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Archive for the ‘Arthritis’ Category

Recognizing Early Arthritis Symptoms

Thursday, August 4th, 2016

Early arthritis symptoms can be vague and confusing, but they are important to recognize. Newly diagnosed arthritis patients quickly realize that early symptoms are just the first layer to be uncovered before a definitive diagnosis and treatment plan can be established.

Early symptoms linked to arthritis usually include:

Though early symptoms are the first indication of an arthritic condition, there is much more information which needs to be gathered. There are more than 100 types of arthritis and related rheumatic conditions. For a patient to obtain a specific diagnosis (i.e., the specific type of arthritis), a doctor must evaluate the patient's:

Together, the criteria formulate a clinical picture which must be routinely re-assessed by your doctor. It's important for you to learn the major differences between the various types of arthritis. An understanding of the primary characteristics associated with each type of arthritis will help you recognize what is and is not important to report to your doctor with regard to your own condition.

A basic knowledge of the major types of arthritis and symptoms also will better prepare you for doctor appointments. You will find it easier to formulate questions and communicate with your doctor once you are confident that you understand basic facts about arthritis symptoms.

Rheumatoid Arthritis

Rheumatoid arthritis is an inflammatory type of arthritis. The joints are primarily affected, but there can be systemic effects (i.e. organs) as well. Morning stiffness lasting more than an hour, involvement of the small bones of the hands and feet, extreme fatigue, rheumatoid nodules, and symmetrical joint involvement (i.e. both knees not one knee) are all characteristics of rheumatoid arthritis.

Osteoarthritis

Osteoarthritis predominantly affects the joints, unlike other types of arthritis which may have systemic effects. The most common symptom associated with osteoarthritis is pain in the affected joint after repeated use. Joint pain is often worse later in the day. The affected joints can swell, feel warm, and become stiff after prolonged inactivity. Osteoarthritis can occur with other forms of arthritis simultaneously. Bone spurs and bony enlargements are also characteristic of osteoarthritis.

Psoriatic Arthritis

Psoriatic arthritis is a type of arthritis associated with psoriasis (a skin condition characterized by red, patchy, raised, or scaly areas) and chronic joint symptoms. The symptoms of psoriasis and joint inflammation often develop separately. Symptoms associated with psoriatic arthritis vary in how they occur (i.e. symmetrical or asymmetrical) and what joints are affected. Any joint in the body can be affected. When psoriasis causes pitting and thickened or discolored fingernails, the joints nearest the fingertips are likely to become arthritic.

Ankylosing Spondylitis

Ankylosing spondylitis is commonly associated with inflammation which starts at the lower spine or sacroiliac joints. The earliest symptoms are often chronic pain and stiffness in the lower back region and hips. Typical ankylosing spondylitis pain in the back worsens following rest or inactivity. As symptoms of pain and stiffness progress up the spine to the neck, possibly including the rib cage area, bones may fuse.

Lupus

Lupus can affect the joints, skin, kidneys, lungs, heart, nervous system, and other organs of the body. It is not uncommon for symptoms associated with lupus to resemble symptoms associated with other types of arthritis and rheumatic disease, making lupus difficult to diagnose. A butterfly-shaped rash appearing on the cheeks and over the bridge of the nose (malar rash) is just one of the distinguishing characteristics of lupus.

Gout

Gout is considered one of the most intensely painful types of arthritis. Gout is characterized by sudden onset of severe pain, tenderness, warmth, redness, and swelling from inflammation of the affected joint. Gout usually affects a single joint, and most often the big toe is affected. The knee, ankle, foot, hand, wrist, and elbow may also be affected. Shoulders, hips, and spine may eventually be affected by gout, but rarely. Often the first gout attack occurs at night.

There are other types of arthritis and joint inflammation conditions to consider as well:

As you learn about them, you and your doctor will decide which of your symptoms matches the diagnostic scheme of a particular type of arthritis. The process of identifying a specific type of arthritis is not always quick. Individual symptoms and symptom patterns can make diagnosing arthritis tricky. Being aware of early symptoms is a definite advantage, however.

Sources:

Kelley's Textbook of Rheumatology. Elsevier. Ninth edition.

Arthritis Foundation, Diseases and Conditions. http://www.arthritis.org

American College of Rheumatology. Diseases. http://www.rheumatology.org

2016 About, Inc. All rights reserved.

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Recognizing Early Arthritis Symptoms

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Pet Arthritis: Laser Therapy Staves Off Arthritis of Dogs …

Thursday, August 4th, 2016

Bill Dougherty's trusty 135-pound German shepherd, Rex, has suffered from a limp and joint pain for the past two years. This man's best friend, 70 in dog years, 10 in people years, needed treatment for his arthritic pain. But rather than opting for traditional pills or surgery, Dougherty tried a new, seemingly magical, laser therapy that the local veterinary clinic, Village Animal Clinic in North Palm Beach, Fla., was offering to arthritic dog and cats.

"Rex was always a very active dog, but he started exhibiting some problems with his shoulders," said Dougherty, who owns three other dogs. "He probably has about two years left, and we didn't want to take out six months of his life for surgery, so we tried this."

Dougherty said that Rex's limp and overall activity and happiness improved almost immediately after the first laser treatment.

"We used to say that Rex was like the old man on the hill," said Dougherty. "He'd point out the distraction and then the younger ones would go after it. But now, he's back and a part of the gang."

Mike Berkenblit, owner of Village Animal Clinic and lead veterinarian on site, performed the laser therapeutic procedure on Rex, and many other animals. Other pet owners have seen similar dramatic improvements in their dogs and cats who underwent the treatment.

The cold laser therapy is a noninvasive procedure that uses light to stimulate cells and increase blood circulation. At the correct laser wavelength, pain signals are reduced and nerve sensitivity decreases. The procedure also releases endorphins, or natural painkillers, but it is not recommended for animals that have cancer because the device can stimulate blood flow to cancer cells.

The procedure is based on the idea that light is absorbed into the cells. The process, known as photo-biotherapy, stimulates protein synthesis and cell metabolism, which improves cell health and functionality.

The therapy can take as little as eight to 10 minutes on a small dog or cat, or about a half hour for bigger dogs with more arthritic areas. And to create the appropriate atmosphere, Berkenblit and his staff work to make the dog as comfortable as possible. The animal reclines in a room, the lights are turned down low and soothing music plays in the background.

"We always say that Rex is going to the spa when he goes to get his laser treatment," said Dougherty. "He used to hate going to the vet, but now he loves it. It's where he can go to relax and listen to Beyonce."

Hey, what dog wouldn't love a little soothing Beyonce to set the mood?

This isn't the first time that Berkenblit has put laser treatment to the test. Eight years ago, Berkenblit tried a laser procedure on his own yellow Lab, Woody, but he was unimpressed with the results on his beloved dog.

But about a year ago, he learned of new and improved laser procedures and was convinced to try again.

"I was very skeptical about the treatment at first," said Berkenbilt. "But technology has rocketed ahead and evolved. Now, almost immediately after treatment, people call and say that their animal is doing stuff that he hasn't done in years. It's been a lifesaver for some pets."

Dougherty was so impressed by the results in Rex that he looked into buying a laser device for personal use on his dogs. But the $30,000 price tag hit the bank a bit too hard.

But at $250 for six treatments, Dougherty said that he'll continue to pay for Rex's laser treatments to keep him happy and painfree.

Berkenblit said that the treatment does has not shown any adverse effects so far, although a small portion of dogs and cats will not respond as dramatically to the treatment as Rex and others. About 70 percent of the animals show improvement in arthritic pain. Thirty percent do not experience any change.

Other veterinarians have also been convinced by the buzz surrounding the procedure.

"This is important, exciting stuff," said "Good Morning America's" family doctor for pets Marty Becker. "I'm at the world's largest veterinary meeting in Vegas and seminars on rehab and booths of laser companies are packed."

Most dogs begin showing arthritic symptoms at 6 or 7 years old. While some arthritis can be prevented by maintaining an ideal body weight in one's dog or cat, most dogs will experience some sort of arthritic pain as they grow into old age.

"Laser therapy is a very effective modality to speed and direct healing in dogs with painful arthritis, strains and sprains and other injuries or effects of aging," said Dr. Christine Zink, director of the department of molecular and comparative pathobiology at Johns Hopkins School of Medicine. "It has been used in humans for a long time and dogs now can reap the benefits, too."

And it's Berkenblit himself who put that idea to the test. After spending days crawling around his house after throwing out his back, he finally thought to make his way to the clinic, where he used the laser device on his own back. "I walked out that door and I thought, 'That's pretty cool,'" he said.

Berkenbilt said that other nurses and technicians often use the device for their personal aches and pains, too.

Some may still wonder how lasers can ward off arthritis and pain, but several research studies provide evidence about the benefits of laser therapy treatment.

Dr. Bradley Frederick, director of doctors at the International Sports Science Center and founder of American Health Lasers, uses high-powered lasers to treat people, even professional athletes, on a wide range of injuries and inflammatory conditions.

"We have seen increases in the rate of production of energy after treatment," said Frederick. "The laser stimulates cellular activity to cells that it hits. The key is hitting the cell to accelerate oxidation."

In 2002, the Food and Drug Administration approved its first trial on laser treatment for cell damage. The double-blind studies from Baylor College of Medicine improved carpal tunnel disease in patients about 70 percent more than in the control group using traditional physical therapy programs.

Another study, published in August 2000 in the Journal of Rheumatology, found that cold laser therapy reduced pain by 70 percent and increased tip-to-palm flexibility by more than 1 centimeter, when compared with those in the placebo group.

And finally, a July 2007 study from Wellman Center for Photomedicine at Massachusetts General Hospital in Boston showed that low-level laser therapy was highly effective in reducing swelling in patients with knee-joint arthritis.

Frederick, who has treated several L.A. Clippers basketball players, said that patients often come to him for help when they cannot find any other options to help heal their pain. Different wavelengths and power outlets can treat a variety of injuries, from diabetic ulcers to arthritis and acute injuries.

"I've seen patients who have arthritis so bad that it's bone-on-bone with no cartilage whatsoever," said Frederick. "They will convince me to try and treat them, and I tell them they're probably not going to see any improvements, but there are several who are now at the gym, in the garden, or taking care of their grandkids."

Frederick said the dramatic results, even now, can still sometimes surprise him but warns there are a lot of misconceptions.

"It's a Wild West out there with laser technology," said Frederick. "You're going to see a lot of this used in the future. ...There is an efficacy in this device that just needs a proper amount of energy and delivery system. And we've seen some pretty phenomenal results."

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Stem Cell Therapy, Platelet Rich Plasma / PRP – Chicago

Thursday, August 4th, 2016

At Chicago Arthritis, next-generation stem cell therapy and platelet procedures are available today. Our focus is on thorough evaluation and non-surgical treatment of arthritis, tendinitis, joint injuries and pain. Our core beliefs include a patient dedicated approach, faith in evidence based treatments, continuous improvement in everything we do at work, and pursuit of better treatments. If you are in need of treatment for your pain, or are considering elective surgery for your condition, please contact us first to learn about the most advanced regenerative procedures available in the United States today.

Welcome to Chicago Arthritis

As a provider of the Regenexx Orthopedic Stem Cell and Platelet Procedures, the regenerative treatments we offer are at the cutting edge of medical science and are backed by more research than any other stem cell or platelet procedures for orthopedic conditions. For our inflammatory arthritis and autoimmune patients, we incorporate advanced imaging and the most effective biologic treatments when appropriate.

Our goals are to accurately diagnose your condition as well as utilize treatments that have the potential to minimize pain and maximize your functional ability.

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Greensboro NC Rheumatologist Doctors – Rheumatoid …

Thursday, August 4th, 2016

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Angela D. Hawkes Greensboro Medical Associates PA 1511 Westover Ter Ste 201 Greensboro, NC 27408 (336) 373-1537

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Anthony S. Anderson Greensboro Medical Associates PA 1511 Westover Ter Ste 201 Greensboro, NC 27408 (336) 373-1537

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William W. Truslow William W Truslow MD 409 Parkway Ste A Greensboro, NC 27401 (336) 379-7597

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James F. Beekman Greensboro Medical Associates PA 1511 Westover Ter Ste 201 Greensboro, NC 27408 (336) 373-1537

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Michelle Young Greensboro Medical Associates 1511 Westover Ter Ste 201 Greensboro, NC 27408 (336) 373-0611

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Erin J. Gray Regional Physicians Jamestown 5710 High Point Rd Ste I Greensboro, NC 27407 (336) 299-7000

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Erin J. Gray Greensboro Medical Associates PA 1511 Westover Ter Ste 201 Greensboro, NC 27408 (336) 373-1537

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Shaili B. Deveshwar Piedmont Orthopedics 1313 Carolina St Ste 101 Greensboro, NC 27401 (336) 275-0927

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Tauseef G. Syed Novant Health Franklin Family Medicine 445 Pineview Dr Ste 200 Kernersville, NC 27284 (336) 564-4410

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Aldona Ziolkowska Medical Arts Clinic 1814 Westchester Dr Ste 301 High Point, NC 27262 (336) 802-2025

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George W. Kernodle Kernodle Clinic West 1234 Huffman Mill Rd Burlington, NC 27215 (336) 538-1234

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Brett Smith Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Amer Alkhoudari Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Nilamadhab Mishra Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Nihad Yasmin Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Sadiq Ali Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Julio R. Bravo Novant Health Franklin Family Medicine 1995 Bethabara Rd Winston-Salem, NC 27106 (336) 896-1477

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Nkechinyere Emejuaiwe Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Dennis Ang Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Kenneth S. O'Rourke Wake Forest Baptist Health Rheumatology 301 Medical Center Blvd Winston-Salem, NC 27157 (336) 716-4209

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Erin K. Shiner Novant Health Franklin Family Medicine 1995 Bethabara Rd Winston-Salem, NC 27106 (336) 896-1477

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Douglas L. Metcalf Novant Health Franklin Family Medicine 1900 S Hawthorne Rd Ste 652 Winston-Salem, NC 27103 (336) 277-0361

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Elliott L. Semble Salem Rheumatology 180 Kimel Park Dr Ste 250 Winston-Salem, NC 27103 (336) 659-4585

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Nicole W. Klett Triangle Orthopedic Associates 120 William Penn Plz Durham, NC 27704 (919) 220-5306

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George B. Brothers Chapel Hill Internal Medicine 940 Martin Luther King Jr Blvd Chapel Hill, NC 27514 (919) 942-5123

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Anne K. Toohey Triangle Orthopedic Associates PA 120 William Penn Plz Durham, NC 27704 (919) 220-5306

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Joanne M. Jordan UNC Rheumatology Allergy Immunology Clinic 101 Manning Dr Chapel Hill, NC 27514 (919) 966-4131

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Rakesh C. Patel Rowan Diagnostic Clinic 611 Mocksville Ave Salisbury, NC 28144 (704) 633-7220

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Stacy D. Kennedy Rowan Diagnostic Clinic 611 Mocksville Ave Salisbury, NC 28144 (704) 633-7220

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Durga D. Adhikari University Of North Carolina Rheumatology Clinic 6013 Farrington Rd Ste 301 Chapel Hill, NC 27517 (919) 966-4191

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Jennifer L. Rogers UNC Rheumatology Allergy & Immunology Clinic 6013 Farrington Rd Ste 301 Chapel Hill, NC 27517 (919) 962-4824

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Jennifer L. Rogers University Of North Carolina Rheumatology Clinic 6013 Farrington Rd Ste 301 Chapel Hill, NC 27517 (919) 966-4191

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An Introduction to What Arthritis Is All About

Monday, November 2nd, 2015

Arthritis is a broad term that covers a group of over 100 diseases. It has everything to do with your joints -- the places where your bones connect -- such as your wrists, knees, hips, or fingers. But some types of arthritis can also affect other connective tissues and organs, including your skin.

About 1 out of 5 adults have some form of the condition. It can happen to anyone, but it becomes more common as you age.

With many forms of arthritis, the cause is unknown. But some things can raise your chances of getting it.

Arthritis mainly causes pain around your joints. You might also have:

The symptoms can be constant, or they may come and go. They can range from mild to severe.

More-severe cases may lead to permanent joint damage.

Osteoarthritis and rheumatoid arthritis are the most common kinds.

In osteoarthritis,the cushions on the ends of your bones, called cartilage, wear away. That makes the bones rub against each other. You might feel pain in your fingers, knees, or hips.

It usually happens as you age. But if underlying causes are to blame, it can begin much sooner. For example, an athletic injury like a torn anterior cruciate ligament (ACL) or a fracture near a joint can lead to arthritis.

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Arthritis Cure

Friday, October 16th, 2015

Almost all doctors, physicians and specialists claims to cure your arthritis by their treatments, There is complete review of all kind of arthritis treatment that are recommended by them as cure for arthritis. You will find review of all major effective arthritis treatment that are available in 2011 to get your perfect arthritis cure, they includes

Diet, Exercise, Medications, Ayurveda, Injection Supplements, Medical Equipments, Joint Fluid Therapy, Acupuncture & Acupressure, Hydrotherapy or Water Therapy, Joint Replacement Surgery, Yoga, Meditation, Tai Chi, Magnet Therapy and Music therapy. They all are explained below

1. Arthritis treatment diet- It does not includes just tablets or any medications, it includes vegetables and fruits that are rich in Vitamin C, Vitamin D, Calcium, Omega-3 Fatty acid, Zinc, Magensium and many more. They certainly are very helpful in its treatmentFor a list of vegetables and fruits to taken for best natural arthritis treatment in 2011 follow below link to cure arthritis. http://cure2arthritis.com/category/diet/

2. Best Exercise for Arthritis in 2011 Exercises really work good for people suffering from arthritis and it is important to do them regularly to see effective results. For a list of arthritis exercise to for best arthritis treatment in 2011 follow below link.

http://cure2arthritis.com/category/exercises/

3. Ayurveda for arthritis treatment in 2011- Auyrveda says arthritis is mostly beacuse of air and indigestion problem in the body. Indigestion cause gastric problem in body and it adds toxic air & bacteria, they cause inflammation and swelling in the joints. Gugul, Haritaki, sudarsban, Brahmi and Bibbitaki are very effective for natural treatment of arthritis. Mahanarayan oil is also very effective and it reduces joint pain problem in body to cure arthritis. Ayurveda is very effective and for details you can email me at cure2arthritis@gmail.com or info@cure2arthritis.com

4. Medications for treatment of arthritis in 2011- There are many medications available for arthritis treatemnt , they are a) Nonsteroidal anti-inflammatory drug- They are commonly known as NSAIDs and they include Clinoril, Tolectin, Lodine, Meclomen, Arthrotec and many more to cure arthritis. b) Disease-Modifying Anti-Rheumatic Drugs- They are commonly known as DMARDs and they include Plaquenil, Leukeran, Ridaura, Neoral, Cyclophosphamide and many more to cure arthritis. c) Steroids- They are glucocorticoids which are primarily used to reduce inflammation because of arthritis. They include Prednisone, Cortef, Betamethasone and others. d) Pain Killers- They are primarily used to relieve joint pain because of inflammation and swelling. They include Ultram, Ugesic, Morphine Sulphate, Darvon and others. e) Biologic Response Modifiers- They are commonly known as BRMs or Biologics, they are used to increase or restore immune system to withstand any infections and internal wounds beacuse of arthritis. They include Kineret, Orencia, Rituxan, Enbrel and many more to cure arthritis.

Note- There are side effects of arthritis treatment drugs on body, they should be taken on arthritis doctor prescription. I would recommend to concentrate arthritis diet for its treatment.

5. Injection Supplements for arthritis treatment in 2011- There are many injection supplement that are availble in market they are Corticosteroids, Synvisc, Viscosupplementation, Hyalgan and others to cure arthritis. They are found to give relief for only some time, so it is only a temporary arthritis treatment.

6. Medical Equipments for arthritis treatment in 2011- There are many Medical Equipments that are available in market like braces, support systems, socks, arthritis calipers, Insole and many more to cure arthritis. They are suitable to only few people (less than 3%) only Insole i would say is effective, it reduces force of jerk on joints in the body. I would recommend to avoid using any braces, support systems, socks, arthritis calipers for arthritis treatment in 2011.

7. Joint Fluid Therapy- It is process of injecting gel in the joints and it act as supplement for synovial fluid to cure arthritis. They include Synvisc, Hyalgan, Euflexxa and others. They are also for temporary relief in arthritis pain.

8. Acupuncture / Acupressure- It is process of pressing or stimulating various points like nerves, muscles and other body organs. It was developed in China and is a effective arthritis treatment from almost 2000 years, it only tough to find Acupuncture specialist.

9. Hydrotherapy or Water Therapy for treatment of arthritis- Warm water is excellent source to ease and reduce joint pain, they relaxes muscles and increases motion. Swimming or moving in water requires higher force which lay less stress with immediate effect on body. They increase stability of joints, muscles and increases body movement. I would diefnately recommend to swim and opt for Hydrotherapy to get perfect arthritis cure.

arthritis joint replacement surgery

10. Joint Replacement Surgery for treatment of arthritis in 2011- It is process of replacing joint with artificial implants and they have success ratio of almost 40% of total. It is very expensive and Joint Replacement Surgery is not covered under insurance. However it can be done with only few patients with age of above 55 and good immune system.

11. Yoga for arthritis treatment- Yoga related to breathing would be useful but making certain position for Yoga can be harmful for joints. Arthritis joints have limited movement, please do not stress on them. Do Yoga that is related breathing it would relieve pain in joints, it is also recommended in Ayurveda artha Tatwa also.

12. Meditation- Tension is also a reason behind Arthritis, Meditation help you in reducing them and control any stress or anxiety. Try to do at-least 2 min a day.

13. Tai Chi exercise art- It is form of martial arts, light movement exercises that are used to relax and improve body motion. It is certainly very useful for arthritis patients.

14. Magnet Therapy- It is said, Magnet is used to improve blood circulation in body but there is no evidence that it can cure arthritis.

15. Music Therapy- It is used to reduce stress and i would recommend Meditation over it.

Cure2arthritis.com RECOMMENDATIONS for Arthritis treatment in 2011 would be Diet, Exercise, Hydrotherapy or Water Therapy, Joint Replacement Surgery, Meditation, Yoga and Acupuncture & Acupressure to cure for arthritis. This disease is majorly result of changing lifestyle problem in 2011, so my recommendation would be more based on natural treatment than others in 2011.

Follow the links below to know more about arthritis

What is osteoarthritis

What is Rheumatoid Arthritis

Role of Calcium in arthritis

What are Nightshade vegetables and to be avoided in arthritis joint pain

Arthritis symptoms

EXTENDED BLOG TO IDENTIFY & DIAGNOSE ARTHRITIS TREATMENT AND ARTHRITIS SYMPTOMS IN 2011

Osteo arthritis Cartilage knee structure

It is very difficult for doctors and physicians to diagnose arthritis symptoms in initial stage of joint pain. The symptoms of arthritis joint pain are identical with many other diseases like diarrhea, heart problem and other, which makes tough to identify arthritis joint pain from other diseases. Available tests to identify arthritis symptoms in 2011 can be classifieds into following

1. Medical history of patients- There are some general question which physicians ask to determine symptoms of arthritis joint pain a) From how much time you are suffering from the joint pain? b) Where do feel and observe joint pain in body? c) Is there any particular time when joint pain occurs? d) After how much time your joint pain last? e) What was the first time when you observe similar pain? f) Could you describe the intensity of joint pain from scale of 1 to 10? g) What things relieves your joint pain? h) Do you met any injuries or illness that was similar to your pain or describes similar pain? i) Is there any one in family who is suffering from arthritis or any other rheumatic disease? j) What medicines are you currently taking and do you feel relief after them? k) Do you observe any limitation in range of your motion in recent months? l) Do you feel reduction in your muscle strength? m) Do you feel any crickling sounds in the joints during movement?

2. Physical examination to determine arthritis symptoms for joint pain- There are certain examination and questionnaire to determine symptoms of arthritis in patient-

a) Lifting weight (3.5 kg or 8 found) to height of shoulder. b) Boxing- Regular throw of overhand. c) Tucking of shirt backwards. (problem would show symptom of initial arthritis) d) Pressing the back of opposite shoulder. e) Crepitus in motion of joints. f) Sleeping on the affected side of joint pain. g) Physical examination of swelling around joints of body. h) Recording and observing any unusual movement in walking by physician.

Questionnaire to determine arthritis symptoms- Answer all questions from scale 1 to 10. Where 1 is being uncertain and 10 being 100% sure

a) Can you reduce joint pain? b) Can you keep your arthritis joint pain away during sleeping? c) Can you continue with all of your routine activities? d) Can you relieve your joint pain by medications e) Can you reduce intensity of pain in joints by intake of more medications? f) Can you walk 22 meters in 25 seconds? g) Can you walk 15 steps downstairs in 15 seconds? h) Can you scratch your opposite back easily? i) Can you wear shirt in 10 seconds? j) Can you improve your fatigue or tiredness? k) How sure you are in handling your arthritis joint pain in routine activities? l) Can you get up from chair or bed without help of arms or hands in 5 second? m) Can you turn up and down outdoor faucet or taps? n) Can you sit and pull yourself out from the driver seat of car? o) Can you do all routine work when you are not feeling well? p) Can you manage your joint pain while doing activities you enjoy most like gaming, roaming or other activities? q) Do you feel frustrated in dealing with your joint pain? r) Do you feel you can get relieve from joint pain by reducing joint pain?

3. Laboratory tests, imaging tests and other screening test to determine arthritis symptoms for joint pain

Laboratory tests for arthritis

Laboratory test to determine symptoms of arthritis in 2011 are

A) Anti Nuclear Antibody Test (ANA)- This test is conducted to determine the amount of antibodies present in the patient. Normal range is less than or equal to 1:40 dilution.

B) Complement Protein test Complement is protein that is found in blood which determines symptoms with lupus. Normal levels for test is 41 to 90 hemolytic units. C4 level should in between 12 to 75 milligrams per deciliter. C3 level should in between 88 to 252 milligrams per deciliter for male and 88 to 206 milligrams per deciliter in ladies. C1 level should vary between 16 to 33 milligrams per deciliter.

C) Complete Blood Count test (CBC) As names determines it a complete test of blood. Low level of white blood cell in blood indicates leukopenia (Normal range is 4.3 to 10.8 cells per liter). Low red blood count in blood indicates anemia (Normal range is 4.2 to 5.9). Low platelet count in blood indicates Thrombocytopenia which cause prolonged bleeding. RDW is the measurement of size of Red Blood cells (Normal range is 11 to 15).

D) Creatinine Test This test to identify any disease related to kidneys. Normal range is 0.6 to 1.2 mg/dl.

E) Rheumatoid Factor Test This determines determines presence of rheumatoid factor in the blood. The normal Rheumatoid Factor is below 20%, however it vary from laboratory to laboratory. Rheumatoid arthritis patient have Rheumatoid Factor from 25 to 90 percent.

F) ESR and SED Rate Test This test is also related to red blood cells. Normal range for Males should be in between 1 13 mm/hr and in case of female it is 1 20 mm/hr.

G) Hematocrit Test It determine the amount of Red blood cells found in blood. Normal range for Males should be in between 45 62% and in case of female it should be between 37 48%.

H) Urinalysis Test This test indicates and examines RBC, WBC, protein level or any infection in urine of patient. Normal range for Specific gravity should be between 1.002-1.030, Urobilinogen should vary between 0.2-1.0 Ehr U/dL, pH should be 5-7 and other all test should be negative.

I) White Blood Cell Count Test Normal range is 4.3-10.8 10cubic/mm cube

J) C-Reactive Protein Test- It is a kind of protein that developes and aggravates due to inflammation around the joints. Normal range is 1.0 and 3.0 milligram/litre

Imaging and Other tests to determine symptoms of arthritis in 2011 are

A) X-ray- It provide images which helps in indicating wear and tear of bones & tissues.

B) MRI- This test provides with images of every organ and structure in body from different degrees to determine symptoms of arthritis.

C) Joint Ultrasound Test- This test is rarely used to determine arthritis symptoms before x-rays.

D) Computed Tomography Scan This test is commonly known as CT Scan, it involves a mixture of x-rays and latest technology to determine arthritis symptoms in body. Images of bones, muscles, fat, and organs are displayed in CT Scan to determine arthritis indication.

E) Arthroscopy Arthroscope tube is inserted inside joint to check wear and tear in around joints. It helps in evaluation of any form of arthritis symptoms and inflammation.

F) DEXA This test determines the density of bones. The lower level of arthritis determines and helps in detection of osteoporosis. Normal range is between 2.5 to 1.

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Arthritis – NHS Choices

Friday, October 9th, 2015

Introduction

Arthritis is a common condition that causes pain and inflammation in ajoint.

In the UK, around 10 million people have arthritis. It affects peopleof all ages, including children (see below).

The two most common types of arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is the most common type of arthritis in the UK, affecting around 8 million people.

It often develops in people who are over 50 years of age. However, it can occur at any age as a result of an injury or another joint-related condition.

Osteoarthritis initially affects the smooth cartilage lining of the joint. This makes movement more difficult than usual, leading to pain and stiffness.

The cartilage lining of the joint can then thin and tissues within the joint can become more active. This can then lead to swelling and the formation of bony spurs, called osteophytes.

In osteoarthritis, the cartilage (connective tissue) between the bones gradually erodes, causing bone in the joints to rub together. The joints that are most commonly affected are those in the hands, spine, knees and hips.

Read more aboutosteoarthritis.

In the UK, rheumatoid arthritis affects more than 400,000 people. It often starts when a person is between 40 and 50 years old. Women are three times more likely to be affected than men.

Rheumatoid and osteoarthritis are two different conditions. Rheumatoidarthritis occurs when the body's immune system targets affected joints, which leads to pain and swelling.

The outer covering (synovium) of the joint is the first place affected. This can then spread across the joint, leading to further swelling and a change in the joint's shape. This can cause thebone and cartilage to break down.

People with rheumatoid arthritis can also develop problems with other tissues and organs in their body.

Read more about rheumatoid arthritis.

Thesymptoms of arthritis you experience will vary depending on the type you have.

This is why it's important to have an accurate diagnosis if you have:

Arthritis is often associated with older people, butit can alsoaffect children. In the UK, about 15,000 children and young people are affected by arthritis.

Most types of childhood arthritis are known as juvenile idiopathic arthritis (JIA). JIA causes pain andinflammation in one or more joints for at least six weeks.

Although the exact cause of JIA isunknown, the symptoms often improve as a child gets older, meaning they can lead a normal life.

The main types of JIA are discussed below. You can also readmore about the different types of juvenile idiopathic arthritis on the Arthritis Research UK website.

Oligo-articular JIA is the most common type of JIA. It affects fewer than five joints in the bodymost commonly in the knees, ankles and wrists.

Oligo-articular JIA has good recovery rates and long-term effects are rare. However, there's a risk that childrenwith the condition may develop eye problems, so regulareyetests with an ophthalmologist (eye care specialist) are recommended.

Polyarticular JIA, or polyarthritis, affects five or more joints. It can develop at any age during childhood.

The symptoms of polyarticular JIA are similar to the symptoms of adult rheumatoid arthritis. The condition is often accompanied by a rash and a high temperature of 38C (100.4F) or above.

Systemic onset JIA begins with symptoms such as a fever, rash, lethargy (a lack of energy) and enlarged glands. Later on, joints canbecome swollen and inflamed.

Like polyarticular JIA, systemic onset JIA can affect children of any age.

Enthesitis-related arthritis is a type of juvenile arthritis that affects older boys or teenagers. It can cause pain in the soles of the feet and around the knee and hip joints, where the ligaments attach to the bone.

There's no cure for arthritis, but there are many treatments that can help slow down the condition.

For osteoarthritis, painkillers,non-steroidal anti-inflammatory drugs (NSAIDs) andcorticosteroids are often prescribed.

In severe cases, the following surgical procedures may be recommended:

Read moreabouthow osteoarthritis is treated.

In treating rheumatoid arthritis, the aimis to slow down the condition's progress and minimise damage to the joints. Recommended treatments include:

Read moreabouthow rheumatoid arthritisis treated.

Arthritis Research UK and Arthritis Careprovide moreinformation about arthritis, as well as advice and support for people living witharthritis.

You can also use the NHS post code search tofind arthritis services in your area.

Page last reviewed: 21/02/2014

Next review due: 21/02/2016

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Arthritis Treatment – 4 Step Arthritis Treatments That Work

Sunday, October 4th, 2015

The common traditional method that most physicians use is to diagnose and treat the symptoms that are causing you joint pain and inflammation. They use complicated surgeries, joint replacements and strong prescription medications that usually end up causing more pain and suffering that your arthritis! This method has very limited success and has lead to numerous lawsuits from heart attacks and stroke deaths, to name a few, caused by toxic side effects of medications and botched surgeries.

If these actually worked for you or the millions of arthritis sufferers worldwide, you wouldnt be sitting here reading this article. But you know you must do something about this as arthritis, particularly rheumatoid arthritis significantly decreases your lifespan if you do not get effective treatment for it.

Fortunately there is a light at the end of the tunnel here, and it is that you can live a life without arthritis joint pain constantly inhibiting you from doing the things you love without pain and discomfort. If you are serious about leaving your arthritis jailer behind, then you will want to follow this handy guide below for the latest arthritis remedies, treatments and therapies that will stop the endless Inflammation/Swelling/Pain/Immobility cycle of arthritis. Dont go Ballistic go Holistic!

Well, you might ask, just what is this holistic approach? It is not a miracle, its just common sense arthritis treatment thats been overlooked (unfortunately, sometimes on purpose) by those following traditional treatments and still suffering from arthritis pain. This holistic method uses practical knowledge of how a healthy bodys joints operate. What do you think it is in your joints that is causing all this pain, inflammation and swelling? Primarily excess junk calcium (from the wrong type of supplements or processed milk products), heavy metal deposits, and infections that cause your joints to lose their protective cushioning, degenerate and cause terrible pain and unnecessary suffering.

You need to keep your joint moving to keep them flexible and pain free. This is a bit of a conundrum as you may be experiencing too much pain and stiffness to exercise. If this is the case then you should treat the symptoms of arthritis first so you can gain the mobility to exercise and keep your joints moving into permanent recovery from arthritis. Lets look at how we can relieve some of the pressure on the joint socket and the pain its causing so we can begin the healing process.

First you need to stop any infections from happening in your body as this may an underlying cause of arthritis. Then you need to keep your whole body in a more alkaline state and reduce your dietary acid intake. Then you need to rebuild and nourish your joints. Finally you might want to get some natural pain relief until you no longer have this condition. If you have been diagnosed with Autoimmune Arthritis you can also visit the page for Rheumatoid Arthritis for RA specific options.

The 5 step Natural Arthritis Treatment Overview:

1) Treat & Prevent Infections and Detox:

Here is a secret that has been hidden from mainstream medicine but not naturopathic physicians: viruses and pathogens are causing a great deal of arthritis but not even being addressed! Dr. Mark Genovese a top Medical Doctor, Stanford Medicine University Professor and Rheumatologist who is on the leading edge of arthritis and inflammation studies addresses this bluntly:

Theres a perception that arthritis is arthritis, just like some people think cancer is cancer, says Mark Genovese, MD, a rheumatologist and professor at the Stanford School of Medicine. But its just not true. It could be gout, crystals, autoimmune rheumatoid arthritis, virus-caused arthritis or as many as 100 other kinds of the disease.

Since Infection is a root cause of arthritis you need to address it or you will continue with arthritis pain and inflammation indefinitely. Watch this video by Dr. Tent, a Holistic Doctor that explains exactly why you need to treat the viral infections first before you will get lasting arthritis pain relief:

Here is what you will want to do to make sure youve gotten any chronic infections out of your body and particularly joints:

2) Reduce Acid and Alkalize Your Body (Naturally Dissolves Hard Calcium Deposits in Your Body, Brain, Arteries, Kidneys and of course Joints!)

3) Rebuild & Cushion Your Joints Get Pain Relief

If you are suffering with back, neck or hip problems you will want to check out the many great healing products that will make your life much easier. There are:

These devices and techniques can really not only stop but actually heal the source or cause of your arthritis pain. Use the arthritis joint pain remedies to stop the swelling and inflammation, and use the therapies and treatment devices to get your joints healthy and flexible again for pain free joints for life.

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What is Arthritis | Arthritis Center | Boston Medical …

Sunday, October 4th, 2015

Arthritis Center

The Rheumatology/Arthritis department at Boston Medical Center is part of the world-renowned Boston University Arthritis Center, affiliated with the Boston University School of Medicine. We are an international referral center for the diagnosis and treatment of all rheumatic disorders with a special focus on scleroderma, vasculitis, osteoarthritis and amyloidosis.

Our expertise and active research programs, our long and distinguished history of training prominent rheumatologists, and our comprehensive, multidisciplinary approach have made us leaders in the field. We are committed to meeting the health needs of our local community and beyond, and to providing prompt, exceptional care to our patients.

We are located in Boston Medical Centers beautiful Shapiro Center in Bostons historic South End.

BMC has a special focus on scleroderma, vasculitis, osteoarthritis and amyloidosis disorders.

Call: 617.638.7460 Fax: 617.638.5226

Boston Medical Center Arthritis Center / Rheumatology Shapiro Center 7th Floor, Suite 7B 725 Albany Street Boston, MA 02118

Call: 617.638.7774 Refills will be processed within 48 hours.

Call: 617.638.4310 Fax: 617.638.7454

Call: 617.638.4310

Directions to BMC BMC Campus Virtual Tour

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CDC – Arthritis – Data and Statistics – Cost

Sunday, October 4th, 2015

National and state cost estimates

Study reports on arthritis costs:

National and state direct and indirect costs are presented in the January 12, 2007 MMWR entitled: National and State Medical Expenditures and Lost Earnings Attributable to Arthritis and Other Rheumatic Conditions United States, 2003.

A detailed report on the national cost study, including the study methods and comparisons of 1997 and 2003 costs, was published in:

Yelin E, Murphy L, Cisternas M, Foreman A, Pasta D, Helmick C. Medical Care Expenditures and Earnings Losses Among Persons with Arthritis and Other Rheumatic Conditions in 2003, and Comparisons to 1997. Arthritis and Rheumatism 2007;56(5):1397-1407.

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Yelin E, Cisternas M, Foreman A, Pasta D, Murphy L, Helmick C. National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions United States, 2003. MMWR 2007;56(1):47. html pdf [306K]

The table below shows the total costs* (in millions of dollars) attributable to arthritis and other rheumatic conditions for each state in 2003.

* Total costs = medical expenditures + lost earnings

Yelin E, Cisternas M, Foreman A, Pasta D, Murphy L, Helmick C. National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions United States, 2003. MMWR 2007;56(1):47. html pdf [306K]

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From 1997 to 2005, total national expenditures among all US adults with arthritis increased from by 100 billion dollars. Medical expenditures were $252.0 billion in 1997 and $353.0 billion in 2005. (Cisternas et al 2009)

Why did total national medical expenditures among all adults with arthritis increase from 1997 to 2005?

Total national medical expenditures among US adults with arthritis, 1997 to 2005

Data source: Medical Expenditure Panel Survey, 1997-2005

Expenditures for each individual are the sum of the following: inpatient, outpatient, office visit, home health, emergency, prescription medications, and other.

The graph above shows that

Cisternas MG, Murphy LB, Yelin EH, Foreman AJ, Pasta DJ, Helmick CG. Trends in Medical Care Expenditures of US Adults with Arthritis and Other Rheumatic Conditions 1997 to 2005 J Rheumatol 2009;36(11):2531-2538. abstract

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Arthritis News Topix

Sunday, October 4th, 2015

Top Stories

151 articles

27 min ago | ABC

Bermuda Next up to Feel the Effects of Hurricane Joaquin

39 min ago | WSJ

Syria's Assad Stresses Importance of Alliance

89 articles

1 hr ago | WSJ

On SNL, Hillary Clinton Counsels 'Hillary' on Keystone, T...

2 hrs ago | WaPo

China sending official for North Korean commemorations

129 articles

2 hrs ago | WaPo

Afghan official: Hospital in airstrike was 'a Taliban base'

3 hrs ago | LA Times

'Daddy, he began to shoot': A daughter's account of Orego...

5 hrs ago | WaPo

Iranian parliament speaker urges decision on nuclear deal

5 hrs ago | LA Times

New Mexico's secretary of state faces 65th charge: identi...

245 articles

6 hrs ago | ABC

Pope Opens Family Meeting and Sparks Are Expected to Fly

5 articles

Yesterday | ABC

Attorneys: Robin Williams' Widow, Kids Settle Estate Fight

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Arthritis News Topix

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Arthritis of the Hip – Types, Symptoms, Diagnosis, Treatment

Sunday, October 4th, 2015

Arthritis is one of the most common causes of pain in the hip. Arthritis is a progressive disorder, which means that it typically starts gradually and gets worse with time. The term arthritis literally means inflammation of the joint.

There are different types of arthritis that can affect the hip. The type of arthritis you have may affect your treatment options.

Types of Arthritis

There are five main types of arthritis that can affect the hip joint. They are:

There is no cure for any type of arthritis, but there are ways to treat the pain and other associated symptoms.

Osteoarthritis

Osteoarthritis means arthritis of the bone and is the most common form of arthritis. It is often described as the result of wear and tear on the joints, which explains why it is more common in older than younger people.

The hip joint consists of the ball-shaped end of the thigh bone (femoral head) which fits into the hip socket (acetabular socket). The inside of this ball-and-socket joint is lined with smooth cartilage to help the joint move easily. If this smooth cartilage wears away, the remaining rough surfaces of the ball-and-socket grind against each other, causing pain. Over time, osteoarthritis can degenerate or permanently damage the joint.

Osteoarthritis of the hip (and other parts of the body) has been associated with the following:

However, osteoarthritis may develop in people without these risk factors.

Figure a

Figure b

Two radiographs of a female patient showing acetabular dysplasia (a shallow hip socket). The patient started to have hip pain when she was 20 years-old (a). This hip dysplasia was not treated and 15 years later she had end-stage osteoarthritis of the hip (b). Note the complete loss of cartilage joint space between the ball and the socket over this 15-year interval.

Rheumatoid Arthritis

Rheumatoid arthritis is a systemic disorder, that is, it affects your entire body and not just the hip joint. The inflammation is related to an immune system response rather than wear and tear.

The hip joint, like other joints in the body, is protected by a special capsule that completely surrounds the joint. This capsule has a special lining (the synovial lining) and is filled with lubricant (joint fluid) that helps the joint move smoothly. Rheumatoid arthritis typically causes a swelling of the synovial lining. This causes pain and swelling, but eventually, rheumatoid arthritis can cause the bone and cartilage of the joint itself to deteriorate.

Rheumatoid arthritis can occur in people of all ages, including children (where it is known as juvenile rheumatoid arthritis), and is more common in women than men. Unlike osteoarthritis of the hip, which may occur only in one hip, rheumatoid arthritis typically occurs in both hips at the same time (and possibly other joints). Rheumatoid arthritis is also associated with overall weakness and fatigue. Medications to treat rheumatoid arthritis continue to improve.

Ankylosing spondylitis

Ankylosing spondylitis is a chronic inflammation of the spine and sacroiliac joint (the joint where the spine meets the pelvis) which can sometimes cause inflammation of the hip joint. Ankylosing spondylitis can occur in people of all ages, including children, and typically starts in a person between the ages of 17 and 35. It is more common in men than women.

It is typical for people with ankylosing spondylitis to experience flares, when the condition is worse, followed by periods of remission with mild to no symptoms.

Systemic Lupus Erythematosus

Systemic lupus erythematosus or lupus is a systemic autoimmune disorder that can affect any part of the body, including the hip joint. If lupus strikes the hip, inflammation and damage to the joint can occur. Lupus can occur in people of all ages but it is most common in women aged 15 to 35.

Psoriatic Arthritis

As the name sounds, this type of arthritis is related to the skin condition psoriasis. Psoriatic arthritis causes joint pain, swelling, and stiffness and can affect any joint in the body, including the hip. Most people with psoriatic arthritis have the skin condition first (scaly red patches of skin) but it is possible to develop psoriatic arthritis before the skin condition occurs.

Arthritis Symptoms

Regardless of the type of arthritis, symptoms of hip arthritis include:

In patients with rheumatoid arthritis or lupus, fatigue and weakness may also occur. Arthritis often occurs in flares with remission, but some people experience a relatively stable level of pain without flares.

Any type of arthritis can involve more than one joint in the body, so a person with osteoarthritis of the hands may develop the condition in the hip as well. Rheumatoid arthritis and lupus typically affect both hips at the same time, while osteoarthritis and psoriatic arthritis may occur in one hip but not the other.

Diagnosis

If you suspect you may have arthritis of the hip, the most important first step is an accurate diagnosis. Dr. Clohisy and his colleagues are experts in arthritis of the hip. A diagnostic evaluation will likely include the following:

Treatment

The Joint Preservation, Resurfacing and Replacement department will prescribe the type of treatment that is appropriate for your particular type of arthritis and other factors, including your overall health, your age, and your personal preferences.

Nonsurgical treatment of arthritis of the hip may include any of the following:

Lifestyle modifications can also help to reduce the symptoms of arthritis of the hip. These include:

Many people with arthritis with the hip are candidates for surgery. Surgery can help to reduce pain, enhance quality of life, and improve your ability to perform everyday activities with fewer or no restrictions.

If you are an appropriate candidate for hip surgery, the risks and benefits of your surgical options will be discussed.

Important Considerations for People with Arthritis of the Hip

There is no cure for arthritis. Typically, it starts gradually and worsens over time. Eventually, all forms of arthritis of the hip may permanently damage the hip joint. While osteoarthritis is more common in older people, there are forms of arthritis that affect younger people.

Fortunately, there are things that can be done to help minimize the effect of arthritis, and we are glad to discuss these option.

Arthritis Statistics

(Statistics from Centers for Disease Control and Prevention)

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Arthritis – The University of Chicago Medicine

Sunday, October 4th, 2015

Arthritis and other rheumatic diseases are characterized by pain, swelling, and limited movement in joints and connective tissues in the body. According to the Centers for Disease Control and Prevention, nearly50 million people in the US have some form of arthritis or chronic joint symptoms.

Arthritis, which literally means inflammation of a joint (where two or more bones meet), actually refers to more than 100 different diseases. Rheumatic diseases include any diseases that cause pain, stiffness, and swelling in joints or other supportive body structures, such as muscles, tendons, ligaments, and bones.

Arthritis and other rheumatic diseases are often mistakenly associated with old age, because osteoarthritis (the most common form of arthritis) occurs more often among elderly persons. However, arthritis and other rheumatic diseases affect people of all ages.

Arthritis is usually chronic, which means that it rarely changes, or it progresses slowly. Specific causes for most forms of arthritis are not yet known.

Joints are the areas where two bones meet. Most joints are mobile, allowing the bones to move. Joints consist of the following:

The three most prevalent forms of arthritis include the following:

The following are the most common symptoms of arthritis. However, each individual may experience symptoms differently. Symptoms may include:

The symptoms of arthritis may resemble other medical conditions or problems. Always consult your physician for a diagnosis.

In addition to a complete medical history and physical examination, diagnostic procedures for arthritis may include the following:

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Boston Rheumatoid Arthritis Services | Arthritis Center …

Sunday, October 4th, 2015

The Rheumatology/Arthritis Department at BMC diagnoses and treats the full range of rheumatological and arthritic diseases and conditions.

Arthritis, Connective Tissue and Autoimmune Diseases Rheumatoid Arthritis Scleroderma Vasculitis Lupus Amyloidosis Osteoarthritis Other Rheumatic Conditions

Arthritis, Connective Tissue and Autoimmune Diseases

In the broad field of arthritic and rheumatic conditions, our rheumatologists have earned an international reputation for their leadership in treatment, research and education. Because there are so many types of arthritic conditions, successful treatment depends on the highly accurate diagnostic services we provide.

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Rheumatoid Arthritis

Rheumatoid Arthritis (RA) is the most common autoimmune disease to cause chronic inflammatory arthritis. We have been at the forefront in developing practice guidelines for the management of rheumatoid arthritis and monitoring its therapy. We can evaluate patients for appropriateness of less common therapy and work with you to manage it. We pioneered a unique, highly accurate system for measuring the progress of arthritis patients based on their own assessment of pain and disability. This type of outcome-oriented approach is now widely used at other arthritis centers.

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Scleroderma Disease

Scleroderma is an autoimmune disease which causes fibrosis of the skin and internal organs. The Scleroderma Center is a collaboration of the Pulmonary and Rheumatology Departments. The Center is recognized internationally as a leader in scleroderma, and provides for the diagnosis and treatment of patients with Systemic Sclerosis.

Our scleroderma program, the largest in New England, offers the latest diagnostic and therapeutic measures available. We take a multidisciplinary approach for comprehensive evaluation and treatment of patients with all forms of scleroderma, with specialists in cardiology, pulmonology, dermatology, radiology, urology and others as needed. Our extensive research in this area includes exploration of basic connective tissue biology and evaluation of medications through clinical trials. Our program is a member of the Scleroderma Clinical Trials Consortium.

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Vasculitis Disease

Vasculitis is an autoimmune disease causing inflammation of blood vessels with organ and life threatening consequences. We have pioneered the development of the NIH sponsored Vasculitis Clinical Research Consortium. We offer internationally recognized expertise in the evaluation and treatment of all forms of vasculitis.

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Lupus Disease

Lupus is a multisystem autoimmune disease causing damage to multiple body organs, including joints, kidneys, skin, brain and others. Members of our staff helped develop the nationally accepted classification of systemic lupus erythematosus, which has made this formerly elusive connective tissue disease easier to diagnose. We pioneered various treatments for lupus, particularly at the stage when the disease begins to affect the kidneys. We work together with other specialists at Boston Medical Center to treat all the manifestations of this multi-system disease. Our active research efforts include clinical and epidemiological studies.

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Amyloidosis

Boston Medical Center is an international referral center for the diagnosis and treatment of all forms of amyloidosis, a rare group of diseases caused by the abnormal accumulation of the protein amyloid in various parts of the body. We are one of only two centers nationwide that treat amyloidosis, and take a multidisciplinary approach to this multi-organ disorder. We coordinate our diagnosis and innovative treatments with other specialists at BMC, streamlining the process for the patient. Although amyloidosis is not cancer, the Center for Cancer and Blood Disorders at BMC pioneered the use of stem cell transplantation to successfully treat the primary form of the disease. Visit our Amyloid Treatment and Research Program website for more information.

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Osteoarthritis

Our arthritis specialists are among the nations leading researchers into osteoarthritis, also known as degenerative joint disease. We helped define the role of weight loss and exercise in osteoarthritis treatment and have begun to study the effect of diet and nutritional supplements on symptoms. We work closely with orthopedic specialists at the Boston University Arthritis Center to help patients decide if they need surgery.

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Other Rheumatic Conditions

We also offer diagnosis and treatment for soft tissue rheumatism including Raynauds disease, bursitis and tendonitis, shoulder, neck and knee problems, gout, and other disorders of bones, joints and muscles. We offer bedside musculoskeletal ultrasound imaging to help obtain faster diagnoses and deliver safer and more effective therapy. Other conditions in which we have expertise are infectious arthritis and Lyme disease. We are collaborating with colleagues in dermatology to provide cutting edge care for patients with psoriatic arthritis.

Whatever the diagnosis and treatment, we provide state-of-the art diagnostic and therapeutic services including musculoskeletal ultrasound, joint aspiration and injection, and diagnostic radiology. We also offer full service physical and occupational therapy when indicated.

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Arthritis Help – Remedies to Help Arthritis

Sunday, October 4th, 2015

Need Arthritis Help? In this informative website you will learn what causes arthritis and then remove it and the symptoms will go away permanently. If you are in a lot of pain visit the arthritis treatment and arthritis remedies pages first to get fast relief. Arthritis is the general term given to a number of painful and debilitating conditions affecting the joints and bones. It is actually made up of two Greek words: athro meaning joints; and itis meaning inflammation. There are over 100 different types of arthritis. Although arthritis is normally associated with people in the baby boomer category and older, it can affect people at any age, even children.

When this happens to children it is called Juvenile Idiopathic Arthritis, although it is much less common than Osteoarthritis or Rheumatoid Arthritis. Gout is another rheumatic condition frequently associated with arthritis as are Psoriatic Arthritis and Ankylosing Spondylitis. Septic Arthritis is an infection combined with arthritis. Bursitis and Spinal Stenosis are inflammatory arthritis and compression type forms of arthritis. Arthritis in Dogs and cats is common as our beloved pets age and eat human unhealthy foods or even lower quality pet foods. There are some forms of arthritis are inherited, but most are not. By and far the most prevalent types of arthritis are Osteoarthritis and Rheumatoid Arthritis.

Wherever our bones meet anatomically, there is also cartilage, an elastic, protective layer that ensures your joints bend smoothly, effortlessly and painlessly. But cartilage cannot do this tremendous job alone. A thin membrane called the synovium provides fluid that lubricates the moving parts of the joint.

When the cartilage wears out due to constant inflammation, an overactive immune system, overuse or just repetitive motion over time, the synovium becomes inflamed; the result is generally a case of either osteoarthritis or rheumatoid arthritis the two most common types of arthritis.

The most common symptoms of arthritis are pain, inflammation and stiffness in particular joints. For Rheumatoid Arthritis, this is most commonly noticed upon arising in the morning. Osteoarthritis is usually noticed later in the day, and some stiffness can be alleviated by simply moving the joint through a smooth range of motion. There may also be some restrictive movement of the affected joints along with some swelling and redness over the joints in many cases. It can become tender to the touch and should be handled with care until you begin a course of treatment. The specific symptoms again will depend upon what type of arthritis youre actually suffering from although the vast majority of types of arthritis all include problems created by the pain, inflammation and swelling of joints.

The exact cause of arthritis is not fully known at this point, however, we are well aware of the factors which may contribute to arthritis: stress, obesity and jobs which require repetitive movements of a particular joint socket. This includes clerical workers, computer programmers, warehouse people, and sports people. For example football players tend to develop arthritis in their knees and ankles as a consequence of injuries sustained to these parts. There is evidence however, that suggests that physically active people who are not injured have a lower risk of arthritis. Some studies have suggested that gout may sometimes be a contributing factor to causing arthritis.

Did you know that Arthritis is actually one of the easiest diseases to cure? Im about to let you in on the secret that your doctor does not want you to know that arthritis sufferers DONT NEED the expensive drugs and treatments they were being sold. Their main concern is staying in business, not keeping you free from arthritis and pain. If you had no arthritis and no pain, you would not need their services and you dont! They would like nothing better than to prescribe medications that will keep you as a customer for life, as they lead to other illnesses that you will need more office visits and more medications to manage (not cure.)

Diet and exercise do play a role in helping to relieve arthritis. You can find out about arthritis exercises and the arthritis diet for more information on using nutrition and movement for arthritis pain relief.

Visit the page on arthritis remedies and youll find the natural supplements that can give you lasting and permanent relief from the most common forms of arthritis. The quickest way to complete relief begins with an understanding of what type of arthritis is affecting you, and then discovering the exact steps that would benefit you the most. A great place to start is the Ultimate Arthritis Cure, which will explain in detail how you get from your particular type of arthritis into having No Arthritis Symptoms and No Arthritis Pain quickly.

The best Arthritis Help is a good education on how to eat and exercise properly and how to use natural supplement timing to reverse the effects of arthritis in your life. You can also get an all in one guide that gives you the knowledge that makes you Arthritis Free For Life.

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Home Remedies for Arthritis in Hands | Top 10 Home Remedies

Sunday, October 4th, 2015

Arthritis in the hands is the most common type of arthritis. It occurs as a result of the breakdown of the cartilage that support the bone structure.

Since we use our hands and fingers in most activities, arthritis in the hands can be a cause of discomfort and uneasiness. Swollen fingers, joint inflammation, stiffness and pain are some of the symptoms of hand arthritis.

Advancements in the medical field have led to the development of many methods for controlling the various arthritis symptoms. Along with medications, you can also try some easy yet highly effective natural remedies to improve the condition of your fingers and hands.

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Here are the top 10 home remedies for arthritis in the hands. Also, consult your doctor for proper diagnosis and treatment.

Cold therapy is good for those suffering from hand arthritis. You can use ice packs, a plastic bag filled with crushed ice or a bag of frozen vegetables. Regular application of ice packs on the affected hands and fingers will lessen irritation and reduce soreness. However, it is important to bear in mind that different people may respond differently to cold therapy.

Simply put the ice pack on the affected area for a few minutes and then repeat. Continue this home treatment for about 20 minutes, several times a day. Apply the cold compress to only one or two joints at a time, and be sure to put a thin towel between the ice pack and the skin to prevent frostbite.

Apple cider vinegar has anti-inflammatory and alkaline-forming properties that help reduce pain and stiffness in the hands from arthritis.

Ginger contains antioxidant and anti-inflammatory properties that help reduce arthritis pain and inflammation. You can add this herb in your foods and also drink ginger tea to derive its benefits.

To make ginger tea:

The combination of honey and cinnamon powder is a good natural way to treat arthritis in hands and help relax stiff musclesdue to their excellent healing properties.Also, honey has antiseptic qualities, while cinnamon has good anti-inflammatory and antioxidant properties.

Epsom salt is good for reducing the stiffness, inflammation and pain associated with arthritis. It is a rich source of magnesium which is important for bone mineralization; most arthritis patientshave demineralized bones. Moreover, magnesium helps decrease nerve pains.

There is a strong connection between olive oil and inflammation caused by arthritis. A special compound known as oleocanthal present in olive oil helps prevent the production of pro-inflammatory COX-1 and COX-2 enzymes.

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Arthritis, Joints Damage – Rheumatoid Arthritis, Psoriatic …

Sunday, October 4th, 2015

From learning about the importance of exercising regularly to fully understanding your arthritis medications, the information contained in this section is meant to provide you with insights, information and tips that can be used by you to help make living with arthritis a little bit more manageable. Click on the links below to take you to the particular section.

Click on the links below to take you to the particular section.

What is arthritis?

Arthritis is a general term covering more than 100 different conditions.

The term arthritis literally means inflammation of a joint, but is generally used to describe any condition in which there is damage to the cartilage. Inflammation is the body's natural response to injury. The warning signs that inflammation presents are redness, swelling, heat and pain.

The cartilage is a padding that absorbs stress. The proportion of cartilage damage and synovial inflammation varies with the type and stage of arthritis. Usually the pain early on is due to inflammation. In the later stages, when the cartilage is worn away, most of the pain comes from the mechanical friction of raw bones rubbing on each other.

Fibromyalgia, Psoriatic Arthritis

What are the different types of arthritis?

Also called degenerative joint disease, this is the most common type of arthritis, which occurs most often in older people. This disease affects cartilage, the tissue that cushions and protects the ends of bones in a joint. With osteoarthritis, the cartilage starts to wear away over time. In extreme cases, the cartilage can completely wear away, leaving nothing to protect the bones in a joint, causing bone-on-bone contact. Bones may also bulge, or stick out at the end of a joint, called a bone spur.

Osteoarthritis causes joint pain and can limit a person's normal range of motion (the ability to freely move and bend a joint). When severe, the joint may lose all movement, causing a person to become disabled. Disability most often happens when the disease affects the spine, knees, and hips.

This is an autoimmune disease in which the body's immune system (the body's way of fighting infection) attacks healthy joints, tissues, and organs. Occurring most often in women of childbearing age (15-44), this disease inflames the lining (or synovium) of joints. It can cause pain, stiffness, swelling, and loss of function in joints. When severe, rheumatoid arthritis can deform, or change, a joint. For example, the joints in a person's finger can become deformed, causing the finger to bend or curve.

Rheumatoid arthritis affects mostly joints of the hands and feet and tends to be symmetrical. This means the disease affects the same joints on both sides of the body (like both hands or both feet) at the same time and with the same symptoms. No other form of arthritis is symmetrical. About two to three times as many women as men have this disease.

This chronic disorder causes pain throughout the tissues that support and move the bones and joints. Pain, stiffness, and localized tender points occur in the muscles and tendons, particularly those of the neck, spine, shoulders, and hips. Fatigue and sleep disturbances may also occur.

Gout

When a person has gout, they have higher than normal levels of uric acid in the blood. The body makes uric acid from many of the foods we eat. Too much uric acid causes deposits, called uric acid crystals, to form in the fluid and lining of the joints. The result is an extremely painful attack of arthritis. The most common joint gout affects is the big toe. This disease is more common in men than in women.

Infectious arthritis

Arthritis can be caused by an infection, either bacterial or viral, such as Lyme disease. When this disease is caused by bacteria, early treatment with antibiotics can ease symptoms and cure the disease.

Reactive arthritis

This is arthritis that develops after a person has an infection in the urinary tract, bowel, or other organs. People who have this disease often have eye problems, skin rashes, and mouth sores.

Psoriatic arthritis

Some people who have psoriasis, a common skin problem that causes scaling and rashes, also have arthritis. This disease often affects the joints at the ends of the fingers and can cause changes in the fingernails and toenails. Sometimes the spine can also be affected.

Systemic lupus erythematosus

Also called lupus or SLE, this is an autoimmune disease. When a person has an autoimmune disease, the immune system attacks itself, killing healthy cells and tissue, rather than doing its job to protect the body from disease and infection. Lupus can inflame and damage a person's joints, skin, kidneys, lungs, blood vessels, heart, and brain. African American women are three times more likely to get lupus than Caucasian women. It is also more common in Hispanic, Asian, and American Indian women.

Ankylosing spondylitis

This disease most often affects the spine, causing pain and stiffness. It can also cause arthritis in the hips, shoulders, and knees. It affects mostly men in their late teenage and early adult years.

Juvenile rheumatoid arthritis

The most common type of arthritis in children, this disease causes pain, stiffness, swelling, and loss of function in the joints. A young person can also have rashes and fevers with this disease.

Polymyalgia rheumatica

Because this disease involves tendons, muscles, ligaments, and tissues around the joint, symptoms often include pain, aching, and morning stiffness in the shoulders, hips, neck, and lower back. It is sometimes the first sign of giant cell arteritis, a disease of the arteries characterized by inflammation, weakness, weight loss, and fever.

Polymyositis

Causing inflammation and weakness in the muscles, this disease can affect the whole body and cause disability.

Bursitis

This condition involves inflammation of the bursa; small, fluid-filled sacs that help reduce friction between bones and other moving structures in the joints. The inflammation may result from arthritis in the joint or injury or infection of the bursa. Bursitis produces pain and tenderness and may limit the movement of nearby joints.

Tendonitis

Also called tendonitis, this condition refers to inflammation of tendons (tough cords of tissue that connect muscle to bone) caused by overuse, injury, or a rheumatic condition. Tendinitis produces pain and tenderness and may restrict movement of nearby joints.

Rheumatoid Arthritis, Osteoarthritis

What causes osteoarthritis?

Osteoarthritis is caused by the wearing out of the cartilage covering the bone ends in a joint. This may be due to excessive strain over prolonged periods of time, or due to other joint diseases, injury or deformity.

Primary osteoarthritis is commonly associated with aging and general degeneration of joints.

Secondary osteoarthritis is generally the consequence of another disease or condition, such as repeated trauma or surgery to the affected joint, or abnormal joint structures from birth.

Uric acid crystal build-up is the cause of gout and long-term crystal build-up in the joints may cause deformity.

Some people may have congenital abnormalities of the joints - for example, Perthes' disease of the hips-that cause early degeneration and subsequently cause osteoarthritis.

Predisposing factors to osteoarthritis of hip

Some conditions may predispose the hip to osteoarthritis. It tends to affect people as they get older and particularly affects joints that have to take a lot of stresses and strains.

Predisposing factors to osteoarthritis of knee

Abnormalities of knee joint function resulting from fractures of the knee, torn cartilage and torn ligaments can lead to degeneration many years after the injury. The mechanical abnormality leads to excessive wear and tear - just like the out-of-balance tyre that wears out too soon on your car.

What are the symptoms of arthritis?

There are more than 100 different forms of arthritis, symptoms vary according to the form of arthritis. Each form affects the body differently.

Arthritic symptoms generally include swelling and pain or tenderness in one or more joints for more than two weeks, redness or heat in a joint, limitation of motion of a joint, early morning stiffness and skin changes, including rashes.

How can a doctor diagnose arthritis?

Doctors diagnose arthritis with a medical history, physical exam and x-rays of the hip. There is no blood test for osteoarthritis.

What you can do?

What your doctor can do for you?

There is no cure for arthritis, so beware of 'miracle cures'. Your doctor may prescribe anti-inflammatory medicine. They may recommend occupational therapy or physiotherapy, which includes exercises and heat treatment. In severe cases, surgery may be suggested, such as a hip or knee replacement. The type of surgery will depend on your age and severity of the disease. In the elderly with severe arthritis, joint replacement can give good results.

Treatment Options

Treatment of osteoarthritis focuses on decreasing pain and improving joint movement, and may include:

Does exercise really help those who have arthritis?

Exercise is very important because it increases lubrication of the joints and strengthens the surrounding muscles, putting less stress on joints. Exercise in heated swimming pools-hydrotherapy-can bring enormous relief from pain and stiffness. Also studies have shown that exercise helps people with arthritis by reducing joint pain and stiffness and increasing flexibility, muscle strength and energy. It also helps with weight reduction and offers an improved sense of well-being.

Can special diets treat arthritis?

These are the sorts of questions that people with arthritis often ask, and they're valid questions. Some questions (Can what you eat cure your arthritis?) have simple answers (No). Some questions (Are there foods that can cause your arthritis to 'flare' or go into remission?) aren't so straightforward (Perhaps...).

Most of what you need to know about diet and nutrition is common sense; healthy eating is pretty much the same for anyone, whether you have arthritis or not. But there are exceptions.

Summary

From learning about the importance of exercising regularly to fully understanding your arthritis medications, the information contained in this section is meant to provide you with insights, information and tips that can be used by you to help make living with arthritis a little bit more manageable.

For people with arthritis, learning to make it part of your life can be difficult. But learning as much as you can about your particular type of arthritis and actively working with your arthritis treatment team are two very effective ways of regaining control over your life. There is plenty of information, some specific to arthritis and some not, that can be very helpful to someone facing the challenges associated with having a chronic or lifelong disease.

Our suggestion is - don't let arthritis beat you. Take control. How? Arm yourself with as much information as possible. Learn from the experiences of others in similar circumstances. What we're presenting here is a virtual toolbox of tips for living well with arthritis. Some may work for you one day and not the other. That's why we've tried to cover several topics. There are plenty of tools or tips here. Use them or refer to them when you need them. Call upon them when you require help.

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Arthritis – RadiologyInfo.org

Sunday, September 20th, 2015

Arthritis is inflammation of a body joint. The two most common types are osteoarthritis (also known as degenerative joint disease) and rheumatoid arthritis (RA). Osteoarthritis occurs in older adults or after trauma and is caused in part by degeneration of the joint and increases with age. RA is an autoimmune disease that often occurs in younger adults where the bodys own defenses attack the joint lining.

Your doctor will likely conduct a complete physical and may perform blood tests to look for inflammation to help diagnose your condition. Additional tests may include bone x-ray, CT, MRI, or ultrasound. Treatment will depend on the type, severity and location of the arthritis and may include medication, therapy or surgery.

Arthritis means inflammation of one or more joints in the body. A joint is an area where two or more bones make contact and move against each other. The underlying cause varies with specific types of arthritis. There are over 100 forms of arthritis with the two most common being osteoarthritis and rheumatoid arthritis. Osteoarthritis, also known as degenerative joint disease, is caused in part by degeneration of parts of the joint such as cartilage and increases with age. The increasing wear and breakdown on parts of the affected joint can result in reactive inflammation. Rheumatoid arthritis (RA), on the other hand, is an autoimmune disease where the bodys own defenses attack the normal joint lining. In this type of arthritis, the inflammation of the lining of the joint develops first and over time damages the component parts of the joint. Other relatively common causes of arthritis include trauma, abnormal limb alignment, infections, autoimmune conditions other than rheumatoid arthritis and abnormal deposits in the joints, such as in gout.

Some type of arthritis affects over 40 million people in the United States. More than half of those people have degenerative joint disease. Almost 60 percent of those affected by arthritis are women. While arthritis mainly occurs in adults, children can be at risk of certain types of arthritis such as those caused from injury and autoimmune diseases. Although any joint in the body can be affected, particular forms of arthritis have a tendency to occur in certain parts of the body. For example, rheumatoid arthritis commonly affects the wrists and knuckles, feet, neck, and larger joints in the limbs while degenerative joint disease may affect the thumb bases, finger joints, knees, hips, shoulders, and lower spine.

Symptoms of arthritis include:

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When diagnosing arthritis, your doctor will likely do a complete physical examination of your entire body, including your spine, joints, skin and eyes. You may undergo blood tests to detect inflammation. In cases where an infection or gout is suspected, it may be useful to draw some fluid from a joint with a needle in order to analyze the contents of the material. In addition, your physician may order one or more of the following imaging tests:

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Treatment for arthritis depends on the type, severity and location of the disorder. Common treatments include:

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Arthritis | Taking Charge of Your Health & Wellbeing

Sunday, September 20th, 2015

What is arthritis?

Arthritis is a general term that literally means "inflammation of the joints." The most common form of arthritis is osteoarthritis, which is caused by wear and tear on joint cartilage. Another form is rheumatoid arthritis, which causes joint inflammation due to an immune system disorder. This section only addresses osteoarthritis.

Osteoarthritis affects nearly 27 million Americans and is the most common cause of long-term disability. It is caused by degeneration of the cartilage in joints. Osteoarthritis, also called degenerative joint disease, not only reduces elasticity and lubrication in the joints, but weakens muscles and loosens ligaments. This degeneration of cartilage can occur in any joints, but is most common in the knees, hips, hands, neck, and lower back.

The biggest risk factors for osteoarthritis are simply aging and joint use, but osteoarthritis can also be due to obesity, injury, nutritional factors, metabolic disorders, and genetics.

Most people over age 60 have osteoarthritis to some degree, but its severity varies. Even people in their 20s and 30s can get osteoarthritis. In people over 50, more women than men get osteoarthritis.

Symptoms of osteoarthritis most often develop gradually and include:

The degree of arthritis seen on x-ray studies or arthroscopy doesn't directly correlate with the level of pain or disability someone experiences.

Conventional treatments for arthritis begin with protecting the joint from progressive joint degeneration, increasing joint movement, and providing pain control so that the individual can maintain a healthy, active lifestyle. When pain and disability from arthritis increase, surgery is an option.

Treatments that focus on pain control include:

When pain from arthritis cannot be controlled with medication, surgery is sometimes an option. The most common surgeries done for arthritis are:

Lifestyle changes that protect the joint from progressive cartilage degeneration include:

Studies done on people with mild to moderate osteoarthritis consistently show that regular exercise, including aerobics, strength training, and range of motion/flexibility, improves pain, increases walking tolerance, and decreases self-assessed disability.

This especially applies to those with knee arthritis. Using a cane, walker, or wedged insoles to help distribute the weight on joints can be helpful.

Staying physically active when you have arthritis is important because arthritis pain is typically worse after excessive activity as well as inactivity.

It is important to eliminate activities that cause joint wear and tear, such as running and high-impact aerobics.

Optimizing weight to reduce stress on the joints is important for both prevention and for decreasing symptoms and progression of disease. Losing weight helps reduce stress and strain on joints. In fact, for every pound of weight loss there is a four pound reduction in the load exerted on the knee.

In one study, a 10% weight loss led to a 28% improvement in function. Weight loss appears to alleviate more than just direct mechanical stress, because lowering body mass also improves the course of disease in the hand and wrist joints. Also, diabetics experience more severe osteoarthritis than those without diabetes, so if you have type 2 diabetes, losing weight could improve your arthritis both on its own and by possibly eliminating your diabetes.

An anti-inflammatory dietthat is, one low in saturated fats like red meat, dairy, and fried foodmay help reduce the inflammatory process in the joints. Increasing Omega-3 fatty acids may also help this balance. Some individuals may have symptomatic improvement with the elimination of nightshades (tomatoes, potatoes, eggplant, peppers, tobacco). A 2-3 week trial is worth considering.

In several US survey studies, many older patients with arthritis reported using complementary and alternative treatments. The most commonly used treatments were massage therapy (57%) and chiropractic (21%). The use of complementary therapies for arthritis was most common among those who considered themselves in poorer health and who also used traditional healthcare resources more.

Multiple studies have been done on the use of acupuncture for the pain of osteoarthritis. In a recent trial of almost 600 patients with knee arthritis, 26 weeks of acupuncture were compared to education sessions. Those receiving acupuncture showed significant improvement in function at 8 weeks, and in pain reduction at 26 weeks.

Mindfulness-Based Stress Reduction (MBSR) is a program of meditation and gentle yoga that has been scientifically validated. It is currently used in more than 200 hospitals and medical centers to complement the medical management of chronic pain and stress-related disorders. Research has studied individuals with many different kinds of pain (not just arthritis) and shown dramatic reductions in pain levels and an enhanced ability of individuals to cope with pain that may not go away.

Yoga is a holistic discipline, including mental, physical, and breathwork practices. A pilot study has shown that yoga may provide a feasible treatment option for obese patients over 50 years old and offers potential reductions in pain and disability caused by knee osteoarthritis.

The level of effectiveness of manual therapy with arthritis is under-researched; however, there are clinical reports of effectiveness, and some early studies are very promising.

One study of over 100 patients with osteoarthritis in the hip compared a five-week manual therapy program, including manipulations and joint mobilization, to an exercise program. Eighty-one percent of individuals had general perceived improvement after manual therapies, while only 50% experienced that in the exercise group. Patients in the manual therapy group had significantly better outcomes on pain, stiffness, hip function, and range of motion. These improvements lasted through at least 29 weeks.

There have been limited studies on the effectiveness of osteopathic manipulation alone. However, studies of osteopathy combined with conventional medical care show that the combination was more effective than conventional medical care alone for individuals with chronic pain syndromes from degenerative joint disease.

Early studies have shown massage therapy to be efficacious in the treatment of osteoarthritis of the knee, though long-term-costs studies have not yet been done.

Ice massage can be used to improve range of motion and strength of the knee, and improve function. Cold packs may be used to decrease swelling.

There are some naturally occurring substances with anti-inflammatory effects and a lower risk of gastrointestinal bleeding than NSAIDs. As with any medications, these should ideally be used for limited periods of healing, not for indefinite, long-term use.

Typical doses for each botanical are indicated below. However, you should talk with your healthcare provider before adding botanicals to your health regimen and ask about the right dosage for you.

Many people who suffer from arthritis experience either severe chronic pain or moderate chronic pain with occasional episodes of severe pain. Since the degree of pain and disability is highly influenced by an individual's perception of pain and not necessarily correlated with the degree of cartilage degeneration, a treatment plan that includes both conventional and integrative therapies can be very effective. As always, you should make sure that you communicate and share your treatment plan with all of your care providers.

Since obesity increases the risk for osteoarthritis of the knee and hip, maintaining ideal weight or losing excess weight may help prevent osteoarthritis of the knee and hip or decrease the rate of progression once osteoarthritis is established.

Acupuncture for pain relief may reduce the need pain medications, such as NSAIDs.

Maintaining activity as much as possible is helpful to delay disability and improve quality of life. A regular exercise program with stretching, strength training, and endurance and aerobic activities is important. Yoga is a good base activity for many people.

A regular meditation or relaxation practice can help you cope with pain, as can a self-reflection practice that honestly addresses emotional awareness and health.

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Arthritis News — ScienceDaily

Friday, September 18th, 2015

July 20, 2015 Researchers have used models to identify a potential link between excess production of inflammatory proteins that cause rheumatoid arthritis and the development of heart valve disease. The research ... read more July 20, 2015 Researchers have successfully treated patients with moderate to severe eczema using a rheumatoid arthritis drug recently shown to reverse two other disfiguring skin conditions, vitiligo and alopecia ... read more Antibiotic Exposure Could Increase the Risk of Juvenile Arthritis July 20, 2015 Taking antibiotics may increase the risk that a child will develop juvenile arthritis, according to a study. Researchers found that children who were prescribed antibiotics had twice the risk of ... read more Common Mental Health Drug Could Be Used to Treat Arthritis July 16, 2015 Lithium chloride which is used as a mood stabiliser in the treatment of mental health problems, mainly bipolar disorder, could be used to treat arthritis according to a new ... read more Rheumatoid Arthritis: Novel Approach Identifies Unique DNA Signature July 14, 2015 Researchers have for the first time identified disease-associated changes to the DNA epigenome in joint fluid cells from patients with rheumatoid ... read more Arthritis Drug Could Be Used to Treat Blood Cancer Sufferers July 5, 2015 Scientists have discovered that a common drug given to arthritis sufferers could also help to treat patients with blood cancers, and is one thousandth of the cost of another drug that works in the ... read more New Test Could Predict Arthritis Drug Failure in Patients July 3, 2015 It may be possible to predict early which rheumatoid arthritis patients will fail to respond to the biologic drugs given to treat them, a study of 311 patients has found.These findings could help ... read more Vitamin B12 Supplement Linked to Pimply Skin June 24, 2015 Vitamin B12 tweaks how genes behave in the facial bacteria of some people who normally enjoy clear skin, leading to pimples, new research ... read more Patients With Primary Hand Osteoarthritis Should Not Be Prescribed Hydroxychloroquine, Study Suggests June 13, 2015 The results of an interventional trial showed that use of the disease-modifying anti-rheumatic drug hydroxychloroquine for 24 weeks did not diminish mild-moderate pain from primary hand ... read more Biologics Improve Productivity and Reduce Missed Workdays in Rheumatic Disease June 12, 2015 The results of a systematic review of published studies showed that biologics improve both absenteeism (not showing up for work) and presenteeism (being at work but not functioning fully) in patients ... read more Low Birth Weight and Childhood Infections Predict Ankylosing Spondylitis June 11, 2015 The results of a new study showed that a diagnosis of ankylosing spondylitis can be predicted by low birth weight, having older siblings and hospitalization for infection between the ages of 5-16 ... read more Physical Trauma Associated With Onset of Psoriatic Arthritis Among Psoriasis Patients June 11, 2015 The results of a large population study showed an increased risk of developing Psoriatic Arthritis among psoriasis patients exposed to physical trauma, particularly when the trauma involved bone ... read more Ultrasound-Defined Tenosynovitis Identified as Strong Predictor of Early Rheumatoid Arthritis June 10, 2015 A new study showed that ultrasound diagnosis of tenosynovitis (inflammation of the tendon sheath) was superior to clinical symptoms and signs in the prediction of early Rheumatoid ... read more Intensive Initial Therapy With Triple DMARDs Improves Functional Ability in Early Rheumatoid Arthritis June 10, 2015 New research showed that initial therapy with combination DMARDs significantly improves measures of disease activity and functional ability in patients with early rheumatoid ... read more Stem Cell Discovery Paves Way for Targeted Treatment for Osteoarthritis June 9, 2015 Scientists have made a significant advance that could make cell-based treatments for arthritis less of a lottery. Researchers have identified individual stem cells that can regenerate tissue, ... read more June 3, 2015 A world-first vaccine-style therapeutic approach to treat rheumatoid arthritis has been developed by researchers. Rheumatoid arthritis is a disease in which the immune system attacks healthy tissues, ... read more New UK Research 'Challenges the Assumption That Arthritis Patients Take Their Medication Regularly' May 26, 2015 40% of UK arthritis patients scored low on an adherence questionnaire at least once during their time in a recent study, indicating that they might not be taking their expensive biological therapies ... read more Compound Has Potential for Treating Rheumatoid Arthritis May 21, 2015 A new study outlines a chemical compound with potential for treating rheumatoid arthritis. Rheumatoid arthritis is a chronic autoimmune disorder that affects an estimated 1.3 million people in the ... read more Scientists Reveal Potential New Drug Target for the Treatment of Rheumatoid Arthritis May 20, 2015 A novel drug target for the treatment of rheumatoid arthritis has been identified, which focuses on the cells that are directly responsible for the cartilage damage in affected joints. Rheumatoid ... read more May 12, 2015 An important discovery has been made about an immune cell that is already being used in immunotherapy to treat diseases such as type I diabetes. The work details how regulatory T cells can cure ... read more

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