Saturday 28 May 2016

To Your Health: Oh, my aching bones — dealing with arthritis

By Ellie Hammond

There are more than 100 different types of arthritis. It can affect anyone regardless of age, sex or race, but is most commonly seen in women and is more prevalent as people get older. Arthritis is the leading cause of disability in America.
The most common symptoms of arthritis are swelling, pain, stiffness and decreased range of motion in joints. Chronic pain can lead to the inability to live a normal active life. Pain restricts movement, so walking can be difficult or even doing simple tasks like preparing meals or getting dressed can be almost impossible.
Osteoarthritis is the most common type of arthritis. Cartilage wears away, causing bone to rub against bone creating pain, swelling and stiffness. This can be caused by excessive use, injury or both to a joint. Morning stiffness is a common complaint, lasting about 30 minutes after waking up in the morning or after a period of rest. Heat or cold therapy, regular physical activity, maintaining a healthy weight, using assistive devices or taking anti-inflammatory medications may help relieve the pain and stiffness.
If symptoms are severe and affecting the quality of life, a joint replacement may be necessary after all other treatments are exhausted.         
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Rheumatoid arthritis is a type of inflammatory arthritis caused by the immune system attacking the lining of the joint. This causes inflammation of those cells which later release enzymes that may digest bone and cartilage, causing joint erosion. Swelling, warmth and stiffness can last for hours and can lead to deformity of the joint itself.
Early diagnosis of this type of arthritis is critical in delaying the disease process and can minimize or prevent permanent joint damage. Medications known as Disease-Modifying Anti-Rheumatic Drugs (DMARDs) are used to reduce pain, improve function and prevent further joint damage. Avoid environmental triggers such as smoking to reduce risk of autoimmunity disorders leading to rheumatoid arthritis.
Gout is a metabolic arthritis caused by a build-up of uric acid. The body breaks down purines, which is found in human cells and in many foods and turns it into uric acid. The uric acid forms needle-like crystals in the joint, causing sudden and extreme pain in that joint. Warmth, redness, swelling and pain in a very specific, localized area are the common symptoms associated with gout. To avoid flare-ups of gout, eat a healthy diet low in sugar, alcohol, meat, fish and lentils, which are high in purines.
If you have been diagnosed with arthritis, be organized in recording what helps or hinders symptoms. Use this information to manage pain and fatigue. Stay active even though the pain may be limiting; exercise is good for overall health. Rest when you need to rest. Over-exertion can be detrimental. Ask for help when needed and pace yourself throughout the day. Eat a well balanced diet and get a good night’s rest. All of this will help you to continue leading a happy, productive life.

http://journaltimes.com/lifestyles/senior_news/to-your-health-oh-my-aching-bones-dealing-with-arthritis/article_aa631000-2c69-5961-8982-a04e3e371de1.html

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