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.

Fever in Children

The normal temperature of human body is 98.6F. If the temperature is taken rectally, the thermometer will show a rise of 1F, that is it will show 99.6F. The normal body temperature can vary slightly among individuals. The doctors consider the rise in body temperature as fever if it crosses the mark of 99.4F when taken orally and 100.4F when taken rectally. Rectal checking of temperature is done in infants and children who are older than four years have their temperature checked orally. Infants under three months should be rushed to the hospital if they have fever above 100.5F. The same applies for children older than three months and having a body temperature above 102F.

Digital thermometers provide a more accurate temperature reading. Mercury thermometers pose a health risk to the family as it is an environmental toxin. Hence, this is another good reason why mercury thermometers should be replaced with digital thermometers. Parents must take few measures before and during the task of checking the childs temperature. First of all, the parent should be sure about the kind of thermometer he or she wants to use, that is whether the thermometer should be meant for oral use or rectal use. The child shouldnt be bundled up very tightly before the temperature is checked. When the thermometer is being held by the child, the parent should supervise the whole procedure. Infants might experience pain when the thermometer is inserted into his rectum. Therefore, it is a good idea to cover the thermometers tip with petroleum jelly before insertion and only half of the thermometer should be inserted inside. The thermometer should be held until the beep is heard as children tend to drop the thermometer, if it is left to them. When taking the temperature orally, the thermometer should be placed underneath the tongue and should be left there until the beep is heard. After usage, the thermometer should be washed with cold water and soap.

When an infection is being fought by the body, it shows signs of fever. When the child becomes fussy and experiences aches in parts of the body, the child should be administered with some medicines. Medicines are available for children, depending on their needs, age and weight. The recommended dosage will be written on the pack or the label of the medicine and the parents should check that chart before giving any medicine to the child. If there is any kind of confusion, a doctor should always be consulted. Medicines like Acetaminophen, Ibuprofen, and Tylenol for children are available over the counter. When acetaminophen is given along with lukewarm bath, it helps decrease the fever. The medicine should be given just before the bath. The water shouldnt be cold and no alcohol products must be used while bathing. If bath is given minus acetaminophen, the child can begin to shiver and there is chance of body temperature going high again.

Aspirin is not advisable for children as it may develop serious illness called Reyes syndrome in the child. The risk is even more in kids having chickenpox or flu. Not more than five doses should be given in twenty four hours. If drops are given, the dropper should be filled till the marked line. A liquid medicine usually comes with a measuring device in the form of a cap. If not, it can be bought at the local drug store. Infants under four months shouldnt be given medicine, unless told by the doctor.

Certain symptoms call for immediate attention and the doctor must be contacted immediately. Symptoms can be dry mouth, rapid change in body temperature, ear-ache, behavioral changes, frequent diarrhea and vomiting, paleness, seizures, skin rashes, intense headaches, sore throat, swollen joints, irritability, high pitch crying, not feeling hungry, stiff neck, stomach ache, whimpering, wheezing, limpness, and breathing problems. At all times, the child must be made to wear comfortable cotton cloths which help the body to breath properly and at the same time absorbs the sweat. The child should also be given fluids constantly, in order to combat with dehydration.

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Dealing With Cracked Teeth

Also known as the third set of molars, the wisdom teeth are the last set of teeth in the mouth to erupt, which normally happens around the ages of 17 – 25. For many years, there has been a lot of controversy as to the need to remove these teeth. If the teeth dont cause any harm or pain, they are normally fine to stay in place. If they present a bad position or cause you a lot of pain or discomfort, they will need to be removed.

When the wisdom teeth first come in, they will sometimes be impacted. Impacted teeth will normally need to be extracted. Sometimes they can be pulled, although in most cases they need to be cut out by a qualified surgeon. When the time comes to have your wisdom teeth extracted, youll need to go to an oral surgeon and have a consultation first.

During the consultation, youll take a few x-rays that will let the surgeon know how bad your wisdom teeth are. He will go over the results with you, take a look in your mouth, then tell you what options you have. If he is going to pull or cut out your teeth, youll have the option of using local anaesthesia or going with an IV sedation. An IV sedation is the preferred way to have wisdom teeth extracted, as youll be so relaxed you wont know what is going on. If you decide to just use local anaesthesia, which is numbing, youll be fully aware of the procedure. Youll also hear the popping and cracking involved, which can make you feel quite uncomfortable.

Depending on the shape, size, and the formation of the wisdom teeth, the removal process can vary from easy to hard. If the root tips have managed to wrap themselves around the bone, the removal process can be very time consuming and quite painful. Once the extractions have been completed, there is normally little to no swelling involved. Your dentist will prescribe you some pain medicine, which you should use as soon as you arrive home. If you are going to use IV sedation, youll need to someone to accompany you, as you wont be able to drive home.

After the removal of your wisdom teeth, your dentist will go over what you need to do to ensure the proper healing of your gums and mouth. Normally, he will give you information to go over, to make sure that you experience no problems in the healing process. Someone will need to be with you for the first 24 hours, to make sure that you ok. You wont be able to eat certain foods for the first 48 hours, which is to be expected. Once you get your wisdom teeth removed through – youll notice a big improvement in your mouth – and your health.

Rheumatoid Arthritis: Will It Strike You?

Rheumatoid Arthritis: Will It Strike You?
Travis Lawrence

Many think that when they get older they will deal with rheumatoid arthritis. But, many are sadly mistaken if they think that this condition is far off for them. In many cases, it starts much earlier than you would think. Having the knowledge you need, though, can help you to see the symptoms, understand what is happening to you and to seek out the right treatment for it. Rheumatoid arthritis strikes thousands of people every day. Will it strike you?
An Overview
Rheumatoid arthritis is a condition that is chronic meaning that it does not go away. Most of the time, it is thought of as a condition of inflamed joints. Long term damage to the joints is what leads to severe pain. Eventually, it will worsen to an extreme in which the individual can no longer use the joint and can become disabled for it.
There are three stages of the disease. In the first, there is often swelling in the synovial lining. This is the lining of the joints. The swelling will cause pain, stiffness and even a feeling of warmth in the area. The joint and the area surrounding it will be swollen.
In the second stage, the disease is characterized by the growth of cells. The cells will grow and reproduce quickly. This causes the lining or synovium to thicken rapidly.
In the last stage, these cells are now inflamed. They are releasing enzymes that will begin to actually work away at the bone and cartilage of the joint. The joint will become misshapen and its alignment will be off. In turn, this causes more pain and leads to the loss of function of the joint all together.
It is also important to note that Rheumatoid arthritis can lead to other conditions throughout the body. The disease can effect many organs and therefore cripple the lifestyle that you know. It is important to seek treatment early on before the condition worsens beyond control.
Rheumatoid arthritis affects about two million people within the United States. There is no cure for it, but medications can slow and even stop the progression of the disease and therefore prevent it from becoming severe. The cause of the disease is also unknown.
Do I Have it?
Understanding the symptoms of rheumatoid arthritis can help you to know when you should take action. It can affect any joint within the body. Smaller joints are the most common area for it to begin. For example, fingers, the hands and the wrists are the mot common first signs of the disease. Most common systems include the following.
 Stiffness in any joint. It tends to be worse in the morning or after sitting still for long periods of time. The longer this stiffness lasts, the worse the diseases is.
 Fatigue can be a symptom as well.
 Flu like symptoms including a fever may be present.
 Feelings of weakness.
 Pain may be evident especially when there are long periods of sitting or stillness.
 The disease can go into remission in which it may not feel as bad. Many mistakenly think that they are better. But, it will flare up again.
 Muscle pain may be evident.
 Also, a loss of appetite, the onset of depression, anemia, sweaty hands and feet and weight loss can be a sign that there is something happening.
As the disease progresses, symptoms will worsen. Pain becomes more so and there is a withdrawal from activity because it is just too painful.
Seeking Help
The treatment that you will receive will be fitted to your specific conditions. Because the disease of rheumatoid arthritis is so varied, treatment must be administered to your severity and your symptoms. It is important to seek the advice of a doctor when you begin to experience pain because early detection can slow and stop the progression of the disease. It can help to stop the spread as well.
It is important for you to seek early treatment for any joint pain that you may have. As mentioned, rheumatoid arthritis is a condition that can affect other systems within the body. These will worsen as the disease progresses. Taking the first steps when you first see a problem can help you to maintain your lifestyle without having to stop because of the pain that rheumatoid arthritis is bound to cause.
About the Author
For more rheumatoid arthritis treatment information visit http://www.rheumatoid-arthritis-info.org/ . You may freely reprint this article on your website or in your newsletter provided this courtesy notice, link and URL remain intact.