Rheumatoid Arthritis Overviewby L. Hirt &
eKnowItAll.com
Rheumatoid arthritis is an
inflammatory disease that affects your joints. It can cause
swelling, stiffness, pain and loss of function in the joints it
affects. Unlike other types of arthritis, it does not usually
affect just one joint, but the matching joint on the other side
of your body as well. The most commonly affected joints are the
wrists and fingers. There are several
forms of the disease, ranging from a short period of pain
lasting for only a year to severe pain that lasts many years or
an entire lifetime.
Symptoms
Symptoms can vary from person to person, but there are several
features of the disease that often occur:
•Tender, swollen and warm joints – often in the wrist or
fingers
•Pain affecting the same joints on both sides of your body
•Inflammation in other joints such as the knees or hips
•Prolonged periods of pain and stiffness, after long periods of
rest or after waking up
•Occasional fevers, fatigue, and an overall feeling of not
being well
Factors Increasing the Risk of Rheumatoid Arthritis
•Rheumatoid arthritis can be hereditary, and can result from
having specific genes that control your immune system. Several
genes play a role in whether a person develops the disease, and
how severely they are afflicted. Genetics, however, is not the
only factor.
•It is believed that certain events trigger the onset of
rheumatoid arthritis in people already susceptible to it
because of their genes. The most likely causes are bacterial or
viral infections.
•Women are more likely to develop the disease than men, and
their hormone levels may affect the onset of the disease. For
example, pregnancy often lessens the severity of the disease,
while flare-ups often occur after giving birth.
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The Five Most Common Forms
of Arthritis
What does it mean when you have
arthritis? Imagine that the
cartilage in your body—that
soft yet pliable natural
cushioning—begins to break
down. Without this natural form
of protection, your joints
would no longer be protected
against the pounding of
everyday life. The wear and
tear would be too much, and
your joints would begin to
suffer. You will probably
experience some kind of pain,
stiffness, swelling, and even
loss of mobility. There are
over 100 different types of
arthritis. Here is a quick
overview on the five most
common forms of arthritis.
1. Osteoarthritis: This is by
far the most common type of
arthritis. Osteoarthritis
develops as a result of the
continual wear and tear
experienced by the cartilage
that surrounds our joints. As
the cartilage gradually breaks
down, the joints are no longer
cushioned and protected. They
may become stiff, swollen, and
painful to the touch.
Osteoarthritis usually becomes
obvious around middle age. It
is a gradual progressive
disease, in which symptoms
worsen over time. However,
osteoarthritis may also be the
result of injury. Most patients
with osteoarthritis experience
the worse symptoms in the areas
of the hips, knees, fingers,
and the spine. Osteoarthritis
is very common. It is estimated
that up to 90 per cent of all
people over 60 will develop
some form of this condition.
The symptoms of osteoarthritis
can range from very mild to
severe. In general, men
experience the brunt of their
symptoms in the knees and hips
while women tend to suffer more
in their fingers.
2. Rheumatoid Arthritis: This
condition is different from
most other types of arthritis
conditions in that it is a
disease of the autoimmune
system. The bodies' own immune
system attacks its own joints
and cartilage. Rheumatoid
arthritis usually affects the
peripheral joints rather than
smaller areas of the body like
the hands, feet, and arms.
Rheumatoid arthritis can also
affect the vital organs in more
advanced cases. About 2.5
million people are affected
with this form of arthritis.
The average age for onset is
middle age, usually between
40to 50 years. Women are at a
greater risk for developing
this form of arthritis.
3. Seronegative Arthritis:
These are a class of arthritis
disorders that manifest
symptoms similar to those of
rheumatoid arthritis, but the
patient does not test positive
for that condition, or
osteoarthritis. Seronegative
arthritis disorders tend to be
related to skin disorders.
These may include psoriasis,
disorders of the immune system,
and intestinal disorders.
4. Gout: This is a form of
arthritis cause by the
overproduction of uric acid in
the body. The uric acid creates
small crystals that may be felt
beneath the surface of the
skin. Gout affects about half a
million people in the united
States, and it is much more
common among men. Gout usually
affects one joint of the time,
and it commonly strikes in the
big toe.
5. Infective arthritis: This
form of arthritis occurs when
bacteria enter the bloodstream
and infects the joints.
Infective arthritis is usually
the result of a wound or injury
that becomes infected. Illness
may also cause it, including
the mumps and chicken pox.
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The Basics of Rheumatoid Arthritis
Joints, where two bones connect, are normally surrounded by a
protective and supportive capsule. The capsule surrounds the
joint and the cartilage between the bones. Healthy joints have
a lining of a tissue called synovium and produce a fluid that
both nourishes and lubricates the bones and cartilage.
In people with rheumatoid arthritis, the immune system produces
white blood cells that attack the synovium. This causes the
inflammation consistent with arthritis, and makes the joint
swollen and painful. Once the disease develops, the inflamed
synovium actually attacks the joint and its bone and cartilage,
working to destroy it. Eventually, the muscles around the joint
become too weak to support it properly, causing often severe
pain and joint damage.
Common Treatments
No matter what treatment doctors and patients choose, the goal
is always to stop pain and inflammation, prevent further damage
to joints and allow the person to function normally.
Dealing with the Disease:
•Splints can be used to support an affected joint, letting it
rest. This will reduce swelling and pain. Other simple tools
can make daily tasks easier for people with the disease. For
example, patients may use special devices to help them get in
and out of bed.
•A healthy blend of rest and exercise is also important.
Doctors suggest getting more exercise while the disease is not
severe, and getting more rest when attacks flare-up. Exercise
improves flexibility, muscle strength, and joint mobility,
while also contributing to the patient’s overall well-being.
When resting, it is best to rest for short periods, rather than
taking long naps.
•To reduce the stress involved in coping with the disease,
patients can utilize relaxation techniques, regular exercise,
and support groups. Eating a balanced diet also contributes to
overall well-being.
Medication and Surgery
•Most people with rheumatoid arthritis take some form of
medication. Types include those to relieve pain, to reduce
inflammation and to slow the onset of the disease. Common drugs
include Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and
aspirins.
•The most effective treatments often include a combination of
more powerful medications.
•Surgery can be performed to reduce pain and improve joint
function and daily life. Common surgeries include joint
replacement, tendon reconstruction, and synovectomy, in which
doctors remove the inflamed synovial tissue. This is done only
as part of other reconstructive surgery.
For all patients, regular doctor visits, and routine blood and
other laboratory tests are important and should be made on a
regular basis.
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