Showing posts with label arthritis in knee. Show all posts
Showing posts with label arthritis in knee. Show all posts

Monday, March 10, 2014

Knee Strap


A knee strap is rising in popularity as one of the most beneficial pieces of sports equipment. A good number of straps for knee support have gone fashionable, as well as equipped with more features that ensure knee support and stability. Moreover, some straps feature magnets that encourage better blood circulation in the knee area. Other straps also feature more flexible fits and pressure points that actually massage the supported area.

Knee straps are recommended for the prevention and rehabilitation of injuries in the knee and for patients with knee problems. Knee problems and injuries have risen through the decades. New medical conditions have been discovered due to people getting more active and as they age. This piece of knee equipment have been proven to be beneficial for patients suffering from patella tendinitis (affecting the kneecap), apexitis patellae (more popularly known as jumpers knee or jumper's knee), apophysitis, patellar chondromalacia (also known as irritated kneecap), and Osgood Schlatter's disease (a condition common among teenagers wherein the upper portion of the knee is overused), among other conditions.

A knee strap, if effective, should provide pressure that is focused on the particular portion of the knee to reduce pain. Stabilization of the kneecap is also key to health of the knees, and a good strap should be able to provide it. Other important benefits of this equipment are that it should improve knee alignment and tracking. Of course, fit, compression, comfort and breathability are important. The equipment's material is also important as it should be made from material that allows breathability, as it is often used when someone is engaged in intense physical activity. Poor material might cause the equipment to infect the skin of the knee, adding dermatological concerns to the list.

Not only athletes and people engaging in physical activity can benefit from a good knee strap. This piece of equipment is also beneficial for aging people whose knees need all the support they can get. Sports enthusiasts such as golfers, skiers, runners, tennis players should use it especially during training sessions. People suffering from medical conditions such as arthritis, bursitis, and knee stability can definitely use the help they can get from a strap. Also, people engaged in professions that require them to stand for long periods of time such as sales professionals, teachers, and security personnel, as well as people engaged in lifting with weights that take a toll on their knees should consider straps to support their knees. Straps are intended to be worn in sports, as well as everyday activities.

Saturday, March 8, 2014

Severe Arthritis in Lower Back - Treating Back Arthritis


It's amazing the amount of specifically women in the West who are going through the rigors of arthritis in the back at such a young age. where the rate at which the disease is spreading, one would expect to happen at least beyond age 70.

Men of course also experience the same symptoms, but young women in the West especially are having the quality of life stripped from them as early as their late 30's, early 40's.

Just when you're starting a family and that new chapter in your life, variant forms of arthritis such as spondylosis (spinal osteoarthritis) or bursitis of the lower spine, are inflicting women quite rapidly, while prior to this they may have also been living with fibromyalgia, costochronditis or degenerative disc disease.

Obviously, spinal arthritis is somewhat different to knee or hand arthritis albeit they all have their degrees of pain, but when the disease starts in the back, then down to the lower back - the pathway that this disease often takes is one that leads to the genitalia rendering your control almost useless.

This is more likely to happen unfortunately if you have pudendal nerve damage, this nerve runs down through the tail bone, through the backside and ends in the genitalia, where it the arthritis will potentially interfere with everything here.

Obviously this is a worst case scenario, but it is all very probable especially if you are only in your 40's, so what treatment can be taken to slow this disease down and in some way help it to go into remission if at all possible.

Treating Arthritis in Lower Back

NSAID's and Injections

You can take these but beware long-term use is not advised due to the violent nature they can inflict on your internal organs such as the liver, kidney and heart.

Three quite commonly used NSAID's for back pain are Rituxan, Bextra and Methotrexate.

Injections also provide a quick fix to the pain, where the steroid cortisone is often used to reduce the swelling in an instant.

Surgery

Now if you're from the U.S you will know that if you don't have some kind of insurance, either you will or you won't be able to afford this.

Surgery is extremely expensive but it does obviously differ from state to state.

The first step of the procedure is to see a neurosurgeon which will cost $200 - $400, surgery will then cost $10'000 - $25'000 and the hospital fee may range from $30'00- $50'000.

That's how damaging the costs are in the U.S. Canadians and Europeans and other countries may or may not be able to undergo surgery free, depending on their health care system.

Surgery will fix what damage needs removing or fusing in the spine but it won't obviously stop the disease, just perhaps slow it down and make the pain bearable again.

Natural Homeopathic Supplements and Treatments

FDA registered supplements in the U.S and over the counter pills in Europe and beyond work slightly differently than NSAIDs.

They help reduce the inflammation and relieve the pain, but they also try and restore some density to the bone while slowing the disease down by restricting this auto-immune disease from attacking the bone.

This is something NSAID's can't do.

Homeopathic ingredients include magnesium and calcium for re-building bone structure, Reishi and Glucosamine Complex, for slowing the rate at which the disease spreads and Chondroitin Sulfate, MSM and Capsaicin for reducing swelling and flare-ups.

Saturday, March 1, 2014

Muscle Arthritis - Symptoms and Treatment Explained


Myositis is the medical term for inflammation of muscle tissue and one type of muscle arthritis is dermatomyositis. (Without the rash, the condition is called polymyositis.) In this form, there is soreness and inflammation and pain in the muscles but there is also an accompanying dry rash affecting the skin. This rash is commonly seen on the face and neck, chest and back and the shoulders. Heart muscle may also be affected as well as the lung tissues. It is usually dusky and a purplish red color. This is an autoimmune condition and is treated with anti-inflammatory medications including steroids.

Another disease that can be considered muscle arthritis is called fibromyalgia. Along with muscle pain and aches, fibromyalgia can produce pain in the joints and other connective tissue like tendon and ligaments, as well as fatigue, depression, headache, anxiety, sleep problems and numbness in the extremities. To have this diagnosis, symptoms must last at least three months and at least 11 of the 18 trigger points associated with FM must be tender to the touch.

Treatment for FM has until very recently been simply medications directed at relieving pain and specifics for other symptoms, but now medications specifically for fibromyalgia have reached the market and can be prescribed. About 2% of the population has symptoms of FM.

Another muscle arthritis is the systematic illness called lupus. Usually joints are affected but some lupus patients also have muscle aches and pain associated with the condition. Lupus is treated with corticosteroids and other immune system modifiers. Symptoms of lupus can include a butterfly shaped rash across the face, fevers, fatigue, multiple joint arthritis and many other symptoms. Blood work can help to make the diagnosis. Lupus is also an autoimmune disease and the cause is not known. It is about ten times as common in men as it is in women.

Finally, there is polymyalgia rheumatica. The symptoms of polymyalgia rheumatica are moderate to severe muscle pain and the location is almost always in or near the neck, shoulders and hips and can come on very suddenly. In virtually every case, a person with polymyalgia rheumatica will have an abnormally high red blood cell sedimentation rate. This disease is often associated with a serious vascular affliction called polyarteritis or sometimes giant cell arteritis in which blood vessels become inflamed. However, prompt treatment usually controls both conditions or polymyalgia rheumatica alone.

A corticosteroid like prednisone is usually given and will produce a remission which can last some time. If the condition recurs, the drug is restarted and can control symptoms. Nonsteroidal anti-inflammatory medications are also used. The disease may also go away on its own but this can take a year or more.

One last form of muscle arthritis is a side effect of drugs given to lower cholesterol called lipid reducing drugs or statins. While not common, this condition called rhabdomyolysis can have serious implications including kidney and heart damage. Persons taking statins need to report any unusual muscle aches and pains to their physicians at once.

While muscle arthritis can be painful and frightening, most forms of it do respond well to treatment. The most important thing is to report muscle pains to a physician, learn the cause, and to then use appropriate treatments for whichever condition is to blame.

Friday, February 28, 2014

Knee Osteoarthritis, What It Is And How To Live With It


Knee osteoarthritis is complicated by the fact that the knee takes all the load-bearing strain of the full body weight, which in turn makes the condition even more painful. This is a degenerative disease. It often feels worse in the mornings with stiffness that takes time to resolve.

Osteoarthritis, often located in the knee, is the most common form of arthritis to be found in the United States. It differs from rheumatoid arthritis in that, should there be any inflammation present, it is usually not severe.

It is not fully known what causes knee osteoarthritis in the first place. Certainly the cartilage and bone being subjected to mechanical stresses through everyday movements, coupled with the disease being present, make this a particularly difficult and painful form of arthritis.

Knee osteoarthritis can be difficult to treat. One of the characteristics of this condition is the loss of articular cartilage. This has a poor ability to self-heal, which merely exacerbates the problem. People who are overweight or obese naturally have a bigger problem as their increased body weight makes it considerably more difficult for the knee to cope.

Any treatment of the condition must primarily seek to relieve the pain. Sufferers describe the pain as being deep-seated with a prolonged aching that can stay constant for long periods of time, often with little respite. Certain weather conditions, such as increased humidity, can cause the symptoms to worsen.

There are a number of treatments available. These typically reduce the pain and inflammation, but often cause unpleasant side effects. For this reason, many sufferers of knee osteoarthritis prefer to use chondroitin sulfate and glucosamine sulfate in preference to other pain and inflammation relieving drugs.

Tuesday, February 25, 2014

Coping With Arthritis - Disposition And Attitude Make A Difference


Coping with arthritis is coping with pain. Approximately one in six people will suffer from arthritis at one point in their lives. In most people's minds arthritis is associated with being elderly. It's true that, as we get older, there is wear and tear on the tissues in our joints. But, it can also be the result of an injury. Even then, it can take years before arthritis manifests itself.

There are many different types of arthritis. But they all seem to share the same symptoms. Symptoms of arthritis are: Swelling, inflammation, pain and stiffness of the joint, or joints that are affected.

The best way to diagnose arthritis is by taking an X-Ray. But this will show the damage, but cannot determine the severity of pain. The pain can be different for every patient. And it doesn't just depend on the amount of damage that was done. A person with less damage could hurt worse, than a person with severe damage. It depends on where exactly in the joint the damage occurred.

People have different pain thresholds. Also, people have different dispositions. So some people are coping with arthritis better than others. Attitude is definitely a big factor in coping with arthritis.

Let me give you a list of known arthritis treatments.that may give you some arthritis pain relief::

o Physical Therapy

o Weight Control

o Exercise to keep flexibility

o Ice- or heat packs for temporary relief

o Topical analgesics

o Acupuncture

o Natural/herbal medicines.

o Support bandages for wrist or knee

Make sure you give your joints enough exercise, without overdoing it. If you have arthritis in your knee, or hip, make sure you do not take on tasks that require too much time. Just do some of the work, and then take a short rest before you finish the job.

A good way to rest is sit in a Lazy Boy chair, with your legs elevated. Don't sit in one position for too long a time. Pull your legs up on the support, and bend your knees. After a few minutes stretch your legs again. If you alternate this every once in a while, your knee, or knees, won't get that stiff, and it will be easier to get up.

Personally, I'm taking some natural products for arthritis pain relief, and weaned myself off the morphine I had been taking for nearly seven years. The morphine was by prescription, but I was getting concerned about all the chemicals going into my body. (Yes, I realize it took me a long time to figure that out).

I feel myself to be much more alert, and don't feel drowsy all the time. Nothing will take the pain away completely,( not even the morphine), but it is now almost negligible. There are a multitude of natural products on the market for arthritis pain relief.

The best way of coping with arthritis is to not dwell on what we can't do, but enjoy the things we are still able to do.

Arthritis Worsening and Artificial Knee Costs


For those who have knee problems and arthritis of the knee there maybe a need in the future to replace the human knee entirely? That is right an artificial knee. Why do so many people have knee problems these days?

Well, consider if you will that your average American is carrying around about an extra twenty pounds of weight these days and what that means over the years to our knees? Additionally the lack of exercise, which along with the food we eat is complimenting this problem; our knees do not have the proper muscles in them to handle our demands.

It is for these reasons that knee replacements are increasing at an astronomical rate. Arthritis of the knee is such a common complaint in fact some say one in five people have it over the age of 55. Luckily science is moving ahead with better and better knee replacements these days. Some is due to soldier injuries and repairs, but most is due to sheer need of our society for replacement knees.

Of course if you end up getting a replacement knee it can cost anywhere from 25,000 to 60,000 depending on what you get and where you go. This means if you have high insurance deductibles you need to be thinking ahead and saving your money and make plans for going easy on your knees for weeks after the operations. Think on this in 2006.

Thursday, February 20, 2014

Arthritis In Knee: Symptoms and Treatment Options


Arthritis in knee is common, although much more common forms of arthritis are found to be in the hands and fingers.

Arthritis in the knee is most commonly known as osteoarthritis. People who suffer with osteoarthritis in their knees may start to notice some stiffness and swelling around the knee cap. These symptoms may get better throughout the day if you encourage regular movement to stop your knees from seizing up.

Osteoarthritis occurs because the body breaks down the cartilage around the joints, this break down can end with the total loss of joint cartilage. When the cartilage breaks down, the bones become inflamed, this inflammation can causes bone protrusions.

The symptoms of osteoarthritis in knees are:


  • Sharp pains in the knee area,

  • Periods of stiffness which may or may not ease throughout the day.

  • Movement difficulties.

Some individuals with osteoarthritis in the knees may not have any noticeable symptoms. This can be because the osteoarthritis develops slowly.

If you have arthritis in knee, natural treatments are available and they may help you cope with the symptoms. These can include;

Red pepper, aids the circulatory system. This can be made into a paste and then rubbed onto the skin of the affected area. Red pepper can also be incorporated into your daily diet.

Cayenne pepper, you can apply this as a paste to the skin or as I stated above or you can incorporate this in foods. This food aids the heart by acting as a stimulant. This can increase the flow of blood throughout the body and will result in a natural pain reliever being produced by the body.

Ginger, is an anti inflammatory this can reduce the aches and pains that are caused by inflammation.

Garlic, aids blood flow in the body, this boost of blood flow can reduce inflammation and may reduce any pain.

A gentle massage of the knees could reduce the aches and pains, this can also increase blood flow. By incorporating an oil into the massage you will be promoting healthy, supple skin.

If you are able to make the required changes to your diet you may start to notice improvements after 2 - 3 weeks. In conjunction will a healthy diet you should try to do at least 30 - 60 minutes of light exercise per day.

If osteoarthritis symptoms are no longer manageable and the pain you are experiencing gets unbearable contact your doctor or other health professional, they will be able to give you adequate advice and they may prescribe pain relief.

Arthritis in knee is a common form of arthritis, symptoms can be dealt with although this condition can not be cured. You will find that you can be prescribed pain relief and ointments or lotions to help cope with the symptoms. In early arthritis in the knee you can reduce the speed that the cartilage breaks down. Anti inflammatory medication will help reduce swelling and soreness.

Arthritis in knee is very common, all symptoms can be dealt with effectively. If you require more information consult a doctor or other health professional.

Ageing and Arthritis


Humans are funny. We spend nearly 40 years maturing to our peak of physical and mental ability, and then it all immediately starts going wrong. As we get older all sorts of body parts start to protest about doing their jobs, often quite loudly.

Some of it can't be helped, of course, but other things can. A lot of the problems we suffer as we age are the result of abuse we've inflicted on our bodies when we ere younger. Unfortunately when we're younger the consequences aren't obvious, but a few years down the line they are. Of course by then it's often too late to do much about it.

A common health problem in older people is arthritis. There are several kinds of arthritis, with different causes, but the most frequent is osteoarthritis; it's estimated that 30% of women, and nearly as many men, suffer from it by the age of 65. Osteoarthritis can be caused by an old injury but normally it's a result of simple wear and tear on the joints. To a large degree this is normal; during our lifetimes our bodies do an enormous amount of work, which can be anything from typing and sewing to moving heavy furniture, and it all involves movement in our joints. It's no surprise that after a while the cartilage that lubricates them begins to get a bit worn, and allows the bones themselves to come into contact. That's when osteoarthritis starts to set in. It can be extremely painful, and prevents sufferers from carrying out many activities.

Normal wear and tear contributes to osteoarthritis, but it's now known that there are aggravating factors that can bring it on earlier or make the effects much more severe. Hard physical work is one of them; applying extra stress to the body wears it out faster.

The other is a group of issues which health professionals class as "biomechanical irregularities." This covers a variety of issues such as bad posture, high arches or overpronation of the feet when walking or running. Any of these conditions forces the joints to move in a way that's slightly different from how they're meant to. Think of what happens if you run your car on underinflated tyres. Instead of the tyres wearing slowly and evenly over the full width of the tread, giving good grip and a long tyre life, wear happens much faster at the outside edges of the tread pattern. The result is tyres that don't do their job as well and don't last nearly as long. Well, it's just the same with your joints.

Your knee, for example, should be passing directly above your big toe with every step you take, and your body weight will act on the centre of the knee where it can be easily absorbed. If you overpronate, though, your knee passes just inside your foot. That moves your weight from the centre of the knee to the inside edge of the joint. The first result is that you'll feel pain beside the knee as the muscles work harder to stop it buckling; later you'll find that the inside edge of the joint, where the cartilage is thinner, has been worn down by the abuse and osteoarthritis is developing. Anything that stops your joints working normally carries the same risk.

The good news is that by taking a few precautions when you're younger you can help your joints work properly and seriously reduce the wear on them. Not only will this delay of prevent arthritis later in life, it'll cut down on pain and muscle tiredness right now.

One of the most important things you can do is improve your posture. If you work at a desk, make sure that you sit with your feet flat on the floor, your wrists supported just in front of your keyboard and your back straight; that will help avoid wrist and spine problems later. If you tend to slouch, learn to keep your shoulders back and your torso upright.

If you overpronate or have high arches it's important for you to remedy that with proper foot care. An important aspect of that is the use of orthotic insoles to support your weight properly and encourage your ankles to pronate normally. Custom insoles will also help with posture, which takes some of the load off your spine too.

Wednesday, February 19, 2014

Rheumatoid Arthritis: Role Of The Occupational Therapist In Seating - 1


Correct seating for the patient with rheumatoid arthritis is very important, as if the patient has a seat/chair that is not suitable, it will result in pain and/or discomfort aggravation. On top of that, it will also contribute to the worsening of his or her independence when they want to get up to go toilet, answer the phone, have a meal etc.

Very few patients with rheumatoid arthritis have adequate seating support in their chairs. Perhaps it is a financial limitation, or it may be a case of lower priority so the project may have been shelved. For seating clinics, many simply provide a means of elevating the seating itself as an option, which most of the time, unnecessary for the person with rheumatoid arthritis.

When choosing a chair for a patient, the following should be considered

1. Patient is to wear his or her usually worn home shoes to ensure that the correct height is measured using day to day tools and equipment.
2. The fabric needs to be a firm one (vinyl material causes perspiration, which leads to other problems)
3. The adequate seat height for the patient is measured from the bottom of the shoes (soles) to the back of the knees of the patient in sitting, and the knees must be at right angles (90 degrees).
4. Seat depth is measured from the back of the buttocks, to the back of the knees of the seated patient.
5. Seat width needs to be measured with the patient seated in the chair, with 1-1.5 inches extra space on each side from the buttocks. This is for turnings, transfers and overall comfort. It should not be more than a total of extra 3 inches as it will result in a further apart arm rests.
6. There needs to be backrest contours along the entire length of the spine, including the neck, and angled to suit each individual patient.
7. Arm rests are required, and they should support the arms without requiring the patient to hunch their shoulders.
8. Each arm rests for the chair should be level, or inclined slightly at the digits, reaching right to the front of the knees to help the patients in getting to stand.
9. It is best when the arm rests are padded with cushions to make room or accommodate painful flare up of joints and nodules.
10. There should not be any boards or crossbars that brace the front legs of the chair, as this will limit the patient's ability to stand up on their own.

Why Arthroscopy is NOT the Answer For Arthritis


Considering arthroscopic surgery for that persistent arthritic knee pain, that just won't leave you alone? Maybe you should think again. And I'm a former knee surgeon, telling you this. The truth is, you may do just as well with conventional, alternative, or complementary conservative treatments and save yourself pain, risk and money.

In a study published in the September 11th, 2008 issue of The New England Journal of Medicine, a group of Canadian researchers, from the Fowler Kennedy Sport Medicine Center of the University of Western Ontario, compared two groups of patients with known moderate to severe osteoarthritis. 178 patients were randomly assigned to receive either surgery ( arthroscopic lavage - a washout of the joint, by saline- and debridement-essentially a "clean out" of the joint), followed by optimized physical and medical therapy, or non-surgical treatment, ie., physical and medical therapy alone. After comparing the results of each group at two years, it was objectively documented that patients treated by arthroscopy, medication and P.T. did no better than those that had no surgery and were treated only with conservative measures.

Their conclusion was that arthroscopic surgery of the knee for osteoarthritis (degenerative or "wear and tear" arthritis) "provides no additional benefit to optimized physical and medical therapy." In other words, there was NO DIFFERENCE between those that were treated surgically and those who were NOT. This, of course, suggests that surgery done strictly for arthritis pain is not warranted.

Their study confirms the findings of an earlier study done in 2002 that compared arthroscopic surgery with sham surgery (ie., skin incisions were made that mimicked true arthroscopic portals, but instruments were not introduced into the joint). Short term pain relief of pain in BOTH groups (ie., real surgery and sham or fake surgery) was the SAME! This result was attributed to a placebo effect in the sham surgery group.

This result was so impressive that Medicare used it as a basis for their determination to refuse to pay for arthroscopy for the treatment of arthritis pain. And this study was a reinforcement of an even earlier study that compared arthroscopic surgery with merely lavage (injecting and extracting saline, or salt water, into and out of the knee joint, to wash it out). Here, too, there was NO DIFFERENCE between the surgery and the wash-out groups.

So, this most recent study is just more evidence of what you know instinctively- letting the body heal itself is the best course, except in advanced, or end-stage osteoarthritis.

In my years of orthopaedic practice, it was my experience that if a patient had full-blown arthritis, there was little reason to arthroscope them, UNLESS they had a sudden increase in very specific joint line pain, giving way, or locking (so-called mechanical symptoms) that suggested a displaced, or entrapped tear of the meniscus, or a fulminant synovitis (inflamed lining membrane of the knee, as in Rheumatoid Arthritis) that would not respond to medical treatment, or needed relief, but were a poor risk for major joint surgery, like a total knee replacement.

I used arthroscopic surgery for very specific mechanical or synovial overgrowth or inflammatory problems, NOT just as a "catch-all" treatment for arthritis pain. I always believed in a conservative approach first, letting the knee itself declare if and when it was ready for a major surgery, by failing to improve. I STILL DO.

There are times when surgery is needed. To deny this, or make frankly stupid statements that "surgery is NEVER warranted," is to deny the facts. But surgery should be the last, or the best option - not the first line of defense. In short, when it comes to arthritis, as with any other medical problem, you want to AVOID the UNNECESSARY SURGERY.

So, what to do? There are a number of things that you can control that will give you relief. First, lose weight. Every pound you lose reduces stress across the knee by 3-4 pounds, even higher if you climb stairs or attempt to run. Don't run, jump or do anything that involves impact to your knee.

Avoid red meat-it's a source of arachidonic acid, a chemical precursor of inflammatory chemicals, like prostaglandins, that stimulate pain receptors.

OTC pain relievers may be helpful, but MUST be taken with FOOD, to protect your stomach from the side effects of NSAID's (like Advil or Aleve), and should be avoided if you have ulcers or acid reflux.

Natural remedies, like fish oil, Lyprinol, willow bark, ginger, and devil's claw are effective and may also be helpful.

But the best long term method to relieve pain and restore function is consistent low impact exercise. Exercises that stretch and strengthen the muscles around the knee not only provide support and maintain motion of the joint, but stimulate endorphins and intrinsic growth hormone release, both of which help to relieve the pain of arthritis. You can't cure arthritis, but with these and other non-operative measures you can relieve your pain and delay surgery, perhaps indefinitely.

Saturday, February 15, 2014

Arthritis Inflammation Symptoms, Treatments


When you suffer from arthritis, you experience severe inflammation in your one or more joints. Injuries, fractures, dislocations and the resurfacing of old injuries are the factors that can lead to joint inflammation.

While injuries and infection may trigger inflammation, the most common cause is arthritis. There are hundred kinds of arthritis but not all types cause inflammation. The most common arthritis types associated with inflammation include:

Rheumatoid Arthritis
It is an autoimmune disease in which the body's immune system attacks the joints causing painful inflammation in joints. The most common symptoms are joint pain, swelling, stiffness, tiredness, depression, and anaemia. Some patients also develop flu-like symptoms, such as feeling ill, feeling hot and sweating.

Some less common symptoms of rheumatoid arthritis include inflammation in the eyes, rheumatoid nodules and weight loss. In rare cases inflammation may occur in other body parts, namely lungs and blood vessels and the membrane around your heart.

The initial treatment options available for rheumatoid arthritis are physical therapies and anti-rheumatic drugs- painkillers (analgesics), non-steroidal anti-inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs) and steroids.

In cases where body joints give severe pain, stiffness and immobility replacement surgeries like knee replacement hip replacement may be needed.

Psoriatic Arthritis
This arthritic condition causes painful inflammation in and around body joints and tendons. Symptoms of this condition include inflammation in your spine (spondylitis) causing stiffness in back or neck, swelling in and around your fingers or toes (dactylitis), buttock pain, inflammation where tendons attach to bone (enthesitis) causing pain and swelling in your heels, knee, hip bones and chest.

NSAIDs and DMARDs are most often used to treat psoriatic arthritis. In very rare occasions, surgery is used to repair damaged tendon. The joint that has been long damaged by inflammation is best treated with joint replacement surgery.

Gouty Arthritis
Gout is considered as the most painful form of inflammatory arthritis. The symptoms of gout are caused by abnormally high level of uric acid that builds up and forms crystals in the joints, which can lead to recurring attacks of joint inflammation. Gout most commonly affects the small joint at the base of the big toe but it affects other joints as well, including the ankles, knees, fingers, wrists, and elbows.

Symptoms of gout usually include intensely painful and swollen joints, redness and warmth on the affected joint and red or purple skin around the joint.

Treating the gout usually involves either anti-inflammatory drugs or steroids that can help reduce the pain and inflammation of gout attacks. Some certain medications decrease the level of uric acid in the bloodstream. Many gout patients turn to natural methods to reduce the risk of future gout attacks. In order to prevent gout flares you should modify your diets- avoid overindulgence in meat, seafood and alcohol; and drink more water- consume beverages that contain more water. Losing weight, following a moderate exercise regimen and taking supplements can be of great help.

Systemic Lupus Erythematosus (SLE)
Also referred to as Lupus, it is an autoimmune disease in which the body's natural defense system attacks healthy body cells and tissues. This inappropriate response of body's immune system causes inflammation which in turn leads to pain, swelling and tissue damage throughout the body.

Some lupus sufferers develop only mild symptoms, including tiredness, joint pain, swelling (arthritis) and fever. In some cases skin rash, hair loss and mouth sores can also occur. The times when symptoms get worse the patients may experience problems with the heart, kidneys, blood cells, lungs, or nervous system.

Lupus can be best treated by taking nonsteroidal anti-inflammatory drugs and applying medicated cream for rashes. Taking proper rest, avoiding the sun and regular exercise can help you cope with the condition.

Thursday, February 13, 2014

The Benefits Of Acupuncture For Diagnosis And Treatment Of Arthritis


Acupuncture for diagnosis and treatment of arthritis is now becoming more prevalent but having your skin savagely poked with a series of long needles doesn't exactly sound like ideal comfort, especially when you are already living with arthritis, a rheumatoid disease characterized by it's trademark stiffness and pain. The ancient Chinese would beg to differ, along with the estimated fifteen million Americans who have tried the ancient Chinese needle therapy known as acupuncture. Around the Asian continent, acupuncture has been used for generations to alleviate the symptoms of chronic pain sufferers, like arthritis patients, for instance. Prospective "acupokees" should be aware that acupuncture therapy is used for treating arthritis, not diagnosing it. Although patients should garner a arthritis diagnosis before signing up for acupuncture therapy.

Studies in Arthritis and Acupuncture

More than twenty million Americans live with osteoarthritis (there are various forms of the condition, however). In fact, osteoarthritis is amongst the most frequent causes for physical disability in adults. Despite a history spanning more than two thousand years, it was 2001 before acupuncture was found to aid arthritis in the knee via a study by the University of Maryland School of Medicine. The study included 570 osteoarthritis patients over the age of fifty who had never before received acupuncture, surgery, or steroid injections. A control group was selected and these individuals received regular sessions of acupuncture. By the end of the first week, the acupuncture group experienced a surge in mobility and by the end of the study the group reported a forty percent decrease in pain and a forty percent increase in knee function.

Using Acupuncture For Treating Arthritis

Bigwigs of Western medicine aren't exactly sure just how acupuncture works to fight arthritis and similar diseases, but the skilled acupuncture who administer the therapy have an idea or two. According to therapeutic philosophy, pain is the result of a blockage of one of life's essential energies, qui. Stimulating certain points will put the flow of qui back in balance again, thus alleviating chronic pain in the process - Volia! A 1999 study even found evidence that acupuncture improves sleep.

During acupuncture therapy, very thin needles are inserted into precise point in the skin, these points are known as acupoints. It is these acupoints that may have the biggest influence on the connection between treating arthritis with the use of the acupuncture therapy. In addition to being poked and prodded, acupoints also react to magnets, currents of electricity, acupressure (hand pressure), lasers and even bee stings. Acupuncture practitioners have also been known to administer herbs along with wielding out some advice on making lifestyle changes at the conclusion of a session.

Studies demonstrate that some of designated acupoints are actually connected to sensitive bio-trigger points rich in nerve endings. And further studies show that tinkering around with those triggers can cause a mirage of biological responses, one of the many responses being the chemical release of endorphins. The release of endorphins is pivotal to acupuncture's influence on arthritis because the chemical serves as the body's own answer to Advil, Tylenol and Motrin, as a natural painkiller.

Acupuncture Checks and Balances

Acupuncture costs vary across the United States. But as a rule of thumb, first visits usually fall between $75 and $150, with cheaper follow-up treatments costing between $35 and $75. Health insurance accommodations of acupuncture vary, but advocates of using the therapy for the treatment of diagnosed arthritis cite the long-term benefits of it's hefty price tag, which include fewer doctor visits over time and saving a few bucks on prescriptions.

Wednesday, February 12, 2014

Arthritis And Pain Relief - Preparing For Ski Season


You can ski with arthritis, and many people do. If you have rheumatoid arthritis, fibromyalgia, or other autoimmune disorders, getting ready for ski season requires more than your typical fitness conditioning.

Focus first on overall fitness. Condition yourself for the sport of skiing with a variety of leg exercises and upper-body toning. As you train, remember to progress slowly through a program. You might need more than the usual 6-8 weeks of physical preparation time.

Consider the weather elements and ski slope conditions. Your environment will affect *how you ski,* how your body feels about its new challenges, and* how quickly you will recover from your skiing activities. Do you have enough clothing that you can layer for cold, windy conditions or for bouts of sweat as your muscles warm up?

There are many types of arthritis and chronic conditions that zap your energy and make your muscles ache. Two important characteristics of these disorders will influence your skiing experience. For better skiing adventures, align your fitness conditioning with these in mind.

Your immune system activity is one of these influences that can adversely affect your skiing. Autoimmune responses are a factor in these types of conditions. Your immune system may be working overtime, inadvertently attacking healthy tissue. When you focus on the immune system in your preparation, you want to avoid taxing the immune system or increasing its stimulation.

If you get sick, like with a cold or flu, recover completely before skiing. If you get sick while participating in a ski conditioning fitness program, discontinue the program and allow your body to rest and heal. As you recover from illness and resume your program, avoid jumping back into it with the same intensity as before you got sick. Progress cautiously.

Avoid toxins and chemicals as you prepare to ski. Surround yourself with natural products in your house and work.

Eat natural foods that are free from chemicals like artificial sweeteners, preservatives, and hormones. Minimize your dairy and meat intake in your diet and increase your consumption of organic vegetables. As tempting as those ski resorts and towns can be, avoid heavy alcohol or super-rich decadent foods and opt for fresh salads and seafood. Stay hydrated!

The other factor that will influence your body's reaction to skiing is inflammation. Arthritis represents an inflamed physical state (hence the suffix, -it is). In healthy individuals, some inflammatory response to muscle conditioning is good for you. Your muscles will grow and get stronger with new physical challenges.

However, if your body is already in a chronic state of inflammation, your muscles recover differently. Throughout your ski conditioning, and then as you begin to ski, practice active rest to reduce inflammation and speed recovery. Active rest enables your body to recover faster than sleep or inactivity without exerting effort. Types of active rest include sports massage therapy, mild body treatments like salt scrubs and seaweed wraps, meditation, sauna, and ice applications.

In conclusion, if your body feels challenged to ski with arthritis, use extra time and focus in your skiing preparations. Your body will enjoy skiing more than most winters. Your stamina and recovery will improve. And you will want to return to the ski slopes sooner than ever before!

Friday, January 31, 2014

Facts on What Causes Arthritis


Arthritis is a disorder of joints where it involves inflammation of one or more joints. What causes arthritis can be from having an autoimmune disease, broken bone, infection or a general wear and tear on joints. There are various forms of arthritis. These are:

• Rheumatoid arthritis

• Rheumatoid arthritis

• Psoriatic arthritis

• Septic arthritis

• Gonococcal arthritis

• Autoimmune diseases

Breakdown of cartilage occurs as the result of arthritis. Cartilage acts as a lubricant to prevent friction or resistant between the bones. Its main function is to protect a joint, allowing the joint to move, absorb shock and able a person to walk and move smoothly. Without it or the normal amount of cartilage in the joints, bones will rub together that can cause tremendous pain, swelling and stiffness.

Identifying what causes arthritis can be divided into biological, mechanical and biochemical causes. Biological causes are factors that involve infections in the body that affects joints or tissue breakdowns. Mechanical causes include physical traumas or accidents that cause misalignments of the joints, ligaments or tendons. Lastly, biochemical causes includes nutrient deficiencies or toxins that can be found around or within the joint.

Here is a detailed list of what causes arthritis.

• High calcium level in the body

• Copper toxicity

• Imbalance or high sodium and potassium ratio

• Excessive tissue breakdown

• High toxic metals in the body such as iron, manganese, copper, or lead

• Thyroid activity

• Calcium and magnesium ratio greater than 10

• Emotional imbalances

• Fatigue

In addition, there are studies that wrong diet is linked to the cause of arthritis. Consumption of acidic foods may also cause damage to cartilages and bones. Diet foods are also linked to the cause of this condition. The lack of vital nutrients for a long period of time can trigger arthritis. Examples of diet foods are canned foods, overly processed foods, too cooked foods, and refined foods. With the lack of vitamins and minerals needed in the body and blood being too acidic, cartilages in the body can dissolve.

Treating all types of joint inflammation starts in figuring out what causes arthritis. People diagnosed with arthritis need to have changes in their lifestyle. It may include exercising regularly in order to reduce the pain. These changes can help patients in improving the strength of their muscles, bones and most importantly, the joints. It is advisable before taking any medication or exercise, consult a medical practitioner or a specialist who can identify the cause of the condition and the appropriate treatment that goes with it. They can also provide an exercise routine that can relieve and eventually heal arthritis.

Wednesday, January 29, 2014

Are Flat Feet Causing Your Knee Pain?


Sometimes, it may not always be obvious that you have flat feet, as your arches may appear to have shape when you are standing upright. However, when moving the motion can cause them to flatten. In order to maintain your balance, your body may rock or twist your knees. These have only a very limited range of motion and twisting can cause many problems.

If you look at your shoes, and then have serious wear on the inner sides, it is a clear sign of that you may have flat feet.

A good idea is to get a friend to take a picture of your feet in parallel stance, from the back. You will then be able to see whether or not you are rolling in from the heels, with your arches pushed toward the floor. It is good to try and spot if your heels and kneecaps lean and turn inwards when you are standing. You must be standing in a relaxed stance, without your thighs being held rigidly. If you then turn your feet outwards, they may adjust someone, and the heels will pull straighter, with the arches lifting slightly. This can be helpful in avoiding knee injury.

Unfortunately though, this exercise alone is not enough to correct this. Just lifting the arches up by rolling your feet outwards is also not a good correction.

My main advice would be to locate and try and strengthen the smaller muscles in your feet. This will hopefully help your flat feet and send their workload upwards, toward the muscles in the calves and shins. You can roll your feet and try to squeeze them almost into a fist by pulling you toes downwards and then alternating this by stretching your toes upwards.

If you often experience pain in the ankles, lower legs or knees, it is a good idea to see either a Osteopath. They may give you orthotics, which are shoe inserts that are quite supportive, and even a heel counter, which is an insert in your shoes heel that will help to stabilize your heels, just for every day shoes. This will also help to prevent you from twisting your ankles.

Another common cause of a slight roll inwards when the foot moves is Morton's foot. This is when you have a larger second toe then your big toe. This often also happens when you jump. This may seem surprising, as the weight transfers away from the feet in these movements. However, this happens very often every dance class, and causes uneven pressure in the bones and foot muscles.

It is a good idea to try to have the weight in your feet spread equally, from the centre of the heel, big toe joint and little toe joint. This will give a level base, which is like the platform a house could be built up on, for your skeleton to balance above.

Another useful practice is Tai Chi. Some of the older, more traditional styles have a group of practices often called the foundation exercises. These are used to program your body to move more naturally and remove bad movement habits. A good teacher can work wonders in helping to correct these sorts of problems. You may have to hunt as most Tai Chi is taught fairly superficially, but there are teachers who will be able to stop problems almost instantly.

Tuesday, January 28, 2014

Doctor...Tell Me about Boswellia and Arthritis


Boswellia is also know as Indian frankincense, salai guggal, and boswellin. The proper botanic label for boswellia is Boswellia serrata. It is derived from the resin of the bark of the Boswellia tree. While it grows in other parts of Southeast Asia, it is found abundantly found in the Indian subcontinent.

Boswellia is available in either pill or capsule form. The dose for most people is generally 300 mg to 400 mg taken three times a day.

For a product to be effective, it should contain at least 60 per cent boswellic acid. It is the boswellic acid that contains the active ingredient. A number of nutritional supplements now contain boswellia. Look for a reputable manufacturer.

The condition for which boaswellia has had the most supporting evidence for a beneficial effect is arthritis.

The most convincing study was published in 2003 (Phytomedicine. 2003 Jan;10(1):3-7) when a research study examined thirty patients with osteoarthritis of the knee. Half of the patients received daily supplementation with 333 mgs of Boswellia. The other half received placebo. After the first intervention, washout was given and then the groups were crossed over to receive the opposite intervention for eight weeks. All patients receiving boswellia reported decrease in knee pain, increased knee flexion and increased walking distance. The frequency of swelling in the knee joint was decreased. Radiologically there was no change. The observed differences between drug treated and placebo being statistically significant, are clinically relevant. Boswellia serrata extract was well tolerated by the subjects except for minor gastrointestinal symptoms.

The conclusions were: "Boswellia serrata extract is recommended in the patients of osteoarthritis of the knee with possible therapeutic use in other arthritis."

Other studies have demonstrated anti-inflammatory and analgesic properties. Diseases that have been studied where good results have been reported include rheumatoid arthritis, osteoarthritis, inflammatory bowel disease, and bursitis.

Saturday, January 25, 2014

What Other Diseases Masquerade as Rheumatoid Arthritis? Part 1 - The Non-Infectious Group


Rheumatoid arthritis (RA) is the most common form of inflammatory arthritis and affects more than 2 million Americans. The diagnosis is not easy to make in many instances. There are more than 100 different kinds of arthritis. Most of them involve inflammation. When a patient goes to a rheumatologist to get a diagnosis, there is a process of elimination in order to arrive at the proper diagnosis. This process of elimination is called "differential diagnosis."

Differential diagnosis can be a difficult undertaking because so many forms of arthritis, particularly inflammatory forms of arthritis look alike. Generally it is helpful to divide the differential diagnosis of rheumatoid arthritis into two groups. The first group are the non-infectious diseases to consider and the second group are the infection-related conditions.

Since the discussion is rather long I have chosen to divide the article into two parts.

The following is a partial list of forms of inflammatory arthritis that can be seen and must be considered when evaluating a patient with inflammatory symptoms of arthritis and are not infection related.

RA is an autoimmune chronic inflammatory disease, primarily involving the peripheral joints (hands, wrists, elbows, shoulders, hips, knees, ankles, and feet). It can also affect non joint structures such as the lung, eye, skin, and cardiovascular system.

RA may start slowly with nonspecific symptoms, including fatigue, malaise (feeling "blah"), appetite loss, low-grade fever, weight loss, and vague joint pains, or it may have an explosive onset with inflammation involving multiple joints. The joint symptoms usually occur bilaterally- both sides of the body equally involved- and symmetric. Erosions- damage to the joint- can be seen with x-ray. In about 80% of cases, elevated levels of rheumatoid factor (RF) or anti-cyclic citrullinated antibodies (anti-CCP) are present in the blood. There appears to be a correlation between the presence of anti-CCP antibodies and erosions.

Juvenile rheumatoid arthritis (JRA) occurs in children under the age of 16. Three forms of JRA exist, including oligoarticular (1-4 joints), polyarticular (more than 4 joints), and systemic-onset or Still's disease. The latter condition is associated with systemic symptoms -- including fever and rash in addition to joint disease.

Polyarticular JRA has similar characteristics to adult RA. It causes about 30% of cases of JRA. Most children with polyarticular JRA are negative for RF and their prognosis is usually good.

Approximately 20% of polyarticular JRA patients have elevated RF, and these patients are at risk for chronic, progressive joint damage.

Eye involvement in the form of inflammation- called uveitis- is a common finding in oligoarticular JRA, especially in patients who are positive for anti-nuclear antibody (ANA), a blood test that is often used to screen for autoimmune disease. Uveitis may not cause symptoms so careful screening should be performed in these patients.

SLE is an inflammatory, chronic, autoimmune disorder that can involve the skin, joints, kidneys, central nervous system, and blood vessel walls. Patients may present with 1 or more of the following: butterfly-shaped rash on the face, affecting the cheeks; rash on other parts of the body; sensitivity to sunlight; mouth sores; joint inflammation; fluid around the lungs, heart, or other organs; kidney abnormalities; low white blood cell count, low red blood cell count, or low platelet count; nerve or brain inflammation; positive results of a blood test for ANA; positive results of a blood test for antibodies to double-stranded DNA or other antibodies.

Patients with lupus can have significant inflammatory arthritis. As a result, lupus can be difficult to distinguish from RA, especially if other features of lupus are not present. Clues that favor a diagnosis of RA over lupus in a patient presenting with arthritis affecting multiple joints include lack of lupus features, erosions (joint damage) seen on x-rays, and elevations of RF and anti-CCP antibodies.

Polymyositis (PM) and dermatomyositis (DM) are types of inflammatory muscle disease. These conditions typically present with bilateral (both sides involved) large muscle weakness. In the case of DM, rash is present. Diagnosis consists of finding the following: elevation of muscle enzyme levels in the blood [the two enzymes that are measured are creatine kinase (CPK) and aldolase], signs and symptoms, electromyograph (EMG)- an electrical test- alteration, and a positive muscle biopsy.

In addition, in many cases abnormal antibodies specific for inflammatory muscle disease can be elevated.

In both PM and DM, inflammatory arthritis can be present and can look like RA. Both inflammatory muscle disease and RA can affect the lungs. In RA, muscle function will usually be normal. Also, in PM and DM, erosive joint disease is unlikely. RF and anti-CCP antibodies are typically elevated in RA but not PM or DM.

SAs -- psoriatic arthritis, reactive arthritis, ankylosing spondylitis, and enteropathic arthritis -- are a category of diseases that cause systemic inflammation, and preferentially attack parts of the spine and other joints where tendons attach to bones. They also can cause pain and stiffness in the neck, upper and lower back, tendonitis, bursitis, heel pain, and fatigue. They are termed "seronegative" types of arthritis. The term 'seronegative' means that testing for rheumatoid factor is negative. Symptoms of adult SAs include:

o Back and/or joint pain;

o Morning stiffness;

o Tenderness near bones;

o Sores on the skin;

o Inflammation of the joints on both sides of the body;

o Skin or mouth ulcers;

o Rash on the bottom of the feet; and

o Eye inflammation.

Occasionally, arthritis similar to that seen in RA can be present. Careful history and physical examination can often distinguish between these conditions, especially if an obvious disease that is promoting inflammation is present (psoriasis, inflammatory bowel disease, etc.). In addition, RA rarely affects the DIP joints- the last row of finger joints. If these joints are involved with inflammatory arthritis, the diagnosis of an SA is possible. (Note of caution: a condition known as inflammatory erosive nodal osteoarthritis can also affect the DIP joints). RF and anti-CCP antibodies are negative in SAs, although, rarely, in cases of psoriatic arthritis there may be elevations of RF and anti-CCP antibodies.

Gout is caused by deposits of monosodium urate (uric acid) crystals into a joint. Gouty arthritis is acute in onset, very painful, with signs of significant inflammation on exam (red, warm, swollen joints). Gout can affect almost any joint in the body, but typically affects cooler areas including the toes, feet, ankles, knees, and hands. Diagnosis is made by drawing fluid from an inflamed joint and analyzing the fluid. Demonstrating monosodium urate crystals in the joint fluid is diagnostic, although finding elevated serum levels of uric acid can also be helpful.

In most cases, gout is an acute single joint disease that is easy to distinguish from RA. However, in some cases, chronic erosive joint inflammation where multiple joints are involved can develop. And, in cases where tophi (deposits of uric acid) are present, it can be difficult to distinguish from erosive RA. However, crystal analysis of joints or tophi and blood tests should be helpful in distinguishing gout from RA.

Calcium pyrophosphate deposition disease (CPPD), also known as pseudogout, is a disease is caused by deposits of calcium pyrophosphate dihydrate crystals in a joint. The presence of these crystals in the joints leads to significant inflammation. Establishing the diagnosis includes using:

o Detailed medical history;

o Withdrawing fluid from a joint to check for crystals;

o Joint x-rays to show crystals deposition in the cartilage (chondrocalcinosis); and

o Blood tests to rule out other diseases (e.g., RA or osteoarthritis).

In most cases, CPPD arthritis presents with single joint inflammation. In some cases, CPPD disease can present with chronic symmetric multiple joint erosive arthritis similar to RA. RA and CPPD disease can usually be told apart by joint aspiration demonstrating calcium pyrophosphate crystals, and by blood tests, including RF and anti-CCP antibodies, which are usually negative in CCPD arthritis. A complicating feature is that RA and CPPD can coexist!

Sarcoidosis is an inflammatory joint disorder. The majority of patients with this disease have lung disease, with eye and skin disease being the next most frequent signs of disease. Although the diagnosis of sarcoidosis can be made on clinical and x-ray presentation alone, sometimes the use of tissue biopsy with the demonstration of "noncaseating granulomas" is necessary for diagnosis.

Arthritis is present in 15% of patients with sarcoidosis, and in rare cases can be the only sign of disease. In acute sarcoid arthritis, joint disease is usually of rapid onset. It is symmetric involving the ankles, although knees, wrists, and hands can be involved. In most cases of acute disease, lung and skin disease are also present. Chronic sarcoid arthritis can be difficult to distinguish from RA. Although RA-specific blood tests, such as RF and anti-CCP antibodies, can be helpful in distinguishing RA from sarcoidosis, in some cases a biopsy of joint tissue may be required for diagnosis.

Polymyalgia Rheumatica (PMR) is a disease that leads to inflammation of tendons, muscles, ligaments, and tissues around the joints. It presents with large muscle pain, aching, morning stiffness, fatigue, and in some cases, fever. It can be associated with temporal arteritis (TA), also known as giant-cell arteritis, which is a related but more serious condition in which inflammation of large blood vessels can lead to blindness and aneurysms. Also, a peculiar syndrome where use of the arms and legs leads to cramping because of insufficient blood flow (limb claudication) can occur. PMR is diagnosed when the clinical picture is present along with elevated markers of inflammation (ESR and/or CRP). If temporal arteritis is suspected (headache, vision changes, limb claudication), biopsy of a temporal artery may be necessary to demonstrate inflammation of blood vessels.

PMR and TA can present with symmetric inflammatory arthritis similar to RA. These diseases can usually be distinguished by blood testing. In addition, headaches, vision changes, and large muscle pain are uncommon in RA, and if these are present, PMR and/or TA should be considered.

In part 2 of this article, I will discuss infectious diseases that need to be considered in the differential diagnosis of rheumatoid arthritis. When RA is suspected, it is critical to consult with an expert rheumatologist.

Wednesday, January 22, 2014

Arthritis Medicines


For those suffering from osteoarthritis, arthritis medicines are an essential part of getting through the day.

Osteoarthritis, or arthritis as most people refer to it as is joint cartilage degeneration. It normally appears when a person reaches their 40's or 50's and can be the result of a previous injury.

For example, if a person injured their knee when they were 20, they are more likely to develop arthritis in the injured knee as they approach middle age. It is also genetic, so if you have family members that have it, you are more likely to develop problems. Symptoms normally include stiffness, pain, and swelling.

Treatment options include an array of arthritis medicines including:

- Pain medication that is often prescribed such as hyrocodone, which is a narcotic
- Over the counter anti-inflammatories such as ibuprofen, naproxine, aspirin
- Prescription anti-inflammatories are also prescribed when over the counter does not seem to help
- Corticosteroids are injections of steroids given in the affected joint to bring down the swelling, which often is the root of the pain

The unfortunate truth is all of these medications can have some serious side effects. For instance, anti-inflammatory medications when taken daily can cause bleeding in the stomach, while steroid injections can raise the blood sugar level.

If the affected joint is damaged enough by the arthritis, such as a hip or knee joint, surgeons can replace these joints, which normally resolves the pain shortly after recovering from the surgery itself. Those that have mild to medium amount of joint damage are not candidates for joint replacement surgery, which means the vast majority of those who suffer from arthritis have daily pain, stiffness, and swelling.

The most common joints affected are the hips and knees though arthritis can be in the hands, ankles, and spine as well. Obviously, a surgeon cannot replace the spine, so this becomes a chronic condition for those unfortunate enough to have the disease. The Center for Disease Control reported that as many as 27 million Americans alone suffer from osteoarthritis compared to 1.3 million Americans that suffered from rheumatoid arthritis, which is an inflammatory arthritis that can be crippling.

Alternative Treatments

Many people turn to alternative treatments for their osteoarthritis simply because of the side effects they may have experienced with traditional medications. When treating the condition naturally or with herbs, this naturally reduces the inflammation and helps lubricate the joints. These include:

- Tart cherries. It has been discovered that taking tart cherries in the extract form has anti-inflammatory properties
- Ginger extract. Taking ginger extract is a powerful anti-inflammatory that can help reduce the swelling, which in turn reduces the pain
- Boswellia. This herb is very powerful and in fact has been used for years in treating inflammation quite effectively
- Hyaluronic Acid. Taking this orally and applying it topically can help lubricate the joints
- Omega 3 fatty acids. This are another wonderful anti-inflammatory and also good for the heart
- Glucosamine. This is what many people have heard of as being great for slowing down the process of the disease

Final Thoughts

Arthritis impacts many people and while prescription drugs can be useful for short-term treatment, they can cause some side effects that many people cannot tolerate. Many turn to natural treatment options because there have less side effects and taking them daily does help with symptoms such as inflammation. Additionally, keeping the joints moving via some form of exercise greatly increases mobility.

Tuesday, January 21, 2014

Failure to Diagnose Septic Arthritis, What Should I Do?


Septic arthritis, also sometimes referred to as bacterial arthritis, reactive arthritis, along with several other clinical names, is a type of infection that affects the joint spaces of the body. The infection can be caused by a number of different types of microorganisms, such as bacteria. The most common culprit is the bacteria known as staphylococcus aureus. Of all the joints in the body, the knee joint is the one that is most commonly affected by this type of infection.

There are a number of different ways that organisms can enter the joints, including by means of a consequence from a surgical incision. It is estimated that twenty thousand cases result in the United States every year.

There are three main symptoms of septic arthritis that patients should be aware of. These include: a spike in temperature above one hundred and one degree Fahrenheit, joint swelling, and sharp pain in the joint especially in the days immediately following surgery.

The issue of septic arthritis is most definitely an emergency medical condition that needs to be addressed immediately. Without prompt medical attention, including a proper diagnosis (and in some cases even with prompt medical attention), the infection can become so severe that it damages the articular cartilage and can lead to infections of the blood. When this happens serious injuries and even death can occur.

As soon as septic arthritis is suspected or symptoms are present, the surgeon should arrange to perform an arthrocentesis. This is a type of procedure that removes fluid from the space in the joint. The fluid is then sent to a laboratory so that a culture can be performed. Since joint infections can spread quickly and become so serious, antibiotics are often administered before the culture results are returned. If there is an infection found, the fluid should be drained by means of an incision and all infected tissue should be removed.

As previously mentioned, septic arthritis usually causes severe discomfort in the affected joint, swelling and fever. Other symptoms of note include: poor appetite, tachycardia (otherwise known as a rapid heartbeat), warmth to the area that has been affected, irritability, and malaise.

If you are currently taking other medications to help control arthritis pain and discomfort, the severe pain associated with septic arthritis may not be felt as much because medication often masks the pain as well as the elevated body temperature.

Adults most commonly find their knees are the most affected by the condition of septic arthritis, and in some cases the joints of the arms as well. Children are most often affected in the area of their hips. Septic arthritis in the hip region can cause children to have to hold their hips in a fixed position in order to avoid any type of movement, which causes pain.

More rare cases of septic arthritis can affect the neck, back, and head.

It is critical that treatment for septic arthritis be prompt and make use of the proper antibiotics as well as drainage of the fluid from the joints. This combination often is enough to resolve the infection. That being said, if treatment is put off for any reason, the infection can spread which can cause permanent joint damage and degeneration.

In addition to joint damage and degeneration, other complications of septic arthritis include joint deformity and osteoarthritis. There are even cases that require the joint to be completely reconstructed surgically. In the event that the infection impacts a prosthetic joint, it may be necessary to replace that prosthetic joint.

To help make a definitive and correct septic arthritis diagnosis, a joint fluid analysis (as discussed above) needs to be completed. This will provide medical staff with the information needed to determine the exact bacterium that is causing the infection so that proper treatment can be administered. The fluid around your joints, also known as synovial fluid, typically appears thick and clear. When bacteria have affected this fluid, the color, volume, makeup, and consistency of the synovial fluid will change. In addition to fluid tests, blood tests should also be ordered. This is done to help medical professionals determine if bacteria have made their way to the blood stream. Furthermore, imaging tests are also commonly used. Tests such as x-rays or other forms of imaging are done to determine the extent of damage that may have been done to the joint.

Any time you or someone you know has been injured following a surgical procedure, such as is the case with septic arthritis, it is important that you contact a personal injury attorney as soon as possible. These types of injuries can be avoided, and they should be avoided at all costs. In the event that a complication such as septic arthritis does occur, it is important that the proper medical attention be given in a timely manner. Delaying treatment for any reason, or making an incorrect diagnosis, is another type of medical negligence or malpractice. If this happens, you also need to contact a personal injury attorney promptly to help protect your legal rights.

Personal injury attorneys who specialize in the area of medical negligence and malpractice know the ins and outs of this area of the law extremely well. He or she will work hard to seek the compensation you deserve, and help you to cover past, present, and future medical bills. Compensation can also be obtained for loss of income, loss of use, and pain and suffering. In some cases, punitive damages may also be sought in order to punish those who caused the initial harm.

These cases can be quite complex in nature and should not be handled on your own; professional legal assistance provides your best bet for a positive outcome. Since personal injury attorneys do not typically require any type of payment upfront, you will not have to worry about funding your claim as it progresses through the legal system. This can provide a great deal of comfort, and allow you to focus on your personal health and recovery.

Monday, January 20, 2014

Effective Ways Of Treating Arthritis Back Pain


Although arthritic conditions may not originate in the lumbar region, they can also affect the back and result in arthritis back pain. Commonly, there are a few types of arthritic conditions that may need back pain treatment as well, such as osteoarthritis or rheumatoid arthritis. These conditions may not begin in the spine, but may ultimately travel to the lumbar region.

Osteoarthritis refers to the loss of protective cartilage that results in abnormalities surrounding the bone. Osteoarthritis strikes in two forms: primary, the most common, progressive type that sets in around age forty-five and the secondary form resulting from a trauma or injury. Osteoarthritis also affects the spine and it can be painful at any age. The condition commonly affects the small joints in the hands, the hip, the knee and the spine. A typical symptom of Osteoarthritis is pain without activity upon waking up. The pain subsides with movement and intensifies in damp weather. In addition, sitting for a prolonged period of time also causes the spine to hurt.

Typically, back pain patients suffering from Osteoarthritis are advised to maintain a regular regimen of gentle exercise and proper weight balance. In addition, they are also prescribed with non-steroidal anti-inflammatory drugs (NSAIDS) which can help them to relieve the back pain and allow the recovery of weak muscles.

Another common arthritic condition that may lead to arthritis back pain is rheumatoid arthritis. This form of arthritis, usually affects the knee, hip, hand, neck and spine areas. It is usually more common in women than in men. The first symptom of rheumatoid arthritis is malaise and fatigue, including morning tenderness and prolonged stiffness of the joints, particularly in the hands and feet. As symptoms intensify, drug therapy is used to prevent irreversible cartilage loss or deformity. If joint swelling worsens, the inflammation process proceeds to the cartilage and bone. In the final stages, overgrowth of cartilage and destruction of the bone throw ligaments out of position.

One effective treatment of rheumatoid arthritis is to remain active during the day. You should exercise for at least twenty minutes a day to help build muscle strength. Besides this, NSAIDS are being used to reduce swelling and pain in the joints. If NSAIDS do not work, you may instead be given cortisone to reduce inflammation.

For more information on effective back pain remedies, quick cures for back pain or fun back pain exercises, you can visit this site: Back Pain Clinic