What Are The Symptoms
RA sufferers are familiar with the severity of the pain associated with stiff and sore joints. Some describe it as having sprained all the joints in their bodies at once. Now imagine that with simultaneous fatigue, appetite loss, and feeling feverish, and you can easily envision how they are apt to feel downright lousy. Then to add insult to injury, some suffer through those episodes it for years and years. The most common signs and symptoms are:
* Swollen joints* Pain and stiffness in the joints, especially after periods of inactivity * Extreme fatigue
Even though RA is not life threatening, you will feel pretty miserable. And thats no way to live your life. Youll be searching for relief and relief that works.
What Is Ibuprofen And How Is It Used
Ibuprofen is one of a group of drugs called non-steroidal anti-inflammatory drugs . Itâs widely used for its pain-relieving and anti-inflammatory effects.
Its available over the counter as tablets or capsules in doses of 200400 mg and can be taken up to three times a day after food. Some tablets are designed to release the drug slowly over a period of time, and some people find these helpful for night-time pain relief.
Higher doses of ibuprofen are available on prescription and can be used if you have rheumatoid arthritis or another type of inflammatory arthritis.
Ibuprofen is also available in lipid-based soft capsules. These can be bought from pharmacies and are as effective as prescribed ibuprofen in relieving flaring joint pain.
If ibuprofen doesnât give enough relief from pain, or if you need pain relief over a long period of time, then you should speak to your doctor, who may be able to prescribe a stronger type of NSAID or a combination of drugs that will be more effective.
Ibuprofen can usually be used in combination with paracetamol or a compound analgesic.
The 10 Best Foods To Eat If You Have Arthritis
If you have arthritis, you know just how devastating this condition can be.
Arthritis is a term for a class of diseases that cause pain, swelling and stiffness in the joints. It can affect people of all ages, genders and ethnic backgrounds.
There are many different types of arthritis. Osteoarthritis is one type, which develops in joints with overuse. Another type is rheumatoid arthritis, an autoimmune disease in which your immune system attacks your joints (
Fortunately, there are many foods that can ease inflammation and may help relieve some of the joint pain associated with arthritis.
In fact, one survey found that 24% of those with rheumatoid arthritis reported that their diet had an impact on the severity of their symptoms (
This article will look at 10 of the best foods to eat if you have arthritis.
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Why You Have Arthritis
There are over 100 different types ofarthritis that can develop as you get older or following an injury. The many types of arthritis target your joints, causing pain, inflammation, and stiffness and limiting your joints flexibility.
The two most common types of arthritis that affect many adults in the United States include osteoarthritis and rheumatoid arthritis.
Other Immunomodulatory And Cytotoxic Agents
Some additional immunomodulatory drugs are used in RA including azathioprine , and cyclosporin A . Rarely cyclophosphamide and d-Penicillamine are used. Because the potential of high toxicity, these agents are typically utilized for life-threatening extra-articular manifestations of RA such as systemic vasculitis or with severe articular disease that is refractory to other therapy.
Azathioprine has some activity in rheumatoid arthritis but may take 8-12 weeks to see an effect. It is a purine analog that can cause bone marrow suppression and lowering of blood cell counts particularly in patients with renal insufficiency or when used concomitantly with allopurinol or ACE inhibitors. Increased risk of secondary malignancy due to azathioprine is controversial. Screening for levels of the enzyme thiopurine methyltransferase is recommended before initiating therapy with azathioprine. Certain individuals have deficiencies in this enzyme that metabolizes azathioprine with a concomitantly increased risk of toxicitiy for the medication. Side effects include nausea, and alopecia. Blood tests to monitor blood counts and liver function tests are necessary for patients on azathioprine.
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Make Sure Your Doctor Knows About All Medications Vitamins And Supplements
Talk to your doctor about which pain medications are best for you. Be sure to let your doctor know what other medications you are taking, even for other health problems. Besides other drugs you take, tell your doctor about any vitamins, supplements or herbal products you use. This can help you to avoid drug interactions. Here are other .
More Approaches To Fight The Joint Pain Of Arthritis
Taking medication isnt the only way to treat arthritis pain. Other options include:
There are many arthritis treatment options available to you to help manage your pain, so dont despair you dont have to muddle through without relief. Just keep in mind that you may need to try a few different therapies before you figure out which arthritis treatments work best for you.
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Use Assistive Devices Like Canes Or Tools With Wide Grips
Symptoms Of Ra Can Occur In Any Of The Bodys Joints Including Your:
As the disease progresses, cartilage and bone are damaged and destroyed. Eventually, supporting tendons, ligaments, and muscles weaken. This can lead to a limited range of motion or difficulty moving the joints properly. In the long term, joints can become deformed.
Having RA also puts you at greater risk of developing osteoporosis, a weakening of the bones. This in turn can increase your risk of bone fractures and breaks.
Chronic inflammation of the wrists can lead to carpal tunnel syndrome, making it difficult to use your wrists and hands. Weakened or damaged bones in the neck or cervical spine can cause chronic pain.
Your doctor may order X-rays to investigate the extent of joint and bone damage from RA.
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Berries Apples And Pomegranates
Berries are rich in antioxidants and the Arthritis Foundation notes that blueberries, blackberries, strawberries, cranberries, raspberries and boysenberries all provide arthritis-fighting power. Youll get health benefits no matter if you eat them frozen, fresh or dehydrated , so be sure to eat a variety of berries throughout the week.
Apples are also high in antioxidants and a good source of fiber. Plus, they provide crunch and can help curb your appetite for unhealthy snacks, Dunn says.
Pomegranates, which are classified as berry fruits, are rich in tannins which can fight the inflammation of arthritis. Add these to a salad or stir into plain yogurt for some added benefits.
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.
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Alternative Medicine For Arthritis
A variety of alternative therapies is used for arthritis. However, none of these has been approved by the FDA for the treatment of arthritis, so they may not be effective or safe. It is important to let your doctor know if you’re considering these types of treatments.
While some studies suggest that glucosamine and chondroitin supplements are as effective as NSAIDs for reducing pain, swelling, and stiffness in osteoarthritis, recent large studies funded by the NIH suggest these supplements are not very helpful, except perhaps in some cases. Typical daily doses are 1,500 milligrams for glucosamine and 1,200 milligrams for chondroitin.
The antibiotic doxycycline may have some potential to delay the progression of osteoarthritis by inhibiting enzymes that break down cartilage. More research is needed to confirm these results.
The NIH considers acupuncture an acceptable alternative treatment for osteoarthritis, especially if it affects the knee. Studies have shown that acupuncture helps reduce pain, may significantly lessen the need for painkillers, and can help increase range of motion in affected knee joints.
The supplement SAMe has been shown in some studies to be as effective for osteoarthritis pain as NSAIDs.
How To Use Pain Medications Properly
There are two types of over-the-counter pain medications that can be used for osteoarthritis. Acetaminophen is a pain reliever but not an anti-inflammatory. It may help with mild knee pain.
NSAIDs can be more effective because they both relieve pain and reduce inflammation. However, they come with potential side effects and risks. NSAIDs can irritate the lining of the stomach, which may lead to an ulcer or other stomach problems. They also can impair kidney function. Some NSAIDs can increase blood pressure. And theyve been linked to an increased risk for heart disease.
Because of the risks, Dr. Day cautions against using NSAIDs regularly over long periods of time. Instead, she uses NSAIDs for her patients in two ways. First, people who have a flare-up of pain can take them regularly for three to five days and then stop. Second, they can be used over the long term, but only occasionally, maybe a couple of times a week as needed.
If youre taking NSAIDs several times a day for long periods of time, Dr. Day advises reducing their use by maximizing the other treatment strategies. She also suggests trying a topical NSAID, such as diclofenac , which has fewer potential side effects.
Opioid pain relievers are discouraged for long-term treatment of chronic knee pain. The milder narcotic tramadol might be appropriate for occasional use in some people, says Dr. Day.
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Other Otc Pain Relievers
Along with medications, there are supplements and creams that you can buy at the drugstore to relieve arthritis pain. People may also use topical treatments along with other medications.
Many people with OA use the supplements glucosamine and chondroitin. For those with moderate to severe OA knee pain, the combination of the two may ease aches, although medical studies have not shown clear proof that they help a lot. If you choose to try it, take it for at least 3 months before you decide if it helps.
There donât seem to be any major side effects from glucosamine and chondroitin supplements, but because they are supplements, the FDA doesnât regulate them in the same way as drugs. That means itâs tough to be sure of the content and quality of supplements you see in stores.
Though the benefit is still unclear, one study showed long-term use of fish oil supplements improved pain and function.
Skin creams made from capsaicin, an extract from chili peppers, may help relieve mild arthritis pain. You may notice a mild stinging or burning feeling when you rub it on your skin, but it usually fades over time. Test the medication on a small part of your skin to make sure youâre not sensitive to any of the ingredients.
Cold or warm compresses on a painful joint a few times per week may also improve pain, swelling, and range of motion. Cold therapy may also help you feel better right after you exercise.
Physical Therapy For Arthritis Treatment
Physical therapy is often recommended to help ease arthritis pain. It can strengthen the muscles that support your damaged joints, help reduce joint stiffness, and improve your range of motion. Its also a good first non-surgical and non-medicating start to improve mobility, says Keenan.
According to 2014 research in theCochrane Database of Systemic Reviews, people with osteoarthritis of the hip can feel less pain and have more physical function after engaging in physical therapy exercises. And by going to sessions, you’ll learn how to properly perform the moves and stretches. You may also see an improvement in your ability to:
- Climb in and out of the bathtub
If youre looking for a physical therapist, its important to consult with your doctor first. And to find a specialist in your area, you can also check out the resource finder tool from the Arthritis Foundation and the find a PT tool from the American Physical Therapy Association.
While physical therapy can offer significant benefits for many people with arthritis, its not effective for everyone. If its recommended as part of your treatment, give it a try for at least three to six months. If you dont see any improvement in that time, physical therapy simply may not be useful for your individual case of arthritis.
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Treating Spinal Osteoarthritis May Take A Combination Of Therapies
Talk with your doctor about your neck and/or back pain to make sure your diagnosis is accurate and current. Remember that certain types of back problems are degenerative, meaning they may change, improve, or worsen with time. Management of your spinal arthritis pain may involve more than 1 medication or therapy. You have choices, and your doctor can work with you to find the right drug or combination of medications and therapies to ease your spinal osteoarthritis symptoms.
Electrical Nerve Stimulation for Arthritis Pain. Arthritis Foundation Web site. https://www.arthritis.org/living-with-arthritis/treatments/natural/other-therapies/electrical-stimulation-knee.php. Accessed October 29, 2018.
Living With Rheumatoid Arthritis
There is no cure for RA. But it is important to help keep your joints working well by reducing pain and inflammation. Work on a treatment plan with your healthcare provider that includes medicine and physical therapy. Work on lifestyle changes that can improve your quality of life. Lifestyle changes include:
- Activity and rest. To reduce stress on your joints, switch between activity and rest. This can help protect your joints and lessen your symptoms.
- Using assistive devices. Canes, crutches, and walkers can help to keep stress off certain joints and to improve balance.
- Using adaptive equipment. Reachers and grabbers let you extend your reach and reduce straining. Dressing aids help you get dressed more easily.
- Managing the use of medicines. Medicines for this condition have some risks. Work with your healthcare provider to create a plan to reduce this risk.
- Seeking support. Find a support group that can help you deal with the effects of RA.
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How Does Arthritis Affect The Body
Arthritis is a common condition that affects the joints and tissues in the body. It can be caused by injury, infection, or overuse. The pain from arthritis can interfere with daily activities such as walking upstairs or holding objects for an extended period. This article will explore how arthritis affects different parts of the body.
Complementary And Alternative Medicine
If you prefer a natural approach to treating arthritis, or would like to explore complementary options, it’s imperative that you tell your healthcare provider what you want to try . There are many alternative treatment options that, while popular, are not verified for effectiveness and safety.
The National Center for Complementary and Integrative Medicine, a division of the National Institutes of Health , reports on the effectiveness of some CAM treatments for arthritis:
Be wary of dietary supplements or herbal treatments sold for arthritis relief. You could experience dangerous side effects or drug interactions and the U.S. Food and Drug Administration warns that many are tainted with prescription drugs.
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What Are The Risk Factors For Ra
Researchers have studied a number of genetic and environmental factors to determine if they change persons risk of developing RA.
Characteristics that increase risk
- Age. RA can begin at any age, but the likelihood increases with age. The onset of RA is highest among adults in their sixties.
- Sex. New cases of RA are typically two-to-three times higher in women than men.
- Genetics/inherited traits. People born with specific genes are more likely to develop RA. These genes, called HLA class II genotypes, can also make your arthritis worse. The risk of RA may be highest when people with these genes are exposed to environmental factors like smoking or when a person is obese.
- Smoking. Multiple studies show that cigarette smoking increases a persons risk of developing RA and can make the disease worse.
- History of live births. Women who have never given birth may be at greater risk of developing RA.
- Early Life Exposures. Some early life exposures may increase risk of developing RA in adulthood. For example, one study found that children whose mothers smoked had double the risk of developing RA as adults. Children of lower income parents are at increased risk of developing RA as adults.
- Obesity. Being obese can increase the risk of developing RA. Studies examining the role of obesity also found that the more overweight a person was, the higher his or her risk of developing RA became.
Characteristics that can decrease risk