What Is A Joint And How Does It Work
A joint is where two or more bones meet, such as in the fingers, knees, and shoulders. Joints hold bones in place and allow them to move freely within limits.
Most of the joints in our body are surrounded by a strong capsule. The capsule is filled with a thick fluid that helps to lubricate the joint. These capsules hold our bones in place. They do this with the help of ligaments. These are a bit like very strong elastic bands.
The ends of the bones within a joint are lined with cartilage. This is a smooth but tough layer of tissue that allows bones to glide over one another as you move.
If we want to move a bone, our brain gives a signal to the muscle, which then pulls a tendon, and this is attached to the bone. Muscles therefore have an important role in supporting a joint.
What Are The Different Types Of Arthritis
Arthritis is a broad term that describes more than 100 different joint conditions. The most common types of arthritis include:
- Osteoarthritis, or wear and tear arthritis, which develops when joint cartilage breaks down from repeated stress. Its the most common form of arthritis.
- Ankylosing spondylitis, or arthritis of the spine .
- Juvenile arthritis , a disorder where the immune system attacks the tissue around joints. JA typically affects children 16 or younger.
- Gout, a disease that causes hard crystals of uric acid to form in your joints.
- Psoriatic arthritis, joint inflammation that develops in people with psoriasis .
- Rheumatoid arthritis, a disease that causes the immune system to attack synovial membranes in your joints.
What Type Of Doctors Treat Arthritis
Part of your treatment plan may involve working with different health-care specialists. Some common health-care professionals and their role in your treatment are described below. Most doctors make referrals to one of a group of health professionals with whom they work. But you too can ask your doctor to request medical services you think might help you.
Your family doctor may be an excellent source of medical care for your arthritis. Besides having your medication records, your family doctor already has your medical history, is familiar with your general physical health and knows of any past illnesses or injuries. All these facts will give your family doctor a head start in prescribing a treatment plan most suited to your needs.
If your arthritis affects many joints or other parts of the body or seems resistant to treatment, you may benefit from seeing a rheumatologist. This is a doctor with special training and experience in the field of arthritis. Your family doctor, the local chapter of the Arthritis Foundation or the county medical society can refer you to a rheumatologist. You can also search for a rheumatologist on the American College of Rheumatology web site.
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What Are The Symptoms Of Arthritis
The symptoms of arthritis vary from person to person. But if you have arthritis, you will almost certainly have symptoms relating to your joints, such as:
- redness and warmth in a joint
- stiffness or reduced movement of a joint
Some people also get other problems outside their joints. Other common symptoms include:
Treatments For Hip Arthritis
A hip replacement is not the first treatment for hip arthritis.
- Weight loss. Your hip gets more force on it than your body weighs, so reducing your overall weight reduces the force on your hip. Like the shocks of a car, the more weight that goes across your joint, the quicker the cartilage will wear out. Additionally, surgery has fewer complications at lower weights.
- Activity modification. If you change some of your activities, youll be able to have less pain and keep your quality of life. For example, you might swim or bike instead of running.
- Medications, injections and supplements. Anti-inflammatory medications are the most common, both topical and oral. Please talk with your doctor before starting them, as not all medications are right for all patients. Steroid injections are the most common type of injections for hip arthritis, but lubricating injections and PRP injections may also be available. Your doctor can talk about the right kind for you. Many supplements are reported as helpful for arthritis. Theyre not proven so we cant recommend them, but if they help you and dont interact with any other medications youre taking you may take them.
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What Are The Warning Signs Of Arthritis
Pain from arthritis can be ongoing or can come and go. It may occur when you’re moving or after you have been still for some time. You may feel pain in one spot or in many parts of your body.
Your joints may feel stiff and be hard to move. You may find that it’s hard to do daily tasks you used to do easily, such as climbing stairs or opening a jar. Pain and stiffness may be more severe during certain times of the day or after you’ve done certain tasks.
Some types of arthritis cause swelling or inflammation. The skin over the joint may appear swollen and red and feel hot to the touch. Some types of arthritis can also cause fatigue.
Effects On Your Daily Life
- See a doctor or other relevant healthcare professional if youre unable to do everyday tasks due to joint or muscle pain.
- If youve lifted something heavy and hurt your back, for example, take some painkillers, apply some heat and try to stay active. If the pain doesnt ease after a couple of weeks or so, see a doctor.
Its important to see a doctor if you get any new symptoms or if you have any trouble with drugs youre taking.
If you have an appointment with a doctor, to help make sure you get the most out of it, you could take a list of questions with you and tick them off as they are discussed.
You could also keep a symptoms diary with details of how youre feeling in between appointments. Some people find that taking a friend or relative with them to an appointment can provide support and ensure that all important points are discussed.
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How Can I Find Relief From My Knee Pain In Atlanta Ga
If you are interested in getting to the root of your knee pain, finding relief, and enjoying your life to the fullest again, the first step is to be evaluated by a qualified, experienced, and skilled professional. Call Interventional Orthopedics of Atlanta to schedule your one-on-one consultation with Dr. Christopher Williams today, and discover how the solution for living a more comfortable life may be closer than your think!
Accessed On 6th July 2016 Http: //wwweularorg/myuploaddata/files/ra%20class%20slides%20acr: Webpdf
Ill make the point that the information I present here is obviously not a substitute for professional medical advice, diagnosis or treatment.
But Im hoping to help lead people who may have the disease to an earlier diagnosis and suitable treatment.
By the way, Ive written many more posts on Rheumatoid Arthritis. Please have a read at this link.
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When To See A Doctor
RA can become worse the longer its left untreated. Its important to visit your doctor if youve been living with some of these symptoms for more than a few weeks, especially if youve been noticing joint stiffness that takes a while to loosen up in the mornings.
Even if its not RA, persistent fatigue and a general sense of illness can be the precursor to many inflammation-related issues, so the sooner youre seen by a physician, the better.
Theres no single test that can reveal an RA diagnosis. Instead, youll most likely be diagnosed through blood tests, joint and organ examinations, and X-ray or ultrasound images.
If a positive rheumatoid arthritis diagnosis is found, youll probably be referred to a rheumatologist, a doctor whos had extra training around the treatment of diseases that affect the muscles, bones, joints, ligaments, and tendons.
What Causes Arthritis Of The Knee
Experts have identified some genes that might cause arthritis, including arthritis of the knee. They predict that there are more genes not yet discovered. You could have a gene linked to arthritis without knowing it and a virus or injury could trigger arthritis of the knee.
Though the cause is unknown, some risk factors increase the possibility of arthritis of the knee. Risk factors of osteoarthritis, specifically, include:
- Age. Osteoarthritis happens to older adults more often than younger adults and children.
- Bone anomalies. Youre at a higher risk for osteoarthritis if your bones or joints are naturally crooked.
- Gout. Gout, also a type of inflammatory arthritis, might lead to osteoarthritis.
- Injuries. Knee injuries can cause arthritis of the knee.
- Stress. A lot of stress on your knees from jogging, playing sports or working an active job can lead to osteoarthritis of the knee.
- Weight. Extra weight puts more pressure on your knees.
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Other Conditions And Joint Pain
Other forms of arthritis, and other conditions, can also cause joint pain. Examples include:
- fibromyalgia syndrome, a condition in which your brain processes pain in your muscles and joints in a way that amplifies your perception of the pain
- scleroderma, an autoimmune condition in which inflammation and hardening in your skin connective tissues can lead to organ damage and joint pain
Why Arthritis Is A Tricky Diagnosis
Arthritis might seem simple, but its really not. There are more than 100 types of arthritis and related conditions. Arthritis can start in many ways, and can be difficult to recognize. It can come on slowly and be mild, or it can start suddenly and cause intense pain that surges within a few hours. The signs and symptoms can come and go over time. It might cause the classic issues of joint pain, swelling and stiffness, or it may first cause health problems that seem unrelated, like fatigue or a rash. Early signs of arthritis might be mistaken for an injury or the result of too much activity.
Of course, not every joint ache or pain needs medical treatment, but there are certain signs and symptoms that could signal something more serious than expected.
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Difference Between Osteoarthritis And Rheumatoid Arthritis
There are several different types of arthritis. Osteoarthritis and rheumatoid arthritis are two of the most common forms. Although the symptoms of these two types of arthritis can be similar, its very important to distinguish between them in order to determine the proper treatment.
At the University of Michigan Health System, our experienced rheumatologists will do appropriate tests to determine which type of arthritis you have. Then we will develop an effective treatment plan and will explain your options.
Osteoarthritisoccurs when the smooth cartilage joint surface wears out. Osteoarthritis usually begins in an isolated joint.
Rheumatoid arthritis is an autoimmune disease, which means that the immune system malfunctions and attacks the body instead of intruders. In this case, it attacks the synovial membrane that encases and protects the joints. Rheumatoid arthritis often targets several joints at one time. The symptoms of rheumatoid arthritis include:
- the symmetrical nature of the disease ,
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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Changes In Surrounding Joints
In patients with advanced thumb base arthritis, the neighboring joints may become more mobile than normal.
Thumb extension deformity. This patient has lost mobility at the base of the thumb due to arthritis. The next joint closer to the tip of the thumb has become more mobile than normal to make up for the arthritic joint. Normally, the thumb does not come to a right angle with the rest of the hand.
Other Possible Causes Of Hand Pain
Hand pain is also a sign of Dupuytrens contracture, a condition in which the tissue of the palm and fingers becomes thickened and tight, causing the fingers to curl inward. Its not clear why Dupuytrens contracture develops, though those who smoke, drink a lot of alcohol, and have seizures or diabetes are more vulnerable to developing it.
Your doctor will also consider whether your hand pain could be due to carpal tunnel syndrome, says Dr. Byram. RA can be a cause of carpal tunnel syndrome, so if we see someone who has carpal tunnel, well want to make sure they dont have RA. Carpal tunnel is a condition that occurs when one of the major nerves to the hand the median nerve is squeezed or compressed as it travels through the wrist, according to the American Academy of Orthopaedic Surgeons.
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Inflammatory Arthritis Vs Osteoarthritis
Arthritis actually describes over 100 different conditions that affect joints and the surrounding tissue. They fall into two main categories: inflammatory arthritis and osteoarthritis .
Inflammatory arthritis is a systemic disease in which the mechanisms that normally protect your body attack your own joints and tissues instead. The most well-known example is rheumatoid arthritis , which tends to be symmetrical, meaning you’ll have problems in the same joints on both sides of your body, like both wrists or both knees.
The second type of arthritis and the most common form is osteoarthritis. A degenerative disorder, it’s caused by trauma or age-related wear and tear on your joints over time. OA is most likely to affect weight-bearing joints such as the knees, hip, lower spine or big toe, but it can also cause pain and stiffness in your thumb or finger joints.
Here are some early arthritis symptoms that should prompt you to see a medical provider.
1. Pain in a joint. Pain or aching in a joint that gradually becomes worse over time is a classic symptom of arthritis, says Lisa Cannada, M.D., an orthopedic trauma surgeon at Novant Health in Charlotte, North Carolina. The pain may be triggered by activity, or it may set in after activity or at the end of a long day.
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What Is Involved In Reviewing Your Medical History And Your Current Symptoms
When reviewing your medical history, your healthcare provider may ask the following questions:
Have you had any illnesses or injuries that may explain the pain?
Is there a family history of arthritis or other rheumatic diseases?
What medication are you currently taking?
Your healthcare provider may also ask:
What symptoms are you having? For example, pain, stiffness, difficulty with movement, or swelling.
About your pain:
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What Are Common Arthritis Treatments
There are many things that help reduce pain, relieve stiffness and keep you moving. Your care may involve more than one kind of treatment. Your doctor may recommend medications but there are many things you can do on your own to help manage pain and fatigue and move easier.
Finding the right treatment takes time. It can involve trial and error until you and your healthcare team or therapist find what works best. Be sure to let your doctor know if a treatment is not working. Your treatment may also change as your arthritis changes.
Treatments for arthritis can be divided into several categories: medication, exercise, heat/cold, pacing, joint protection, surgery and self-help skills. You can do things in each of these areas to help yourself feel better and move easier.
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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What Are The Treatments For Arthritic Knee Pain
After determining that your knee pain is, in fact, caused by arthritis, Dr. Williams and the caring staff at Interventional Orthopedics of Atlanta will recommend an appropriate treatment plan to help you as quickly and reliably as possible. Some of the most widely known and used treatments for arthritis and arthritic knee pain include:
- Physical therapy
In addition to these methods, Dr. Williams is proud to offer the breakthrough Regenexx family of nonsurgical treatments, which are designed to use a patients own stem cells to treat common and degenerative conditions without the need for going under the knife. While there are certainly some cases in which surgery may be unavoidable, Regenexx treatment has proven to be highly beneficial for chronic pain relief caused by a large number of conditions.