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?

Insomnia is the condition of acute sleeplessness, and it takes a heavy toll on your mood, your energy levels, and your ability to concentrate and work during the day. Some of the most common symptoms of the condition are:

You find it difficult to fall asleep even if you are tired
Once you wake up in the middle of the night, you cannot get back to sleep
You cannot work or concentrate on anything during the day
You stay mostly fatigued, or irritated throughout the day
You have to depend on pills or alcohol to fall asleep.
You wake up very early in the morning, no matter how late you sleep

What could be the causes for insomnia?

Insomnia might last just a few days if it is induced by some temporary cause, like stress at your workplace, or any other personal issue you can be facing. However, when the cause is a long rooted one, insomnia might persist for a long time. There can be a mix of many causes for that to happen:

Psychological stress or other emotional discomforts

Common psychological problems like anxiety, depression, chronic work stress, grief, and also bipolar disorder can be the causes for insomnia.

Illness or other medical problems

There can be many medical causes or other illnesses at the root of insomnia like allergies, acute asthma, hyperthyroidism, Parkinson's disease, kidney related diseases and cancer as well.

Medications

There can be many drugs, which might be prescribed by your doctor, but still be responsible for insomnia. These include antidepressants, corticosteroids like thyroid hormone medicines, few blood pressure medications, certain contraceptives and stimulants for ADHD (Attention Deficit Hyperactivity Disorder).

Sleep Disorders

Insomnia, though in itself is a sleep disorder, can also be the symptoms for other sleep disorders like sleep apnea, restless leg syndrome, and other disorders related to jet lag or if you are working on a late night shift.

In addition to these causes, some daily lifestyle habits might act as triggers to insomnia, which include:

Consumption of large amounts of caffeine on a regular basis
Developing irregular sleep schedules
Taking your smartphone to bed and ending up spending a lot of time with it in the night
Eating late in the evening

Causative Factors Behind Insomnia

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

Staying up late at night intentionally is not insomnia. If you find it difficult to fall asleep, or cannot sleep soundly for long, then it is indeed a case of insomnia. The inability to sleep can have terrible repercussions on your physical and psychological health.

A number of reasons could cause insomnia. Understanding the causes could help you identify your sleeplessness as insomnia and seek treatment right away.

What Health Issues cause Insomnia?

Here are some health problems of both the mind and body that can keep you awake  

  Stress Chronic stress and worry born out of our tense lives is a direct cause of insomnia. Long-term anxiety, panic disorders, as well as PTSD can induce sleeplessness.

  Irregular Sleep Patterns Your body would hate it if you deviate from the Circadian Rhythm   the body clock. It regulates the functions of your body, including your sleep patterns. But if you defy your body clock by sleeping at irregular hours   suppose you are staying up late to get some extra work done, or you may have opted for a night shift, or if you are experiencing a jet lag   then you will notice that when it is finally time for you to hit the bed, sleep will be elusive.

  Depression Depression is a horrific psychological disorder that makes a person lose interest in life itself. And one of the indicators of depression is loss of sleep. It is not just depression, but also other illnesses that cause psychological turbulence such as bipolar disorder and obsessive-compulsive disorders, triggering insomnia.

  Breathing Issues Sleep apnoea is a dangerous disorder that stops your breathing multiple times every night and will wake you up every time. Yet you will possibly not even remember waking up. However, this does disturb the quality of your sleep and affects your health adversely.

  Dementia Dementia is accompanied by a gradual loss of memory. But sometimes people who are suffering from dementia display anxiety, restlessness or even aggressive behaviour when it is time for them to go to bed. This is called the sundown syndrome and it might even keep them up all night.

  Pain Pain is one of the commonest reasons for losing sleep. Pain can originate due to any number of reasons   arthritis, a sprained joint, an injury, or if you are undergoing chemotherapy or radiotherapy, then it may keep you awake at night. This is actually a vicious circle because the inability to sleep will aggravate your pain. Talk to your doctor who will prescribe the appropriate pain medication.

  Parkinson s disease This disease is another reason behind insomnia. Parkinson s disease interferes with your nerve signals and this might cause disruption in your sleep.

  Menopause When a woman inches closer to her menopause, her body reduces the production of oestrogen and progesterone. This imbalance of hormones can trigger sleep loss.

How long can you go without sleeping?

There is no data on how long a human can function without sleep. The longest someone stayed awake is 11 days. Usually, the body cannot last that long without some sound shut-eye. Your brain flushes out the waste matter its cells produce during sleep. That is why even 24 hours without sleep can make your brain sluggish and disoriented. If you stay awake for more than 48 hours at a stretch, your cognitive abilities will start failing you. Sleep is instrumental to a healthy mind and body. If you are experiencing insomnia, talk to a doctor immediately or look up some remedies.

Health Problems That Keep You Awake!

Acupuncture is a Chinese method of treatment which aims at maintaining the energy balance in the body. The procedure involves stimulating the energy channels of the body by using fine steel needles. It enhances the production of endorphins (pain controlling hormones) in the body, therefore less pain.


Signs you are suffering from arthritis
Arthritis is a disorder that is characterized by inflammation and swelling in the joints. The symptoms of arthritis are tenderness in the joints, fatigue, fever and stiffness in the joints that worsen in the morning. Initially, the smaller joints in the body are affected; it then progresses to joints in the elbows, wrists and the knees. 


Causes behind it
Arthritis is caused when the immune system starts attacking the membrane surrounding the joints. Inflammation occurs, resulting in destruction of the bone and cartilage. It causes the ligaments and the tendons holding the joint to weaken. The joints then starts to lose their original alignment and shape.


Dietary guidelines you must follow
You need to follow dietary guidelines such as avoiding refined and processed foods as they can contribute to the inflammation of the joints. You also need to steer clear of foods which may trigger a reaction from your immune system. Mild exercises to strengthen the joints may be performed to improve mobility.


Acupuncture and arthritis
The procedure begins with the practitioner applying alcohol to the affected spot and tapping the area with a needle. The disorder determines the number of needles required, the spots of insertion and the depth to which they have to be inserted. The duration for which the needles are kept in the body ranges from a few minutes to an hour. In order to enhance the effect of the needles, they may be heated or energized electrically. You may experience a tingling sensation in case electricity is used. 


Acupuncture is a holistic method of treatment that has no side effects. It does not involve chemicals; so it is safe to use. It will not cure the disorder, but can reduce the pain to a large extent. One of the added benefits of this procedure is that no matter, which part of the body is subjected to this process, it does help calm your mind down.

Arthritis - How Acupuncture is used to Treat it

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

Joint Replacement Surgery - When Should You Go for  it

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