Thursday, November 8, 2007

What is Arthritis?

If you feel pain and stiffness in the body or having difficulty moving around, you may have arthritis. Most types of arthritis cause pain and swelling in your joints. Seams are places where two bones meet, such as your elbow or knee. Over time, a swollen joint can become severely damaged. Some types of arthritis can also lead to problems in organs such as the eyes or skin. A type of arthritis, osteoarthritis, is often associated with aging or injury. Other types occur when the immune system, which normally protects the body against infection, attacks your own body tissues. Rheumatoid arthritis is the most common form of this type of arthritis. Juvenile Rheumatoid arthritis is a form of the disease that occurs in children.
Rheumatoid arthritis is associated with a high risk of early death. Researchers at the Mayo Clinic wanted to know if life has improved in recent decades for rheumatoid arthritis patients. Have new drugs, new treatments, and early diagnosis have no impact on mortality expected for rheumatoid arthritis patients? According to the November 2007 issue of Arthritis & Rheumatism, the medical records of 822 rheumatoid arthritis patients in Olmsted County, Minnesota were analyzed. All residents of Rochester, Minnesota diagnosed with rheumatoid arthritis between 1 January 1955 and 1 January 1995 and all residents of Olmsted County diagnosed with rheumatoid arthritis between January 1, 1995 and January 1, 2000 were included. The average age for onset rheumatoid arthritis was about 58 years old. All patients were followed until death or January 1, 2007. The researchers compared the survival rates of patients with rheumatoid arthritis in 5 periods: 1955-1964, 1965-1974, 1975-1984, 1985-1994 and 1995-2000. Comparing the 5 periods, the researchers found no significant difference in survival rates for patients with rheumatoid arthritis, which also indicates no significant gains in longevity. To confirm their findings, another method was used and it was concluded that no evidence was found to indicate that rheumatoid arthritis improvement in the survival of patients from 4 to 5 years. Since survival has improved in the general population, there is an enlargement of mortality between patients and rheumatoid arthritis persons without arthritis. Related Resources: Rheumatoid Arthritis shortens life expectancy The correlation of life expectancy and arthritis 10 facts you need to know about rheumatoid arthritis Lower Mortality: thin or obese Rheumatoid Arthritis patients? Air pollution increases the risk of death in people with rheumatoid arthritis Photo: Stan Rohrer (iStockphoto) Wednesday, November 7, 2007 Permanent Comments (0) More information from your guide below Sponsored Links The symptoms of arthritis The signs and symptoms of arthritis. Doctor-Reviewed health information. Healthline.com Rheumatoid Arthritis See our series of free online videos on Rheumatoid Arthritis. Www.healthology.com Arthritis pain remedy Breakthrough treatment for joint and muscle pain. No drugs or surgery! Www.JointPainRemedy.com More from Your Guide Allopurinol: what you should know Allopurinol is prescribed for the treatment of chronic gout is used to prevent rather than treat gout attacks. Gout occurs in about 800 of every 100,000 people and accounts for about 5 percent of all cases of arthritis. The men who are between 39-59 years are most likely to develop gout group. Women may also develop gout, but usually not until after menopause. Gout is rare in children and adolescents. Allopurinol -- which goes by the marks Aloprim and Zyloprim -- is a drug that belongs to a class of drugs known inhibitors of xanthine oxidase. Allopurinol is available in the form of 100 ml. Tablet. This drug is taken once or twice a day, usually following a meal. Allopurinol works by blocking the production of uric acid. Uric acid is a waste product normally present in the blood as a result of the breakdown of purines. Excessive amounts of uric acid can cause in the form of crystals in the joints, which can lead to gout. What are the warnings of allopurinol? What are the possible side effects of allopurinol? What possible drug interactions may occur with allopurinol? Knowing how to use allopurinol security reduces the risk of unwanted side effects. Warnings about allopurinol should be respected. Learn more about drugs in what you need to know about Allopurinol. Related Resources: Guide to Drop Gout 101: Free Newsletter E-Course What you need to know about gout How to treat gout with diet and medication Women and men share some risk factors for gout Photo by Frances Twitty (iStockphoto) Monday, November 5, 2007 Permanent Comments (0) 10 ways to improve your life with arthritis People with arthritis are often dismayed by how the disease steals their lives. Physical limitations imposed by arthritis -- caused by chronic pain, chronic fatigue, stress, and more -- can interrupt their narrow world and live a 'normal life'. Some adults with doctor-diagnosed arthritis -- more than 17 million or 38 percent -- report activity limitations due to arthritis, according to the Centers for Disease Control and Prevention (CDC). For a person living with arthritis, all of the energy is consumed in trying to carry out simple and routine daily activities. Their concentration may be limited to only "pass the day." Arthritis is starting to take control of the individual, rather than the person who takes control of arthritis. How can we better manage your disease? What changes you can make to your lifestyle to make it easier living with arthritis? What steps can be taken to obtain and maintain control over the limitations imposed by arthritis? Learn more about 10 ways to improve your life with arthritis. Related Resources: How can we live in a "Normal World" 8 best things to do for arthritis Are you overwhelmed? The many emotions chronic arthritis 10 ways strikes activities of daily living Photo by Falk Bartels (iStockphoto) Friday, November 2, 2007 Permanent Comments (0) 10 ways arthritis patients can fight fatigue Approximately 10 million doctor visits each year are attributed to fatigue, and many of those associated with arthritis-related conditions. According to the Arthritis Foundation, 98 percent of patients with rheumatoid arthritis and 50 percent of people with lupus or Sjogren fatigue syndrome report. The percentage escalates with obesity and depression, and complications secondary conditions such as fibromyalgia, lung and cardiovascular problems. The impact of fatigue is important for people with arthritis-related conditions. Fatigue is disruptive and interferes in all aspects of daily life. Many patients describe its impact on their lives as more important than the pain. Fatigue is different from the ordinary fatigue. Fatigue is extreme fatigue, exhaustion overwhelming, the feeling of being "wiped out", and had no energy -- even after a night's sleep. Fatigue affects a patient's ability to think, and its presence can cause unrelenting emotions to change quickly. Patients often feel fatigue is insufficiently addressed during doctor visits, probably because there is no quick fix. Are there any solutions to combat fatigue? Here are 10 ways arthritis patients can fight fatigue. Related Resources: I am Tired of being tired Arthritis patients need more ZZZZZ's Study: dark chocolate reduces fatigue Body Maj. clock can be linked to chronic fatigue Fatigue leaves patients not arthritis: Are there any solutions? Photo by Duane Ellison (iStockphoto) Tuesday October 30, 2007 permalink Comments (0) Rheumatoid Arthritis patients reported persistent symptoms Even after many years of treatment with various drugs, most patients with moderate to severe rheumatoid arthritis experience even frequent and often severe symptoms, according to a new Harris Poll. Although more than 85% of 512 rheumatoid arthritis polled would consider trying newer treatments that could better control the symptoms, many patients are not even raise the issue with their doctors, because they have low expectations of symptom relief. Although, on average, patients with moderate to severe rheumatoid arthritis (RA) were issued on prescription treatment for more than 12 years, and their salaries have risen by an average of 6 times over this period -- symptoms persist. The survey also revealed that: 75% still struggle with daily RA-related pain, stiffness, fatigue, edema. More than 70% of people with RA have moderate or severe symptoms. 66% found that their symptoms RA limit. 59% are frustrated by their symptoms of RA. 46% rate their quality of life equal to or less than 6 using a 10 point scale (10 = high). 39% switched treatments at least once because of the lack of symptom relief, but would have liked to spend the last treatment earlier. 73% were under way to treat RA TNF blockers. Despite frequent and severe symptoms, 83% were fairly or very satisfied with TNF blockers. Among all respondents, 46% due 3 months or more to discuss inadequate relief of symptoms with their doctors. When asked why they waited to talk to their doctors, 57% said they have learned to cope with the symptoms or wait for them will always have symptoms. One of the 5 patients reported their outlook is increasingly negative. Guide rheumatoid arthritis Rheumatoid Arthritis Screening Quiz Rheumatoid Arthritis: explained with pictures How to recognize the signs and symptoms of Rheumatoid Arthritis The survey was also given to 153 rheumatologists (doctors specializing in the treatment of arthritis and conditions), and it was found that physicians and patients differed significantly in their perceptions of the frequency and severity of symptoms and the satisfaction with symptom relief. Patients evaluated the prevalence and severity of symptoms of RA higher than rheumatologists done. Rheumatologists noted with satisfaction TNF blockers higher than patients do. Also, 9 out of 10 rheumatologists said they try another TNF blocker if a patient should move from their current blocking TNF. More related resources: Facts About rheumatoid arthritis Test your knowledge: Rheumatoid Arthritis Rheumatoid Arthritis 101: Free Newsletter E-Course 10 things you should know about rheumatoid arthritis It is advice for patients with long-term Rheumatoid Arthritis? Join the discussion: Join our forum arthritis Photo © About.com Sunday, October 28, 2007 Permanent Comments (1) How to find gold-diggers salts work for arthritis Doctors first used injections of gold salts to treat arthritis in the early 1900's. It is a treatment for serious side effects, including rashes, mouth sores, and kidney damage. Or sometimes even touched the bone marrow's ability to produce new blood cells. It took months for the drug to be effective when it did work. But how does it work? So far, the mechanism is unclear. Researchers at Duke University Medical Center, with colleagues at the University of Pittsburgh and the Karolinska Institute in Sweden, have discovered gold, which inhibits the release of HMGB1 by interfering with interferon beta, and nitric oxide two assistant molecules that facilitate the release of HMGB1 of cells. HMGB1 is involved in the transcription of genetic information in DNA to RNA its equivalent. When HMGB1 is released through normal from cells or cell death process, it stimulates the immune system and promotes inflammation. HMGB1 is not evenly distributed throughout the body. The synovial fluid and synovial tissue contains an unusually high amount "of HMGB1, according to the researchers. Animal studies and human studies are needed for the monitoring of laboratory studies, but researchers believe the discovery could lead to newer, more secure the treatment with gold. The growing popularity of methotrexate and biological drugs to treat rheumatoid arthritis, but all have replaced the use of gold. According rheumatologist Scott J. Zashin, M.D., as gold plans have become less used, companies have stopped making the drug. There were two formulations of gold, Solganol and Myochrysine. Only Myochrysine (or sodium thiomalate) is now available and patients often develop a reaction to this formulation making it unacceptable to continue treatment. Oral or (Ridaura, auranofin capsules) had little profit in the treatment so it was infrequently prescribed. Related Resources: More information about oral Gold More information on the plans or DMARDs / Modification of disease-fighting drugs rheumatic Gold is commonly or rarely used in the treatment of RA? Some patients are unsuitable candidates for Biologic drugs? Photo by zilli (iStockphoto) Thursday, October 25, 2007 Permanent Comments (0) Two novel genes associated with ankylosing spondylitis Two genes have been identified by researchers associated with ankylosing spondylitis, a form of arthritis that causes back pain and progressive stiffness. By using a technique known as whole genome association scanning, researchers at the Wellcome Trust Center for Human Genetics at Oxford University analyzed DNA samples from 1,000 patients with spondylitis ankylosing and 1,500 people search for genetic disease mutations. The researchers were able to identify the genes -- ARTS1 and IL23R -- which increases the risk of developing ankylosing spondylitis. Approximately 37 years, HLA-B27 was discovered and linked to ankylosing spondylitis. A person with the three genes should have a 1 in 4 chance of developing the disease. The IL23R gene plays a role in the immune response to infection and is known to play a role in autoimmmune diseases like Crohn's disease and psoriasis. Ankylosing spondylitis, Crohn's disease, psoriasis, and are known to often occur together and genes in common may explain why. A treatment of Crohn's disease, which inhibits IL23R is in clinical trials and there may be as promising as a treatment for ankylosing spondylitis. Researchers continue to study the mechanism of how genes work and how they relate to development of ankylosing spondylitis. Ankylosing spondylitis Screening Quiz Facts About ankylosing spondylitis Video: Symptoms of Ankylosing Spondylitis Ankylosing spondylitis often delayed or difficult diagnosis Ankylosing spondylitis affects mainly men. Two to three times more men than women develop the disease. Anyone can develop ankylosing spondylitis, however. The age of disease onset is usually between 17 and 35 years. The incidence of ankylosing spondylitis is 1 in 1,000 people. Some researchers believe it is 1 in 200 people. More related resources: The back pain Quiz Guide to low back pain Fast Facts about facet arthropathy Spine Osteoarthritis-what you need to know Image © A.D.A.M. Tuesday October 23, 2007 permalink Comments (0) The psoriasis and psoriatic arthritis: Living Without Limits Psoriasis is a chronic skin disorder characterized by a rash and irritation. Psoriatic arthritis is a form of arthritis associated with psoriasis. According A.D.A.M., between 5.8 and 7.5 million Americans have psoriasis, and it affects between 2 - 3 percent of the world's population. Approximately 40 percent of patients with psoriasis development report before 20 years, and 10 percent had the disease before age 10. Approximately 15 percent of people with psoriasis develop psoriatic arthritis. The symptoms of psoriasis and chronic inflammation often develop separately for patients with psoriatic arthritis. In about 85 percent of patients with psoriatic arthritis, symptoms of psoriasis before developing symptoms of arthritis. Arthritis develops before in psoriasis until 15 percent of patients with psoriatic arthritis. The psoriasis and arthritis may develop after months or years. The difficulties experienced by people living with the disease are often misunderstood. According to Heather Brannon, MD, About.com Guide to the skin and beauty, "It is a misperception that rashes are less serious than other medical conditions. Perhaps because some skin diseases are life-threatening, and therefore the impact on the person who the eruption A is reduced. However, this view does not take into account the psychosocial impact of the disease experience . In the case of psoriasis, medical providers often underestimate the extent to which the disease affects the individual, the quality of life. "Chagrin psoriasis" was not created in a vacuum. It acts of a precise description of the lives of many people with psoriasis. " About.com Health is pleased to announce a new special section -- Psoriasis: Living Without Limits -- providing information on psoriasis and psoriatic arthritis, including studies on the diagnosis, symptoms and treatment options, and tips for a healthy life. Related Resources: Screening Quiz psoriatic arthritis Facts About Psoriatic arthritis Test your knowledge: psoriatic arthritis 10 things you should know about psoriatic arthritis How to recognize the signs and symptoms of psoriatic arthritis Photos © A.D.A.M.; Ken Roberts (iStockphoto); Tina Lorien (iStockphoto) Sunday, October 21, 2007 Permanent Comments (0) Are you overwhelmed? - Tips for Arthritis Patients Is it possible for a patient with arthritis survive in our turbulent world without feeling overwhelmed? It is among the most frequently asked questions we receive from other patients with arthritis. It can feel overwhelming to live with arthritis pain 24 hours a day, 7 days a week. One of our forum members arthritis wrote: "Surviving daily life is overwhelming. I can not stay in touch with home and race all the races and have things to do to keep us going in this crazy world. I was given a leave to rest, have an idea on this crazy life. Everything was behind me. people around me do not understand that I can not continue as I always do. Lots of us have such guilt about not being able to keep abreast of the house and jobs and children and husband. It is difficult for me to put it into words, I am exhausted just trying to live in this world and keep things going. " For those times when you feel overwhelmed, there are solutions. They are not always easy, but they need to become your credo, if you expect to get the feeling of being overwhelmed. We share tips for people with arthritis and chronic pain in Are You Feeling Overwhelmed? More related resources: A positive approach to arthritis 8 best things to do for arthritis Coping Advice for osteoarthritis patients Overcoming Annoyances: Living in a "Normal World" Family and friends: they do not understand your arthritis? Join the discussion: Join our forum arthritis / Message Board Photo of Muriel Miralles of Sawicki (stock.xchng) Thursday, October 18, 2007 Permanent Comments (0) Joints are affected by the drop also affected by arthritis? Osteoarthritis, the most common type of arthritis, can trigger the deposition of uric acid crystals in the joints, the leading cause of the drop. In October 2007 Annals of Rheumatic Diseases, case reports and hospital-based series of cases have gout associated with the presence of osteoarthritis in the same commune. The discovery led researchers at the University of Nottingham, United Kingdom drop to study whether patients are more likely to have osteoarthritis and even if the joints are affected. Questionnaires were sent to patients from two practices in Nottingham. In the study, participants, there were 164 patients with confirmed cases of gout. According to the researchers, the analysis of 5900 each of the site revealed a strong correlation between the site of acute gout attacks and the presence of osteoarthritis. The researchers concluded that osteoarthritis may predispose to the location of the deposition of monosodium urate crystals. Gout Screening Quiz Screening Quiz osteoarthritis How to recognize the signs and symptoms of Gout How to recognize the signs and symptoms of osteoarthritis Gout attacks develop when excess uric acid accumulates in the body and the crystals are deposited in the affected joints. With pain, gout can cause swelling, redness, warmth and stiffness in joints. Although the big toe is the most common joint affected by gout, ankles, heels insteps, wrists, knees and may also be affected. Gout occurs in about 8 percent of 1,000 people and accounts for about 5 percent of all cases of arthritis. The men who are between 40-59 years are most likely to develop gout group. Women may also develop gout, but usually not until after menopause. Gout is rare in children and young adults.

Why has my doctor prescribed Arava?

Arava relieves pain and inflammation in the joints, improve physical function and slows RA disease. So while there is no cure for RA, you may be able to do something to prevent things from getting worse. Because Arava can slow the deterioration of RA, it is classified as a DMARDs (disease modifying antirheumatic drugs). How effective Arava? The effectiveness of Arava in the treatment of RA has been demonstrated in 3 trials. Arava proven to reduce the signs and symptoms, including morning stiffness and the number of tender and swollen joints. The patients in controlled trials experienced significant improvements in physical function, such as gripping, reaching, walking, dressing, and rising from a chair. The hands and feet radiographs of those taking Arava in the trial shows that Arava can also slow down the damage caused by the disease. You may want to discuss with your doctor about the specific reasons Arava has been chosen for you. Arava is effective if I had RA for several years? In clinical trials, Arava was effective for both patients newly diagnosed with RA and those who have had the condition for more than 5 years. Arava is indicated as first-treatment of RA. Arava was studied in men and women, young and older adults, those who come to a diagnosis of RA, and who had for several years. Arava is different from other RA drugs? Yes. Arava is a unique way of substances that affect the interior of your joints. How do I know if Arava works? You can begin to experience an improvement in joint swelling and tenderness at the end of 4 weeks. How many times do I need to take Arava? Every day. In addition to relieving pain and swelling and helps to slow RA, Arava is also easy to take. The doctor will probably start you with one Arava of 100 mg per day for 3 days, followed by just 1 small of 20 mg daily. There are some situations in which the doctor may prescribe 10 mg for you. There is no injection or confusing schedules to be concerned with Arava. What should I do if I miss a dose of Arava? If you miss a dose, and it is almost time for the next dose, only take the dose. Do not take double or extra doses. A council not to forget to take your Arava is considered at the same time as you are doing an activity every day, like brushing your teeth in the morning. Be on the Arava near your toothpaste in your medicine cabinet will be a visual reminder too. Should I take Arava with food? Arava can be taken with or without food. How long do I need to take Arava? Remember, there is no cure for RA, but Arava can help improve the symptoms and slow the damage. You must follow your doctor's instructions for taking Arava. RA Most people have to take medication for the rest of their lives. If you do not follow the treatment program, Arava not function properly, which may lead to worsening of symptoms. Is it acceptable to take Arava with other drugs? Tell your doctor about all the medicines you are taking, including vitamins, nutritional supplements and herbs, and any prescription or OTC medications you are taking for conditions other than RA. Most medicines can be given with Arava. Be sure to tell your doctor if you are taking or have recently taken cholestyramine, rifampicin, methotrexate, auranofin (oral gold), azathioprine, cyclophosphamide or cyclosporine. You may need additional monitoring when Arava is taken with some of these medications. Arava Can I take if I am pregnant or want to become pregnant? No. Your doctor will verify that you are not pregnant before you start you Arava treatment. Your doctor will also advise on the risks of birth defects if you become pregnant while taking Arava. ARAVA should not be used in pregnant women or women who may become pregnant, who are not using reliable birth control because ARAVA may increase the risk of birth defects. You can be exposed to an increased risk of death of your unborn child or have a child with a birth defect if: You are pregnant when you start taking Arava You are pregnant while you are taking Arava You do not expect to become pregnant before they stopped taking Arava and monitoring the elimination of drug procedure described below Can I take Arava if I try to father a child? The information available does not suggest that Arava taken by the father would be associated with an increased risk for the unborn child. To minimize any possible risk, men wishing to father a child should consider discontinuing use of Arava and taking cholestyramine 8 grams 3 times daily for 11 days. What about the use of birth control with Arava? If you are currently taking or have ceased Arava Arava, and are going through the process of elimination of drugs required, you and your partner must take every precaution to prevent pregnancy. Both partners should use reliable birth control, as recommended by your doctor. It is VERY IMPORTANT that you contact your doctor immediately if your menstrual cycle is late or if for any other reason, you think that you may be pregnant. If you are a woman of childbearing potential and to discontinue Arava treatment for any reason, you must undergo drug elimination procedure described below. What is the procedure for eliminating drug Arava? After abandoning Arava, the doctor will prescribe a drug elimination procedure consisting of a full 11 days of cholestyramine, 8 grams, 3 times a day, followed by 2 separate laboratory blood tests at least 14 days for provide a very low level of drug Your body . If your drug levels are too high, your doctor may recommend other drugs eradication of drugs. After the elimination process drugs, the risk of having a baby with a birth defect is very low and should not be higher than the risk in the general population. If you do not follow the procedure for the elimination of drugs, it could take up to 2 years to achieve this very low level of drugs in the blood. Others who should not take Arava. Those who should not take Arava include: Anyone who is hypersensitive to any of the ingredients of the Arava Nursing mothers Patients with severe immune deficiencies or uncontrolled severe infections If you have other health conditions such as kidney problems, talk to your doctor. Arava can affect my liver? Arava can cause an increase in liver enzymes or, in rare cases, damage to the liver, with the possibility of putting their lives at risk. Therefore, your doctor will monitor your liver enzyme blood test to check for problems and, if necessary, adjust or interrupting your dose of Arava. Liver blood tests are performed at the beginning of treatment, a month for 6 months and then, once the liver enzymes are stable, every 6 to 8 weeks. Liver Blood tests are necessary because of the possibility of liver in people taking Arava. Arava is not recommended for patients with significant liver disease or hepatitis B or C. In clinical studies with Arava, liver enzymes were elevated in many patients Arava In clinical studies, most of the increases were usually mild and resolved, while continuing treatment Few patients have stopped taking Arava due to a rise in their liver function Arava can affect my blood? With Arava, you can develop very low blood, especially if you are taking other medicines. To verify the presence of this potential problem, your doctor will monitor your blood regularly and, if necessary, stop the treatment. As for the monitoring of the liver, your blood will be evaluated when you begin Arava, and a month for 6 months, then every 6 to 8 weeks. However, if you take Arava with another drug that could stifle your bone marrow, as methotrexate blood monitoring should be done every month. Arava is not recommended for anyone with serious problems with the immune system or severe, uncontrolled infection. If a serious infection occurs, Arava may need to be arrested. Contact your doctor immediately if you think you have signs of infection. What are the most common side effects associated with Arava therapy? The majority of people with RA are in a position to take Arava without experiencing side effects. In clinical trials involving 1.339 people, the most common side effects associated with Arava were: Diarrhea 17% Elevated liver enzymes 5% Loss or thinning hair 10% Rash 10% Are there any other side effects I could experience with Arava? Your doctor can prescribe medication if you develop stomach or digestive problems. If you see one of the side effects or other problems, talk to your doctor. Contact your doctor if you experience any of the following: Cough or shortness of breath Rash or skin ulceration Wounds in the mouth Ecchymoses or bleeding Frequent infections Fever, fatigue or unusual paleness Abdominal pain Jaundice (yellowing of skin color) Also, if you notice any side effects that are not listed but you, do not hesitate to contact your doctor.