Rheumatoid arthritis is an auto-immune chronic disorder that might cause abnormal swelling in the joints when the joint tissues are attacked by the human immune system. The more frequently used body joints, such as the knees, fingers, shoulders, wrists, elbows and hips commonly get affected by the disease. Rheumatoid arthritis can also occur in the ligaments or tendons and might affect areas such as the kidney, bone marrow, eyes, lungs, and heart.

If rheumatoid arthritis is not diagnosed on time, it might lead to future complications, such as blood cancer in the lymph regions, osteoporosis (a medical condition resulting in the weakness of the bones), infections, stiffening of the arteries and dry mouth.

What exactly causes the disease is not known, but a significant damage to the immune system might cause the inflammation of the joints, resulting in this condition. Obesity, a family history of this condition and other lifestyle habits such as smoking tobacco put one at higher risks of this disorder.

The symptoms of rheumatoid arthritis might vary among people. The most common symptoms of rheumatoid arthritis are;
1. Severe pain in the morning
2. Episodes of mild fever with severe pain
3. Redness and inflammation of the joints which might cause intense pain
4. Stiffness in the joints
5. The pain might increase in low-temperature conditions
6. Acute lethargy and weight loss

Treatments
The treatment of rheumatoid arthritis includes a prescribed dosage (depending on the intensity of the condition) of non-steroidal anti-inflammatory drugs such as ibuprofen, anti-rheumatoid drugs such as methotrexate and steroid drugs such as prednisone to reduce the swelling and the subsequent pain. Performing regular exercises in order to retain the flexibility of the joints with appropriate consultation from the physiotherapist might cure rheumatoid arthritis. 

Persistent Stiffness in Joints - Can it be a Sign of Rheumatoid Arthritis

Are you suffering from arthritis and looking for effective treatment options? Arthritis is a chronic, systematic inflammatory disease that causes damage to your joints and connective tissues. The knee is primarily affected by this condition and there are three main forms of arthritis which occur in your knees. There are several treatment options and procedures for treating arthritis. They are as follows:

Several medications are used for arthritis treatment. They are:

Analgesics: These medicines help in pain reduction but do not heal inflammation.
NSAIDS: NSAIDS or non-steroidal anti-inflammatory drugs are used for reducing inflammation and pain as a result of arthritis.
Counter-irritants: These include creams and ointments containing capsaicin or menthol. Applying these creams on the skin helps with pain relief.
DMARDS: Disease-modifying antirheumatic drugs are used in case of rheumatoid arthritis. These help in slowing down your immune system from targeting your joints.
Corticosteroids: This form of medicine includes cortisone and prednisone and helps in reducing inflammation and suppressing your immune system. These can be injected into your joint or taken orally.
Therapy
Physical therapy is beneficial for certain types of arthritis. Exercising helps in improving your range of motion, and the strength of your muscles which surrounds the affected joint. Splints and braces are prescribed in some cases.

Surgery
When all other treatment measures fail, a surgery may be required to be carried out.

Joint repair: In some cases, the surface of your joints can be realigned and smoothened in order to improve function and eliminate pain. These surgeries are arthroscopically performed via incisions made on the joint.
Joint replacement: During this surgery, your damaged joint gets removed and replaced with an artificial joint. The hip and knee joints are commonly replaced surgically.
Joint fusion: This surgical procedure is used in case of smaller joints of your body. The ends of the two bones in your joint are removed and the removed ends are locked together till they heal into one unit.
Alternative treatment options
You can also opt for certain alternative remedies for arthritis. Some of them are as follows:

Acupuncture: In this therapy, fine needles are inserted at certain points on your skin for reducing arthritis pain.
Yoga and tai chi: The movements associated with yoga and tai chi are slow and stretching in nature. These help in improving joint flexibility. Your range of motion gets improved as well.
Light massages which involve stroking and kneading of your muscles help in increasing blood flow. This warms up the affected joints, providing temporary relief from arthritis pain.

Arthritis - How to Treat It Effectively?

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 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.

Know if You Have Arthritis in the Knee

The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
Exercise plays a very vital role in controlling the issue and improving range of motion.

What You Should Know About Spondyloarthritis?

Non-inflammatory pain and tenderness in joints, muscles and ligaments can lead to a chronic condition called Fibromyalgia. It is estimated that it affects 5 % of the population annually. Though there are many conventional medications available to address this situation, none of them focuses on healing the disease from the root. This is precisely where Ayurvedic techniques differ. Let us look at a time tested way to address Fibromyalgia through ancient Ayurveda.

Ayurveda for Fibromyalgia
There are some common symptoms of Fibromyalgia. These include aches and stiffness of the body, generalized fatigue, chronic headaches and migraines, swelling and numbing sensations in the joints. Ayurveda treats a particular disease on the basis of the  vata  imbalance. The condition also affects the central nervous system thus leading to pain and tenderness. Accumulation of Ama or toxins is also the other major factor for Fibromyalgia.

Ayurveda focuses mainly on these two factors and creates a balance in suppressing them. The famed panchakarma therapy and the herbal oil massage can help in reducing the toxin levels. They also work additionally as a detox thus helping in eradicating the harmful by-products. Along with it, a diet plan should also be followed for stimulating the growth naturally. These include vegetables, fibers, and juices of carrot, cucumber, beetroot, spices like cumin, coriander, ginger asafetida and coconut milk.

Also, some limitations are needed, and a person should avoid spicy foods and reduce the intake of caffeine products. Alcohol should be curbed when a person is under the treatment plan. Few herbs like "Dashamula quath" and 'Triphala choorna' are recommended for cleansing the colon. Mental stress is also one of the major factors, and hence a relaxed attitude should be followed along with certain lifestyle changes. Ayurveda wants the body to get the necessary sleep and rest in its treatment plan. In the treatment of Fibromyalgia too, it is no different. The Ayurvedic physician would lay out the entire cycle of the treatment procedure, and they have to be followed religiously. A person can see the reduction in the pain within a few weeks of following the treatment.

Ayurveda is safe
The biggest advantage of an Ayurvedic treatment is that it is extremely safe and that there are no side effects. They effectively act as a detox thus getting rid of the harmful substances from the body along with curing of the symptoms. Ayurveda not only takes care of the pain but identifies the problem from the root. Hence it effectively curbs the chances of Fibromyalgia from reoccurring.

Fibromyalgia - How Ayurveda Is Safe For 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.
Dry needling, cupping, taping can help to control the pain and keep the joint supported.
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.

How Physiotherapy Helps To Manage Arthritis?

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