How Do I Choose The Best Arthritis Medicine?by
Stephanie E. Siegrist, MD
Are you spending a fortune on
prescription arthritis medicines? Are they helping? Are you
concerned about side effects? You may think a particular drug
is a miraculous godsend. Yet, someone you know may take the
same dose only to experience little relief and life-threatening
side effects. All of the choices can be
confusing.
The best treatment for your arthritis is based on your
needs. Making the diagnosis of “osteoarthritis” is fairly
straightforward, but deciding what to do about it is a complex
and very individualized matter. There’s a wide range of options
available to help you deal with OA; medicines are only part of
the picture:
- The Basics: Weight Management / Exercise / Education /
Modify Activities
- Medications: Pain Relievers, NSAIDs (like ibuprofen),
Supplements
- Injections/ Bracing
- Surgery
The highest dose of the latest, “greatest” arthritis
medicine on the market will NOT help unless you follow
common-sense health practices. Focus on low-tech/low-cost
habits that pay off throughout your body and quality of life.
Modify the combination of remedies over your lifetime as
symptoms wax and wane. Start simple, and then move to the next
step if the first isn’t helping. You can cut back during the
times you have less pain.
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How to Work Smarter with
Arthritis
Most people know that arthritis
sufferers can experience severe
stiffness and pain in their
joints, sometimes causing some
patients to lose mobility and
to become seriously impaired.
But many people do not realize
how difficult it can be for
arthritis sufferers to
accomplish simple everyday
tasks such as brushing their
hair, getting dressed, and even
getting in a car. Obviously,
this can be the source of
stress in the workplace as
well. If you suffer from some
form of arthritis, here are
some tips to keep yourself
healthy and pain-free in the
workplace. No matter what kind
of job you do, there is always
something you can do to make
your work experience more
comfortable for you.
First, don't hide the fact that
you have arthritis from your
colleagues or supervisor. Many
people tend to overwork their
bodies at work, or tend to work
in ways that can cause
exacerbate their condition. Be
honest with yourself about what
you can and cannot do. Avoid
taking on too much. Even if you
think you feel OK at the
moment, overexerting yourself
at work can eventually catch up
with you later. If like many
people you work in an office
setting, there are several
simple steps that you can take
to relieve stress on your body.
You should avoid, for instance,
causing undue stress on your
neck. Many people put stress on
their neck during the workday
without even realizing it. Now
there are many ergonomic
accessories that can relieve
this pressure significantly.
Try placing a document holder
next to your computer monitor.
Document holders that can be
attached to the monitor let you
work at eye level, relieving
the pressure on your neck.
Another accessory that you may
want to try out is a hands-free
telephone headset. These work
well, especially if you tend to
be on the telephone for most of
the workday. Another important
consideration is the position
of your computer and keyboard
in relation to your body. Your
upper body should be separated
from the computer monitor by at
least 20 inches. The top of the
computer should be in line with
the top of your head. Your
elbows should ideally be at a
right angle as you type. Type
with your wrists relaxed; your
arms should be hanging loose at
your side.
Another important consideration
for working smarter is to dress
appropriately. Even if you work
in a business environment, you
should make certain you are
comfortable in your attire.
Women should avoid high heels.
High heels place incredible
stress on your feet! If you
absolutely cannot part with
your high heels, opt for shoes
with lower heels (one inch
high). Better yet, go for a
pair of fashionable flats
instead. Putting too much
stress on your feet and knees
can greatly increase your risk
for developing osteoarthritis.
Also, don't forget to take
several breaks throughout the
day. Sitting or standing all
day can greatly exacerbate most
forms of arthritis. Do not lock
yourself into one position.
Rather, take several breaks
throughout the day to walk or
sit.
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At this point, available medicines can relieve the
symptoms of osteoarthritis, not cure it. There are some
treatments for rheumatoid arthritis that can slow down joint
destruction. Scientific research suggests that nutritional
supplements, like glucosamine, might strengthen cartilage
tissue. Stay tuned!
The dozens of arthritis medications available are
categorized by drug class. The drug classes differ in the way
your body handles the chemical that makes up the drug, known as
the mechanism of action. Different mechanisms of action target
different arthritis symptoms: pain vs. stiffness vs.
inflammation. If you understand the classes, you will
understand:
- how each drug works,
- which drugs are related because they work in a similar
way,
- what side effects can occur, and
- why a drug may or may not be right for you.
Fortunately, there are eight drug classes to choose from to
relieve your osteoarthritis symptoms. If you must avoid a whole
class because you have another health condition, there are
plenty of others that could keep you comfortable. Combining
smaller doses from different classes may be the right answer.
Usually only with prudent, thoughtful trials will you and your
doctor discover what’s best for you. Keep a diary of the
remedies you try, and their effects, good and bad. You spend a
lot of money trying to feel better - don’t waste it!
Beware of your drugs’ true cost! “Cost” applies not only to
the money you pay for the pills, but also to the toll they
could take on your system in terms of side effects like stomach
ulcers, kidney failure, addiction, and other problems worth
avoiding!
OA is a chronic, degenerative condition that progresses at
different rates in different patients (and even in different
joints in the same body!) You’ve got better things to do than
let OA rule your day. The right treatment strategy will get you
back to the Pursuit of Happiness!
Want to learn more about all EIGHT classes of OA drugs?
Visit www.knowyourbones.com to order “Making
Sense of Arthritis Medicine: Manage Your Symptoms Safely”
and discover relief that’s right for you!
Stephanie E. Siegrist, MD is a board-certified orthopedic
surgeon in her 10th year of practice, and author of "Making
Sense of Arthritis Medicine." She's one of only 3% of U.S.
orthopedic surgeons who are women! Dr. Siegrist strives to
bridge the gaps that exist in today's doctor-patient
relationship with "Information Therapy!" Complete information
about Dr. Siegrist, and the book, are available from her
website.
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