Pain And Tender Points
The pain can be deep, sharp, dull, throbbing, or aching. You feel it in your muscles, tendons, and ligaments around the joints. For some people, the pain comes and goes. It could travel throughout your body.
You may also have tender points specific spots around your joints that hurt when you press them with a finger. If you press a tender point on a person without fibromyalgia, theyll just feel pressure. But that same pressure would be very painful for someone with fibro.
These tender points are in predictable places on the body. Theyre often under the surface of the skin, not in areas of deep pain. Its the tissue around the muscles and joints that hurts rather than the joints themselves.
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When Should I See My Doctor
Joints get sore and swollen for many reasons. It could be due to an injury, overuse, or doing a new type of physical activity.
See your doctor if you have pain and stiffness that starts with no clear reason, lasts for more than a few days, and also causes swelling, redness and warmth. It is important to start treatment as soon as possible to prevent the condition from getting worse and causing long-term damage.
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.
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Osteoarthritis Treatment And Pain Management
There is no cure for osteoarthritis, therefore, doctors focus on treatments to ease your pain, help you move better, and stop the disease from getting worse. Treatment plans often include:
Exercise. A safe, well-rounded exercise program can reduce joint pain and stiffness and increase flexibility, muscle strength, and endurance. Try stretching and balance exercises as well as low-impact activities such as walking, cycling, swimming, or tai chi. Always talk with your doctor before starting a new exercise program. Remember to start slowly and take the time to adjust to a new level of activity.
Weight control. If you are affected by overweight or obesity, managing your weight can reduce stress on the joints, which may reduce pain, prevent more injury, and increase mobility.
Medication. Over-the-counter medications, including oral pain relievers and arthritis creams, can be helpful. Your doctor may also give you a prescription for a pill or inject a medication directly into the joint to reduce inflammation and pain.
Surgery. If other treatments are not helping and the joint damage is extensive, your doctor may suggest surgery. Surgeries that help treat osteoarthritis include osteotomy, which removes a small piece of bone to relieve pressure on the affected joint, and joint-replacement surgery, which removes a part or all of the damaged joint and replaces it with a plastic, metal, or ceramic joint.
Take steps to help manage your pain and work toward a better quality of life:
Decreased Range Of Motion
Pretty much all other signs of arthritis can limit your ability to move about normally. If you have arthritis of the knee, for example, you may find that squatting down or jumping no longer come easily. This can seem like a Catch-22, given that carefully moving your joints is one way to improve circulation and reduce arthritis symptoms.
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Other Forms Of Arthritis
If you have another form of arthritis, your doctor may recommend some of these same medications. NSAIDs are often recommended to help people with various forms of arthritis cope with pain caused by their condition.
DMARDs are also used to treat other types of arthritis, like PsA and ankylosing spondylitis. Doctors often prescribe corticosteroids for people with various forms of arthritis because they can decrease inflammation.
However, more specific treatments are required for some types of arthritis. For example, someone with gout might need to take a drug that lowers the bodys levels of uric acid. A buildup of uric acid crystals is what causes joint pain and swelling.
Another example is someone with PsA who may need anti-inflammatory medications, such as a DMARD or a biologic drug. They may also need topical creams or light therapy to address the skin disease that can occur with PsA.
What Are The Risk Factors For Arthritis
Some factors make you more likely to develop arthritis, including:
- Age: The risk of arthritis increases as you get older.
- Lifestyle: Smoking or a lack of exercise can increase your risk of arthritis.
- Sex: Most types of arthritis are more common in women.
- Weight: Obesity puts extra strain on your joints, which can lead to arthritis.
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Nsaids Vs Opioids: Was There A Clear Winner
A recent study compared oral NSAIDs and oral opioids for relief of osteoarthritis pain. Researchers at Harvard-affiliated Brigham and Womens Hospital performed a meta-analysis . They included clinical trials in which patients with knee osteoarthritis were chosen at random to receive treatment that lasted at least 2 months.
The researchers carefully chose which studies to include, and two members of the team independently reviewed each study and extracted the data. They selected studies that used a common, well-validated, and widely-accepted measure of pain . Data from over 5,500 patients were included, and the researchers found that, on average, oral NSAID treatment reduced pain by around 18 points on the WOMAC scale. Treatment with less potent oral opioids also reduced pain by around 18 points, and potent oral opioids reduced pain by around 19 points on the WOMAC scale. Since, on average, patients started out with pain ratings of around 50-60 out of 100, each of these medications achieved around a 30% reduction in patients pain.
Surgery For Hip Arthritis
The progression of hip arthritis and effectiveness of various nonsurgical treatments varies. If nonsurgical options dont provide the desired pain relief and your quality of life suffers, it may be time to consider surgical options, such as:
- Hip replacement surgery, or hip arthroplasty, is a procedure to replace one or both ends of a damaged hip joint with artificial implants.
- Hip fusion is a procedure to fuse the bones of the hip joint together. It used to be the standard surgical treatment for hip arthritis before replacement surgeries became available, but is now a last-resort treatment as it severely impacts mobility.
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Learn About Your Surgery Options
When foot arthritis is severe and conservative treatment options fail, surgical intervention may be an option. One type is a fusion of the big toe joint, which fuses together the two bones that make up your joint. This limits the joints range of motion, helping to eliminate the source of pain. Another option is joint replacement surgery for the toe joints. Both are considered end-game measures, but for people who are healthy enough to withstand surgery, it can allow them to function much better.
Why Is My Rheumatoid Factor Over 100
Your doctor may order a test to measure the rheumatoid factor in your blood. About 80% of people with RA have rheumatoid factor in their blood.
A rheumatoid factor level over 100 is strongly associated with autoimmune diseases like RA. To compare, typical findings are less than 60 u/ml.
In addition to RA, a high rheumatoid factor can also point to cancer, chronic infections, Sjögrens disease, bacterial endocarditis, or other autoimmune disorders.
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Considering Taking Opioids For Your Pain
This animated video below, from NPS MedicineWise and the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists , provides information to people who may be considering taking opioids for chronic non-cancer pain.
CONTACT YOUR LOCAL ARTHRITIS OFFICE FOR MORE INFORMATION AND SUPPORT SERVICES.
Psoriatic Arthritis Of The Hip
Psoriatic arthritis is a type of arthritis that can develop in people with psoriasis, an autoimmune skin condition that can also cause inflammation in the joints, including the hip. Over time, untreated inflammation can lead to joint damage. Psoriatic arthritis of the hip is a chronic condition. It can develop before or after the telltale skin symptoms of psoriasis develop.
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What Are The Symptoms Of Arthritis
Each persons symptoms may vary. The most common symptoms include:
Pain in 1 or more joints that doesnt go away, or comes back
Warmth and redness in 1 or more joints
Swelling in 1 or more joints
Stiffness in 1 or more joints
Trouble moving 1 or more joints in a normal way
These symptoms can look like other health conditions. Always see your healthcare provider for a diagnosis.
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The Famous Acdc Cannabis Strain
As the rock band put it, this is the T.N.T. of all strains. Its the ultimate powerhouse strain that blows the pain away. ACDC is a sativa-dominant strain and originates from Cannatonic. ACDC stands out for its low THC, high CBD ratio providing its patients with immediate pain relief without the high.
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What To Do To Ease Severe Joint Pain
People with severe joint pain related to arthritis have multiple ways to improve how they feel and enjoy life.
- Get physically active. It is recommended that adults with arthritis be moderately physically active for at least 150 minutes per week. Strength training is also recommended. Further, physical activity has been proven to reduce arthritis pain. You can do low impact physical activity to reduce joint pain.
- Go to CDC-recognized physical activity programs. Particular community-based programs are helpful in learning how to exercise safely and reduce joint pain and disability related to arthritis. These programs can improve mood and ability to move as well. Classes take place at local Ys, parks, and community centers and help people with arthritis feel their best.
- Enroll in proven programs. Adults living with joint pain can benefit from joining CDC-recognized self-management education classes, which are designed to teach people with arthritis and other chronic conditions how to control their symptoms , live well with these conditions, and learn more about how to manage health problems that affect their lives.
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Common Types Of Arthritis
Posted June 17, 2019 by Vivek Bhalla, MD
Commonly associated with older age, arthritis affects more than 50 million Americans, including more than 300,000 children each year. There are over 100 different forms of arthritis. Depending on the type, it can be extremely painful and affect everyday activities or go relatively unnoticed and be easily managed for years.
Simply put, arthritis is the inflammation of one or more joints. Most individuals experience common symptoms like joint pain, swelling, stiffness and/or decreased range of motion.
Here are 5 of the most common types of arthritis:
Joint Pain And Arthritis
Chronic pain caused by arthritis affects millions of people in the United States every year. About one in four adults with arthritis15 million peoplereport experiencing severe joint pain related to arthritis.1Additionally, nearly half of adults with arthritis have persistent pain.2
Children with arthritis have pain as well. There is limited information about pain in children in the general population.
Severe joint pain: When an individual rates his or her pain as 7 or higher out of 10 on a scale of 0 to 10 .
Persistent pain: When an individual reports having pain on most or all days in the past 3 months.
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What Stage Is Severe Degenerative Disc Disease
In severe cases, these conditions can cause pain, degeneration of scoliosis, and mobility loss. There are four stages in a patients care: Dysfunction, Dehydration, Stabilization, and Collapsing.
Around 35% of people over the age of 70 are affected by degeneration of the discs. People living with this illness may face a variety of challenges in their lives. The dysfunction stage, which is the first of the four spinal degeneration stages, is responsible for the majority of the disease. The discs that protect and support your spine have deteriorated over time, causing your spine to become unstable. Degenerative disc disease is characterized by the second stage of Dehydration. As the spinal discs thin and lose water, they lose water. During this time, the majority of people experience mild to moderate spine pain.
Because of the curvature of the affected persons spine, it will shift and change. As your degenerative disc disease worsens, you will begin to deteriorate in terms of stabilization. In this stage, the spinal discs are thinning out and no longer provide any significant support to the spine. The only way to resolve your spine problems right now is to undergo invasive surgery. As a result of the degeneration of the discs, mobility is lost. It is caused by the fusion of the bones in your spine beneath the weight of your spine column. As the bone inflammation and strain of this process continue to worsen, the spinal pain will also worsen.
When To Call Your Doctor
Dr. Cotter urges anyone who experiences sudden symptoms of arthritis to seek medical attention immediately. If left untreated, these symptoms could lead to long-term problems in the joint.
It is not normal for a joint to suddenly swell, and getting the correct diagnosis is of the utmost importance, she says. Early diagnosis and intervention will mean a better outcome.
Any persistent issues warrant a call to your doctor as well, she says. For example, if you have joint pain without swelling or joint swelling without pain that persists, you should see your doctor for an evaluation.
Who Is At Risk For Arthritis
Some risk factors for arthritis that cant be avoided or changed include:
Age. The older you are, the more likely you are to have arthritis.
Gender. Women are more likely to have arthritis than men.
Heredity. Some types of arthritis are linked to certain genes.
Risk factors that may be avoided or changed include:
Weight. Being overweight or obese can damage your knee joints. This can make them more likely to develop osteoarthritis.
Injury. A joint that has been damaged by an injury is more likely to develop arthritis at some point.
Infection. Reactive arthritis can affect joints after an infection.
Your job. Work that involves repeated bending or squatting can lead to knee arthritis.
Managing The Pain Of Rheumatoid Arthritis
Understanding the causes of pain in RA can go a long way to helping you to find the best ways to manage your pain.
Pain is an extremely personal experience. While this review will try to explain some of the simple mechanisms of pain and the current treatments for pain in rheumatoid arthritis patients, such an overview represents a view based on an understanding of the evidence-based literature on current RA therapies and an individual rheumatologists experience it cannot fully explain every individual patients pain problems. All pain that is present for a reasonable length of time, no matter what the underlying cause, can be associated with poor sleep patterns and depressed mood. The stress associated with RA-related job loss or relationship problems all impact on how we cope with pain. Pain involves not only the nerves at the site of pain but the nerve pathways leading to the brain and special pain pathways within the brain itself. Very simply, pain is a complex phenomenon.
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