Arthritis: An Overview

Aug 22
Arthritis
Nathan Wei asked:

There are more than 100 different kinds of arthritis. Most of them involve inflammation. When a patient goes to a rheumatologist to get a diagnosis, there is a process of elimination in order to arrive at the proper diagnosis. This process of elimination is called “differential diagnosis.”

Differential diagnosis can be a difficult undertaking because so many forms of arthritis, particularly inflammatory forms of arthritis look alike. The following is a list of types of inflammatory arthritis that can be seen and must be considered when evaluating a patient with inflammatory symptoms of arthritis.

Rheumatoid Arthritis (RA)

RA is an chronic, autoimmune, inflammatory disease, that may affect any joint in the body but preferentially attacks the peripheral joints (fingers, wrists, elbows, shoulders, hips, knees, ankles, and feet. It can also affect non-joint organ systems such as the lung, eye, skin, and cardiovascular system. The onset of RA may be insidious-slow- with nonspecific symptoms, including fatigue, malaise, loss of appetite, low-grade fever, weight loss, and vague aches and pains, or it may have an abrupt onset with inflammation involving multiple joints. The joint symptoms usually occur bilaterally and are symmetric. Damage to joints- called “erosions” can be seen with magnetic resonance imaging early on or by x-ray later in the course of disease. Approximately 80% of patients with RA will have elevated levels of rheumatoid factor (RF) or anti-CCP antibodies.

Juvenile Rheumatoid Arthritis (JRA)

JRA describes a group of arthritic conditions that occur in children under the age of 16. Three forms of JRA exist, including oligoarticular (1-4 joints), polyarticular (> 4 joints), and systemic-onset or Still’s disease. The latter is associated with significant internal organ involvement and may also present with fever and rash in addition to joint disease. Polyarticular JRA is considered to be the type that is most similar to adult RA, and is responsible for approximately 30% of cases of JRA. Most children with polyarticular JRA are negative for RF and their prognosis is usually good. Roughly, 20% of polyarticular JRA patients will have elevated RF, and these patients appear to be at more risk for chronic, progressive joint destruction and damage. Uveitis- an inflammatory condition of the eye- is a common finding in oligoarticular JRA, especially in patients who are antinuclear antibody (ANA) positive. The dangerous feature of uveitis is that it can cause relatively few symptoms so careful screening is recommended in order to avoid blindness.

Systemic Lupus Erythematosus (SLE)

SLE is a chronic inflammatory autoimmune disorder that can involve the skin, joints, kidneys, brain, and blood vessel walls. At least 4 of the following symptoms which have been formulated by the American College of Rheumatology are generally present for a diagnosis to be made:

• Red, butterfly-shaped rash on the face, affecting the cheeks;

• Typical skin rash on other parts of the body;

• Sensitivity to sunlight;

• Mouth sores;

• Joint inflammation (arthritis);

• Fluid around the lungs, heart, or other organs;

• Kidney dysfunction;

• Low white blood cell count, low red blood cell count due to hemolytic anemia, or low platelet count;

• Nerve or brain dysfunction;

• Positive results of a blood test for ANA; and

• Positive results of a blood test for antibodies to double-stranded DNA or other antibodies including anti-Smith antibodies or antiphospholipid antibodies.

Patients with lupus can have significant inflammatory arthritis. That is why lupus can be difficult to distinguish from RA, especially if other signs and symptoms of lupus are minimal.

Inflammatory Muscle Disease

Polymyositis (PM) and dermatomyositis (DM) are types of inflammatory muscle disease. These conditions typically present with bilateral (both sides) large muscle weakness. In the case of DM, rash can be a presenting sign. Diagnosis consists of four major features, including elevation of creatine kinase (CPK), signs and symptoms such as muscle weakness, elevated muscle enzymes (creatine kinase, aldolase), electromyograph (EMG) abnormalities, and a positive muscle biopsy. Often, laboratory test abnormalities can be seen including the presence of autoantibodies such antinuclear antibody (ANA), and the myositis-associated antibodies.

In both PM and DM, inflammatory arthritis can be present and can look like RA — including lung involvement. In RA, however, unless an overlap syndrome - ie., a patient having both RA as well as muscle disease) is present, muscle function should be normal. Also, in PM and DM, erosive joint disease is unlikely. RF and anti-CCP antibodies are typically elevated in RA and not PM or DM.

Spondyloarthropathies (SA)

A group of arthritic conditions called the spondyloarthropathies which include psoriatic arthritis, reactive arthritis, ankylosing spondylitis, and enteropathic arthritis are a category of disease that cause inflammation throughout the entire body, particularly in parts of the spine and at other joints where tendons attach to bones. They also can cause pain and stiffness in the neck, upper and lower back, tendonitis, bursitis, heel pain, and fatigue. They are often called seronegative arthritis. The term ’seronegative’ means that tests for lab markers such as rheumatoid factor are negative. Symptoms of adult SA include:

• Back and/or joint pain;

• Morning stiffness;

• Tenderness near bones;

• Sores on the skin;

• Inflammation of the joints on both sides of the body;

• Skin or mouth ulcers;

• Rash on the bottom of the feet; and

• Eye inflammation.

In some cases of SA, peripheral arthritis resembling RA can be present. Careful history and physical examination can usually distinguish between these syndromes, especially if an obvious disease that is aggravating inflammation is present (psoriasis, inflammatory bowel disease). In addition, since RA rarely affects the end joints of the fingers (DIP joints), if these joints are involved from inflammatory arthritis, the diagnosis of an SA is favored. Usually, RF and anti-CCP antibodies are negative in SA, although in some cases of psoriatic arthritis there may be elevations of RF and anti-CCP antibodies.

Crystal Associated Arthritis

Monosodium Urate Disease (Gout)

Gout is due to deposition of monosodium urate crystals in a joint. Gouty arthritis is typically sudden in onset, very painful, with signs of significant inflammation on exam (red, warm, swollen joints). Gout can affect almost any joint in the body, but typically affects “cooler” regions including the toes, feet, ankles, knees, and hands. Diagnosis is made by withdrawing fluid from a joint and examining the fluid under a polarizing microscope. Patients may also have elevated serum levels of uric acid.

In most cases, gout is an acute disease that affects one joint and is easily distinguished from RA. However, in rare cases, chronic erosive inflammation can develop and affect multiple joints. And, in cases where tophi (deposits of uric acid under the skin) are present, it can be difficult to distinguish from erosive RA. However, crystal analysis of joints or tophi and blood tests should be helpful in distinguishing gout from RA.

Calcium Pyrophosphate Deposition Disease (CPPD; Pseudogout)

CPPD disease is caused by deposits of calcium pyrophosphate dehydrate crystals in a joint. The body’s reaction to these crystals, leads to significant inflammation. Diagnosis includes:

• Detailed medical history and physical exam;

• Withdrawing fluid from a joint using a needle;

• Joint x-rays to show crystals deposited on the cartilage (chondrocalcinosis);

• Blood tests to rule out other diseases (e.g., RA or osteoarthritis).

In most cases, CPPD arthritis presents with acute arthritis affecting one or more joints. However, in some cases, CPPD disease can present with chronic symmetric multiple joint erosive arthritis similar to RA. RA and CPPD disease can usually be distinguished by joint fluid examination demonstrating calcium pyrophosphate crystals, and by blood tests, including RF and anti-CCP antibodies, which should be negative in CCPD arthritis.

Sarcoid Arthritis

Sarcoidosis is an inflammatory type of arthritis. The majority of patients with this disease have lung disease, with eye and skin disease being the next most frequent signs of disease. In most cases, the diagnosis of sarcoidosis can be made on clinical and x-ray presentation alone. Patients will have acute arthritis, painful nodules under the skin on the shins (erythema nodosum), and a chest x-ray showing enlargement of lymph niodes. In some cases, the demonstration of a specific type of inflammation change, called a noncaseating granuloma on tissue biopsy, is necessary for definitive diagnosis.

Arthritis can be present in approximately 15% of patients with sarcoidosis, and in rare cases can be the only sign of disease. In acute sarcoid arthritis, joint disease is usually rapid in onset, symmetric, involving the ankle joints. The knees, wrists, and small joints of the hands can be involved. In most cases of acute disease, lung and skin disease are also present. Chronic sarcoid arthritis typically involves one or maybe a few joints and due to its often erosive nature can be difficult to distinguish from RA.

Polymyalgia Rheumatica (PMR) / Temporal Arthritis

PMR is a form of arthritis that leads to inflammation of tendons, muscles, ligaments, and tissues around the joints. It is characterized by large muscle (shoulders, hips, thighs, neck) pain, aching, morning stiffness, fatigue, and in some cases, fever. It can be associated with temporal arthritis/giant-cell arthritis (TA/GCA) which is a related but more serious condition in which inflammation of large blood vessels can lead to complications such as blindness, aneurysms and cramping pain in the arms or legs (limb claudication) due to inflammation and narrowing of the large blood vessels in the chest and extremities. PMR is diagnosed when the clinical picture is accompanied by elevated markers of inflammation (ESR and/or CRP). If temporal arthritis is suspected (headache, vision changes, limb claudication), biopsy of a temporal artery may be necessary to make the diagnosis.

PMR and TA/GCA can present with symmetric inflammatory arthritis similar to RA. These diseases can usually be distinguished by blood tests. In addition, headaches, acute vision changes, and large muscle pain are uncommon in RA, and if these are present, PMR and/or TA/GCA should be considered.

Infectious Arthritis

Many infections can present with arthritis either due to direct joint infection or due to autoimmune joint inflammation. In most cases, infections lead to acute single joint arthritis; however, in some cases, chronic arthritis affecting a few or many joints can be present. Because missed infections can lead to significant complications, it is crucial to have a high index of suspicion for infection in any patient presenting with acute or chronic arthritis.

Lyme disease

Lyme disease is an infection due to a type of bacteria called a spirochete. The disease is manifested by a skin rash, swollen joints and flu-like symptoms, caused from the bite of an infected tick. Symptoms may include:

• A skin rash, often resembling a bulls-eye (target lesion);

• Fever;

• Headache;

• Muscle pain;

• Stiff neck; and

• Swelling of knees and other large joints.

The diagnosis of Lyme disease is typically made by blood testing. If, however, chronic single joint arthritis develops, joint fluid analysis or joint tissue biopsy may be necessary for diagnosis. Lyme arthritis can usually be distinguished from RA by clinical presentation and blood tests.

Acute rheumatic fever (ARF)

Acute rheumatic fever is an inflammatory disease that may develop after an infection with the Streptococcus bacteria (strep throat or scarlet fever). The disease can affect the heart, joints, skin, and brain. Symptoms include:

• Fever;

• Joint pain;

• Arthritis (mainly in the knees, elbows, ankles, and wrists);

• Joint swelling; redness or warmth;

• Abdominal pain;

• Skin rash

• Skin nodules;

• A peculiar movement disorder (Sydenham’s chorea)

• Nosebleeds;

• Heart problems, which can be asymptomatic.

The diagnosis of ARF is made by clinical assessment and blood testing for antibodies against streptococcal proteins. ARF and RA can have similar clinical features including arthritis and nodules. However, ARF can usually be distinguished from RA by clinical presentation. Rash and migratory arthritis are unusual in RA. The use of blood tests is also helpful.

Viral arthritis (hepatitis B and C, parvovirus, EBV, HIV)

Arthritis may be a symptom of many viral illnesses. This makes viral infections a great masquerader. The duration is usually short, and it usually disappears on its own without any lasting effects. Clinical features in adults:

• Joint symptoms occur in up to 60%. These can be symmetric and affect the small joints of the hands, wrists, and ankles as well as the knees. Morning stiffness is also present.

• Parvovirus B19 is a very common viral infection that looks like RA.

• Diagnosis of viral arthritis is made by serologic testing. A high percentage of patients with hepatitis C may have elevated titers of RF. Therefore, RF testing is not helpful in distinguishing between hepatitis C infection and RA. However, in these situations, testing for anti-CCP can be helpful as anti-CCP antibodies have not been shown to be significantly elevated in isolated hepatitis C infections.

So as you can see… “it ain’t easy…”

Aug 21
Arthritis
Johnsmith asked:

Arthritis pain can be caused by many different factors and affects everyone differently. The inflammation process causes redness and swelling in and around your joints, over time it starts to damage the joint and the joint tissues. This results in the arthritis pain, which is caused by the stress on your joints; it can begin to cause injury and pressure that can become unbearable. People have been known to become stressed or even depressed as a result from the limited movement and not being able to do the activities that was once apart of their everyday life, this is called a cycle of the arthritis pain and will make it harder to deal with this disease.Canine arthritis medicine will not make the arthritis go away.

There are no cures for arthritis. In severe cases, surgery can be an alternative. But, many medications will relive the pain and swelling associated with arthritis. After your veterinarian has diagnosed your dog with canine arthritis it would be best to find out what medicines he thinks would be best for the type of arthritis you dog is suffering with. Regular exercise, stress reduction, healthy food, healthy eating habits, not smoking can help in living a better life with arthritis. Herbal and ayurvedic treatment can also be used for overcoming arthritis. Glucosamine acts as an anti-inflammatory supplement which might sometimes lead to irritation in the stomach.

However internet at present brings about various solutions to arthritis. Just by simply inserting the key word in the search section, one can get knowledge of the disease of arthritis and also the remedial measures and the medical treatments which can be sorted out to overcome arthritis. But it is the physician’s recommendation, consultation and treatment which count to be very much important in overcoming arthritis. This is perhaps the most heartbreaking form of arthritis. While it is extremely rare, finding a way to ease arthritis pain in this case is tough. It usually involves surgery and mobilization of the joint, as well as some therapy and medication. NSAIDS are usually prescribed by the doctor as are steroids in many cases.

The outlook for these patients is usually good, but in some rare cases, children will need treatment throughout adulthood to ease arthritis pain. Sometimes the only way to get arthritis relief is surgery. This is only an option when medication and exercise are not working and arthritis relief is needed because of the disability it can cause and restricted everyday activities that generally becomes a part of daily life. Several surgical procedures can help with arthritis relief, reduce the pain and increase the range of motion that was restricted due to arthritis, as well as the stiffness and swelling of the joints.

Possibilities for arthritis relief can range from an arthroscopic procedure that will require a small incision in the affected area. This type of arthritis relief has a short recovery time and you will be back in the swing of things in no time at all. Subsequent to appropriate diagnosis, a doctor can prescribe the particular arthritis treatments to lessen the pain. Fundamentally, few steps of treatments are followed with respect to arthritis disease. The initial treatments are mild in nature and usually involves consumption of contemporary medications as such use of creams or gels. This helps in cooling or warming of the skin and creates a feeling that aids in distracting the patient from severe pain.

Aug 18
Arthritis
Dr John Anne asked:

What Causes Arthritis?

Arthritis is one of the most common causes of chronic pain. But, arthritis pain relief is not as common. There are over one hundred diseases associated with arthritis, affecting areas in and around joints. Just below heart disease, arthritis is the second leading cause of disability and the inability to work. Pain from arthritis can limit the ability to perform simple, every day activities. Many people believe that nothing can be done for arthritis - but there are ways to relieve the pain caused by arthritis. The most successful way is to manage your pain and try to avoid things that aggravate the problem area.

In many situations, arthritis is caused by the wear and tear of joints. Some of this wear and tear is caused as the body ages naturally. Some is brought on earlier than normal by overusing certain joints. Maintaining a healthy weight is essential in the prevention of the early onslaught of arthritis. As with many other medical conditions, the way you take care of your body will be a determining factor in whether or not you arthritis affects you and how early you begin to see signs of the condition.

Ways to Prevent Or Decrease Your Chance of Arthritis

There are many ways to prevent the early onslaught of arthritis. Your body treats you the way you treat your body. Thinking ahead to the years when your body begins aging and taking care of yourself with that in mind can sometimes help you to avoid arthritis pain later in life - or in the very least, help you to prevent arthritis for a longer period of time.

Here are some ways you can decrease your chances of suffering from arthritis pain:

Maintain a healthy weight. Excess weight causes early wear and tear of the weight-bearing joints, which include the feet, ankles, hips, knees, and spine.

Maintain a regular exercise routine. The old saying, “If you don’t use it, you lose it”, holds true. By not exercising regularly, muscles weaken and place more strain on the joints. By exercising regularly, the muscles are allowed to do their job and work with the joints, rather than the joints working for the muscles.

Don’t over exercise. While a regular exercise regimen is essential for your overall health, overusing your joints will have a detrimental effect on your body. The key is to exercise regularly - rather than trying to perform a week’s worth of exercise once a week. Exercise daily - or maintain a consistent schedule.

Avoid repetitive movements as often as possible. Repetitive movements of the wrists or knees can cause problems later in life. Try to switch activities frequently enough to avoid repetitive strain on the joints.

Eat a healthy diet and drink plenty of water. A healthy diet and keeping your body properly hydrated are important factors in avoiding the early onslaught of arthritis.

Arthritis Pain Relief

Once you begin showing signs of arthritis pain, it is very important to see your physician so that, together, you can form a plan to manage your pain. Arthritis can cause debilitating pain and limit your activities. But, with proper care and pain management, it is possible to lead a normal life. Here are a few ways in which you can accomplish arthritis pain relief:

Medication. Some physicians recommend medications for the relief of arthritis pain. Before you choose medication as your management program, you should discuss the side effects and interactions with other drugs with your physician. Always be sure to learn as much as you can in order to make an informed decision.

Herbal supplements. Many people choose to avoid the risks associated with medications. In this case, herbal remedies may be used as a means of arthritis pain relief.

Magnet Therapy. Many people believe in the therapeutic effects of magnet therapy.

Acupuncture. For those who believe in the healing powers of acupuncture, this may be a route for you.

Ayurveda. Many people who are in search of a holistic method of arthritis pain relief use this method of treatment, which originated in India. http://www.ayurvediccure.com/arthcareoil.htm

There are many ways in which a person can prevent, decrease, or treat the effects of arthritis. The most important thing in determining the best course of action for arthritis pain relief is to learn as much as possible so that you can make an informed decision - one that is right for you.

Aug 18
Arthritis
Peter sams asked:

Arthritis isn’t just 1 disease; it’s a complex disorder that comprises more than 100 distinct conditions and can affect people at any stage of life. Two of the most common forms are osteoarthritis and rheumatoid arthritis. Arthritis is a joint disorder featuring inflammation. There are many forms of arthritis (over one hundred and growing). The forms range from those related to wear and tear of cartilage (such as osteoarthritis) to those associated with inflammation resulting from an over-active immune system (such as rheumatoid arthritis).

Forty-six million Americans report that a doctor told them they have arthritis or other rheumatic conditions. Arthritis is the most common cause of disability in the United States, limiting the activities of nearly 19 million adults. The CDC Arthritis Program is working to improve the quality of life for people affected by arthritis and other rheumatic conditions by working with states and other partners to increase awareness about appropriate arthritis self management activities and expanding the reach of programs proven to improve the quality of life for people with arthritis.

Arthritis has reached pandemic levels in the western world. About 70 million Americans nearly one in three people are reported to have it in one of its 100 varieties, ranging from the most common, osteoarthritis, to the crippling rheumatoid arthritis, and including gout and lupus. The situation is no better in Britain where unofficial estimates reckon nine out of every 10 people will suffer from it in some form before they die.

Signs and Symptoms

There are many different signs and symptoms of arthritis. If you have experienced pain, stiffness, or swelling around a joint for more than two weeks, you should visit your physician. Only a physician can determine if you are suffering from symptoms of arthritis. You need to find out which type you have in order to start the best course of arthritis treatment. These arthritis symptoms may come up suddenly or slowly over time and may also include sleeplessness, fatigue, depression, and muscle aches.

Although the severity and range of symptoms of psoriatic arthritis can vary in each person, common symptoms include:

• Stiffness, pain, swelling and tenderness of the joints and surrounding soft tissue

• Reduced range of motion

• Morning stiffness and tiredness

• Nail changes, including small indentations in the nail, called pitting, or lifting of the nail, which occurs in 80 percent of people with psoriatic arthritis

Signs and symptoms of rheumatoid arthritis may include:

• Joint pain

• Joint swelling

• Joints that are tender to the touch

• Red and puffy hands

• Firm bumps of tissue under the skin on your arms (rheumatoid nodules)

• Fatigue

Causes of Arthritis

Heredity: Scientists have discovered that the genetic marker HLA-DR4 is linked to rheumatoid arthritis; so, if you happen to have this gene, you’re more likely to develop the disease. For example, ankylosing spondylitis is linked to the genetic marker HLA-B27, and although having this gene doesn’t mean that you will absolutely get this form of arthritis, you can if conditions are right.

Tumor necrosis factor: TNF is a substance the body produces that causes inflammation and may play a part in initiating or maintaining rheumatoid arthritis. Although scientists are unsure exactly what triggers rheumatoid arthritis, they have found that drugs that counteract the effects of TNF, called TNF antagonists, are often helpful in managing the symptoms of this disease.

Aug 15
Arthritis
Scott Goodman asked:

There are many different types of arthritis and each one that develops, as well as the cause, will offer different arthritis symptoms, and a trip to the doctor for appropriate diagnosis may be necessary. Some forms of arthritis will offer similar symptoms, but if a person become afflicted by what is commonly called infectious arthritis, it is important they receive proper care for the infection to eliminate the arthritis symptoms they suffer. The most common form is osteoarthritis, which can be caused by trauma, infection or age and treatment methods can vary based on the individual.

Osteoarthritis is a degenerative disease that affects the joints, or more accurately the cartilage in the joint that serves as a cushion. As the cartilage slowly disappears over time, the arthritis symptoms often include pain in the affected joints as well as stiffness. Another form, rheumatoid arthritis often offers similar stiffness, especially in the mornings, but the stiffness will often disappear the longer the person is up and moving.

While pain in the joints is one of the better known arthritis symptoms, the appropriate treatment can only be offered once it is determined the type of arthritis with which the patient suffers. Often x-rays can reveal the loss of cartilage and, depending on the severity of the loss, may require injections to help provide the joint cushion needed to provide relief.

Arthritis Diagnosis Requires Accurate Testing

When the pain and swelling in the joints fails to lessen throughout the day, it could be one of the rheumatoid arthritis symptoms. When the patient first visits the doctor and it is suspected they are suffering from rheumatoid arthritis, a blood test may be needed to make an accurate diagnosis, to detect any infection in the cartilage. While similar to other arthritis symptoms, rheumatoid arthritis can be crippling and disabling for sufferers to enjoy a normal lifestyle without appropriate treatment.

There are also many misconceptions about arthritis, chief among them is that the arthritis symptoms will be apparent every day. It is possible for many sufferers to be free of the arthritis symptoms on some days and hard hit on others. This can make it difficult for those working with arthritis sufferers to understand the full extent of this medical condition.

Additionally, many younger people who offer arthritis symptoms are often overlooked as the disease is too often considered a disease of the elderly. While common among older people, arthritis symptoms can appear at any age, and the sooner a person receives an accurate diagnosis the sooner treatment can begin.

Aug 13
Arthritis
Dr John Anne asked:

Arthritis covers a broad spectrum of disease. To many, the term arthritis means pain and inflammation of the joints - but, arthritis is a much more complex medical condition. The term arthritis comes from the Latin phrase, “arth” meaning joint and “it is” meaning inflammation. There are over 100 illnesses associated with the term arthritis. Arthritis can range from something as simple as tendonitis to something as chronic as rheumatoid arthritis.

Three Most Common Types of Arthritis

Osteoarthritis - the most common type of arthritis. This degenerative joint disease affects over 16 million Americans. This form of arthritis is caused when the cartilage surrounding the ends of the bones begins to degenerate and the joints are no longer cushioned. This caused the joints to rub together and in severe cases, you can hear the bones grating against one another. At the onset of osteoarthritis, the symptoms are usually mild and consist of pain and stiffness of the joints. As the disease progresses, inflammation and loss of motion can occur. In some severe cases, deformity can occur if the grinding joints wear one side of the joint more than the other.

Rheumatoid arthritis - This is the second most common type of arthritis and the most severe. Symptoms usually begin appearing between the ages of 25 and 50 - however, children and senior citizens can experience the onset of this disease. Rheumatoid arthritis is the most common type of inflammatory arthritis. Rheumatoid arthritis is considered an autoimmune disease because factors other than wear and tear of cartilage can cause the disease and the disease can affect other organs, such as the eyes, lungs, and heart.

Rheumatoid arthritis usually affects the joints on both sides of the body - for instance, both hands will be affected, both wrists will be affected, and both legs will be affected. The most common symptoms of rheumatoid arthritis are pain, stiffness, swelling, redness of the skin, fatigue, weight loss, and low-grade fever. Not only affecting the joints, rheumatoid arthritis can give you an overall feeling of sickness. Rheumatoid arthritis can be a debilitating disease, however patients can experience periods of remission in which the symptoms disappear and they can lead a normal life.

Fibromyalgia - This is a type of arthritis that does not directly affect the joints. Rather, the inflammation and pain affect the muscles, ligaments, tendons, and soft tissues under the skin. Many patients have tender spots under the skin that are painful when any type of pressure is applied. The symptoms for Fibromyalgia include deep muscle pain, fatigue, sleeplessness, and depression. Symptoms may come and go, but the disease is long term and chronic.

Other Types of Arthritis

Anklyosing Spondylitis - a chronic, inflammatory disease that affects the spine. The common symptoms include lower back pain and stiffness that lasts for more than a period of three months, difficulty sleeping, fatigue, weight loss, and low-grade fever.

Gout - this disease usually affects the joints of the big toe, but can extend to the ankles, heels, knees, wrists, fingers, and elbow. The common symptoms are tenderness, pain, redness, warmth, and swelling of the affected joint.

Infectious Arthritis - this type of arthritis is caused by an infection, and can be caused by both bacterial and viral infections. The onset of infectious arthritis is sudden and the symptoms include swelling of the joint, soreness, warmth, leakage of tissue fluid, fever, and chills.

Cervical arthritis - this type of arthritis affects the upper back and can cause pain in the neck and arms. Cervical arthritis is caused when the cartilage protecting the discs that support the neck deteriorate. The most common symptom of cervical arthritis is chronic neck pain, but can include loss of balance, headaches, muscle weakness, and stiffness.

Juvenile Rheumatoid Arthritis - this inflammatory arthritis affects children. The most common symptoms of Juvenile Rheumatoid Arthritis are swelling, pain, and stiffness in joints. The symptoms are usually worse in children upon waking in the morning and after a nap. There is no known reason for the onset of arthritis in children and, unlike rheumatoid arthritis in adults, children sometimes outgrow the disease and the symptoms disappear.

These are just some of the many types of arthritis. In general terms, arthritis is any disease that involves inflammation - swelling and pain of the joints or muscles. If you suspect that you suffer from arthritis, you should consult your physician to determine the type of arthritis and learn what treatments are available.

Aug 4
Arthritis
herbalremedies asked:

Holistic medicine for treatment of arthritis is becoming more and more popular.

Arthritis is a disease which causes inflammation of the joints. If left untreated joint damage, joint limitations and deformities can occur.

People suffering from arthritis must be groping for ways and means to totally cure them of their condition. Arthritis is the common term given to diseases of the joints. It is associated with pain and swelling, which can come and go due to certain trigger factors. Arthritis is very common to middle-aged individuals because that’s the time when their joints succumb to the normal wear and tear of everyday use. There are a lot of medicines for arthritis these days. And one of them is what’s called the Amazing Arthritis Medicine.

The amazing arthritis medicine that I’m bringing across to readers , ironically is one which expels any form of medication, drugs, or strict diet. It is one way of curing Arthritis through natural healing - a day to day healthy living - which makes all the difference in treating Arthritis.

Canine arthritis medicine will not make the arthritis go away. There are no cures for arthritis. In severe cases, surgery can be an alternative. But, many medications will relive the pain and swelling associated with arthritis. After your veterinarian has diagnosed your dog with canine arthritis it would be best to find out what medicines he thinks would be best for the type of arthritis you dog is suffering with.

Heat applied to the painful area gives immediate but temporary relief. As soon as the source of heat is removed the arthritis back pain will begin to return.

Physical therapy is another method of pain relief. Chiropractors and massage clinics offer ways to give you temporary relief; however, for long term relief, you need to see your doctor. A doctor can check, first, to be sure it is truly arthritis pain, then prescribe medication for your individual arthritis back pain.

Recently, studies have been done on an herbal extract known as Tripterygium Wilfordi Hook F (TWHF) that has proved beneficial in the treatment of severe Rheumatoid Arthritis. The reports claim that it is very comparable to prednisone, a common chemical medication used in the treatment of arthritis. As in the cases of other herbal treatments and alternative medicine solutions in general, there is some controversy over the use of herbal medicines in the treatment of arthritis. The major complaint seems to be over the lack of regulation and uncertainty about the side effects of some of the herbal preparations.

If you are newly diagnosed with arthritis, nothing beats going to the library. The library is full of arthritis information. You can read stories of other osteoarthritis and rheumatoid arthritis patients and learn about various alternative treatments and medication. You should also contact your local hospital to see what services they offer your community in way of arthritis information and support.

The belief of the Chinese medicine is that disease occurs when obstructions impede the flow of energy to the organs. Chinese herbs are used to restore energy and function to your body since Chinese medicine is based on the belief that if your body’s energy is blocked you cannot be in a state of wellness. Some of those who practice holistic medicine believe that a vegetarian diet can help to reduce your arthritis symptoms.