7 Early Warning Signs of Rheumatoid Arthritis

From news18.com

Spreading awareness about arthritis is vital because most people, especially those who are young, usually assume that arthritis is a disease related to old age and cannot affect you until you’re well over 50 or 60 years of age. This misconception can, in fact, harm you if you do have a type of early-onset arthritis and miss the signs.

Rheumatoid arthritis (RA) is a type of arthritis that has an early onset. It may generally show up between the ages of 30 and 50 years but in some cases can show up much earlier too. While it is believed that RA affects only 1% of the global population, a paper published by the American College of Rheumatology in 2012 indicated that the burden of this disease in India was quite high despite the prevalence being only 0.34%. This high burden is primarily because of lack of awareness, delayed diagnosis and, therefore, improper treatment.

What is rheumatoid arthritis?

It is important for everyone to be aware of what RA is and what its primary symptoms are. Rheumatoid arthritis is a type of inflammatory arthritis and an autoimmune disease. RA is characterized by chronic joint inflammation, usually located in the knee, feet, hands and fingers. This happens primarily because your immune system is overactive and is mistakenly attacking your joints instead of foreign microbes. If left untreated, RA can cause the destruction of bone joints, deformity and systemic illness that affects other organs too.

Early warning signs of rheumatoid arthritis

Symptoms of RA may differ from person to person but, as with most autoimmune diseases, there are periods where the symptoms become glaringly apparent. These bouts are also known as flare-ups and the period when symptoms are less noticeable is known as remission. When a person gets an RA flare-up, the following symptoms may show up.

1. Joint stiffness: The joints on your fingers and toes are some of the smallest in the body, and if you feel stiffness in these joints, it may be a sign of RA. Stiffness in the small joints due to RA usually begins in the hands and may show up early in the mornings at first.

2. Joint pain: If you fail to notice the stiffness, you may eventually notice pain in the small joints - which is due to the natural progression of a flare-up. Stiffness leads to tenderness, which then leads to pain. This joint pain can be noticeable in the fingers, wrists, shoulders, knees, feet or ankles.

3. Fatigue: Like in the case of most autoimmune diseases, fatigue is a common early sign of RA. You may feel more tired than before and this fatigue may also be accompanied by a general feeling of ill-health or depressive thoughts

4. Joint swelling: Inflammation in the joints can cause them to swell up and feel warm to the touch. This swelling may last throughout your flare-up, especially if it is left untreated. You may or may not experience mild swelling in the same joints in the next flare-up.

5. Fever: Where there is inflammation and pain, fever is likely to follow. Fever associated with RA is usually low-grade and if your temperature crosses 100 degrees Fahrenheit then it’s likely to be a symptom of a different infection or illness.

6. Numbness: Inflammation due to RA can put pressure on the nerves around the joints. This can cause numbness, a tingling sensation or even symptoms of carpal tunnel syndrome. You may also feel your finger joints squeaking or cracking when you move them. This is a sign of damaged cartilage and common in people with RA.

7. Loss of range of motion: Inflammation, tenderness and pain in your joints can also affect the muscles and ligaments around them and make mobility more difficult. If you observe that your hands or legs do not have the same range of motion as before, it could be a sign of RA.

For more information, read our article on Rheumatoid arthritis.

Health articles on News18 are written by myUpchar.com, India’s first and biggest resource for verified medical information. At myUpchar, researchers and journalists work with doctors to bring you information on all things health.

https://www.news18.com/news/lifestyle/world-arthritis-day-2020-early-signs-rheumatoid-arthritis-myupchar-2955653.html

Arthritis: What Is It?

From healthxchange.sg

Arthritis is often thought of as a disease that affects only the elderly. Singapore General Hospital (SGH) Department of Rheumatology and Immunology shares why this isn't true.

 

 Arthritis ​refers to joint pain or joint disease and it can affect people of all ages

What is arthritis?

Arthritis refers to the inflammation of the joints. A person with arthritis will typically complain of pain and swelling in the joint(s). Both small joints, such as those in the fingers, and large joints, such as the knee and hip, can be affected.

With worsening arthritis, the joints can become stiff or deformed, resulting in decreased mobility and increased disability.

Besides arthritis, there are many causes of pain at or near joints. These musculoskeletal problems are extremely common. Pain at or near the joints can also be due to soft tissue and bony problems such as tendinitis, bursitis, myalgia and fractures.

Types of arthritis

Arthritis can be broadly classified into 2 main groups:

1. Osteoarthritis (OA) or degenerative joint disease
2. Inflammatory arthropathies
   • Rheumatoid arthritis
   • Gout
   • Spondyloarthropathies

Osteoarthritis is the most common form of arthritis. A form of degenerative or ‘ageing’ disease, it is more common among the elderly although young people may also suffer from it, especially if they have had a significant injury to the joint.

Symptoms

One or more of the classic signs of inflammation should be present:

• Redness
• Pain
• Tenderness
• Swelling
• Limitation of movement

Is arthritis the same as rheumatism?

Rheumatism is a very general term which people use to describe pain and/or stiffness of muscles and joints. Patients who complain of ‘rheumatism’ may be suffering from arthritis.

https://www.healthxchange.sg/bones-joints/arthritis/arthritis-what-is-it?utm_source=article&utm_medium=yahoo&utm_campaign=yah-arthritis_27oct20&utm_term=syndication

Gout symptoms: The first sign you could have the potentially disabling form of arthritis

From express.co.uk

GOUT can be a crippling form of arthritis - once known as the 'disease of kings'. Mistakenly linked to overindulgence, this dire condition isn't reserved for nobility, it can affect anyone

This debilitating condition arises when excess uric acid collects in the body. What is the first sign of gout? And how can it be treated?

The American College of Rheumatology revealed the first sign of gout could be painful swelling in the big toe.

In the beginning, gout attacks could appear in the night, followed by no symptoms. As uric acid continues to build up in the body, the affected area may be red and warm.

Needle-like urate crystals deposit in the toe joint, which attracts white blood cells. This can lead to severe, painful gout attacks, and it's not only the big toe that is affected.

Gout can affect any joint, meaning uric acid based crystals can form in various different areas. These swollen growths under the skin are known as tophi, and they damage the joints.

There are two possible reasons as to why uric acid builds up in the body over time. The first culprit could simply be an increase in uric acid production. Alternatively, the kidneys could be struggling to remove uric acid from the body.

Certain foods and medicines may raise uric acid levels, leading to gout attacks. 

For example, shellfish, red meat and liver are high in purines (which form uric acid). In addition, excess alcohol, sugary drinks high in fructose, and certain diuretics, such as hydrochlorothiazide, could increase uric acid.

Gout is strongly linked to obesity, hypertension, high cholesterol and diabetes.

            Painful swelling in the big toe tends to be the first sign of gout (Image: Getty)

One active treatment for the condition is colchicine, which can be effective if given early in the gout attack. However, this medication can cause nausea, vomiting, diarrhoea and other side effects.

The use of nonsteroidal anti-inflammatory drugs (NSAIDs) can help decrease inflammation and pain in joints. The most common NSAIDs used to treat gout include indomethacin (Indocin) and naproxen (Naprosyn). People on medication for blood thinners, impaired kidney function or ulcer disease aren't able to take NSAIDs.

The alternative is corticosteroids, such as prednisone, methylprednisolone, and triamcinolone.

If only one to two joints are affected, the doctor can inject these medicines directly into the joint.

The American College of Rheumatology state that cherries and unsweetened cherry juice may reduce gout flares. In addition, a daily glass of skimmed milk may also help to lower uric acid over time.

https://www.express.co.uk/life-style/health/1351458/gout-symptoms-signs-arthritis-painful-swelling-in-big-toe

The Ultimate Guide to Living Well With Arthritis

From livestrong.com

While most people with arthritis experience some kind of joint pain and stiffness, the condition can look quite different from person to person. In fact, there are more than 100 types of arthritis, all of which can make everyday activities challenging.

Here, you'll find practical recommendations for preventing and living with arthritis, including science-backed diet, exercise and lifestyle tips aimed at improving your joint health.

What Exactly Is Arthritis?

Nearly a quarter of U.S. adults have been diagnosed with arthritis, according to the Centres for Disease Control and Prevention (CDC), which is marked by pain, stiffness and swelling in the joints caused by inflammation.

This inflammation occurs for different reasons and in different areas of the body, which separates one type of arthritis from another. The most common form is osteoarthritis, or "wear and tear" arthritis, per the U.S. National Library of Medicine (NLM), which results when the cartilage at the ends of bones wears away due to either injury or repeated use.

The second most common type is rheumatoid arthritis, an autoimmune condition in which the body attacks its own tissues, per the NLM.  It can affect any joint and other organs of the body, too, but it's most often seen in the wrists and fingers.

Then there's juvenile arthritis, a type that occurs in children, which isn't very well understood but seems to be linked to a problem with the immune system, per the CDC.

Can You Prevent Arthritis?

Some risk factors for arthritis, like carrying certain genes, are outside of our control. But others — like smoking — are what's called modifiable, meaning you can lower your risk by changing your behaviour.

Your weight, diet choices, exercise regimen, posture and even your dental hygiene fall into the modifiable category. Establishing good habits in these areas can reduce your odds of developing arthritis as well as improve your overall joint health and protect your bones as you age.

How to Manage Arthritis Pain

There is no cure for arthritis, unfortunately. Instead, the goal for those with the condition is to control symptoms as best they can.

"Improving one's arthritis pain can and will be a lifelong journey," Maria Kyriacou, MD, primary care sports medicine physician at Miami Orthopedics and Sports Medicine Institute in South Florida, tells LIVESTRONG.com. "There will be both good and bad days. However, the goal is to minimize the frequency of your bad days."

Beyond over-the-counter and prescription medications, managing stress, getting daily physical activity and trying alternative therapies like massage can make a big difference for some people when it comes to taming arthritis pain and stiffness.

What to Eat When You Have Arthritis

Some people with arthritis might find symptom relief by changing what they eat. That's because arthritis is caused by inflammation, and some foods have the ability to help tamp down this "fire" in the body.

"At the root of the pathology of arthritis is chronic and unchecked inflammation," says Liz Wyosnick, RDN, dietitian and owner of Equilibriyum in Seattle, Washington. "Diet can absolutely impact arthritis by either exacerbating inflammatory symptoms or by quieting inflammation."

The Mediterranean diet is often cited as a good diet for arthritis, since it focuses on anti-inflammatory foods such as fruits, veggies and fatty fish like salmon. The diet has been linked to many other benefits, too, including better weight control and heart health.

The Best Exercises for Arthritis

Although the aches and pains that often come with arthritis can make exercise feel like the last thing you want to do, a regular workout routine can reduce pain, improve joint function and boost the quality of life of people with arthritis, according to the CDC.

If you're new to working out, you'll want to start slow and be prepared for some soreness. But don't let that deter you — find a way to move that you truly enjoy, and stick with it, even if it's just for a few minutes each day.

"Any exercise for somebody with arthritis who's sedentary is going to be helpful," says Brian Andonian, MD, a rheumatologist and assistant professor of medicine at Duke University School of Medicine. "Every little bit adds up."

https://www.livestrong.com/article/13729804-living-with-arthritis/

Arthritis Diet: Avoid These Foods And Drinks To Fight Inflammation Effectively

From doctor.ndtv.com

Arthritis leads to inflammation and pain in joints. It reduces mobility and make it difficult to perform day to day activities. Here are some foods that you should avoid if suffering from arthritis.

Arthritis is a condition that affects the joints of an individual. It leads to pain, stiffness and inflammation in the joints. The symptoms of arthritis worsen with age. There are several types of arthritis that can affect a person. Pain, stiffness, swelling, reduced range of motion and redness near the joints are some typical symptoms of this condition. Arthritis diet includes foods that can help ease inflammation and joint pain. It is usually suggested to add anti-inflammatory foods to an arthritis diet. Therefore, people with arthritis are often advised to avoid foods that can trigger inflammation. Here's a list of foods that people with arthritis should be avoiding.

Foods to avoid in arthritis

1. Too much sugar

Consumption of sugar in excess can result in inflammation as per studies. It can also lead to weight gain which can make it hard to manage this condition. Sugar is usually hidden in several foods and drinks. You should also avoid foods with added sugar.

2. High processed foods

Ultra-processed foods may also contain inflammatory ingredients that can worsen the symptoms of arthritis. Highly processed foods are generally high in salt and sugar which are harmful to your health when consumed in excess.

3. Alcohol

Studies have shown that drinking too much alcohol can increase the severity of gout which is a type of arthritis. It can also increase inflammation. Too much alcohol consumption is also linked with several health conditions.

4. Processed meat

Studies have also highlighted that consuming processed meat regularly may demonstrate high levels of inflammation.

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

https://doctor.ndtv.com/bones-joints/arthritis-diet-avoid-these-foods-and-drinks-to-fight-inflammation-effectively-2313713

Making a ‘joint’ effort

From newindianexpress.com

Arthritis is considered a normal part of ageing and, hence, most people don’t make efforts to learn about this disease or have it treated in time

CHENNAI: Arthritis is considered a normal part of ageing and, hence, most people don’t make efforts to learn about this disease or have it treated in time. In today’s times of information, ignorance is a choice. However, facts don’t cease to exist because they are ignored. Being a commonly misunderstood disease, here are some common myths that have always surrounded it.

Every joint ailment is arthritis
Every time somebody gets a joint pain or swelling, it is commonly — and incorrectly — referred to as arthritis. It is a spectrum of disease with over a hundred types. The most common ones are osteoarthritis
and rheumatoid arthritis. Each type has its peculiar features and treatment also differs. Treating arthritis
as a generic disorder will only worsen the disease.

Arthritis is a result of ageing
Agreed that most patients with arthritis are above 65 years of age, but around two-thirds of individuals affected with arthritis are children and young  adults. Inflammatory, infective and metabolic arthritis can occur in any age group.

Arthritis cannot be prevented
Genetic make-up and chronological ageing are beyond anybody’s control. However, how one chooses to age is completely within one’s control. Maintaining a healthy lifestyle with regular and adequate physical activity, a healthy diet and controlled weight can help to keeping arthritic changes at bay. It’s never too late to start to take charge of your disease, even when arthritis has just set in.

Doctors only prescribe painkillers
Pain is the first presenting symptom of arthritis and pain killers are a part of its treatment. However, treatment for different types of arthritis needs different medications to stop the progression. Also, arthritis is a lifestyle disease, which involves a multi-disciplinary approach for its control.

Rest is good
When the pillar is weak, strengthen its support systems. Prolonged resting of arthritic joints not only weakens the joint but also the surrounding muscles that act as a support system. Mobility is essential for patients with arthritis and it is recommended that arthritic patients take up some kind of physical activity as part of their daily routine. Preferably, this should be done under the guidance of a physical therapist.

There is no cure for arthritis
Yes, there is no cure at present for arthritis but effective medicines are available to control the progression, decrease the pain and prolong the mobility of the joints. One must visit a doctor so that the type of arthritis is diagnosed and individualised treatment options can be discussed.

Arthritic joints cannot sustain surgery
Arthritis that affects hip, knees and spine eventually can become debilitating. When the disease becomes severe, surgery is the only resort. Surgical intervention can be safely performed in arthritic patients and timely surgical interventions can give miraculous results. Since arthritis is so common, a lot of people downplay its impact. So, if the symptoms of arthritis are becoming chronic and you don’t get relief, visit your doctor.

FOODS TO EAT AND AVOID
A balanced, nutritious diet is the best therapy for the body. Since there is no cure for arthritis once it sets in, modifying lifestyle factors is important in the control of this disease. For good bone health, one must eat a diet rich in antioxidants, vitamins A, C, D & E, and anti-inflammatory foods. Avoiding foods with excessive sugar, high salt content, aerated drinks, processed foods, red meat and alcohol will help arthritis patients. Depending on the individual body type, certain foods are more helpful to certain patients and hence identifying these is essential to combat arthritis.

Fish & meats
Some types of fish — tuna, salmon and sardines — contain good amounts of omega-3 fatty acids, which help in fighting inflammation. Meats like chicken have good protein content, which helps in improving muscle health.
Caution: Research suggests that red and processed meats contain high levels of inflammatory markers and may worsen or increase arthritis symptoms. Bacon, pan-fried or grilled steak, roasted or fried chicken or broiled hot dogs are high in protein and animal fats. These are among the richest dietary sources of advanced glycation end products which are products created through a reaction between sugar and proteins or fats. When higher levels of these accumulate in the bones and joints, they may play a role in the development and progression of osteoarthritis.

Nuts and seeds
Packed with inflammationfighting monounsaturated fatty acids, nuts are an excellent food for arthritis. They also contain high levels of calcium, magnesium, zinc, vitamin E and fibres. For arthritis, nuts like walnuts, pistachios and almonds are best.
Caution: Nuts and seeds are relatively high in fat and calories. Hence, the amount of nuts consumed is important. Eating about a handful of nuts and seeds daily helps control arthritis-related inflammation.

Fruits and vegetables
A diet rich in fruits and vegetables is suggested for most diseases. They are loaded with fibre, antioxidants and vitamins. Fruits like cherries, strawberries, raspberries, blueberries and blackberries are rich anti-inflammatory foods. Oranges, grapefruits, and lime are rich sources of vitamin C, thus help in preventing inflammatory arthritis and maintaining healthy joints. Vegetables like broccoli, spinach, lettuce, kale, cabbage which reduce inflammatory markers in the blood and are helpful in arthritis. Caution: Vegetables like eggplant, tomatoes, red bell peppers and potatoes are diseasefighting powerhouses with minimum calories. These are excellent sources of a potent nutrient mix that help in inhibiting arthritis pain. However, in some patients, it might increase arthritic pain. So, consume accordingly.

Oils
Olive oil has properties similar to non-steroidal anti-inflammatory drugs, which are used routinely as pain killers. Olive oil suppresses certain enzymes which help in controlling the inflammation. Researches have shown that taking supplements rich in fish oils help reduce joint pain and swelling and reduce morning stiffness in the joints.
Caution: Certain vegetable oils are rich in Omega 6 fats. Although these fats are necessary for health, an imbalance between Omega 6 and Omega 3 in the diet may increase inflammation. So, it is essential to strike the right balance.

Beans
Loaded with vital nutrients and fibre, beans help in lowering C-Reactive protein, which is an indicator of inflammation in the blood. Small red beans and kidney beans consist of a host of antioxidants and free anti-inflammatory compounds and are also an inexpensive source of protein. These minimise the pain and improve the supportive muscle health thereby improving the joint alignment and movement.

Whole grains
Eating whole-grain foods that are fibre-rich like whole wheat flour, oatmeal, brown rice and quinoa and help in maintaining healthy body weight as we l l as decreasing inflammation.
Caution: A protein called gluten is found in wheat, barley and other grains. Some people are gluten sensitive and they need to be careful about which whole grains they eat. Patients with rheumatoid arthritis and other autoimmune varieties, are at a higher risk of gluten sensitivity and should avoid such foods.

ALL ABOUT ARTHRITIS
Arthritis is an inflammation of joint(s), commonly seen as joint pain, swelling, stiffness and deformity. It is not a single disease, and it’s a way of referring to any joint pain or joint disease. There are more than 100 different type of arthritis.

All joint pains are NOT arthritis. Pain around the joint MAY be arthritis if:

1. Pain is present for more than six weeks.
2. Swelling is present around the joint.
3. Early morning stiffness (less than 30 minutes) of the joint, which eases out with movement.

If someone has the above symptoms, they have to get it checked by the doctor and tests such as blood tests and X-rays may be done to confirm or negate arthritis.

TYPES OF ARTHRITIS

1. The commonest is osteoarthritis (colloquially referred to as “Arthritis of old age”). In India, it is found to affect the knees more often, although other joints like terminal joints of fingers, hips also can be affected.

Inflammatory arthritis like rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis etc., form a major chunk.

2. Trauma: Fractures around joints can lead to arthritis. Long standing deficiency or dysfunction of ligaments around joints and direct cartilage damage may result in osteoarthritis.

3. Infections causing arthritis can lead to long term damage. May be related Bacteria causing pus
(Pyogenic) or Tubercular; Fungi or other micro-organisms

4. Miscellaneous: Crystal deposition (eg: Increase in uric acid levels) Stages of arthritis

Stage of synovitis: pain and swelling of joints, normal cartilage.

Stage of early arthritis: mild cartilage damage.

Stage of advanced arthritis: marked cartilage damage.

Stage of ankylosis or dislocation/displacement of joint.

Treatment of arthritis
It depends on the underlying cause and stage of arthritis, age and activity needs of patient. Exercises, antiinflammatory medicines, disease modifying antirheumatic drugs, antibiotics, and/or joint replacement surgeries, are common courses of treatment.

Orthoses like splints, braces, belts and bandages are used.

— by Dr Kesavan AR, senior consultant, Institute of Orthopedics &  Joint Replacement, Gleneagles Global Health City, Chennai and Dr Sham S, consultant, Department of Rheumatology, Gleneagles Global Health City, Chennai

https://www.newindianexpress.com/cities/chennai/2020/oct/20/making-ajointeffort-2212879.html

Rheumatoid arthritis treatment: A herbal supplement has been shown to ease swollen joints

From express.co.uk

RHEUMATOID arthritis is a long-term condition that causes pain, swelling and stiffness in the joints. A particular herbal supplement has been shown to ease the painful joint condition

Rheumatoid arthritis, which affects more than 400,000 people in the UK, is an autoimmune disease. An autoimmune disease happens when the body's natural defence system can't tell the difference between your own cells and foreign cells, causing the body to mistakenly attack normal cells. "In rheumatoid arthritis, the body's immune system targets affected joints, which leads to pain and swelling," explains the NHS.

When the joints come under attack from the immune system, it can cause joint pain, swelling and stiffness.

According to the NHS, it may also cause more general symptoms, and inflammation in other parts of the body.

The symptoms can vary in their intensity but you may experience flares when your condition deteriorates and your symptoms become worse, says the health body.

Regular flare-ups can greatly diminish your quality of life, impeding your ability to perform even basic tasks.

                                  Borage seed oil has been shown to alleviate symptoms (Image: Getty Images)

Unfortunately, there is no cure for rheumatoid arthritis, but this doesn't mean you have to live with the symptoms.

Evidence has identified a number of natural solutions that can ameliorate the effects of rheumatoid arthritis.

Borage seed oil, which is extracted from the seeds of the borage plants native to the Mediterranean region, has been supported by two notable studies.

In the first trial, 37 people with rheumatoid arthritis were randomly assigned to receive either borage seed oil containing 1.4 grams of GLA or a placebo of cotton seed oil daily for 24 weeks.

GLA is an essential fatty acid that is found in borage seed oil.

According to Versus Arthritis, the essential fatty acid is important for maintaining a joint’s cell structure and function.

Compared to the placebo group, who showed no improvement during the trial, participants who received borage seed oil showed an improvement in:

• Joint tenderness
• Number of swollen joints
• Morning stiffness.

In the second trial, 56 participants with rheumatoid arthritis were randomly assigned to take either a daily dose of borage seed capsules containing 2.8 g GLA or placebo capsules of sunflower seed oil for six months.

By the end of the study, 64 percent of those on borage seed oil showed improvement in joint tenderness and morning stiffness, compared to only 21 percent of those on placebo treatment.

There was a significant difference in the treatment outcome of the two patient groups in favour of borage seed oil.

General self-help tips

Engaging in regular exercise can also help to alleviate the symptoms associated with rheumatoid arthritis.

How? "Exercising regularly can help relieve stress, help keep your joints mobile, and strengthen the muscles supporting your joints," explains the NHS.

As the health body explains, exercise can also help you lose weight if you're overweight, which can put extra strain on your joints.

According to the National Rheumatoid Arthritis (NRAS), you should talk to a member of your rheumatology team or your GP about what exercise(s) you are considering.

"Think about a goal that exercise may help you to realistically achieve and reward yourself when you achieve your goal," says the NRAS.

https://www.express.co.uk/life-style/health/1349759/rheumatoid-arthritis-symptoms-treatment-borage-seed-oil

Try these three natural remedies to manage arthritis pain

From bedfordviewedenvalenews.co.za

Arthritis is a leading cause of disability and can affect mobility and interrupt people’s ability to perform simple daily tasks

Arthritis affects over 350 million people in the world.

It is also a leading cause of disability and can affect mobility and interrupt people’s ability to perform simple daily tasks.

World Arthritis Day was on October 12, which aimed to raise awareness about rheumatic and musculoskeletal diseases. Although strides have been made to find suitable treatments, many continue to suffer from debilitating pain.

Owner and founder of The Harvest Table, Catherine Clark, said there are natural remedies that can help manage symptoms associated with arthritis.

“There is no cure for arthritis, but if you support your body with the right foods and supplements, you can alleviate some of the pain so that it doesn’t become a hindrance in your daily life,” said Clark.

Clark added that arthritis can affect one’s energy levels, cause pain, and is a direct result of a loss of collagen in the bones.

“The key is to find solutions that will help you feel less fatigued, while also managing pain and replenishing the collagen lost,” she said.

                Owner and Founder of The Harvest Table, Catherine Clark. Photo: Supplied

Clark offers three natural remedies to manage arthritis pain:

• Anti-inflammatory foods
Arthritis fatigue is real and, according to the Arthritis Foundation, unchecked inflammation and pain largely contribute to your energy levels, along with certain medications that can cause drowsiness.
Boosting your energy starts with nourishing your body with the right foods, especially those with high anti-inflammatory properties that help your body’s repair process.
This will not only alleviate pain but will reduce the inflammation in your body. To effectively manage your arthritis, reduce the amounts of processed foods and saturated fats as these will only further contribute to your symptoms.
Instead, choose fresh fruits and vegetables, especially green vegetables and berries. Also include fish and nuts, which both contain high anti-inflammatory properties.

• Slow and gentle movement
Movement is a critical part of recovery when addressing the symptoms of arthritis as it retains the suppleness of your joints.
Various low impact movements can specifically tackle flexibility, strength and generally support your joints to prevent injury. Prolonged lack of movement can lead to chronic stiffness that results into joint immobility which will impact your ability to complete daily activities. Yoga is an effective solution as it reduces joint pain and also eases stress, tension and promotes better quality sleep.

• Collagen-rich supplements
Collagen consists of protein building blocks, otherwise known as amino acids, which aid in cushioning our joints.
When you have arthritis, this cushioning diminishes which then affects your cartilage and leads to your bones rubbing against each other without protection. Supplements like Bone Broth and Collagen granules help replenish the collagen content in your body.
Bone Broth is a natural anti-inflammatory, so when you have it as part of your diet, you benefit in more ways than one. Collagen granules can help reduce both osteoarthritis and rheumatoid arthritis joint pain, improve flexibility, and helps form new bones.
Although all the collagen you ingest does not go straight to your bones, increasing your intake makes them readily available for your body tissues.

“Natural remedies are meant to support your body so that you can better manage pain and other symptoms associated with arthritis.

“The idea is to implement small and manageable changes that contribute to you feeling better and having the energy and ability to get through the day without pain getting in the way,” Clark concludes.

https://bedfordviewedenvalenews.co.za/458661/try-these-three-natural-remedies-to-manage-arthritis-pain/

Is your back pain sciatica or arthritis?

From clarksvillenow.com

Patients who complain of low back pain and sciatica are often confused as to the causes of these conditions, how they are related ,and what the correct treatment should be.

Patients often think that the only treatment for low back pain and sciatica are epidural steroid injections and possibly surgery.

Most patients do not want either one of these procedures and often opt to let their pain go untreated.

                                                                       Shutterstock

What causes low back pain?

Low back pain is often caused by arthritis of the joints in the lower spine. This is due to slow degeneration of the lumbar discs causing bulging discs or loss of disc elasticity. As a result, the joints in the back of the spine are overloaded and can become arthritic.

The pain from this arthritis in the lower back tends to be centred in the lower back, but may radiate to the upper buttock or the back of the thighs, but rarely radiates below the knees.

How is sciatica different from arthritis?

The nerves that exit from the spine and come together to form the sciatic nerve that goes down the back of the leg leave from the spine between the discs in front and the joints on the back side. They can become entrapped or compressed by a herniated disc, which is an extrusion of disc material.

Pain and symptoms consistent with sciatica are pain that radiates from deep in the buttock down the back of the leg all the way into the foot. It can be associated with numbness, tingling, and weakness in the foot or calf.

The nerve can be compressed by arthritis of the joints, pushing from behind or against the nerve. A nerve can be compressed either by the arthritis of the joints, a herniation of the discs or combination of both.

The location of the pain is significantly different if it is coming from arthritis in the lower back where it is more localized to the back and upper buttock than from the pain of sciatic, which is a pain that radiates from the deep buttock down to the foot. In fact, the patients with sciatica may not have any pain in the lower back at all.

How do you treat these conditions?

Conservative treatment is always a treatment of choice for these conditions. When the patient has acute onset of sciatica, it is due to the compression of a disc against the nerve or chemical irritation of the disc material against that nerve. This causes swelling of the nerve. The condition however may resolve on its own after a period of about six weeks with conservative care. Conservative care would include anti-inflammatory medications, steroid pills such as Medrol Doesepak, use of a back brace, physical therapy, rest and perhaps injects of cortisone into the spine to calm down those nerve roots. This is an epidural steroid injection.

An epidural steroid injection is usually reserved as treatment until the end of the six weeks period when conservative treatment has been given a chance to work. Epidural steroid injection and therapy are often treatments required before a spine surgeon would eve consider operating for herniated disc.

Pain in the low back from arthritic conditions can also be treated conservatively with bracing, therapy and anti-inflammatories. Injections known as facet blacks or nerve blocks in the lower spine are given on the surface of the spine to numb those joints and see if that can give some pain relief from the arthritis. A medical branch block is a good example of an injection that is both diagnostic as well as therapeutic.

If the patient continues with significant discomfort in spite of these treatments, x-rays and MRIs are often obtained to see what the exact pathology is and if surgical consultation is needed.

https://clarksvillenow.com/local/dr-stanton-solutions-to-live-life-fully-is-your-back-pain-sciatica-or-arthritis/

Arthritis Isn't an 'Old Person Disease' — Here's What You Need to Know

From livestrong.com

For those who have it, arthritis is the thing that makes everyday tasks much more challenging. Depending on which joints are affected, anything from tying shoelaces to opening a jar of pickles to walking can be extremely painful and maybe even impossible.

Arthritis is characterized by pain, stiffness and swelling in joints that occurs due to inflammation, according to the Cleveland Clinic.

The condition is quite common — 22 percent of adults in the U.S. have been diagnosed with arthritis, per the Centres for Disease Control and Prevention (CDC). And although the disease does become more common with age, according to the CDC, it does not solely affect the elderly.

"It's a misconception that arthritis is only seen in older adults," says Orrin Troum, MD, rheumatologist at Providence Saint John's Health Centre in Santa Monica. Young adults and children can also get arthritis, he says.

Types of Arthritis

"There are over 100 different types of arthritis or rheumatic diseases, and they really can be quite different," Dr. Troum says.

Here's a look at some of the more common types, along with the strategies used to manage the pain, discomfort and mobility limitations associated with the condition.

1. Osteoarthritis

This is the most common form of arthritis, per the U.S. National Library of Medicine (NLM). More than 32 million people in the United States have osteoarthritis (OA), per the CDC, which is also sometimes referred to as degenerative arthritis.

OA occurs as a result of wear and tear on your cartilage, which is the tissue lining the ends of bones, according to the National Institute on Aging (NIA).

"When cartilage is normal, and you have cartilage rubbing against cartilage lubricated by joint fluid, the amount of friction is extremely low," says John Tiberi, MD, an orthopaedic surgeon specializing in joint replacement and joint preservation at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles.

But as this slippery substance wears down, you'll notice its absence — you may feel stiffness in your joints, or experience pain or tenderness, per the NIA. Osteoarthritis can affect any joint in your body, but it's most commonly found in the hands, knees, hips and low back, per the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).

As people age, their risk for osteoarthritis increases, per the CDC. "It can also happen in younger patients that have had repeated trauma [to a joint] or just one traumatic event, like a major skiing injury," Dr. Troum says.

2. Inflammatory Arthritis

There are many kinds of inflammatory arthritis, but rheumatoid arthritis (RA) is the most common, per the NLM. Unlike osteoarthritis, which results from wear and tear on a joint, RA is an autoimmune disease, which leads to an inflammatory result in the tissues, Dr. Tiberi says.

RA is two to three times more commonly diagnosed in women than men, per the CDC. This form of arthritis affects the joints but can affect other organs in the body as well.

Spondyloarthropathies are another category of inflammatory arthritis — this is an umbrella term for several autoimmune inflammatory rheumatic diseases that cause arthritis, per the American College of Rheumatology. These include:

• Ankylosing spondylitis (AS): This type of arthritis can cause the bones in your spine to fuse together, per the Mayo Clinic. "There's an HLA-BT7 gene that predisposes people to having this form of arthritis," says Dr. Troum.
• Axial spondyloarthritis (axSpA): Like AS, this form of arthritis primarily affects the spine, as well as pelvic joints, per the American College of Rheumatology.
• Peripheral spondyloarthritis (pSpA): Where AS affects the spine, pSpA affects mainly the arms and legs, according to the American College of Rheumatology.
• Reactive arthritis: This used to be known as Reiter's syndrome. Infections in the intestines, genitals or urinary tract can cause this arthritis, which typically affects the knees and ankles and feet, per the Mayo Clinic. 
• Psoriatic arthritis (PsA): Thirty percent of people with psoriasis have this form of arthritis, according to the National Psoriasis Foundation. It affects the joints in the fingers and toes, as well as wrists, knees, ankles and lower back, per NIAMS. 
• Enteropathic arthritis (EA): This type of spondyloarthritis affects the limbs and spine, and is associated with having inflammatory bowel disease (IBD), such as Crohn's disease or ulcerative colitis, according to the Spondylitis Association of America. 

Other types of arthritis include:

• Gout: This form of arthritis is characterized by sudden and severe bouts of pain, very commonly in the big toe, according to the Mayo Clinic. The pain often strikes at night-time, and this condition is far more common for men, per the Mayo Clinic. Gout occurs when there is excess uric acid in your body, which can develop as your body breaks down food that contains purines, such as red meat and certain types of seafood, per the CDC.  
• Septic arthritis (aka infectious arthritis): An infection from a germ traveling through your bloodstream or directly in your joint can cause this type of arthritis, per the Mayo Clinic. It can occur in the knees, hips, shoulders and other joints and is quite painful. It's treated by draining the liquid in the joint along with antibiotics.

3. Childhood Arthritis

Juvenile idiopathic arthritis (JIA) is the most common type seen in children, according to the CDC. It can affect one or several joints, per the American College of Rheumatology.

What Really Causes Arthritis?

For many types of arthritis, the exact causes are unknown.

"There's a large genetic component to the development of osteoarthritis, in addition to other factors like advanced age, use over time and that kind of thing," Dr. Tiberi says.

While OA is the result of cartilage wearing away, rheumatoid arthritis is an autoimmune disease — that means it occurs due to your immune system misfiring and attacking the lining of the joint capsule, per the Mayo Clinic.

Arthritis Risk Factors

Some risk factors for arthritis are outside of your control (think: your genes), but for some, you can modify your behaviour, potentially leading to a reduced risk of getting arthritis, per the CDC. Risk factors include:

• Age: With age, the risk of osteoarthritis, rheumatoid arthritis and gout increases, per the Mayo Clinic.
• Sex: Aside from gout, which is more frequently diagnosed in men, risk for arthritis is higher for women, per the CDC.
• Injuries: According to the Mayo Clinic, a previous injury to a joint increases the likelihood of arthritis later in life.
• *Weight: *Additional weight can be hard on your joints, and people who are overweight or obese have a greater risk for OA, per the CDC.
• *Work: *Jobs that entail repetitive motions or heavy lifting are a potential factor in getting arthritis, according to the Cleveland Clinic.
• Genes: There is a genetic component when it comes to arthritis. Genes known as HLA (human leukocyte antigen) class II genotypes can make you more likely to have arthritis, and also make the condition worse, per the CDC.

Arthritis Symptoms

"Pain within the joint would be a hallmark symptom of pretty much any kind of arthritis," Dr. Tiberi says. Stiffness and a restricted range of motion are also classic symptoms of the disease.

But where it hurts in the joint may be different depending on which type of arthritis you have, he notes. "People with an inflammatory form of arthritis are more likely to have multiple joints affected," Dr. Tiberi adds.

Common arthritis symptoms include:

• Pain
• Stiffness and swelling around the joint
• Redness
• Trouble moving and/or a decreased range of motion

It's also possible that you'll experience fatigue, fever or a rash, per the Cleveland Clinic.

How Is Arthritis Diagnosed?

Diagnosis usually begins with a history, Dr. Tiberi says. "Depending on the joint, there are certain classic things you hear."

For example, he notes that patients with arthritis in their hip joint will often share that it's hard to put on shoes and socks.

Doctors will also perform a physical exam, checking on the range of motion and looking for swelling, tenderness or warmth at the joint.

Your doctor may also request imaging tests. "Probably the most common diagnostic tool that we use would be an X-ray," Dr. Tiberi says. Through it, doctors can see if the space between bones is abnormal or reduced, indicating that the cartilage isn't its typical thickness or pattern, he says.

Along with X-rays, doctors may use MRIs and ultrasounds to gain perspective on your joints, as well as drawing blood, per the Mayo Clinic.

Treatment Options

There are a multitude of treatment options for arthritis, and they're not all medicine, Dr. Troum says. Treatment strategies depend on the type of arthritis, along with the severity of symptoms.

The trio of treatment goals when it comes to arthritis are controlling the symptoms (such as pain), reducing joint damage and improving quality of life, per the CDC. Common treatment strategies include:

• Over-the-counter medications: Both over-the-counter painkillers such as Tylenol (which help with pain) and non-steroidal anti-inflammatory medications (NSAIDs, which help with both pain and inflammation), can help alleviate symptoms, Dr. Tibiri says.
• Other medications: Several prescription medications can also help treat arthritis, including disease-modifying anti-rheumatic drugs (DMARDs), biologic response modifiers and corticosteroids, per the Mayo Clinic.
• Surgery: There are several types of surgical treatment tactics, including joint replacement, joint repair and joint fusion, which involves fusing bones together in smaller joints such as fingers, per the Mayo Clinic. "The success of the procedures we have to offer has been very, very high," Dr. Tiberi says.

Treatment for arthritis has come a long way. In the 1980s, Dr. Troum ran a clinic in California where patients with RA would be injected with liquid gold weekly (yes, you read that right — gold). Needless to say, that's not a treatment strategy anymore.

"Although we don't know what causes them and we can't cure them, these conditions can now be completely controlled in a lot of cases," he says.

Lifestyle modifications can also play a role in treating arthritis, including:

• Weight loss: Maintaining a healthy weight can help cut down on pain, limit the progression of arthritis and also potentially improve mobility, per the CDC. "Less force on a bad joint should equal less pain," Dr. Tiberi says.
• Activity modifications: Both avoiding activities that cause pain and doing activities that lessen pain can be helpful, Dr. Tiberi says. A physical therapist, for example, can help you learn exercises that'll strengthen the muscles around the joint, per the Mayo Clinic. Or, occupational therapists can show you ways to do everyday tasks (like stepping into the tub) that'll reduce pain, according to the Cleveland Clinic. 
• Using assistive devices: A brace, cane, crutch or other assistive devices can help take the stress off the joint, Dr. Tiberi says. Other devices — such as a grabber or bath stool — can make it easier to perform tasks that would otherwise be challenging, per the Cleveland Clinic.
• Exercise: While pain may make it feel like sitting is the best option, engaging in physical activity can help with pain and also improve the strength of muscles, per the NLM. Yoga and tai chi may help with flexibility, per the Mayo Clinic.
• Dietary changes: Include plenty of fruits and veggies in your diet, as well as omega-3 fatty acids (found in fish, flaxseed and walnuts), according to the NLM. These kinds of foods can help fight inflammation, per the Arthritis Foundation.

https://www.livestrong.com/article/13728514-what-is-arthritis-types/

World Arthritis Day 2020: Being Physically Active Is The Best Medicine, Believe Experts

From ndtv.com/health

World Arthritis Day (WAD) 2020: Keeping weight in check, strengthening muscles around the joints, doing stretching and flexibility exercises go a long way in keeping the joints healthy and pain-free. Read here to know more

World Arthritis Day 2020: October 12 is observed as World Arthritis Day. Arthritis is inflammation of the joints which affects movement. The urban population has become increasingly sedentary, resulting in poorer muscle mass and bone strength. We are now faced with a modern epidemic where prevalence of arthritis (especially knee arthritis) has become very common in men and women post a certain age. This age related arthritis which is by far the most common type of arthritis is called osteoarthritis.

             World Arthritis Day 2020: Inflammatory kind of arthritis can develop rapidly

World Arthritis Day: What you need to know about osteoporosis and osteoarthritis

In India, osteoarthritis occurs in the age of 55-60. Not only is the patient profile of those suffering from arthritis in the subcontinent, getting younger but they also tend to have much more severe arthritis with more deformities and disabilities than earlier generations.

Osteoporosis and osteoarthritis are sometimes mistaken for one another. While osteoarthritis refers to degeneration of joints, osteoporosis refers to the loss of bone mass that raises the risk of fracture.

A silent ailment, Osteoporosis can progress over the years and go undetected without symptoms until a fracture occurs. Osteoporosis is a painless condition which becomes painful if someone experiences a broken bone or fracture.

One of the common types of arthritis is osteoarthritis; a painful condition that can affect the joints, especially the hips, knees, neck, lower back, or hands and feet. The cartilage in the joint begins to get rough and thin when osteoarthritis develops.

Symptoms of arthritis

Depending on the type of arthritis you have, symptoms may include pain, stiffness, swelling, redness and decreased range of motion.

Causes of arthritis

The increasing prevalence of arthritis and its crippling effects are related to the changes in the lifestyle and the diet in the Indian populace.

The urban Indian is walking a lot less than his/her ancestors and the amount of physical activity has also decreased. Women are more affected due to various factors, including decreasing physical activity and less muscle mass.

The most common joint affected by arthritis is the joint. The knees are weight bearing joints, largely driven by a group of muscles in front of the thighs, the quadriceps. These muscles weaken quite rapidly due to inactivity and long periods of sitting. Weakness of these muscles usually increases arthritis pain which further deteriorate these muscles.

The inactivity also contributes to obesity which is one of the prime reasons for the aggravation of arthritis.

The cumulative affect deprives patients, their ability to walk, conduct activities of daily living and enjoy life in general. A more sinister effect is on the general health of a patient due to this decreased mobility leading to poorer cardio - vascular health, and worsening diabetes.

                                       Arthritis can cause pain and inflammation in joints

How to prevent arthritis?

Like any other mechanical machine, these joints also have wear and tear with time and lead to age related arthritis called osteoarthritis

Bones forming the joints are actually covered with very fine, almost frictionless joint cartilage, which allows us infinite, painless movement years after years. But when this wears out with time underlying bone is exposed, there are inflammatory reactions in the joints. Joints then become painful and person may have difficulty in walking or may have pain even at rest

Age-related osteoarthritis develops very slowly. Inflammatory type of arthritis, like rheumatoid arthritis, can develop rapidly. I call this a "red flag arthritis " because if it is not diagnosed early and special disease modifying drugs not given in time, not only many joints can get destroyed in the body but also this disease can affect many other organs.

Keeping weight in check, strengthening muscles around the joints, doing stretching and flexibility exercises go a long way in keeping the joints healthy and pain-free.

In early part of the disease, pain can be managed by above measures and simple pain killers and sometimes drugs which are likely to enhance the cartilage health. For inflammatory type of arthritis specific disease modifying drugs under medical supervision are extremely important

For end-stage arthritis, now it is possible to replace the joint for most of the major joints and also small joints of fingers. Computer assistance has added another great dimension to joint replacement and helps in precise placement of the artificial joint, thereby increasing its efficiency and expected longevity

Joint replacement enables patients to walk pain-free for long distances. This not only increases their mobility but also helps in preventing other diseases which require walking exercises such as diabetes, blood pressure etc. Also, pain free and limp free mobility brings self-esteem back in hitherto crippled patients. 

https://www.ndtv.com/health/world-arthritis-day-2020-being-physically-active-is-the-best-medicine-believe-experts-2308723

What's the Difference Between Psoriatic Arthritis and Rheumatoid Arthritis?

From self.com

If you’ve got sore, swollen joints, there’s a good chance you’ll come across arthritis as you’re searching for a cause of your symptoms. But finding the right treatment requires you to get a lot more specific than that. Arthritis is actually an umbrella term for more than 100 different conditions, according to the Centres for Disease Control and Prevention (CDC). And there are at least two types that might be responsible for your tender, achy joints: psoriatic arthritis and rheumatoid arthritis.

Even though they have some overlapping symptoms, the two conditions are decidedly different. Here’s what you need to know about psoriatic arthritis and rheumatoid arthritis.

Psoriatic arthritis and rheumatoid arthritis are both chronic inflammatory conditions.

With both diseases, an overzealous immune system mistakenly attacks healthy cells in your body. That, in turn, can result in joint pain, stiffness, and swelling, along with perpetual fatigue and other symptoms more specific to either disease. 

The causes of psoriatic arthritis and rheumatoid arthritis are still up in the air, but doctors suspect the diseases have an underlying genetic component that may make a person more susceptible to certain environmental triggers.

In any case, psoriatic arthritis and rheumatoid arthritis are both lifelong diseases that can occur in flares (times when symptoms are especially aggravated). And while there’s no cure for either disease, treatments for both psoriatic arthritis and rheumatoid arthritis have come a long way toward keeping symptoms at bay, sometimes even putting the disease into remission. Plus, the right medication can help protect your body from the permanent damage these conditions can cause if left untreated, so it’s important to work with your doctor to manage your disease.

Psoriatic arthritis often affects people who have psoriasis.

Having psoriasis, a disease that often causes inflamed, scaly patches of skin on areas like your knees, elbows, and scalp, puts you at greater risk of getting psoriatic arthritis down the road. The Cleveland Clinic estimates that up to 30% of people with psoriasis get diagnosed with psoriatic arthritis. However, it’s possible to get psoriatic arthritis even if you don’t have psoriasis, and vice versa. Psoriatic arthritis affects people of all genders at relatively equal rates and typically shows up in people between the ages of 30 and 50 years old, says the Cleveland Clinic.

NYU Langone Health explains there are five types of psoriatic arthritis, and depending on which one you have, the disease can show up in very different ways in your body. Around three-quarters of people with the condition have a type called asymmetric oligoarthritis, which impacts up to five joints, though not necessarily the same ones on both sides of the body. When that’s the case, it may be due to symmetric arthritis, a type of psoriatic arthritis that’s similar to rheumatoid arthritis. There’s also spondylitic arthritis, which affects the spine, and distal interphalangeal predominant psoriatic arthritis, which mainly involves the joints near your fingernails and toenails. The rarest form of psoriatic arthritis is arthritis mutilans. It’s a severe form of the disease that can destroy the bones in your hands, per the Mayo Clinic.

Up to 80% of people with psoriatic arthritis have nail changes, like pitting, crumbling, or grooves and ridges. In addition, foot pain, particularly in the back of your heel or sole, where the tendons and ligaments link up with bones, is common with psoriatic arthritis, as is lower back pain, per the Mayo Clinic.

The inflammation from psoriatic arthritis can also cause eye problems, such as uveitis. This condition can lead to permanent vision loss, so look out for early warning signs, like eye pain, redness, light sensitivity, and “floaters” blocking parts of your sight.

Rheumatoid arthritis doesn’t have that psoriasis link.

The Cleveland Clinic reports that women are diagnosed with rheumatoid arthritis at 2.5 times the rate of men. A common misconception about rheumatoid arthritis is that it’s an elderly person’s disease, but the truth is that it’s often diagnosed between the ages of 20 and 50.

While rheumatoid arthritis can affect people in different ways, its signature characteristics include tenderness, pain, and swelling in more than one joint, per the CDC. And although psoriatic arthritis may impact different joints on each side of the body, rheumatoid arthritis usually causes more symmetrical symptoms, says David Wanalista, D.O., rheumatologist at Atlantic General Rheumatology. As a progressive disease, it usually worsens with time, starting with the joints between your fingers and hands and toes and feet. The inflammation from rheumatoid arthritis can wear down your cartilage, and without that tissue acting as a shock absorber, your bones can eventually erode and lead to fusion of the joint.

There are also some other symptoms to know when it comes to rheumatoid arthritis. In particular, you might get firm lumps, known as rheumatoid nodules, around pressure points like your elbows, notes the Mayo Clinic. When the disease flares, it can also come with a low-grade fever. Morning stiffness that lasts more than an hour (but usually a few hours) is especially common in people with rheumatoid arthritis (although it can be a symptom of any inflammatory arthritis), per the Johns Hopkins Arthritis Centre. And as with psoriatic arthritis, rheumatoid arthritis can cause eye problems, according to the Mayo Clinic. This may include dryness, redness, and pain.\

Treatment for psoriatic arthritis and rheumatoid arthritis is similar, but figuring out which disease you have can be tricky.

No single test can diagnose rheumatoid arthritis or psoriatic arthritis, reports the Mayo Clinic. Rather, your doctor will check your medical history and closely examine your symptoms to see if you have signs of either disease. Symptoms like ongoing morning stiffness, swelling of three or more joints (especially the wrist, hand, or fingers) on the same sides of the body for at least six weeks, and rheumatoid nodules may make your doctor suspect rheumatoid arthritis, the Cleveland Clinic says. To diagnose psoriatic arthritis, your doctor will likely examine your joints to search for swelling and stiffness, fingernails for any issues like pitting, and feet for soreness, according to the Mayo Clinic.

“[Diagnosis] is very much an art, and the skills and experience of a rheumatologist are necessary,” John M. Davis III, M.D., M.S., a clinical rheumatologist, vice chair and practice chair of the division of rheumatology and associate professor of medicine and the Mayo Clinic College of Medicine and Science, tells SELF. “There is a great need for more sensitive and specific diagnostic tests.”

Certain medical tests available now can help inform a doctor’s diagnosis. Elevated levels of proteins involved with immune cells may also help a doctor determine whether you have psoriatic arthritis or rheumatoid arthritis (though the results won’t say for sure), the Mayo Clinic says. Arthur Kavanaugh, M.D., associate professor of medicine and rheumatologist at UC San Diego Health, tells SELF that around 85% of people with rheumatoid arthritis have positive antibody tests for rheumatoid factor antibodies, among other blood test results, compared with just 15% of people with psoriatic arthritis with similar blood test results.

Your doctor may also order imaging tests, like X-rays and MRIs, to help determine if you have psoriatic arthritis. Keep in mind though that certain symptoms and test results don’t show up in everyone with these diseases, and may also overlap with other conditions, making it a challenge to get a firm diagnosis.

Regardless of the diagnosis, though, you may be exploring some of the same treatment options for either disease. Nonsteroidal anti-inflammatory drugs (NSAIDs), like Advil and Aleve, are often the starting point for treatment of rheumatoid arthritis and psoriatic arthritis. Doctors may also use disease-modifying anti-rheumatic drugs (DMARDs) to slow the progression of either disease, according to the Mayo Clinic. A newer type of medication known as a JAK inhibitor, a special kind of DMARD, may help calm inflammation and prevent joint damage. Biologics may curb inflammation as well. The exact drugs your doctor prescribes from these classes of medicines may vary depending on whether you have psoriatic arthritis or rheumatoid arthritis, particularly when it comes to biologics, says Lisa F. Imundo, M.D., rheumatologist at Columbia University Irving Medical Center.

It’s important to understand that there’s no one-size-fits-all approach to treating either disease, and how effective a particular medication is can vary from person to person.

“Treatments can fully restore function and wellbeing in some people, whereas that is more difficult to achieve in other people,” Ana-Maria Orbai, M.D., M.H.S., director of the psoriatic arthritis program at Johns Hopkins University School of Medicine, tells SELF.

Plus, each medication comes with the risk of potential side effects. Weigh out the pros and cons of each option with your doctor to help strike the right balance for your long-term health.

Bottom line: If you’re having joint pain or other symptoms of arthritis, talk to your doctor.

It’s impossible to pinpoint psoriatic arthritis, rheumatoid arthritis, or any of the other dozens of types of arthritis based on symptoms and an online search alone. But some of these diseases can cause serious long-term damage, so talk to your doctor about a diagnosis and treatment options so you can find relief sooner rather than later.

https://www.self.com/story/psoriatic-arthritis-vs-rheumatoid-arthritis

Holistic remedies for arthritis sufferers

From kcchronicle.com

From knees and hips to hands and other joints throughout your body, you may experience pain for no obvious reason. Arthritis is a common problem that can take on many forms.

Arthritis is a joint disorder with inflammation in one or more of the joints and is very common, affecting more than 3 million people in the country annually. The primary symptom is pain and stiffness, which typically worsens with age.

There are more than 100 different types of arthritis, and cases can range from mild to severe. Many people who suffer from arthritis can alleviate their symptoms with holistic remedies.

Apple cider vinegar is rich in minerals like calcium, magnesium, potassium and phosphorus and is useful in relieving joint pain. ACV also helps remove buildup of toxins in the joints and connective tissues. Mix one teaspoon each of ACV and honey in a warm cup of water and drink daily, preferably in the morning for alkalizing benefits.

Ginger is a natural anti-inflammatory root. Eating raw ginger on a regular basis can help alleviate pain by improving blood circulation. Peel and slice fresh ginger and eat with your meals. Ginger oil can also reduce pain when applied on the affected area.

Turmeric contains curcumin which has anti-inflammatory properties. Mix one teaspoon of turmeric powder in a glass of warm milk and drink daily before bed. You can also take 500 mg to 1,000 mg of turmeric capsules three times per day.

Fish oil is another holistic remedy for arthritis. The omega-3 fatty acids in fish oil can help reduce pain. Take two teaspoons of fish oil daily, preferably in the morning on an empty stomach to help reduce morning stiffness.

Cherries are also a great way to help reduce inflammation caused by arthritis. Cherries are a good source of magnesium and potassium. Arthritis sufferers can eat eight to 10 cherries daily. Canned, frozen or fresh are all beneficial.

If the pain of arthritis limits your daily life, an independent senior community like Plum Landing can help. Services like twice monthly housekeeping, apartment maintenance and scheduled transportation are included with residents’ monthly rent. Even more importantly they provide exercise classes, including yoga, to help you stay fit. Simple exercises like stretching out the fingers or marching in place can help when done regularly. Combine that with a NuStep exerciser just like you’ll find in many rehab centres, and you’ll see Plum Landing offers many ways to help you fight off arthritis. And you’ll feel better. It’s no coincidence that those who exercise are generally better off!

https://www.kcchronicle.com/sponsored/plum-landing/83427364/index.xml

Rheumatoid arthritis symptoms: Experiencing ‘firm lumps’ in this body part could be a sign

From express.co.uk

RHEUMATOID arthritis is the second leading cause of arthritis in the UK, affecting more than 400,000 people. The main symptoms relate to joint complaints but there are lesser-known symptoms too

Rheumatoid arthritis and osteoarthritis are the two most common types of arthritis in the UK. Arthritis is the name for a number of joint conditions that cause pain and inflammation in a joint. What distinguishes rheumatoid arthritis from its common counterpart is the underlying cause.

Osteoarthritis is caused by the low level damage of normal life, whereas rheumatoid arthritis is an autoimmune condition.

This means the body's immune system targets affected joints, which leads to pain and swelling.

According to the NHS, the main symptoms of rheumatoid arthritis are joint pain, swelling and stiffness.

"It can cause problems in any joint in the body, although the small joints in the hands and feet are often the first to be affected," explains the health body.

As well as problems affecting the joints, some people with rheumatoid arthritis can also experience less obvious symptoms.

According to the American College of Rheumatology, people with rheumatoid arthritis can also experience firm lumps, called rheumatoid nodules, which grow beneath the skin in places such as the elbow and hands.

Other lesser-known signs include:

• Loss of energy
• Low fevers
• Loss of appetite
• Dry eyes and mouth from a related health problem, Sjogren's syndrome.

The inflammation caused by arthritis is thought to be the reason symptoms travel.

Can it be treated?

Unfortunately, there is no cure for rheumatoid arthritis, but you can alleviate symptoms by making simple lifestyle changes.

Making healthy dietary decisions may make your arthritis more manageable.

As the Arthritis Foundation (AF) explains, diet won’t cure rheumatoid arthritis, but the right food choices can help by controlling the inflammation that wreaks havoc in the body, delivering nutrients your body needs and helping you maintain a healthy weight.

"That’s important because excess weight adds to pressure on achy joints and can make certain rheumatoid arthritis meds less effective," explains the AF.

What’s more, body fat produces proteins called cytokines that promote inflammation, it says.

Studies show that a Mediterranean diet, with lots of fruits and vegetables, whole grains and healthy fats is a good choice for people with rheumatoid arthritis.

Exercise also aids weight loss and brings direct benefits for people with rheumatoid arthritis.

As the NHS explains, exercising regularly can help relieve stress, help keep your joints mobile, and strengthen the muscles supporting your joints.

"Exercise can also help you lose weight if you're overweight, which can put extra strain on your joints," notes the health body.

Find the best activities and the right balance for you - it's usually best to increase the amount of exercise you do gradually, it adds.

"Ideally, we should all aim to do at least 30 minutes of exercise that makes us a bit short of breath five times a week," explains Versus Arthritis.

It adds: "Try three or four 10-minute sessions throughout the day if it suits you better than doing it in one go."

https://www.express.co.uk/life-style/health/1342411/rheumatoid-arthritis-symptoms-firm-lumps-elbow-hands-treatment

8 Foods That Can Worsen Arthritis Pain – Eat This, Not That!

From healthwriteups.com

Arthritis is an autoimmune disease that, according to the type, affects joints, bones, and other parts of the body. In the United States, around 54 million people have arthritis, which is one-quarter of the adult population. Here are eight foods and beverages you should not take if you do not want to further worsen your condition.

1. Processed and Red Meats

Several researchers call red meat a source of inflammation in arthritis. According to a study, excessive intake of processed and red meat can disturb the balance of plasma concentration in healthy women. It can disrupt glucose metabolism and increase inflammatory proteins like Interleukin-6 (IL-6), C-reactive protein (CRP), and homocysteine.

The study showed red meat to cause worsening of arthritis symptoms. Plant-based diets or protein-rich foods except red meat can help alleviate the symptoms.

2. Alcohol

People with the disease should avoid its consumption as alcohol can trigger rheumatoid arthritis symptoms. Some researches even links increased alcohol consumption to gout attacks.

A small-scale study of 278 participants had spondyloarthritis, and excessive use of this beverage led them to a dead-end (more damage). There is a need for more research to solidify the link between alcohol intake and osteoarthritis.

3. Refined Sugars

There is nothing new in that you should avoid sugary food, whether it is in your favourite ice cream or your barbeque sauce.

A study of 217 arthritis patients found sugary foods among the other 20 to be more damaging to bones. Apart from worsening the symptoms, sugary food is itself a risk factor for arthritis.

Another study of 1,209 young adults found that people who had frequent (up to 5) fructose-rich drinks a week were prone to develop arthritis three times more often than those who did not or took fewer.

4. Foods Highly Processed

Foods like cereal, fried items, and baked treats are loaded with potentially inflammatory biomarkers. They contain refined sugar, preservatives, and other compounds that can exacerbate the condition.

A study found ultra-processed food in the Western diet to pose a greater threat of this degenerating disease and obesity. In another study, researchers found that processed foods increase the risk of heart disease and type II diabetes.

5. Gluten Rich Foods

Some researchers do not recommend gluten intake as it may trigger inflammation and worsen the condition. Where celiac disease is a greater threat from developing arthritis, this inflammatory condition can also be caused by celiac disease.

The study followed a one-year period to note the effects of a vegan and gluten-free diet on the symptoms of arthritis. As per the research, both had the potential to curb inflammation and control disease activity.

6. Excessive Salt Intake

Avoid consuming canned food and soups that have excessive use of salt. A mouse study found symptoms going down the hill in those who had higher salt consumption than people with a normal level of salt diet.

Some researchers even say that using high salt in the diet can increase the risk of autoimmune diseases like arthritis. Another 18,555 participants' study found similar results.

7. AGEs Rich Foods

Cook your meat properly to avoid entering advanced glycation end products (AGEs) in your digestive system. Interestingly, even some cooking techniques can form these products. French fries, margarine, and high protein food are loaded with AGEs.

When AGEs start collecting in the blood, it can increase the risk of oxidative stress and inflammation. These both are the major biomarkers for the disease progression.

8. Some Vegetable Oils

You must have heard about the benefits of omega-3 fatty acids. People consuming more omega-6 fatty acids than omega-3 fatty acids have a higher risk of rheumatoid arthritis and osteoarthritis. For attaining a healthy life, there should be a balance between them.

Consuming more omega3-fatty acid-rich foods like salmon and cutting off the use of vegetable oils can help avoid keeping arthritis symptoms at bay.

https://healthwriteups.com/2020/09/30/8-foods-that-can-worsen-arthritis-pain-eat-this-not-that/