If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

Arthritis pain may occur all of a sudden, but commonly develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
Corticosteroids are used for reducing inflammation.
Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:

Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
Arthroscopy, where an incision is made in the knee for removing damaged parts.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Knee Pain - It May be a Sign of Arthritis?

Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disorders. This is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

There is no underlying cause that has been identified, though there is a genetic predisposition.
People with history of head trauma are more affected
People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
People with sleep apnea often are hypersomnolence
Restless legs syndrome, narcolepsy
Neurodegenerative disorders like Parkinson s and Alzheimer s tend to sleep more.
Symptoms:

Sleeping for longer hours at night time
Excessively sleepy during daytime
Able to doze off anytime during the day
Inappropriate and involuntary sleeping pattern
Having difficulty getting out of bed after waking up, even after prolonged sleep
Feeling of disorientation
Feeling agitated, anxious, lethargic, and irritated
Impaired cognition and memory
All these lead to extreme state of drowsiness
Increased tendency for hallucinations
Reduced appetite and even weight loss in some people
There is restlessness, reduced pace of thinking and speaking
Overall reduced energy levels
Social interactions are affected including work life, social functions, etc.
Diagnostic criteria:

If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
The added feature of no tiring physical activity can also lead to suspicion
In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
It cannot be explained by lack of sleep on a regular basis
One or more of the above conditions could be present, which can help in making the diagnosis
Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day.


Hypersomnolence - How It Can Be Managed?

Insomnia is a sleeping disorder, where an affected person suffers from sleeplessness and is unable to fall asleep or remain asleep for a long time which is required to stay healthy. Insomnia affects the functioning of the body and increases pain sensitivity of the body.

Insomnia has many cures and treatment options. Homeopathy is considered to be an important and very efficient form of medication, which treats insomnia and related sleeping disorders. Homeopathy eliminates the cause of insomnia from the roots, and both the disorders and symptoms are cured.

Here are some common homeopathic medicines, which are used to treat insomnia, along with the symptoms when they are prescribed for use:

Arnica: It is used to ease patients when they overwork physically, and is also useful tor treating insomnia caused due to jet lag.
Aconite: Aconite cures acute cases of insomnia, which results because of fear, shock, paranoia, grief or due to some bad news. Anxiety, tension and restlessness also cause insomnia, which is cured by aconite.
Arsenicum album: This homeopathic remedy treats insomnia where a patient feels sleepy during the daytime, but cannot sleep at night. Restlessness and having bad dreams are observed.
Calcarea phosphoric: This medicine treats insomniac patients who experience difficulty in waking up in the morning. The patient becomes anxious, restless and gets irritated easily and tends to avoid daily routine.
Causticum: Causticum is used in cases of insomnia where bed wetting is likely by the patient, especially during the first phase of the night. The patient develops a fear of the dark and a strong sense of justice.
Chamomilla: Used in cases of sleeplessness in babies where teething, anger or colics cause disruption in sleep. The eyes do not close completely during sleep, and the patient moans. It is also used in grown-ups who are irritable and peevish and experience fearful dreams.
Cocculus: Cocculus cures insomnia, which occurs due to over exhaustion and over strain. It prevails in people who work during night shifts and need to spend sleepless nights due to work.
Coffea: This homeopathic remedy is derived from coffee beans and provides relaxation to insomniac people. When a person gets over excited and is kept awake because of constant thoughts, coffea can calm that person and make him fall asleep.
Equisetum: This homeopathic medicine cures insomnia where the patient wets the bed while dreaming. This happens due to immature nervous functioning.
Ignatia: Ignatia treats insomnia occurring from extreme shock, grief or emotional stress. The patient becomes very moody, jerks his limbs during sleep and experiences disturbing dreams.
Homeopathy is an ideal treatment for insomnia or sleeplessness. Being natural, it works very efficiently without any side effects.

10 Best Homeopathic Medicines for Insomnia (Sleeplessness) Problem

Cure insomnia with natural remedies


Insomnia is the situation where someone is unable to sleep, despite being tired or having had a tough day. It also applies when a person can fall asleep but is unable to stay asleep for long. Sleep apnea, chronic pain, indigestion, stress, medications, hormones, depression, chronic pain and restless leg syndrome are few of the symptoms of insomnia. Insomnia has become quite common and increasing ever so rapidly with our daily stressful lifestyle. There are some simple ways to combat insomnia:

1. Make Sleep a habit : 
There is a general practice to cut the sleep short whenever we go behind the schedule. Be it sitting for an important examination or preparing for a challenging assignment. It is always the sleep whom we sacrifice. This is a very bad practice. We need to remember that adults needs eight to ten hours of sleep for proper mental functioning. So make sleep a habit , try to follow a simple routine. It will help you establishing  regular sleep-wake cycles which will in long run prevent insomnia.

2. Add amino acids to diet: 
Include in your diet, foods that are high in the amino acid called tryptophan because they help calm the nerve. Chicken, tuna and turkey are such types of foods.

3.Drink hot milk: 
It has been an age-old custom to have a glass of warm milk before going to sleep. So, If you are not allergic to dairy products, you can drink a glass of milk before bedtime. It has sedative effect due to presence of tryptophan.

4. Avoid caffeine after noon and Limit alcohol and nicotine intake:
Avoid Coffee, alcohol and food with high fat content and foods which can cause allergies, at least a few hours before your bedtime. Drinking water or coconut water, after drinking alcohol is advisable. This increases the hydration level in the body and helps you sleep. You should also avoid nicotine  which is also a stimulant thus adversely affects normal sleep.

5. Pick magnesium rich foods: 
Foods which are high in magnesium are known to relax our system. Foods like oats, leafy vegetables, sunflower seeds and sesame can be included in your diet for best results against insomnia.

6. Stay away from your phone at bedtime:
It has been postulated that the blue wavelengths produced by your smartphone and other gadgets (and energy-efficient LED light bulbs) significantly suppress the production of melatonin, the hormone that makes you sleepy, according to University of Basel research. So it is better avoiding surfing the phone at bed. You have enough time with it during the whole day. Is not it? Let her sleep too.

7. Practice yoga:
Practice 15 minutes of simple, yoga-like poses (such as neck rolls, shoulder rolls, and arm and back stretches) to help your muscles unwind before hitting the bed. But you should go slowly. “The goal is to loosen your muscles to prepare your body for a good night’s sleep, not increase your heart rate,” 

8. Try aromatherapy:
Studies have shown that aromatherapy aids in sleep. Lavender oil is most commonly used, It's also an inexpensive, nontoxic way to slip into a peaceful slumber. Find a spray with real lavender and spritz it on your pillow before bedtime and it may help you go asleep better.
 
9. Adopt deep breathing exercises:
Practice deep breathing  and relaxation exercises. They are simple and can be performed lying on bed. This will help you let go stress and worries that are troubling you and will therefore calm your nerves.

10. Re-organise your bedroom:
Bedroom should be quiet and dark to have proper sleep. You can use dark window curtains which will cut the lights from outside. You can try using sleep mask. Try not to watch television for at least half an hour before bed. Make your bed comfortable with extra mattress, pillows that are not too soft or too hard. Doing these simple things will make a lot of difference in your sleep habit.
 
 



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Fight insomnia naturally. #SleepWell 

It is quite likely for you to mistake fibromyalgia syndrome (FMS) and myofascial pain syndrome (MPS) as the same condition because of the frequent overlap and similar symptoms. As a result, people with both conditions are diagnosed with only one and are treated for that. The major difference between PMS and FMS is that they need different treatment. The trigger points can be eliminated, and while MPS pain may exacerbate FMS, treating MPS can improve FMS.

About FMS and MPS

FMS is a disorder featured by musculoskeletal pain along with sleep, fatigue and mood swings. It affects the way in which your brain processes pain signals.
MPS is another chronic pain disorder in which the pain is caused in the body because of pressure on sensitive points in the muscles. It is known as referred pain.
Symptoms:
There are several symptoms of MPS which are similar to that of FMS, while there are some different symptoms as well. The common symptoms are as follows:

Soft tissue pain
Headaches or migraines
Disturbance in sleep
Problems with balance
Tinnitus or ear pain
Memory problems
Excessive sweating
Here are the symptoms which are associated with MPS only and not with FMS:

Extreme numbness
Clicking or popping joints
Reduced range of motion in the joints
Blurry and double vision
Unusual nausea
Here are some symptoms which are observed in FMS but not in the case of MPS:

Fatigue
Panic attacks
Developing allergies and sensitivities
Feeling overwhelmed because of high sensory input levels
Confusion and disorientation
Diagnosis
MPS is difficult to diagnose and treat because of referred pain. The symptoms have to be recognised and the trigger points need to be identified for detecting MPS. The trigger points are found on the basis of the symptoms. Several tests like magnetic resonance elastography (MRE) and tissue biopsy are used for MPS diagnosis. On the other hand, there are no tests or scans which can detect FMS in patients.

Treatment
There are several overlaps as well as major differences when it comes to the treatment procedures of MPS and FMS. The treatment methods which are used for both MPS and FMS are as follows:

Acupuncture
Physical therapy which may be in different forms
Tricyclic antidepressant medicine
According to studies, trigger point injections are not too effective in giving relief to fibromyalgia tender points, while non-steroidal anti-inflammatory drugs (NSAIDS) are not useful for the treatment of FMS pain as they are meant for inflammation. It is very important for you to visit a doctor if you experience any symptoms of FMS or PMS. You require proper diagnosis so that the right treatment can be undertaken.

Fibromyalgia Syndrome (FMS) & Myofascial Pain Syndrome (MPS) - Signs That Indicate It!

Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

severe pain in the knee joints

pain after walking up the stairs and it subsiding once you are on rest

severe pain after the movement of joints for a long time

pain that becomes worse in rainy days

joints becoming stiff after waking up in the morning but they improve in the latter part of the day

pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.

Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

severe pain in the morning

mild fever accompanying the pain

joints suddenly becoming swollen, red and warm causing, immense pain

sudden stiffness of the joints

pain that increases in cold weather

mild fever, extreme tiredness and weakening of the muscles

Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.

Muscle-stretching exercises are effective in keeping the knee joints flexible.

Acupuncture and devices such as knee braces and knee caps can relieve the pain.

Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.

If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.
Physiotherapy For Knee Arthritis-

Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.

The main goals of physiotherapy for your knee arthritis are:

Reduce your knee pain and inflammation.
Normalise your knee joint range of motion.
Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
Strengthen your lower limb: calves, hip and pelvis muscles.
Improve your patellofemoral (knee cap) alignment and function.
Normalise your muscle lengths.
Improve your proprioception, agility and balance.
Improve your technique and function eg walking, squatting.

Arthritis - How Physiotherapy is Beneficial for it?

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