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Osteoarthritis Facts - Articles Surfing
What is Osteoarthritis?
Normal Joint Osteoarthritis
In fact, treatment for osteoarthritis may require a variety of medications and other measures, and these may change over time. Because this disease is long-lasting and can affect your day-to-day life for years, it is crucial that you take an active role in managing it. You can make a difference in how you feel by monitoring your symptoms, following your treatment plan, and dealing with the daily challenges the condition brings.
What Causes Osteoarthritis?
Heredity - Scientists believe that in osteoarthritis, as in many other diseases and conditions, heredity may play a role in the disease. Researchers are studying several genes that may be connected to osteoarthritis. The outcomes of these studies may help predict who is most likely to get the disease.
Obesity - You probably already know that being overweight puts you at risk for heart disease and certain types of cancer, but it can also have a profound effect on your joints. The reason is that your major joints, such as knees and hips, already bear the brunt of your body's weight as you move through normal daily activities. Being overweight puts even more pressure on these joints.
Injury and overuse of joints - Sometimes repetitious movements or serious injuries to joints can lead to osteoarthritis years later. Some full-time athletes, for example, may injure the same joints over and over again, causing damage to the joints, tendons and ligaments that speeds up cartilage breakdown.
What are the Different Types of Arthritis?
Osteoarthritis - The most common type of arthritis is osteoarthritis, or OA. OA affects about 21 million Americans. OA is sometimes called degenerative arthritis because it is caused by the breakdown of cartilage and bones, causing pain and stiffness. OA usually affects the fingers and weight-bearing joints, including the knees, hips, back and neck. It affects both men and women and usually occurs after age 45.
Rheumatoid Arthritis - In rheumatoid arthritis, or RA, an abnormality in the body's immune system causes inflammation of the joints. Inflammation begins in the joint lining, or the synovium, and over time leads to damage of both cartilage and bone. Rheumatoid arthritis often affects the same joints on both sides of the body. RA affects about 2.1 million Americans and is more common in women than in men.
Fibromyalgia - Fibromyalgia is a disease that causes widespread pain and distinct tender points, which are places on the body that are highly sensitive to touch and produce pain. People with fibromyalgia usually have fatigue, disturbed sleep and stiffness. Fibromyalgia is a common condition that usually affects women and it does not cause muscle or joint damage.
Lupus - Lupus is a disease that affects the skin and joints. In some people, lupus also affects the internal organs such as the kidneys, lungs or heart. Lupus affects women about eight to 10 times more often than men. Symptoms often first appear in women between ages 18 and 45. Some of the more common symptoms include a rash over the cheeks and across the bridge of the nose; scaly, disc-shaped sores on the face, neck and/or chest; abnormal sun sensitivity; kidney problems; and forms of arthritis.
Bursitis and Tendinitis - Bursitis and tendinitis are caused by irritation from injuring or overusing a joint. Bursitis affects a small sac called the bursa that helps to cushion the muscles and tendons surrounding the joint. Tendinitis affects the tendons that attach muscle to bone.
' Polymyalgia Rheumatica
How is Osteoarthritis Different?
Other problems can occur inside the joint as cartilage breakdown affects the joint components. Fragments of bone or cartilage may float in the joint fluid, causing irritation and pain. Bony spurs or osteophytes can develop on the ends of the bones. Fluid inside the joint may not have enough of a substance called hyaluronan, which may affect the joint's ability to absorb shock. And although inflammation is not a main symptom of osteoarthritis, it can occur in the joint lining in response to the breakdown of cartilage.
Treatment Plan and New Developments
However, recent controversy about the safety of pain medications for arthritis has left patients and health care professionals alike uncertain about which medications are safe to use. In fact, a recent survey by the Boston-based Rippe Lifestyle Institute indicated that many people with arthritis are suffering unnecessarily because they have stopped or reduced their use of pain relievers due to confusion about which drugs are considered safe.
To clarify the confusion around recent news about arthritis medications, here are some facts:
On April 7, 2005, the FDA announced the following:
' Bextra, a COX-2 inhibitor manufactured by Pfizer, was being voluntarily withdrawn from the market.
' All OTC NSAIDs (except aspirin) will be required to revise their labeling to include more specific information about the potential for GI and CV side effects, a stronger reminder to follow label instructions, as well as a warning about potential skin reactions.
To further evaluate the potential for increased CV risk, the FDA also announced that all NSAIDs must conduct and submit to the Agency a comprehensive review and analysis of pertinent safety data from clinical trials.
The FDA emphasized that when label directions are followed, OTC pain relievers such as Aleve (naproxen sodium) provide a safe and effective way to treat mild to moderate pain of minor arthritis. If patients have questions, they should consult their health care professional about which treatment option is most appropriate.
Copyright © 1995 - Photius Coutsoukis (All Rights Reserved).
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