Setting And Data Sources
Swedish healthcare is public and tax funded. Patients with RA are typically diagnosed and treated by rheumatologists. Sweden has national and virtually complete registers on demographics and health data which can be linked together by the unique personal identity number issued to all Swedish residents. This study was based on linkages between the Swedish Rheumatology Quality Register , the National Patient Register , the Cancer Register, the Prescribed Drug Register, the Total Population Register, the Multigeneration Register and the Causes of Death Register, described elsewhere and in the .
Injections For Shoulder Arthritis
There are currently two types of injections that can provide pain relief for shoulder arthritis. The first type is cortisone shots. Typically, cortisone is mixed with a numbing agent that provides immediate pain relief and helps your doctor know if the injection is in the right place. Once the numbing medicine wears off, the joint may be sore until the cortisone kicks in. Its important to ice the shoulder for a day or so after the shot.
Cortisone shots dont damage the shoulder, but most surgeons limit them to no more than a few a year in most cases of arthritis. Cortisone shots may increase the risk of infection if you undergo a total shoulder replacement soon after the shot. If you are considering the surgery, consider avoiding cortisone shots a few months prior.
The other medicine that can help with shoulder arthritis is synthetically manufactured hyaluronic acid. Its a naturally occurring lubricant in the human body. This liquid substance has been injected into arthritic knees for many years. This injection sometimes helps with the pain for up to two years, but it is unusual for it to take all the pain away for an extended period of time.
The current recommendation is not to have shoulder replacement surgery within three months of having a cortisone shot in the shoulder. If you are considering surgery, it is best to avoid cortisone shots until you have discussed it with your doctor.
Is It Possible To Have Arthritis In Your Collarbone
Arthritis is a kind of joint injury that can cause inflammation. AC arthritis is a condition that affects the acromioclavicular joint. This is the joint that connects the shoulder blade to the collarbone . The acromion and the end of the clavicle provide attachment for several muscles and tendons, including the trapezius muscle. Tightness of these muscles can contribute to pinching the acromioclavicular joint or causing damage to other tissues surrounding it.
The acromioclavicular joint is a ball-and-socket joint that allows movement in three directions: up and down, forward and back, and left and right. The joint is formed by the union of the rounded end of the acromion with the flat surface of the clavicle. It is surrounded by cartilage, which prevents bone from contacting bone, allowing the joint to move freely.
There are two types of arthritis: osteoarthritis and rheumatoid arthritis. With osteoarthritis, the bones become thin and weak, causing them to rub together. This can lead to pain, swelling, and loss of motion in the affected area. Rheumatoid arthritis causes the immune system to produce antibodies that attack the joints. These joints will eventually be destroyed, leading to disability.
Recommended Reading: How To Get Rid Of Arthritis Inflammation
Spinal Arthritis Causes And Risk Factors
The causes of arthritis in the back or neck vary depending on the type of arthritis you have. Besides normal wear and tear and autoimmune triggers, in many cases the exact cause remains unknown. Genetic components have been identified in connection with some forms of spinal arthritis, meaning that it may be hereditary.
Other spinal arthritis risk factors include:
Presence of certain conditions such as diabetes, gout, psoriasis, tuberculosis, irritable bowel syndrome and Lyme disease
What Are The Complications Of Costochondritis
Normally, treatment of the inflammation and pain causes costochondritis to eventually go away on its own.
If you have chronic costochondritis, the pain may persist or return even with treatment when you exercise or engage in certain activities. In these cases, you may need to seek long-term care to make sure that costochondritis doesnt affect your quality of life and ability to take part in daily activities.
Pains associated with costochondritis can indicate other issues. Chest pain can often mean that youre having heart or lung issues, so see your doctor right away when you feel pain in your chest to make sure that youre not having a heart attack or have pneumonia.
Also Check: Can Arthritis Cause Trigger Finger
When To Speak With A Doctor
A person should speak with a doctor when they are experiencing any form of chest pain, regardless of whether they have a PsA diagnosis already. They should also speak with a doctor if they have PsA symptoms, such as painful joints or scaly patches of skin.
It is important to call 911 or the number of the nearest emergency department straight away if the following symptoms occur:
- severe chest pain
- a feeling of tightness, squeezing, or pressure in the chest
- difficulty breathing
- pain in the arms, jaw, neck, upper back, or stomach
The Problem Could Be Musculoskeletal
For people with psoriatic arthritis, perhaps the most common type of chest pain is costochondritis,” says Adam Kreitenberg, MD, a rheumatologist in Los Angeles. Costochondritis is inflammation of the cartilage connecting the ribs to the breastbone . This chest or rib pain can be quite severe and cause pain with deep breathing, physical activity, and even coughing or sneezing, Dr. Kreitenberg says. You might think youre having a heart attack.
Doctors typically diagnose costochondritis with a physical exam, feeling the areas where the ribs attach to the sternum. While X-rays and bloodwork are often not necessary, they can be helpful in ruling out other and potentially more severe diagnoses, such as heart attack, says Kreitenberg.
You May Like: How Do I Know I Have Arthritis In My Hands
How Is Joint Pain Diagnosed
Your health care provider will evaluate your symptoms and medical history. They will do a physical exam and ask you questions such as:
Which joint hurts? Is the pain in more than 1 area?
How long have you had joint pain?
How severe is your joint pain?
When does your pain start and stop?
What makes your joint pain better or worse?
Is your joint pain affecting your ability to do everyday tasks?
If severe joint pain is caused by your cancer treatment, your provider may recommend trying a different treatment, having treatments less often, or getting a lower dose.
If they are unsure about the cause of your joint pain or if your joint pain does not go away or gets worse, you may need additional tests to help find the cause. These can include:
Blood tests. These can show if your body has an infection or another condition that is not related to cancer.
Bone scan. These can find cancer that has started in the bones or spread to the bones.
Computed tomography scan. This scan makes a 3-dimensional image of the inside of the body.
Magnetic resonance imaging . An MRI uses magnetic fields to produce detailed images of the body.
X-rays. These create a picture of the structures inside the body and may be able to show the cause of your joint pain.
What You Need To Know
- Arthritis is damage to the cartilage in joints. Shoulder arthritis occurs when the cartilage starts wearing down on the ball and/or socket sides of the shoulder joint.
- Symptoms of shoulder arthritis may include pain in the shoulder joint, stiffness and reduced range of motion.
- There are many nonoperative treatments for shoulder arthritis, including stretches, lifestyle modifications, application of ice or heat, and medication to control the pain.
- Surgical options, such as shoulder replacement, are available to treat shoulder arthritis if nonoperative treatments dont offer the desired relief.
Read Also: What Essential Oil Helps With Arthritis
Rotator Cuff Tear Arthropathy
Rotator cuff tear arthropathy is a type of shoulder arthritis that can develop after a massive and prolonged rotator cuff tear. The four rotator cuff tendons in your shoulder wrap around the ball portion of the shoulder joint, holding it in place. If one or more of these tendons is heavily torn, this may cause the humeral head to rub against other bones and develop arthritis.
It Wasn’t A Heart Attack But More Joint Pain
An IV was inserted in my arm immediately. The pain was severe enough, and the difficulty breathing heavy enough, that I could hardly communicate with the doctor or nurses when asked what was wrong. At times I felt my consciousness was coming and going. I could hear people, but it took a long time to process their words.
The doctor pushed on my chest, probing around for the precise location of the pain, and quickly ruled out a heart attack. No, the pain was in the sternocostal joints, right where the ribs attach to the breastbone. There is cartilage there that allows for the articulation of your breastbone and ribs, and they can get inflamed in a condition called costochondritis.
Recommended Reading: Is Glucosamine Chondroitin Good For Arthritis
Can Chest Pain Be Related To Rheumatoid Arthritis
Learn the connection between RA and chest pain.
Question: Sometimes it feels like the bones in my chest hurt. Is it RA or am I having heart problems? Answer:Pain felt in the bones of your chest is likely due to costochondritis or inflammation of the cartilage where the ribs attach to the breast bone. Although it is not as common as inflammation in the joints of the hands, elbows, knees or feet, it is not uncommon in RA. Unlike the pain of a heart attack, which radiates to other parts of the body and is often accompanied by symptoms such as nausea or light-headedness, the pain of costochondritis is localized to the center of the chest. It may get worse when you take a deep breath or press on your ribs. Neither of these actions will affect the pain of a heart attack. Because chest pain can be caused by other problems, it is important to see your doctor. If you are experiencing symptoms of a possible heart attack, including pressure in your chest accompanied by pain in neck, jaw, shoulder or arms, call 911 or get to the emergency room immediately. While the pain of costochondritis is troublesome, it is usually not long lasting. Pain-relieving medications includingnonsteroidal anti-inflammatory drugsand acetaminophen along with cold and/or warm compresses can make you more comfortable until it passes. John Higgins, MD
Is Costochondritis A Type Of Cancer
Chest pain can be frightening because it can be related to serious conditions. Some cancers, like lung cancer, can cause chest pain. Like costochondritis, the pain people experience when they have lung cancer gets worse when they cough. But, costochondritis isnt a type of cancer.
Dont hesitate to go to the emergency department if you have severe chest pain, though. Youll want to know the cause of the pain so that you can get the best treatment.
You May Like: How To Treat Hand Rheumatoid Arthritis
Rheumatoid Arthritis Medications And Breast Cancer Risk
Research shows no evidence to date that rheumatoid arthritis therapy increases the risk of breast cancer.
More recent research has looked at the potential cancer risk associated with “biologics,” biologic response modifiers now commonly used to treat RA. They include:
Biologics have been compared to common, older drug therapies such as synthetic disease-modifying antirheumatic drugs to see if there may be an associated cancer risk.
Certain specific studies found the following:
- In one JAMA study of more than 29,000 RA patients taking biologics found no increased risk of malignancy after six months compared to patients on other antirheumatic drugs.
- A British study of more than 15,000 RA patients compared cancer rates of those taking the biologic tumor necrosis factor inhibitors versus those taking sDMARDs. The results showed no difference in cancer rates between the two.
- For female RA patients who developed breast cancer, one study found no increased risk of cancer recurrence after surgery while undergoing anti-TNF therapy or methotraxate .
- An Australian study of more than 3,000 RA patients split into anti-TNF and non-biologic therapy groups found no increased risk of breast cancer. However, there was an elevated risk of lymphoma and lung cancer.
About Breast And Armpit Pain
Its important to point out that this type of pain doesnt just affect women. Breast and armpit pain can affect people of all genders.
That said, people assigned female at birth can experience two different types of breast pain. These are cyclic and noncyclic breast pain.
You May Like: Does Cold Weather Affect Psoriatic Arthritis
How Is Costochondritis Treated
Remember that you should always see a healthcare provider if youre experiencing chest pain. Its vital to get the right diagnosis so you can receive the best treatment.
Your healthcare provider might first recommend over-the-counter medications that can help reduce the swelling and pain in your chest. Medications include:
Take one dose two to three times per day, or as your healthcare provider recommends.
If those dont help with your pain and swelling, your healthcare provider may prescribe:
- Corticosteroids, an anti-inflammatory injection.
- Transcutaneous electrical nerve stimulation . TENS is a small device that uses electric currents to treat pain.
Shoulder Arthritis Due To Avascular Necrosis
Avascular necrosis refers to the disrupted blood supply to an area of the body, which results in that area dying . In the shoulder, the humeral head may lose blood supply due to disease, traumatic injuries, and other causes. Without a blood supply, the bone will slowly collapse, becoming uneven and causing arthritis.
Read Also: What Medicine Can I Take For Arthritis
Costochondritis Is Not The Same As Tietze Syndrome
Costochondritis is often confused with Tietze syndrome, a similar but less common disorder that typically involves swelling of the second or third rib that can last for months. According to the American Family Physican review, Tietze syndrome typically affects people who are younger than 40 and is considered rare, while costochondritis is more common and can affect children, teens, and adults, says Gewanter. In fact, he says, the rib cages of kids are extra flexible, so that increases the opportunity to irritate the costochondral junctions. Local swelling is typically present with Tietze’s, while it is not with costochondritis, though the RA advocate ONeill notes inconspicuous swelling with her costochondritis. In reality, whatever you want to call it, both conditions are treated in essentially the same way, says Gewanter. Tietze syndrome can subside without treatment, but over-the-counter pain medication may be used.
Relative Risk Of Breast Cancer By Time Before And After Ra
There was no clear trend when stratifying by follow-up time . The lowest OR for breast cancer was observed 5 to < 10 years before RA, OR=0.76 , and the highest 1 to < 5 years before RA, OR=0.93 . The lowest HR for breast cancer was observed 1 to < 5 years after RA, HR=0.74 , and the highest 5 to < 10 years after RA, HR=0.90 .
Relative risk of breast cancer as a function of time before and after RA diagnosis. RA versus general population comparators, adjusted for age, country of birth and educational level. RA, rheumatoid arthritis
Also Check: Is Black Cherry Juice Good For Arthritis
What Are The Symptoms Of Rheumatoid Vasculitis
When vasculitis involves the small arteries and veins that nourish the skin of the fingertips and skin around the nails, small pits in the fingertips or small sores causing pain and redness around the nails can occur. Involvement of somewhat larger arteries and veins of the skin can cause a painful red rash that often involves the legs. If the skin is very inflamed, ulcers can occur and infection becomes a complicating risk.
Vasculitis that injures the nerves can cause loss of sensation, numbness and tingling, or potentially weakness or loss of function of the hands and/or feet. The rare vasculitis of larger arteries can cause complete absence of blood flow to tissue sites supplied by the affected vessel , which can cause gangrene of fingers or toes, stomach pain, cough, chest pain, heart attack, and/or a stroke if the brain is involved. This form of systemic vasculitis can also be accompanied by general symptoms such as fever, loss of appetite, weight loss, and loss of energy.
Recommended Reading: How Do You Permanently Treat Rheumatoid Arthritis
Q What Is Turmeric Curcumin Plus
A. Turmeric Curcumin Plus is a natural dietary supplement, formulated to aid in boosting joint health and function. Its formulated from Turmeric, which is Super food and it functions well in boosting the general health and wellness of the consumer.
You May Like: Can You Get Arthritis In Your Hips
How Breast Pain Is Evaluated
It’s important to discuss any breast pain with your clinician. She or he will take a careful history to try to rule out any conditions outside the breast. Your risk for breast cancer will also be assessed, including a breast examination and a check of your chest wall and underarms. Your neck, shoulders, and upper back may also be evaluated. If you haven’t had a recent mammogram, your clinician may order one, as well as an ultrasound if a lump is found.
What Is Shoulder Arthritis
Shoulder arthritis is damage to the cartilage inside the shoulder joint. The shoulder has two joints. Shoulder arthritis commonly refers to the bigger ball-and-socket joint named the glenohumeral joint after the bones it connects . The cartilage covers both the ball and the socket .
When the cartilage in the shoulder begins to break down on the surface and eventually in the deeper layers, its called shoulder arthritis. The second joint in the shoulder, the acromioclavicular or AC joint, can also develop arthritis known as AC joint arthritis.
You May Like: How To Treat Arthritis In My Feet