. Heat and ice packs are a well-known form of passive physiotherapy. They can be used separately, or they can be used alternately by a person who is suffering from acute lower back pain.

A transcutaneous electrical nerve stimulator (TENS) can be used as another modality for lower back pain. The patient will feel the sensation of the stimulator instead of his pain. If the TENS unit seems to work well for him, he will be sent home with one to use at his convenience.

Ultrasound is especially useful as a passive therapy for anyone with acute lower back pain. It delivers heat deep into the muscles of the lower back. This not only relieves pain. It can also speed healing.

Back exercises may be assigned by a physiotherapist. These exercises will help with lower back pain if one does them correctly and faithfully. The only exception is if the back is in an acute condition requiring emergency care or surgery.

The exercises that will help with lower back pain the most will be assigned and supervised by a physiotherapist. They may be done at home, but it will be necessary to follow instructions and check in frequently.

These exercises include ones for lower back pain that stretch or extend the back and ones that strengthen it. One is an exercise where one lies prone and moves as if swimming. This protects the back while giving the surrounding muscles a workout.

Lower back pain exercises called flexion exercises strengthen the midsection to provide support for the back. If the lower back pain is reduced when one sits, these exercises are important. One is a knee-to-chest exercise.

Aerobic exercise such as walking is excellent for reducing and preventing lower back pain as well. Massage and acupuncture can be counted on to relieve pain for most patients. Exercises can make the back stronger to both relieve and prevent lower back pain. Any physiotherapy that can help relieve lower back pain will help millions of people.

How Physiotherapy Can Help With Sports Injuries

When players have sports injuries, they turn to physiotherapy for rehabilitation. Physiotherapy, also called physical therapy, offers help whether the player is having surgery to correct the damage or not.

One example of the many sports injuries is an anterior cruciate ligament (ACL) injury. This is an injury to the knee. It is one of the common sports injuries in people who play sports that challenge their knees, such as hockey, skating, skiing, basketball, and of course, football. It can limit the range of a player’s motion in that leg, and make the leg weak.

Surgery is sometimes done for these sports injuries, but physiotherapy is always a part of the treatment. The three major exercises done to start the healing process of ACL are heel slides, quad sets, and straight leg raises.

Heel slides are exercises for ACL sports injuries that are easy to understand, but may be painful to do at first. One simply lies on the bed or floor with the foot down. Then, one slides the foot slowly towards the buttocks until it hurts a little, and slides it back. This and the other exercises help prepare the knee for surgery or to heal without it.

Another of the sports injuries that physiotherapy is used for is tennis elbow. One might get tennis elbow from playing tennis, certainly, but it can also come about from any activity that involves twisting the wrist.

Sports injuries like tennis elbow are treated with a comprehensive plan of physiotherapy. Exercises are explained and assigned. Another common procedure for sports injuries is the use of ultrasound. Ultrasound is a way of applying heat deep into the muscle for pain relief.

Electrical stimulation can be used to keep pain from being felt through the nervous system. It is used for tennis elbow and many other sports injuries. Massage and manual therapy can also be used for physiotherapy.

Massage is one of the forms of soft tissue manipulation. However, soft tissue manipulation is to muscles what chiropractic is to bones. It deals not only with muscle, but with tendons and connective tissue as well. It is a specialized field of physiotherapy that has been used for people with sports injuries on many occasions.

As many children’s sports teams are becoming ever more competitive, sports injuries among youngsters is increasing. Often, a well-meaning parent will tell the child to shake it off and keep playing. It is even more important for children to get adequate physiotherapy than it is for adults. Children are just developing, and a problem in childhood can lead to lifelong pain.

Some sports injuries happen because something physically traumatic happens to your body. Someone runs into you as you run with the football towards the end zone, for example. Other times, it is simply a matter of the physical demands you put on your body.

Physiotherapy is instrumental in the healing of many sports injuries. Many professional sports teams have physiotherapists on their staffs. In fact, either ACL or tennis elbow can become permanent conditions without the use of physiotherapy procedures.