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Archive for the ‘Arthritis’ Category

Disability Benefits for People With Rheumatoid Arthritis: Get the Facts – Everyday Health

Thursday, October 17th, 2019

Living with rheumatoid arthritis (RA) can be challenging. When those challenges such as walking or standing limitations, or experiencing brain fog or fatigue make it impossible to work, its possible to apply for replacement disability income. There are two options for this: short-term or long-term disability programs through a current employer, or the federal Social Security Disability Income program.

RELATED: People With Rheumatoid Arthritis Develop Resilience by Dealing With Disease Challenges

Symptoms of rheumatoid arthritiscan affect a persons ability to work: Joint issues can make it hard to perform the tasks of a job, such as using repetitive motions or being unable to grip or grasp items appropriately. Fatigue may require a person to stay home and miss work for extended periods of time.

Applying for disability can be a detailed process. Its common for people applying for the federal program to be denied after their first application. But its possible to appeal and to ultimately get approved for disability benefits. The most important takeaway is that you have to be a self-advocate with patience and persistence, saysJessica Boles, a licensed social worker and a patient advocate and community outreach manager for CreakyJointsand the Global Healthy Living Foundation, two resources for people living with arthritis and other chronic illnesses, respectively.

RELATED: 5 Warning Signs That Rheumatoid Arthritis Is Getting Worse

For an employee seeking short- or long-term disability benefits from an employer, the process is typically to fill out paperwork, including relevant medical paperwork, that clearly shows why benefits are needed, says Boles. With a group plan, usually the patient will receive a percentage of what their individual paycheck is. There could be a waiting period before a person could access benefits, and it can get tricky with preexisting treatments, she says.

RELATED:Rheumatoid Arthritis Changes You

For those without a group plan through an employer, there is Social Security Disability Insurance (SSDI), a program offered by the Social Security Administration. Per the agency's website, people can apply for SSDI if they are 18 or older, arent already receiving Social Security benefits, cant work because of a medical condition that is expected to last at least 12 months or result in death, and havent already been denied. (Those who have been denied can appeal the decision; see the section How to Appeal a Disability Benefit Denial, below.)

According to Boles, in terms of approval forSSDI, they've learned that it is more about proving that individuals can't do any job, not simply their own current job. She says, Its more, I cant do any work whatsoever.

The program depends on a persons earning history and whether they paid Social Security benefits through taxes, Boles adds. For people who are self-employed, clarify with the Social Security Administration if that work history qualifies.

RELATED: Smart Tactics to Follow When Applying for Disability Due to Crohn's

If you are applying to an employers disability program, make sure you provide all the paperwork requested and do what is asked of you. For disability programs offered through employers, I dont typically see a lot of denials, says Boles. But in my experience, what I see with SSDI, a lot of folks tend to be denied often. I suggest always consider appealing.

Crucial for applying for any disability program is filling out all the paperwork completely. Talk to your diagnosing physician early before you begin the application process as well as any other physicians who can support the application, said Mirean Coleman, a licensed independent clinical social worker andclinical manager for the National Association of Social Workers based in Washington, DC.

The patient needs to initiate an application first with the Social Security office, and on the application, they would include a list of physicians who are involved in the patients care, Coleman says. The Social Security office would forward papers directly to the physician. Its important for the patient not only to keep things timely but to inform the physician that they intend to apply for disability. That way, the physician can look out for the incoming information and complete the application by the return-by date.

RELATED: Disability Activism: 11 Ways to Make a Difference Today

Since denials can be common, We always encourage the patient not to be discouraged by the denial, says Coleman. The most important thing is to appeal it and to let another decision-making process take place.

Why are applications for benefit denials so common? Applications may lack information, either from a patient or a medical professional. Papers have to be filled out in a concise and detailed way that explains what the disability is, what its impact is on the lifestyle of the patient, and why the patient may need disability at this time, says Coleman.

Working with other professionals can be helpful during the appeals process. When you apply through Social Security, you are typically assigned a social worker, or can request one, to work with, says Boles. Folks may also want to hire an advocate or an attorney who specifically deals with disability rights. The Social Security Administration often has a list of resources online. These include information about how to find someone to work with, as well as tips for those who are representing the applicant.

One resource to use to track RA symptoms and how they affect day-to-day function is the Arthritis Power app, which can maintain a digital record of symptoms. Patients have a hard time remembering what happens between appointments, says Boles. With this app, you can track your symptoms in an app, and you can tell your doctor. It can be easier to extract information and send to a doctor in an app.

Consider getting others to help. Stick with it and appeal the situation, says Coleman. Sometimes people have to appeal several times before they are approved. An attorney can help with the appeal process. A social worker can offer resources to strengthen an application.

For help finding a qualified social worker, the National Association of Social Workers offers itsHelp Starts Here website, where you can find a social worker to help with various concerns, says Coleman. For more details about applying for disability benefits, download theDisability BenefitsPDF brochure from the Social Security Administration, which details the procedure.

Dont let the prospect of a difficult process scare you away from filing an initial application or appealing a denied one.

There is so much stigma in the world for individuals living with chronic illness, says Boles. Patients are paying into these benefits and have a right to access them. If patients cant work, they shouldnt be risking worsening their health and causing more damage to themselves physically and mentally if they continue to work. Its important for people to know they have a right to these benefits.

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Pain & Loneliness: Osteoarthritis Linked To Social Isolation Among Seniors – Study Finds

Thursday, October 17th, 2019

NEW YORK Social isolation is, unfortunately, a common occurrence among the elderly. While this phenomenon can be traced back to a number of contributing factors, the simple fact that its harder for many older people to move around plays a significant role in this relationship. With this in mind, researchers from the American Geriatrics Society say there may be a link between osteoarthritis, a condition that causes joint pain, and social isolation.

Many people who suffer from arthritis also deal with additional issues that may put them at a greater risk of becoming socially isolated. Examples of such issues include anxiety and depression, fear of moving around due to arthritis pain, physical inactivity, and a lack of ability to properly care for themselves.

Furthermore, arthritis is incredibly common; 30% of adults over the age of 65 deal with some form of arthritis, with leg joints being a commonly affected body part. However, there hasnt been all that much research performed on the connection between arthritis and isolation.

So, in an effort to learn more about this possible connection, as well as arthritis overall contribution to global social isolation, data was collected from a European research project that consisted of 2,942 seniors living in six different European countries (United Kingdom, Spain, Germany, Italy, Sweden, and the Netherlands).From that group, this study looked specifically at 1,967 people all around the age of 73.

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The research team wanted to determine if each adult was socially isolated both at the beginning of the study as well as 12-18 months later on. To achieve this, each adult filled out questionnaires asking about how often they saw and connected with family and friends. Each participant was also asked about any volunteer activity or social groups they may be involved in.

Half of the surveyed participants were women, and nearly 30% had arthritis. Judging off of the initial questionnaire results, 20% of the participants were isolated at the beginning of the study.

Participants that werent socially isolated were generally younger, had higher incomes and more education. Also, those who were staying social were generally in better health, more attractive, experienced less daily pain, and had faster walking times.

Among the 1,585 participants who were not classified as socially isolated at the beginning of the study, 13% ended up becoming isolated by the time of the second survey some 12-18 months later. That group reported that their arthritis had worsened in between survey periods; they were in more pain, couldnt walk as easily, had developed depression, and some were experiencing problems thinking and formulating decisions.

The studys authors believe their findings indicate that osteoarthritis increases ones risk of social isolation. Besides arthritis, problems with thinking and decisions, and slower walking times, were also listed as possible developments likely to result in social isolation.

Researchers recommend that older adults suffering from arthritis should do the best they can to stay moving and get involved in social activities. Specifically, they suggest looking into local senior centers that usually feature activities specially designed for people dealing with mobility issues.

The study is published in theJournal of the American Geriatrics Society.

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World Arthritis Day 2019: Know The Link Between Rheumatoid Arthritis And Depression – NDTV News

Thursday, October 17th, 2019

2019 World Arthritis Day: Read here to know the link between rheumatoid arthritis and depression

A person with rheumatoid arthritis (RA) may not seem to fit the usual profile of an "arthritis" patient since this word is usually associated with older people. RA, however, is a type of arthritis that affects people in the prime of their life, and women are more likely to be affected than men. It is an autoimmune disease which occurs when a person's immune system attacks his or her own body, for reasons that are not well understood. Research indicates that a person with RA is 2 to 4 times more likely to be depressed*, which can further worsen RA and compromise its treatment. Patients with RA produce excessive amounts of certain chemicals in the body called "proinflammatory cytokines". These chemicals can also contribute to depression. Many of the physical symptoms of RA can be seen or measured, and so they receive prompt treatment. But the mental impact of RA is unseen and can often be missed during diagnosis. This makes it critical for a doctor to recognize if a patient with RA is also depressed, and then address both conditions.

A patient with RA has pain, stiffness and swelling in the joints, especially those in the fingers and wrists, which can over time lead to loss of function and disability. Understandably, many patients find it difficult to come to terms with a diagnosis of RA. Simple routine activities that involve movement of the hands and fingers, such as typing and cooking, or even holding or grasping of lightweight objects can become difficult tasks. All of this can cause a person to become depressed.

Rheumatoid arthritis cause pain and stiffness in jointsPhoto Credit: iStock

Also read:Depression can worsen the pain and other symptoms seen in RA

Depression can worsen the pain and other symptoms seen in RA. Moreover, a person with RA is often at a higher risk of co-morbid conditions such as cardiovascular disease and heart attacks, and being depressed can further increase this risk.

If left untreated, depression may cause a person to feel less productive at the workplace and even lose his/her job. It can strain family and social relationships and drive a wedge in a marriage because of its impact on sexual intimacy. Undoubtedly, this can negatively affect a patient's mental health, further increasing depression.

Also read:See How These Top 5 Foods Can Ease Your Arthritis Pain Quickly And Effectively

Together, rheumatoid arthritis and depression form a vicious cycle. RA can lead to depression, and depression in turn can increase the severity of RA and reduce treatment effectiveness.

Addressing depression in RA patients can help in treating RA effectivelyPhoto Credit: iStock

However, a patient's rheumatologist and a psychiatrist can together suggest the best course of treatment to address both these conditions. In addition to medication, a patient can also benefit from regular exercise, learning techniques to manage stress better and help from support groups to cope with the emotional and physical burden of both conditions. When both depression and RA are addressed, patients often respond better to treatment and go on to enjoy a better quality of life.

Also read:These Are The Foods You Should Include In Your Diet If You Have Arthritis

*Margaretten M, Julian L, Katz P, Yelin E. Depression in patients with rheumatoid arthritis: description, causes and mechanisms. Int J Clin Rheumtol. 2011;6(6):617-623. doi:10.2217/IJR.11.6

(Dr Rohini Samant - HOD Rheumatology at Hinduja Hospital - Mumbai)

Disclaimer: The opinions expressed within this article are the personal opinions of the author. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. All information is provided on an as-is basis. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

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Variance in Isotype Patterns Before Rheumatoid Arthritis Diagnosis – Rheumatology Advisor

Thursday, October 17th, 2019

For patients withrheumatoid arthritis (RA), rheumatoid factor (RF) and anti-citrullinatedprotein antibodies (ACPA) demonstrate different isotype patterns during diseasedevelopment, according to results published in Arthritis & Rheumatology.

The study included participants with RA (n=214) and matched control participants (n=210) from the Department of Defense Serum Repository. The researchers tested a mean of 3 pre-RA and 1 post-RA serum samples for RF and ACPA immunoglobulin (Ig) A, IgG, and IgM. They then evaluated the timing and trajectories of autoantibody elevations.

Compared withcontrol individuals, participants with RA had significant differences in RF-IgAlevels at a median of 14.2 years before diagnosis (P <.01).Differences in RF-IgG occurred at 5.0 years, and differences in RF-IgM levelsoccurred at 7.2 years (both P <.01).

Participants with RAhad significantly different levels of ACPA IgG at 17.9 years before RAdiagnosis compared with control individuals (P <.01). For ACPA-IgA,the difference occurred at 6.2 years, and for ACPA-IgM, it differed at 5.0years (both P <.01).

After RA diagnosis,the only autoantibody that had a significant positivity increase was ACPA-IgA(19% 0-2 years pre-RA vs. 39% >2 years post-RA, P =.04).

The resultsindicated that among participants with RA, all autoantibodies followed asimilar trajectory, with an early initial elevation, a period of stability, andan immediate increase pre-RA diagnosis.

The study includedseveral limitations. The researchers noted that the military cohort used in thestudy may have a more severe form of RA than other populations. In addition,delays in seeking treatment may mean that the actual time of synovitis onset isearlier than the date of diagnosis.

These findingshave implications for understanding the pathophysiology of disease development,the researchers wrote.

Disclosure: Severalstudy authors declared affiliations with the pharmaceutical industry. Pleasesee the original reference for a full list of authors disclosures.

Reference

Kelmenson LB, Wagner BD, McNair BK, et al. Timing of elevations of autoantibody isotypes in rheumatoid arthritis prior to disease diagnosis [published online August 29, 2019]. Arthritis Rheumatol. doi:10.1002/art.41091

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Variance in Isotype Patterns Before Rheumatoid Arthritis Diagnosis - Rheumatology Advisor

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‘Halloween Hustle’ for the Arthritis Foundation held in Manhattan – WIBW

Thursday, October 17th, 2019

MANHATTAN, Kan. (WIBW) - To shake things up, the Arthritis Foundation Kansas Chapter, hosted a Halloween Hustle 5K run and 1 mile walk in Manhattan Saturday morning.

Participants were encouraged to come dressed up in costumes, and participate in the costume contest for chances to win prizes.

To continue the Halloween theme, there was also a Trick or Trot for the youth participants to receive candy on their trot around the pavilion.

After the Trick or Trot and costume contest participants headed outside for the 5K and 1 mile runs around Manhattans City Park.

Participants in the Halloween Hustle raised nearly thirty thousand dollars for Saturdays event to go towards the Arthritis Foundation.

We pride ourselves on being a research based organization, our goal is to find a cure, but we also provide programs and resources for people to help live their best life for people who are suffering now. Arthritis Foundation (KS Chapter), Development Manager, Lauren Hambleton says.

While this was the first Halloween themed event in Manhattan for the Arthritis Foundation, they plan to host the Halloween Hustle again in October 2020.

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Current Perspectives On Emerging Biomarkers For Rheumatoid Arthritis-A | OARRR – Dove Medical Press

Thursday, October 17th, 2019

Isabelle Amigues,1 Deepa Ramadurai,2 Jeffrey J Swigris3

1Division of Rheumatology, National Jewish Health, Denver, CO, USA; 2Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; 3Division of Pulmonary, Critical Care and Sleep Medicine, Interstitial Lung Disease Program, National Jewish Health, Denver, CO, USA

Correspondence: Jeffrey J SwigrisNational Jewish Health, 1400 Jackson Street, Denver, CO 80206, USAEmail swigrisj@njc.org

Abstract: Rheumatoid arthritis (RA) is a common systemic autoimmune disease whose fibro-inflammatory manifestations may affect a number of tissues and organs, including the lungs. In fact, interstitial lung disease (ILD) is a leading cause of mortality among patients with RA. RA-related interstitial lung disease (RA-ILD) most often presents in an injury pattern called usual interstitial pneumonia (UIP), which portends a relatively worse prognosis than other less commonly occurring patterns of RA-ILD, like non-specific interstitial pneumonia (NSIP). Biomarkers from serum or bronchoalveolar lavage fluid could aid in the identification of patients at risk for RA-ILD, the detection of patients most likely to develop the UIP pattern of RA-ILD, and the prediction of disease behaviour over time. Notably, the use of highly sensitive serologic biomarkers, including rheumatoid factor (RF) and antibodies targeting cyclic citrullinated peptides, while somewhat specific for RA joint disease, have only limited utility as biomarkers for RA-ILD. Candidate biomarkers for RA-ILD include these and other autoantibodies as well as certain genes and molecules that hold promise as biomarkers in other forms of ILD. In this manuscript, we summarize the state of knowledge on biomarkers for the development and progression of RA-ILD.

Keywords: rheumatoid arthritis, interstitial lung disease, pulmonary fibrosis, usual interstitial pneumonia, biomarker, antibody

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Can-Fite and Gebro Pharma holding European Conference on Development & Commercialization of Phase III Drug Candidate Piclidenoson in the Treatment…

Thursday, October 17th, 2019

PETACH TIKVA, Israel--(BUSINESS WIRE)--

Can-Fite BioPharma Ltd. (NYSE MKT: CANF) (TASE:CFBI), a biotechnology company with a pipeline of proprietary small molecule drugs that address cancer, liver and inflammatory diseases and Gebro Pharma, a European mid-size Pharmaceutical company announced today it is holding an International Advisory Board conference with a panel of eleven Key Opinion Leaders in rheumatoid arthritis from Austria, Switzerland, and Spain focused on Piclidenoson.

Gebro Pharma has licensed the distribution rights to Piclidenoson for the indications of rheumatoid arthritis and psoriasis in Austria, Switzerland, and Spain. The purpose of the meeting, which is taking place in Fieberbrunn, Austria, Gebro Headquarters, on October 17-18, 2019, is to conduct a scientific review of Piclidenoson, the role of the Adenosidne receptor A3 and mechanism of action of the molecule and aspects related to patient populations. Can-Fites CEO Dr. Pnina Fishman, Medical Director Dr. Michael Silverman, and VP Business Development Dr. Sari Fishman are delivering presentations at the conference together with the participation of European Key Opinion Leaders in rheumatoid arthritis, Dr. Burkhard Leeb and Dr. Sander W. Tas.

Can-Fite is currently enrolling 500 patients in Europe, Canada, and Israel in a Phase III study of Piclidenoson as a first-line treatment for rheumatoid arthritis. The study will evaluate Piclidenoson as compared to placebo, and compared to methotrexate, the current standard of care for first-line treatment of rheumatoid arthritis.

This highly productive forum with our distribution partner Gebro is an opportunity for us to engage directly with their network of doctors in Europe regarding how Piclidenoson may meet an unmet need for patients who seek a safe and effective treatment for newly diagnosed rheumatoid arthritis, stated Can-Fite CEO Dr. Pnina Fishman.

Gebro considers Piclidenoson as an important milestone to strengthen its competence in the treatment of RA and psoriasis and to provide patients with an innovative concept of treatment for such diseases, stated Gebro Pharma CEO Dr. Christian Kollenz.

About Piclidenoson

Piclidenoson is a novel, first-in-class, A3 adenosine receptor agonist (A3AR) small molecule, orally bioavailable drug with a favorable therapeutic index demonstrated in Phase II clinical studies. Piclidenoson is currently under development for the treatment of autoimmune inflammatory diseases. It is being evaluated in a Phase III study as a first line treatment for rheumatoid arthritis and a Phase III study in the treatment of moderate-to-severe psoriasis.

About Can-Fite BioPharma Ltd.

Can-Fite BioPharma Ltd. (NYSE American: CANF) (TASE:CFBI) is an advanced clinical stage drug development Company with a platform technology that is designed to address multi-billion dollar markets in the treatment of cancer, inflammatory disease and sexual dysfunction. The Company's lead drug candidate, Piclidenoson, is currently in Phase III trials for rheumatoid arthritis and psoriasis. Can-Fite's liver cancer drug, Namodenoson, recently completed a Phase II trial for hepatocellular carcinoma (HCC), the most common form of liver cancer, and is in a Phase II trial for the treatment of non-alcoholic steatohepatitis (NASH). Namodenoson has been granted Orphan Drug Designation in the U.S. and Europe and Fast Track Designation as a second line treatment for HCC by the U.S. Food and Drug Administration. Namodenoson has also shown proof of concept to potentially treat other cancers including colon, prostate, and melanoma. CF602, the Company's third drug candidate, has shown efficacy in the treatment of erectile dysfunction in preclinical studies and the Company is investigating additional compounds, targeting A3AR, for the treatment of sexual dysfunction. These drugs have an excellent safety profile with experience in over 1,000 patients in clinical studies to date. For more information please visit: http://www.can-fite.com.

About Gebro Pharma

Gebro Pharma is a privately-owned leading pharma group founded in Austria in the late 1940s, with over 500 employees and more than 70 years of experience in research, manufacturing and marketing of pharmaceutical specialties. Its headquarters are located in Fieberbrunn (Austria), where Gebro is one of the main local players, with commercial operations also in Spain and Switzerland. With a total turnover of 185M in 2018, Gebro is positioned as a leader in pain and rheumatology with a strong portfolio.

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Additionally, Gebro Pharma has also built a portfolio around urology, respiratory, dermatology, GI and CV depending on the territory.

Forward-Looking Statements

This press release may contain forward-looking statements, about Can-Fites expectations, beliefs or intentions regarding, among other things, market risks and uncertainties, its product development efforts, business, financial condition, results of operations, strategies or prospects. In addition, from time to time, Can-Fite or its representatives have made or may make forward-looking statements, orally or in writing. Forward-looking statements can be identified by the use of forward-looking words such as believe, expect, intend, plan, may, should or anticipate or their negatives or other variations of these words or other comparable words or by the fact that these statements do not relate strictly to historical or current matters. These forward-looking statements may be included in, but are not limited to, various filings made by Can-Fite with the U.S. Securities and Exchange Commission, press releases or oral statements made by or with the approval of one of Can-Fites authorized executive officers. Forward-looking statements relate to anticipated or expected events, activities, trends or results as of the date they are made. Because forward-looking statements relate to matters that have not yet occurred, these statements are inherently subject to risks and uncertainties that could cause Can-Fites actual results to differ materially from any future results expressed or implied by the forward-looking statements. Many factors could cause Can-Fites actual activities or results to differ materially from the activities and results anticipated in such forward-looking statements. Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements include, but are not limited to: our history of losses and needs for additional capital to fund our operations and our inability to obtain additional capital on acceptable terms, or at all; uncertainties of cash flows and inability to meet working capital needs; the initiation, timing, progress and results of our preclinical studies, clinical trials and other product candidate development efforts; our ability to advance our product candidates into clinical trials or to successfully complete our preclinical studies or clinical trials; our receipt of regulatory approvals for our product candidates, and the timing of other regulatory filings and approvals; the clinical development, commercialization and market acceptance of our product candidates; our ability to establish and maintain strategic partnerships and other corporate collaborations; the implementation of our business model and strategic plans for our business and product candidates; the scope of protection we are able to establish and maintain for intellectual property rights covering our product candidates and our ability to operate our business without infringing the intellectual property rights of others; competitive companies, technologies and our industry; statements as to the impact of the political and security situation in Israel on our business; and risks and other risk factors detailed in Can-Fites filings with the SEC and in its periodic filings with the TASE. In addition, Can-Fite operates in an industry sector where securities values are highly volatile and may be influenced by economic and other factors beyond its control. Can-Fite does not undertake any obligation to publicly update these forward-looking statements, whether as a result of new information, future events or otherwise.

For more information please visit:

http://www.gebro.es

DISCLAIMER

In compliance with article 101.c) 16 of Law 29/2006, this press release can only be circulated to specialized media addressed to authorized personnel for the prescription or dispensation of drugs.

LABORATORIOS GEBRO PHARMA S.A. will hold responsible anyone who acts contrary to our indications in terms of dissemination of information for all the consequences and/or claims from third parties that may arise from the breach.

View source version on businesswire.com: https://www.businesswire.com/news/home/20191017005438/en/

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Osteoarthritis and arthritis: it’s not only older people who are at risk – Her.ie

Thursday, October 17th, 2019

October 12 is World Arthritis Day.

An incredibly common condition, it currently affects one in five people living in Ireland today. Despite this, our understanding of arthritis - and osteoarthritis - can sometimes be lacking.

Senior lecturer in physiotherapy at RCSI and musculoskeletal clinical specialistDr Helen French says that the most common myth about osteoarthritis is that it only affects older people.

And the second most common myth is that all older people are bound to get it.

We think about osteoarthritis as only affecting older people, but wed like to get the message across that thats not just the case," she says.

"People have a fear of osteoarthritis, or they think its normal if youre old and that its just part of regular ageing - but its not.

"Joint replacement is for the minority, not everybody will have to have a joint replaced."

In Ireland, one in five people will be diagnosed with some form of arthritis in their lifetime.

Women are two to three times more likely to be diagnosed withosteoarthritis too, with 18 percent ofarthritis patients in Ireland being less than 55 years old.

The most common form of arthritis, osteoarthritis, causes damage to joints by wearing down the protective cartilage that cushions the ends of the bones.

It tends to relate to joints in the knees, hips, and spine more severely, but any joint in the body can be affected by the condition.

Theres a few different risk factors," says Dr French. "Sometimes its genetics, other times its obesity because weight is a critical factor."

"It could also be caused by a hormonal influence though there isnt substantive evidence to prove that."

Dr French says that despite misconceptions about the condition, more and more people under the age of 45 are being diagnosed with osteoarthritis.

A lot of them are young women and - in particular - young sporting women.

"Not a lot of women think about this," she says. "Sportswomen would be high risk because if youre a high level athlete and youre doing a twisting-turning sport like soccer or rugby, then you can easily injure the ligaments in your knee or your ankle.

"Men can often get similar injuries playing the likes of GAA, but it is more common in women because of our biomechanics and because of the way we move.

"Research has shown that young sportswomen are more at risk of developing osteoarthritis 10 years after they start playing (...)but the key message were trying to get across is that preventative measures are possible."

Osteoarthritis affects a person's day-to-day life. Everything from getting up in the morning to getting out of a chair to driving a car can be affected by the condition.

The stiffness caused by joint movement can also have a knock on effect on how a person partakes in hobbies or sport - and even on how they do their job.

"It does affect every day activities that we take for granted," says Dr French. "You can have a really high quality of life with osteoarthritis, but to ensure this we need to have a better understanding of the condition, as well as how to manage it."

There are three core recommendations for dealing with osteoarthritis as a young person.

The first is weight management as obesity has been proven to increase a person's risk of developing the condition.

The second is exercise and the third is self-management, with medication to ease the symptoms of the condition being on the second line of control.

Dr French says that another one of the most common myths abut osteoarthritis is that you shouldn't exercise when you have it when, in fact, you should.

"You should exercise more than normal," she says. "You may need to go to a physiotherapist and get an individual approach to suit your needs and make sure youre doing the right type of exercise, like a specific strengthening exercise.

"The needs should suit the person, but you should definitely be doing it.

You can find out more about osteoarthritis via Arthritis Ireland here.

If you are concerned about your health, you should always contact your GP.

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World Arthritis Day 2019: History and Theme – Jagran Josh

Thursday, October 17th, 2019

Arthritis is very prevalence among the old age persons. This is more prevalent than diabetes like AIDS and cancer etc. Lets read about the Arthritis on the occasion of World Arthritis Day.

What is Arthritis?

Arthritis literally means the swelling and tenderness of one or more joints which leads to pain and stiffness in the joints. There are various types of arthritis. Rheumatoid arthritis is an autoimmune condition that can affect people at any age while osteoarthritis is the most common reason for age-related joint pain.

The main symptoms of arthritis are pain and stiffness in joints which usually worsen with age. But don't think that arthritis is inevitable in the old age persons.

History of World Arthritis Day:

October 12 is celebrated as World Arthritis Day since 1996. It was started by the Arthritis and Rheumatism International (ARI) to increase global awareness about the rheumatic and musculoskeletal diseases (RMD).

What is Ebola Virus?

World Arthritis Day 2019 Theme:

Each World Arthritis Day has a theme since 2017. The theme of year 2017 was Dont Delay, Connect Today which continue till 2018. The theme for World Arthritis Day 2019 is "Time2Work". This theme would be followed in the financial year 2020 also.

Worth to mention that before 2017, World Arthritis Day; didnt have any theme.

The European League Against Rheumatism, (EULAR's) campaign

The "Dont Delay, Connect Today" campaign targets to highlight that early diagnosis of rheumatic and musculoskeletal diseases (RMD) and access to treatment can prevent further damage.

Patients of the World Arthritis Day

Arthritis affects around 15% people i.e. over 180 million people in India. World Health Organization (WHO) data show that 0.3-1% of the worlds population has rheumatoid arthritis and, 18% women while around 10% men above the 60 years have symptomatic osteoarthritis.

There are around 120 million people are currently living with a rheumatic disease (RMD) in the European Union alone.

The World Arthritis Day is dedicated to raise awareness about Arthritis; affecting people with rheumatic and musculoskeletal diseases. An organisation European League Against Rheumatism (EULAR) tries its best efforts to promote the awareness about the World Arthritis Day and its importance. EULAR also sets the theme for this day.

Treatment of the Arthritis

Osteoarthritis is a age related problem which can also be mitigate by drinking more than 2 litres of water a day, avoidance of fatty & oily food and sweetened beverages while inclusion of good vegetarian protein diet and Physiotherapy treatment.

So this was the complete detailed information on the World Arthritis Day 2019. The theme of World Arthritis Day 2019 "Time2Work"is very important for various exams hence be attentive about it.

World Hepatitis Day 2019: Current Theme, History and Significance

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World Arthritis Day 2019: History and Theme - Jagran Josh

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Osteoporosis and Arthritis: Two Common but Different …

Sunday, September 29th, 2019

Many people confuse osteoporosis and some types of arthritis. This fact sheet discusses the similarities and differences between these conditions.

Osteoporosis is a condition in which the bones become less dense and more likely to fracture. In the United States, more than 53 million people either already have osteoporosis or are at high risk due to low bone mass. In osteoporosis, there is a loss of bone tissue that leaves bones less dense and more likely to fracture. It can result in a loss of height, severe back pain, and change in ones posture. Osteoporosis can impair a persons ability to walk and can cause prolonged or permanent disability.

Risk factors for developing osteoporosis include:

Osteoporosis is known as a silent disease because it can progress undetected for many years without symptoms until a fracture occurs. Osteoporosis is diagnosed by a bone mineral density test, which is a safe and painless way to detect low bone density.

Although there is no cure for the disease, the U.S. Food and Drug Administration has approved several medications to prevent and treat osteoporosis. In addition, a diet rich in calcium and vitamin D, regular weight-bearing exercise, and a healthy lifestyle can prevent or lessen the effects of the disease.

Arthritis is a general term for conditions that affect the joints and surrounding tissues. Joints are places in the body where bones come together, such as the knees, wrists, fingers, toes, and hips. Two common types of arthritis are osteoarthritis and rheumatoid arthritis.

Although osteoporosis and osteoarthritis are two very different medical conditions with little in common, the similarity of their names causes great confusion. These conditions develop differently, have different symptoms, are diagnosed differently, and are treated differently.

Osteoporosis and arthritis do share many coping strategies. With either or both of these conditions, many people benefit from exercise programs that may include physical therapy and rehabilitation. In general, exercises that emphasize stretching, strengthening, posture, and range of motion are appropriate. Examples include low-impact aerobics, swimming, tai chi, and low-stress yoga. However, people with osteoporosis must take care to avoid activities that include bending forward from the waist, twisting the spine, or lifting heavy weights. People with arthritis must compensate for limited movement in affected joints. Always check with your doctor to determine whether a certain exercise or exercise program is safe for your specific medical situation.

Most people with arthritis will use pain management strategies at some time. This is not always true for people with osteoporosis. Usually, people with osteoporosis need pain relief when they are recovering from a fracture. In cases of severe osteoporosis with multiple spine fractures, pain control also may become part of daily life. Regardless of the cause, pain management strategies are similar for people with osteoporosis, OA, and RA.

For updates and for any questions about any medications you are taking, please contact

U.S. Food and Drug AdministrationToll Free: 888-INFO-FDA (888-463-6332)Website: https://www.fda.gov

For additional information on specific medications, visit Drugs@FDA at https://www.accessdata.fda.gov/scripts/cder/daf. Drugs@FDA is a searchable catalog of FDA-approved drug products.

NIH Pub. No. 18-7893

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Arthritis: Symptoms, treatment and causes

Sunday, September 29th, 2019

What is arthritis?

Arthritis simply means a painful condition of the joints.

There are different types of the disease many inflammatory, for example rheumatoid arthritis (RA), and others more degenerative in nature, for example osteoarthritis (OA).

Arthritis may be preceded or accompanied by a period of fatigue and a feeling of stiffness. This appears more in rheumatoid arthritis than in osteoarthritis.

Pain in the joints in rheumatoid arthritis almost always begins in the hands, especially in the knuckles, and often in both hands simultaneously, as one of the commonest types of inflammatory arthritis.

Arthritis can affect all joints in the body, and it's impossible to predict which or how many joints will be attacked.

We do not know the cause of arthritis. In rheumatoid arthritis, the theory that it's triggered by an infection has never been proved. It may be partly hereditary, and it occurs three times as often in women as in men.

All age groups can develop arthritis even children but usually rheumatoid arthritis appears between the ages of 30 and 35.

The disease is unpredictable and the treatment difficult. But there are several medical remedies that can both ease the pain and slow down the spread of the disease and the damage it causes.

Some doctors may recommend a diet, but there's no evidence that dietary changes alone can ease or stop the development of arthritis.

Simple painkillers can help. When used with caution, non-steroidal anti-inflammatory drugs (NSAIDs) can provide relief from pain, as well as stiffness. These are prescribed more often in rheumatoid arthritis than in osteoarthritis.

Overweight patients should aim to reduce weight with appropriate diet and exercise.

It's important for patients with arthritis to obtain help to keep the muscles and joints active and to be supported in leading a normal life.

Physiotherapists, who are trained to maintain a patient's physical ability and relieve pain, and occupational therapists, who assess physical ability and provide help and advice including aids, play a large part in making life bearable for arthritis sufferers.

During recent years, there has been great progress in the treatment of arthritis particularly with the use of artificial joints. Some people still have to live with the discomfort of the disease because not all joints can be replaced surgically.

Research has suggested that the natural treatment glucosamine sulphate, taken at a daily dose of 1500mg, is effective in relieving arthritis symptoms particularly of the knee joints in patients with osteoarthritis rather than rheumatoid arthritis.

Rheumatoid arthritis patients benefit from disease modifying drugs, such as sulphasalazine and methotrexate, or even the latest biologic treatments in those who fail with routine drugs (anti-TNF drugs and others (rituximab).

Based on a text by Dr Erik Fangel Poulsen, specialist, Dr Per Grinsted, GP

Last updated 27.07.2010

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Rheumatoid arthritis – Symptoms and causes – Mayo Clinic

Thursday, June 6th, 2019

Overview

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.

An autoimmune disorder, rheumatoid arthritis occurs when your immune system mistakenly attacks your own body's tissues.

Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity.

The inflammation associated with rheumatoid arthritis is what can damage other parts of the body as well. While new types of medications have improved treatment options dramatically, severe rheumatoid arthritis can still cause physical disabilities.

Signs and symptoms of rheumatoid arthritis may include:

Early rheumatoid arthritis tends to affect your smaller joints first particularly the joints that attach your fingers to your hands and your toes to your feet.

As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders. In most cases, symptoms occur in the same joints on both sides of your body.

About 40 percent of the people who have rheumatoid arthritis also experience signs and symptoms that don't involve the joints. Rheumatoid arthritis can affect many nonjoint structures, including:

Rheumatoid arthritis signs and symptoms may vary in severity and may even come and go. Periods of increased disease activity, called flares, alternate with periods of relative remission when the swelling and pain fade or disappear. Over time, rheumatoid arthritis can cause joints to deform and shift out of place.

Make an appointment with your doctor if you have persistent discomfort and swelling in your joints.

Rheumatoid arthritis occurs when your immune system attacks the synovium the lining of the membranes that surround your joints.

The resulting inflammation thickens the synovium, which can eventually destroy the cartilage and bone within the joint.

The tendons and ligaments that hold the joint together weaken and stretch. Gradually, the joint loses its shape and alignment.

Doctors don't know what starts this process, although a genetic component appears likely. While your genes don't actually cause rheumatoid arthritis, they can make you more susceptible to environmental factors such as infection with certain viruses and bacteria that may trigger the disease.

Factors that may increase your risk of rheumatoid arthritis include:

Rheumatoid arthritis increases your risk of developing:

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Rheumatoid arthritis - Symptoms and causes - Mayo Clinic

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10 Low-Carb Holiday Appetizers – Kidney Diet Tips

Tuesday, March 26th, 2019

Holidays are filled with family get-togethers and also the temptation to consume unhealthy foods. Holiday appetizers can be amain source of carbohydrates (carbs), adding extra sugar and possibly unwanted calories. Your holiday doesnt have to be calorie-laden and carb-filled.

Start your holiday off right with this collection of low-carb appetizers. Using low-potassium vegetables as dippers instead of crackers or chips can help keep carbs in balance.

Enjoy some of the holiday classics with a low-carb twist for a happy and healthy holiday season. In addition, these recipes are low in potassium, sodium and phosphorus.

If you are traveling this holiday season, tap into the DaVita collection of recipes and cookbooks to add spice to your holiday meals wherever you go. This seasons Todays Kidney Diet Holiday Gatherings offers a collection of recipes that you can serve or take to your next holiday event. Check out these 10 Holiday Destinations for Dialysis-Friendly Travelto learn more about events and things to do in some great places. Ask your dietitian for additional guidelines for your kidney diet and for holiday eating away from home.

Happy Holidays!

This article is for informational purposes only and is not a substitute for medical advice or treatment. Consult your physician and dietitian regarding your specific diagnosis, treatment, diet and health questions.

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Arthritis | Crohns & Colitis Foundation

Sunday, March 3rd, 2019

Arthritis, or inflammation of the joints, is the most common extraintestinal complication of IBD. It may affect as many as 25% of people with Crohns disease or ulcerative colitis. Although arthritis is typically associated with advancing age, in IBD it often strikes the youngest patients. In addition to joint pain, arthritis also causes swelling of the joints and a reduction in flexibility.

In IBD, arthritis may appear in three different forms. These are:

Peripheral arthritis usually affects the large joints of the arms and legs, including the elbows, wrists, knees, and ankles. The discomfort may be migratory, moving from one joint to another. If left untreated, the pain may last from a few days to several weeks. Peripheral arthritis tends to be more common among people who have ulcerative colitis or Crohns disease of the colon. The level of inflammation in the joints generally mirrors the extent of inflammation in the colon. Although no specific test can make a definitive diagnosis, various diagnostic methodsincluding analysis of joint fluid, blood tests, and X-raysare used to rule out other causes of joint pain. Fortunately, IBD-related peripheral arthritis usually does not cause any lasting damage.

Also known as spondylitis or spondyloarthropathy, axial arthritis produces pain and stiffness in the lower spine and sacroiliac joints (at the bottom of the back). Interestingly, and especially in young people, these symptoms may come on months or even years before the symptoms of IBD appear. Unlike peripheral arthritis, axial arthritis may cause permanent damage if the bones of the vertebral column fuse togetherthereby creating decreased range of motion in the back. In some cases, a restriction in rib motion may make it difficult for people to take deep breaths. Active spondylitis generally subsides by age 40. Therapy for people with axial arthritis is geared toward improving range of motion in the back. Stretching exercises are recommended, as is the application of moist heat to the back.

A more severe form of spinal arthritis, ankylosing spondylitis (AS) is a rare complication, affecting between 2% and 3% of people with IBD. It is seen more often in Crohns disease than in ulcerative colitis. In addition to causing arthritis of the spine and sacroiliac joints, ankylosing spondylitis can cause inflammation of the eyes, lungs, and heart valves. The cause of AS is not known, but most affected individuals share a common genetic marker. In some cases, the disease occurs in genetically predisposed people after exposure to bowel or urinary tract infections. Occasionally, AS foretells the development of IBD. AS typically strikes people under the age of 30, mainly adolescents and young adult males, appearing first as a dramatic loss of flexibility in the lower spine. Rehabilitation therapy is essential to help maintain joint flexibility. But even with optimal therapy, some people will develop a stiff or ankylosed spine. Symptoms of AS may continue to worsen even after surgical removal of the colon.

It is not always easy to determine whether the arthritis is linked to the intestinal condition. In general, the arthritis that complicates IBD is not as severe as rheumatoid arthritis. The joints do not ordinarily undergo destructive changes, and joint involvement is not symmetric (affecting the same joints on both sides of the body). Except for ankylosing spondylitis, arthritis associated with IBD usually improves as intestinal symptoms improve.

In the general population, people with peripheral arthritis may use nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling of the joints. However, as a rule, these medicationswhich include aspirin and ibuprofen are not an option for everyone with IBD because they can prompt a disease flare by irritating the intestinal lining and intensifying the inflammation. (It should be noted, though, that some people with IBD can tolerate NSAIDs and find these medications helpful in relieving symptoms of arthritis.) Corticosteroids also may be used to treat the arthritis symptoms as well as IBD.

In most cases, doctors manage the symptoms of peripheral arthritis by controlling the inflammation within the colon. Once that has subsided after a course of a medication such as prednisone or sulfasalazine, joint pain generally disappears. Similarly, the newer biologic agents such as infliximab (Remicade) have also been shown to be effective in reducing joint inflammation and swelling. Infliximab has even shown good results as a treatment for ankylosing spondylitis. Only axial arthritis seems not to improve as the intestinal inflammation resolves. Unlike peripheral arthritis, there is no correlation between treatment of the underlying IBD and improvement in axial arthritis symptoms.

In addition to medication, doctors may recommend resting the affected joint as well as the occasional use of moist heat. Range of motion exercises, as demonstrated by a physical therapist, may also be helpful.

The Crohns & Colitis Foundation of America provides information for educational purposes only. We encourage you to review this educational material with your health care professional. The Foundation does not provide medical or other health care opinions or services. The inclusion of another organizations resources or referral to another organization does not represent an endorsement of a particular individual, group, company or product.

For further information, call Crohn's & Colitis Foundation's IBD Help Center: 888.MY.GUT.PAIN (888.694.8872).

The Crohn's & Colitis Foundation provides information for educational purposes only. We encourage you to review this educational material with your health care professional. The Foundation does not provide medical or other health care opinions or services. The inclusion of another organization's resources or referral to another organization does not represent an endorsement of a particular individual, group, company or product.

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Arthritis Pain Relief Products | TYLENOL

Sunday, January 13th, 2019

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7 Foods Arthritis Sufferers Should Avoid – HealthPrep

Sunday, January 13th, 2019

Arthritis is a condition that stems from the degeneration and/or overuse of joints, mostly affecting the knees, fingers, and hips. Australia (15%) and the United States (over 20%) have some of the highest rates of arthritis in the Western world. Evidence of arthritis has even been discovered in dinosaurs as well as being found in human remains from as early as 4500 BC. Today, people with arthritis can manage joint pain and swelling in a variety of ways, including what they consume in their everyday diet. Although there is no prescriptive diet for arthritis sufferers, this article will explore 7 foods that people with arthritis should stay away from. As always, consult your physician before making major changes in your diet.

It has long been known that fried food is bad for just about anyone due to the amount of saturated fat. A lot of fried food is also from a freezer and is often overly processed, as well as being high in salt and artificial preservatives. These all have a negative effect on a person with arthritis. Consuming a lot of fried food also has a connection to obesity, which in turn can fast track the degenerative process of joints; this is due to the extra weight and load being placed on the knees and hips. Fried meats should specifically be avoided by arthritis sufferers.

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5 Worst Foods for Arthritis and Joint Pain

Sunday, January 6th, 2019

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Learn about the trouble making vegetable, YES VEGETABLE... that can make your Arthritis worse. (And Make you feel 5 - 10 years older.)

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The real reason why painkillers don't help your pain.

Which special superfood can actually counteract the damage or arthritis.

Adler A, Holub B. Effect of garlic and fish-oil supplementation on serum lipid and lipoprotein concentrations in hypercholesterolemic men. American Journal of Clinical Nutrition. 1997 Feb;65(2):445-50.

NIAMS, NIH, Bethesda, Maryland 20892, USA. Arthritis & Rheumatology (Impact Factor: 7.87).06/1998; 41(5):778-99. DOI: 10.1002/1529-0131(199805)41:5<778::AID-ART4>3.0.CO;2-V Source: PubMed

Hrlimann, David, Frank Enseleit, and Priv-Doz Dr Frank Ruschitzka. Rheumatoide arthritis, inflammation und atherosklerose. Herz 29.8 (2004): 760-768.

Schett, Georg. Rheumatoid arthritis: inflammation and bone loss. Wiener Medizinische Wochenschrift 156.1-2 (2006): 34-41.

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List of Rheumatoid Arthritis Medications (222 Compared …

Sunday, January 6th, 2019

methotrexate Rx X N X 94reviews

6.0

Generic name:methotrexate systemic

Brand names: Otrexup, Rasuvo, Rheumatrex Dose Pack, Trexall showall

Drug class: antimetabolites, antirheumatics, antipsoriatics, other immunosuppressants

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

8.0

Generic name:celecoxib systemic

Drug class: cox-2 inhibitors

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:hydroxychloroquine systemic

Drug class: antirheumatics, antimalarial quinolines

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

8.0

Generic name:prednisone systemic

Brand name: Rayos

Drug class: glucocorticoids

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

7.0

Generic name:etanercept systemic

Drug class: antirheumatics, TNF alfa inhibitors

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:meloxicam systemic

Brand name: Mobic

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

6.0

Generic name:adalimumab systemic

Drug class: antirheumatics, TNF alfa inhibitors

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:hydroxychloroquine systemic

Brand name: Plaquenil

Drug class: antirheumatics, antimalarial quinolines

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

7.0

Generic name:tocilizumab systemic

Drug class: interleukin inhibitors

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:leflunomide systemic

Drug class: antirheumatics, selective immunosuppressants

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

5.0

Generic name:sulfasalazine systemic

Brand names: Sulfazine, Azulfidine, Azulfidine EN-tabs

Drug class: antirheumatics, 5-aminosalicylates

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

8.0

Generic name:infliximab systemic

Drug class: antirheumatics, TNF alfa inhibitors

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:leflunomide systemic

Brand name: Arava

Drug class: antirheumatics, selective immunosuppressants

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

6.0

Generic name:meloxicam systemic

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

6.0

Generic name:acetaminophen / hydrocodone systemic

Drug class: narcotic analgesic combinations

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Off Label: Yes

5.0

Generic name:abatacept systemic

Drug class: antirheumatics, selective immunosuppressants

For consumers: dosage, interactions, side effects

For professionals: AHFS DI Monograph, Prescribing Information

9.0

Generic name:acetaminophen / hydrocodone systemic

Drug class: narcotic analgesic combinations

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Off Label: Yes

7.0

Generic name:diclofenac systemic

Brand names: Voltaren, Cataflam, Voltaren-XR

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts, AHFS DI Monograph, Prescribing Information

Continued here:
List of Rheumatoid Arthritis Medications (222 Compared ...

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Arthritis (for Kids)

Sunday, January 6th, 2019

What Is Arthritis?

Arthritis (say: arth-ry-tiss) is a disease that causes swelling, stiffness, and pain in a person's joints.Joints are where two bones meet, allowing our bodies to move the hips, knees, ankles, elbows, shoulders, knuckles, etc. Joints contain synovial fluid, which acts as a lubricant to help them move easily.Arthritis can keep joints from working properly.

But isn't arthritis something that only old people get?

Actually, kids can get a kind of arthritis called juvenile idiopathic arthritis or JIA (it's also called juvenile rheumatoid arthritis, or JRA). Juvenile means young, so this means that JIA is different from the arthritis that adults get. Kids can have many different types of arthritis, but JIA is the most common.

Many problems can cause pain and swelling of the joints, so a doctor will want to know how long these problems have been going on. To be considered JIA, the joints must have swelling and pain for at least 6 weeks.

No one really knows what causes JIA. Something in the environment, like a virus, may trigger the disease in kids that already have certain genes that make it more likely for them to get it. (Genes are like instructions to the body on how to work. Genes are passed on from parents to their children and they decide everything from the color of a person's eyes to whether that person has a tendency to get a particular disease. Genes are part of our DNA and are found in the body's cells.)

JIA is not contagious, so you can't catch it from someone else.

Arthritis is an autoimmune (say: aw-toe-i-myoon) disease. An autoimmune disease means a person's immune system makes a mistake and attacks the body's own tissues or organs. Normally, a kid's immune system sends out white blood cells to protect the body and fight outside invaders like bacteria and viruses that can make a kid sick. But with an autoimmune disease like JIA, the immune system makes a mistake and attacks healthy cells.

Instead of recognizing the healthy cells and saying, "Hi, nice to see you," the immune system thinks the healthy cells need to be destroyed and releases chemicals to fight the healthy cells. The chemicals released by the immune system cause the pain and swelling that can happen with arthritis.

Just because a joint hurts doesn't mean a kid has JIA. A joint might hurt for a lot of different reasons, which is why it's important to see a doctor to figure out what the problem is.

The doctor will ask a lot of questions: How long has the kid had joint problems? Does he or she feel stiff when getting up or after resting? Are the joints swollen? Was there an injury? Could another problem be causing arthritis, such as Lyme disease? Is there a family history of arthritis or other autoimmune diseases?

Getting these answers and doing a physical exam, blood tests, and X-rays will help the doctor figure out if it is JIA. If your doctor thinks you may have it, he or she may send you to see a doctor who specializes in the diagnosis and treatment of arthritis. This kind of doctor is called a rheumatologist (say: roo-muh-tol-oh-jist).

Some kids who have JIA might take medicine like ibuprofen to help control pain and inflammation. If the arthritis is more severe, they may need to take other medicines to help lower the pain and inflammation. Some of these medicines are pills, but others are shots.

It's important that kids with JIA keep their joints moving. Often a kid will see a physical therapist or occupational therapist. In addition to working with children to move their joints and strengthen their muscles, these therapists can help create special exercise programs for home or school that can help a kid stay active.

In addition to joint problems, JIA may cause uveitis (say: yoo-vee-eye-tus), an inflammation of the eye that can lead to problems with vision if it's not treated. All kids diagnosed with JIA should get their eyes checked by an ophthalmologist, a doctor who specializes in diagnosing and treating eye problems. If the eyes are affected, they may be treated with eye drops.

Besides taking medicines, akid can do a few things to help with the symptoms of JIA:

Kids with JIA can have a lot of stiffness when they first wake up in the morning. Once their joints warm up, they can usually move more easily. That's why you might notice that someone with JIA has trouble moving early in the day, but seems better later on.

It's important to find a good balance between activity (which helps kids stay flexible) and rest (which everyone needs). Swimming is a great exercise for someone with JIA. It stretches a lot of different muscles and tendons and helps keep a kid moving and flexible. It's important to stay active even when a kid isn't having symptoms.

Sometimes kids with JIA can go a long time, even months or years, without the disease bothering them. Then it comes back. This is called a flare-up or flare. Flare-ups just happen and can't be prevented. It can be frustrating if a flare-up happens on a day when the kid would like to be doing something fun, like attending a birthday party.

If you know someone with JIA, you may offer to carry books or give other help, if needed. It's also OK if the person doesn't want help.

The good news is that many kids with JIA will outgrow it. About half of kids with JIA may not need treatment as adults.

And even when the arthritis flares up, almost all kids with JIA can control it with medicine and other treatments, which means they can do most things that other kids can do.

Date reviewed: April 2016

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Arthritis (for Kids)

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Arthritis – pcrm.org

Sunday, January 6th, 2019

Arthritis is a group of diseases that cause painful and swollen joints. Osteoarthritis typically develops gradually and can cause pain and stiffness. Rheumatoid arthritis (RA) is more aggressive and occurs when the body attacks the joints. RA causes painful, inflamed joints and can result in permanent damage. Certain genes also make some people more likely to develop RA.

If you have RA, a diet change could help you, and perhaps even eliminate your pain entirely. In research studies, many people who cut out certain trigger foods find that their pain improves or goes away. The reason, presumably, is that certain foods spark inflammation in the joints. When those foods are gone, so is the inflammation.

A survey of more than 1,000 arthritis patients revealed that red meat, sugar, fat, salt, caffeine, and nightshade plants (e.g., tomatoes, eggplant) most commonly worsen the condition. Research also shows that dairy protein may make symptoms worse.

One study looked at the effects of a very low-fat vegan diet on people with moderate-to-severe RA. After only four weeks on the diet, people had significant improvements in morning stiffness, RA pain, joint tenderness, and joint swelling.

People with osteoarthritis can also benefit from dietary changes. A 2015 study found that people eating a whole-food, plant-based diet significantly decreased their osteoarthritis painin just two weeks. By the end of the six-week study, they reported more energy and better physical functioning, too.

Another study found that a high-fiber diet lowers the risk for knee osteoarthritis by up to 61 percent.

Why Does it Work?

Plant-based diets are often lower in fat and contain different kinds of fat than diets with animal products. For example, many whole plant foods have an optimal ratio of omega-6 to omega-3 fats. Healthful weight loss from eating a vegan diet is also anti-inflammatory, further helping cool irritated joints.

Here's how to get started with pain-safe foods.For two weeks:

If your diet change makes your pain disappear or improve, the next step is to find out which foods are your triggers. To do this, simply reintroduce the eliminated foods one at a time, every two days, to see whether any symptoms result.

Pain-Safe Foods

Pain-safe foods virtually never contribute to arthritis, headaches, or other painful conditions. These include:

Common Pain Triggers

Common triggers often cause pain in susceptible people. Certain drinks and additives are also common triggers, including alcoholic beverages (especially red wine), caffeinated drinks (coffee, tea, and colas), monosodium glutamate, aspartame (NutraSweet), and nitrites. Here are the common food triggers, also known as the "Dirty Dozen":

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Arthritis - pcrm.org

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