<b>Osteo and RA what are the differences?</b>
Osteo and RA what are the differences?
Osteo and RA what are the differences?
Toe Pain - Pain Relief
Information on toe pain, arthritis, conditions, causes, diagnosis, symptoms, pain relief, prevention, surgery and treatment. Excess uric acid crystals can collect in and around the joints of the big toe causing gout attacks.
Forefoot problems such as hammer toes, claw toes, mallet toes, and bunions often develop as a result of arthritis, particularly rheumatoid arthritis
Foot Pain - Causes - Symptoms - Diagnosis - Treatment - Pain Relief
Information on foot pain, arthritis, conditions, causes, diagnosis, symptoms, pain relief, prevention, surgery and other treatment options. Each foot is made up of 33 separate joints. Foot pain is often hard to avoid due to the large weight-bearing load placed on them.
Arthritis can affect any joint. Certain types of arthritis are associated with a specific pattern of joint disease. For example, rheumatoid arthritis is usually symmetric -- affecting the same joint on both sides of the body. Other types of arthritis typically affect a single joint. It's important to tell the doctor about all of your symptoms and every joint that hurts.
Any medical condition that causes a disturbance in the way a person walks can contribute to foot pain. This may include diseases or conditions that lead to pain or numbness in the feet (such as diabetes), leg and foot deformities, spinal problems, and neurological disorders such as Parkinson's disease or cerebral palsy
Hand Pain
Each hand is made up of over 25 bones. Arthritic problems in the hands are painful often causing visible deformity, impacting grip strength and hand function.
Rheumatoid arthritis (RA) can cause joint swelling, stiffness, pain, and inflammation. This pain is often experienced in the cartilage of the hands.Eventually, in rheumatoid arthritis, the small peripheral joints of the hands and the wrists will become involved, leading to contractures and deformities.
Hand Osteoarthritis
Symptomatic hand osteoarthritis affects 20 percent of people over 55 years of age. A EULAR (The European League Against Rheumatism) task force which previously released recommendations for the treatment of hip and knee osteoarthritis, has released guidelines for the treatment of hand osteoarthritis.
The EULAR task force, comprised of 21 experts including several rheumatologists, an orthopedic surgeon, and a physiatrist among other health professionals, analyzed evidence-based research and came to a consensus that 11 recommendations based on 17 treatment modalities was most appropriate for the treatment of hand osteoarthitis. It was noted that only 6 of the 17 treatment modalities were based on research evidence. Other recommendations were based on clinical expertise or data derived from osteoarthritis studies of joints other than the hand.
Eleven Recommendations for Treatment of Hand Osteoarthritis
The EULAR task force has presented these recommendations for managing and treating hand osteoarthritis:
A combination of pharmacologic and non-pharmacologic treatments, individualized for the hand osteoarthritis patient, is recommended.
Therapy for hand osteoarthritis should be individualized for the patient. Risk factors, type of osteoarthritis, level of inflammation, pain level, severity, disability, quality of life, comorbidity, and comedication should all be considered along with the patient's wishes.
Patients should be educated about joint protection and given an exercise regimen.
Heat application (e.g. hot pack, heating pad, paraffin wax) and ultrasound are helpful for management of osteoarthritis of the hand.
For the base of the thumb, splinting is recommended. Orthotics are recommended to prevent certain other deformities.
For mild to moderate pain and when not many joints are affected, local or topical treatments (e.g. topical NSAIDs, capsaicin) are better than systemic treatments.
Tylenol or (acetaminophen) is the recommended analgesic. Up to 4 g/day is considered safe and effective.
For patients who get an unsatisfactory response from Tylenol, or acetaminophen, the next choice is oral NSAIDs (nonsteroidal anti-inflammatory drugs) at the lowest effective dose, for the shortest duration possible. The choice of NSAID for each individual patient must take into account gastointestinal risk and cardiovascular risk.
Glucosamine and chondroitin, avocado soybean unsaponifiables, diacerhein, and viscosupplementatio n are all slow-acting treatments for osteoarthritis. They may offer relief with low toxicity.
Intra-articular corticosteroid injections are effective, especially during bouts of painful osteoarthritis.
Surgery (e.g. arthroplasty, arthrodesis, or osteotomy) can be considered for patients who had no luck with more conservative treatments. Surgery is recommended for patients with severe pain and disability from hand osteoarthritis.
Why Joint-Specific Recommendations Were Needed
Osteoarthritis impacts hands, hips, and knees differently. The joints are different in terms of anatomy and function, and patients are different in terms of appropriateness of treatment and response to treatment.
Six of the 11 recommendations, in the report which appeared in the Annals of the Rheumatic Diseases, were supported by study data:
education and exercise
NSAIDs
COX-2 inhibitors
topical NSAIDs
topical capsaicin
chondroitin sulfate
What Are Osteophytes / Bone Spurs?
What are osteophytes? What causes osteophytes to develop? Can they develop at any joint or are they more common for specific joints or specific types of arthritis? How are osteophytes diagnosed and treated
Osteophytes which are protrusions of bone and cartilage are very common and develop in areas of a degenerating joint. They are associated with the most common type of arthritis, osteoarthritis. Osteophytes typically develop as a reparative response by the remaining cartilage.
Developing Osteophytes
Osteophytes may also develop from the tissue that lines the bone or joint and occur in any number of locations.
Marginal osteophytes develop at the periphery or margins of all joints.
Central osteophytes are most prominent in the hip and knee.
Diagnosing Osteophytes
Osteophytes can be diagnosed by clinical exam as with the PIP (proximal interphalangeal joint), DIP (distal interphalangeal joint) and first CMC joints (carpometacarpal joint) of the hand or by radiographs (x-rays). If you did radiographs on everyone over 50 years of age, most would show some osteophytes. Yet, most people with osteophytes are asymptomatic.
Treatment of Osteophytes
If symptomatic, treatment of osteophytes includes:
physical therapy
NSAIDs (nonsteroidal anti-inflammatory drugs)
analgesics (painkillers)
supplements
surgery (an option in severe cases)
What is Degenerative Arthritis?
Patients are often confused by the diagnosis of "degenerative arthritis". What happens during this process? Can degenerative arthritis affect any joint? Are there any treatments which stop the degenerative process?
Is Degenerative Arthritis The Same As Osteoarthritis?
Osteoarthritis, also called degenerative arthritis is the most common type of arthritis. Degenerative arthritis increases in frequency as people age. Degenerative arthritis may commonly develop
Can Degenerative Arthritis Affect Any Joint?
The joints typically affected by this type of arthritis include the:
knees
hips
big toes
fingers
spine
Patients Are Often Confused By The Diagnosis of "Degenerative Arthritis". What is Degenerative Arthritis?
In a joint affected by this type of arthritis, the protecting cartilage of the bone disintegrates and new bone, or spurs develop. The loss of cartilage and the development of these spurs contribute to the pain of osteoarthritis.
Patients who develop osteoarthritis at a young age or in unusual joints such as the shoulder or ankle, and have no history of injury should be screened for a conditon called hemochromatosis.
This condition is characterized by too much iron in the blood. If diagnosed early, further joint damage, as well as damage to other organ systems can be prevented by lowering ones iron level through blood donation (the blood is discarded and not used for other people).
Are There Any Treatments Which Stop The Degenerative Process?
While there is not much available to prevent progression of osteoarthritis, there is some evidence that glucosamine with or without chondroitin, vitamin D and vitamin C may help progression.
There is some preliminary although limited evidence that selenium may also have some benefit.
Maintaining ones ideal weight is very important to decrease the risk of osteoarthritis,
especially in the weightbearing joints such as the hip or knee.
Osteoarthritis, also referred to as degenerative joint disease, DJD, or wear-and-tear arthritis, is the most common form of arthritis and is caused by the breakdown of cartilage in one or more joints. Cartilage acts as a cushion between the bones of joints. When there is cartilage loss, a joint can become bone-on-bone, which is very painful for the patient.
Osteoarthritis which is considered "primary" is mostly a consequence of aging. Water content of cartilage increases while protein composition of cartilage degenerates. Besides aging, factors which may increase the risk of developing osteoarthritis include:
injury to joints
repetitive use of joints
being overweight
stressing the joints
family history
Secondary osteoarthritis can develop as a consequence of another disease or condition.
postedbyMERM for wellnesstrain
TENA/DIAMOND
Osteo and RA what are the differences?
Toe Pain - Pain Relief
Information on toe pain, arthritis, conditions, causes, diagnosis, symptoms, pain relief, prevention, surgery and treatment. Excess uric acid crystals can collect in and around the joints of the big toe causing gout attacks.
Forefoot problems such as hammer toes, claw toes, mallet toes, and bunions often develop as a result of arthritis, particularly rheumatoid arthritis
Foot Pain - Causes - Symptoms - Diagnosis - Treatment - Pain Relief
Information on foot pain, arthritis, conditions, causes, diagnosis, symptoms, pain relief, prevention, surgery and other treatment options. Each foot is made up of 33 separate joints. Foot pain is often hard to avoid due to the large weight-bearing load placed on them.
Arthritis can affect any joint. Certain types of arthritis are associated with a specific pattern of joint disease. For example, rheumatoid arthritis is usually symmetric -- affecting the same joint on both sides of the body. Other types of arthritis typically affect a single joint. It's important to tell the doctor about all of your symptoms and every joint that hurts.
Any medical condition that causes a disturbance in the way a person walks can contribute to foot pain. This may include diseases or conditions that lead to pain or numbness in the feet (such as diabetes), leg and foot deformities, spinal problems, and neurological disorders such as Parkinson's disease or cerebral palsy
Hand Pain
Each hand is made up of over 25 bones. Arthritic problems in the hands are painful often causing visible deformity, impacting grip strength and hand function.
Rheumatoid arthritis (RA) can cause joint swelling, stiffness, pain, and inflammation. This pain is often experienced in the cartilage of the hands.Eventually, in rheumatoid arthritis, the small peripheral joints of the hands and the wrists will become involved, leading to contractures and deformities.
Hand Osteoarthritis
Symptomatic hand osteoarthritis affects 20 percent of people over 55 years of age. A EULAR (The European League Against Rheumatism) task force which previously released recommendations for the treatment of hip and knee osteoarthritis, has released guidelines for the treatment of hand osteoarthritis.
The EULAR task force, comprised of 21 experts including several rheumatologists, an orthopedic surgeon, and a physiatrist among other health professionals, analyzed evidence-based research and came to a consensus that 11 recommendations based on 17 treatment modalities was most appropriate for the treatment of hand osteoarthitis. It was noted that only 6 of the 17 treatment modalities were based on research evidence. Other recommendations were based on clinical expertise or data derived from osteoarthritis studies of joints other than the hand.
Eleven Recommendations for Treatment of Hand Osteoarthritis
The EULAR task force has presented these recommendations for managing and treating hand osteoarthritis:
A combination of pharmacologic and non-pharmacologic treatments, individualized for the hand osteoarthritis patient, is recommended.
Therapy for hand osteoarthritis should be individualized for the patient. Risk factors, type of osteoarthritis, level of inflammation, pain level, severity, disability, quality of life, comorbidity, and comedication should all be considered along with the patient's wishes.
Patients should be educated about joint protection and given an exercise regimen.
Heat application (e.g. hot pack, heating pad, paraffin wax) and ultrasound are helpful for management of osteoarthritis of the hand.
For the base of the thumb, splinting is recommended. Orthotics are recommended to prevent certain other deformities.
For mild to moderate pain and when not many joints are affected, local or topical treatments (e.g. topical NSAIDs, capsaicin) are better than systemic treatments.
Tylenol or (acetaminophen) is the recommended analgesic. Up to 4 g/day is considered safe and effective.
For patients who get an unsatisfactory response from Tylenol, or acetaminophen, the next choice is oral NSAIDs (nonsteroidal anti-inflammatory drugs) at the lowest effective dose, for the shortest duration possible. The choice of NSAID for each individual patient must take into account gastointestinal risk and cardiovascular risk.
Glucosamine and chondroitin, avocado soybean unsaponifiables, diacerhein, and viscosupplementatio n are all slow-acting treatments for osteoarthritis. They may offer relief with low toxicity.
Intra-articular corticosteroid injections are effective, especially during bouts of painful osteoarthritis.
Surgery (e.g. arthroplasty, arthrodesis, or osteotomy) can be considered for patients who had no luck with more conservative treatments. Surgery is recommended for patients with severe pain and disability from hand osteoarthritis.
Why Joint-Specific Recommendations Were Needed
Osteoarthritis impacts hands, hips, and knees differently. The joints are different in terms of anatomy and function, and patients are different in terms of appropriateness of treatment and response to treatment.
Six of the 11 recommendations, in the report which appeared in the Annals of the Rheumatic Diseases, were supported by study data:
education and exercise
NSAIDs
COX-2 inhibitors
topical NSAIDs
topical capsaicin
chondroitin sulfate
What Are Osteophytes / Bone Spurs?
What are osteophytes? What causes osteophytes to develop? Can they develop at any joint or are they more common for specific joints or specific types of arthritis? How are osteophytes diagnosed and treated
Osteophytes which are protrusions of bone and cartilage are very common and develop in areas of a degenerating joint. They are associated with the most common type of arthritis, osteoarthritis. Osteophytes typically develop as a reparative response by the remaining cartilage.
Developing Osteophytes
Osteophytes may also develop from the tissue that lines the bone or joint and occur in any number of locations.
Marginal osteophytes develop at the periphery or margins of all joints.
Central osteophytes are most prominent in the hip and knee.
Diagnosing Osteophytes
Osteophytes can be diagnosed by clinical exam as with the PIP (proximal interphalangeal joint), DIP (distal interphalangeal joint) and first CMC joints (carpometacarpal joint) of the hand or by radiographs (x-rays). If you did radiographs on everyone over 50 years of age, most would show some osteophytes. Yet, most people with osteophytes are asymptomatic.
Treatment of Osteophytes
If symptomatic, treatment of osteophytes includes:
physical therapy
NSAIDs (nonsteroidal anti-inflammatory drugs)
analgesics (painkillers)
supplements
surgery (an option in severe cases)
What is Degenerative Arthritis?
Patients are often confused by the diagnosis of "degenerative arthritis". What happens during this process? Can degenerative arthritis affect any joint? Are there any treatments which stop the degenerative process?
Is Degenerative Arthritis The Same As Osteoarthritis?
Osteoarthritis, also called degenerative arthritis is the most common type of arthritis. Degenerative arthritis increases in frequency as people age. Degenerative arthritis may commonly develop
Can Degenerative Arthritis Affect Any Joint?
The joints typically affected by this type of arthritis include the:
knees
hips
big toes
fingers
spine
Patients Are Often Confused By The Diagnosis of "Degenerative Arthritis". What is Degenerative Arthritis?
In a joint affected by this type of arthritis, the protecting cartilage of the bone disintegrates and new bone, or spurs develop. The loss of cartilage and the development of these spurs contribute to the pain of osteoarthritis.
Patients who develop osteoarthritis at a young age or in unusual joints such as the shoulder or ankle, and have no history of injury should be screened for a conditon called hemochromatosis.
This condition is characterized by too much iron in the blood. If diagnosed early, further joint damage, as well as damage to other organ systems can be prevented by lowering ones iron level through blood donation (the blood is discarded and not used for other people).
Are There Any Treatments Which Stop The Degenerative Process?
While there is not much available to prevent progression of osteoarthritis, there is some evidence that glucosamine with or without chondroitin, vitamin D and vitamin C may help progression.
There is some preliminary although limited evidence that selenium may also have some benefit.
Maintaining ones ideal weight is very important to decrease the risk of osteoarthritis,
especially in the weightbearing joints such as the hip or knee.
Osteoarthritis, also referred to as degenerative joint disease, DJD, or wear-and-tear arthritis, is the most common form of arthritis and is caused by the breakdown of cartilage in one or more joints. Cartilage acts as a cushion between the bones of joints. When there is cartilage loss, a joint can become bone-on-bone, which is very painful for the patient.
Osteoarthritis which is considered "primary" is mostly a consequence of aging. Water content of cartilage increases while protein composition of cartilage degenerates. Besides aging, factors which may increase the risk of developing osteoarthritis include:
injury to joints
repetitive use of joints
being overweight
stressing the joints
family history
Secondary osteoarthritis can develop as a consequence of another disease or condition.
postedbyMERM for wellnesstrain
TENA/DIAMOND
Comment
© 2012 Created by Susan M..
You need to be a member of WEGO Health to add comments!
Join WEGO Health