Rheumatoid arthritis is a painful disease of the joints, mostly affecting older people. It mostly results in swollen, aching joints that make movement extremely challenging. Rheumatoid arthritis results in receding and tenderness of the synovial membrane. This leads to a decline in flexibility, causing intense distress, thus hindering daily activities.
Steps to manage the discomfort caused by it
There is no complete cure for Rheumatoid arthritis. The discomfort however, can be controlled to a certain extent with regular exercises, change in diet and medications.
Regular exercise can help in increasing the flexibility, maintaining the synovial fluid between joints that help in lubrication.
Home remedies including use of medical oils to massage the affected joints on a regular basis. In this case, there are several herbal or Ayurvedic oils available, that can provide temporary remedy.
It is important to increase the intake of vitamin D. This can be done by spending a short while out in the sun every day. Vitamin D supplements are also available in the form of capsules.
A decrease in the alcohol consumption is highly recommended to people with bones and joints disorders.
Swimming is an excellent exercise as it causes minimal labour on the joints. It is extremely beneficial to all people.
It is important to lose excess weight, so as to lessen the pressure on the joints. For example, heavy and wide waist structure can affect the knees in the long run. It can help increase your energy level and help you function efficiently.
Smoking and drinking affect almost all organs of the body eventually and lead to a painful death or physical abnormalities. It has been found that overindulgence in alcohol and tobacco can also flare up chances of rheumatoid arthritis.
It has been found that rheumatoid arthritis mostly affects women. Therefore, women need to be exceptionally cautious about their daily exercise schedule and diet.
Cortisone shots are injections that help relieve pain and inflammation. They are injected directly into the joints such as the ankle, wrist, knee, hip, shoulder, elbow or spine. These injections are a combination of corticosteroids and local anaesthetics. These corticosteroids are similar to the hormones produced by the adrenal gland. Cortisone injections are often used to treat arthritis, carpal tunnel syndrome, trigger finger, shoulder bursitis and plantar fasciitis. Though they do not cure the disease but they provide temporary relief.
These injections may be slightly painful but provide relief in a day or two that lasts for a few weeks or months at a stretch. Hence, cortisone shots provide relief faster and have longer lasting results than other forms of anti-inflammatory medication. Another benefit of cortisone injections as compared to other drugs that need to be taken in through the mouth is that it avoids side effects of anti-inflammatory medication such as an upset stomach etc. Cortisone injections can also be used to treat backaches and pain that radiates from the spine to an arm or leg.
However, cortisone injections are associated with a number of risks. These include:
- Infection in the joints
- Nerve damage
- Thinning of tissue and skin around the injection site
- Pain and inflammation in the joint
- Weakening or rupturing of tendons
- Osteoporosis or thinning of bones
- Lightening of skin around the injection site
- Osteonecrosis or death of bones in the injected area
- Blood sugar spikes – this is seen mostly in diabetic patients
- Weakening of the immune system if the person has an underlying infection
In most cases, these side effects are short-lived. Higher dosages and frequent administration can increase the body’s exposure to the corticosteroid. This increases the risk of long-term side effects such as:
- Easy bruising
- Weight gain
- Cataract formation
- Puffiness of the face
- High blood pressure
Cortisone may also be held responsible for the deterioration of cartilage inside a joint. For this reason, doctors do not advise cortisone injections to be had more than 3-4 times a year. The minimum interval between two cortisone injections must be 6 weeks. Doctors also typically limit the number of injections given in one joint.
When used judiciously, cortisone injections can greatly improve the quality of a patient’s life. Hence it is very important to get treated only by a qualified doctor and to completely understand the pros and cons of using this form of treatment.
An orthopaedic fracture is a serious issue that will require lots of care for the bones to heal and re-join. A broken bone is usually plastered so that the tissue may grow back together by fusing eventually, over a period of weeks. When these bones begin to rebuild in an effort to come together, the new bones are called soft callus. This will require lots of energy, which primarily comes from calories. This ensures that essential proteins like amino acids can be taken from the right type of food which would stimulate good blood flow.
So, let us take a look at the best diet that one can follow in order to recover from a fracture.
- Kale: Leafy green vegetables and herbs like kale can help in supplying good amount of protein and iron as well as calcium, which is highly important for good and strong bones. One can also find plenty of calcium in salmon and other kinds of sea food like sardines; consuming these can speed up the process. Sea vegetables like seaweed can also help in the process.
- Yogurt: Calcium can be supplied by various other kinds of food including yogurt, which has two kinds of amino acids. These amino acids are lysine and glutamine, which can assist the bones in swift calcium absorption for better recovery of the broken bones.
- Spinach: This is a very important ingredient in the bone healing process thanks to its dual elements of calcium and zinc, which come together to cause the appropriate chemical reaction for bone rebuilding. Other zinc heavy food items include pumpkin seeds and wheat germ as well as red meat.
- Broccoli: Ingredients like broccoli are rich in Vitamin K1, which is known to very good for the bone recovery process. This vitamin helps in mineralisation of the bone so that they may fuse with each other and form a new mass. One can have up to one cup of this green vegetable per day for a quick and effective fracture recovery process. Other ingredients like cheese and raw dairy products are known to have plenty of this vitamin as well.
- Green Bell Peppers: High on vitamin C which helps in producing the skin and tissue structuring element called collagen, green bell peppers are an excellent ingredient that can help you in your fracture healing process. Vitamin C can also be found in citrus fruits like oranges, strawberries as well as tomatoes.
- Milk: While milk has plenty of calcium, it also has another important ingredient called vitamin D. When calcium and vitamin D come together, the bones tend to heal much faster as vitamin D helps the bones in absorbing the calcium at a much high rate.
Keep Your Bones Strong.
Calcium and vitamin D can help you do that. Dairy products are the best sources of calcium, but other options are green, leafy vegetables like broccoli and kale. If you don't get enough calcium from food, ask your doctor about supplements.
Early morning yoga, jogging/walking will reduce fibromyalgia symptoms irrespective of age. For severe pain, pain management specialist will give medicine or nerve blocks to relieve them.
Lumbar disc prolapse causes severe back pain and radiates down to one or both legs below the knee. MRI shows exact problem. After basic pain killers - rest for a week, do some physiotherapy if pain persists, a pain management specialist is needed. He will see the possibility of a root block at the nerve affected by disc prolapse. If severe degree of prolapse, endoscopic discectomy under local anesthesia is best as a day care and minimally invasive procedure.The patient usually is discharged in 12-24 hrs.
The human body, a product of millions of years of evolution was built for movement, for activity, speed and precision. However, over the last few centuries, civilization has made our requirements to move much less than it was necessary for our ancestors. Our body is the same as it was millions of years ago, but the modifications in our lifestyle devoid of any physical activity has taken their toll. This is leading to increased incidents of back pain because of abnormal stresses on our spine. Back pain is an affliction which affects about 80% of population at one point or another in their lifetime and sadly the indications are that the incidents keep rising.With advanced technology, fewer physical complaints were to be expected, but this is not so. In fact, even today primitive races like aborigines in Australia suffer far less from back pain then, the so - called civilized races. Therefore, greater mobility and physical fitness is the hall mark in preventing back problems. There are over 100 expected causes of low back pain and many more incidents where the cause cannot be found out. But the most common cause of back pain is the wear and tear of the structures constituting the spine and this is mostly due to abnormal use of back and poor posture.The information given below helps to prevent and reduce the incidents of back pain.
Good posture - The most important way to prevent back aches, good posture, can be defined as any position which allows good use of the body for a specific task and is comfortable for as long as the position is held. Even though bad posture may not cause any discomfort, continuous poor posture will result in long term cause .
Back Posture in standing - Stay slim so that abnormal forces are not put on the spine. If you stand or walk a lot, low heeled shoes are necessary to maintain the proper curve at the small of your back.
Sitting - Choose a chair of the correct height. Feet should be supported on the floor comfortably and should not be dangling. Sit in a chair with proper support for the normal curves of your back. Choose a chair with arm rests. The arm rests should not be too high or low. Reading stance or computer monitor should be at such a height that you do not have to bend to the front or sidevise to do your work.
Lying - The bed should be firm with good mattress and not swinging or slouching because that will spoil the normal curve of the back. Use a single good pillow. It does not matter whether you lie on your back while sleeping or on your side. Sometimes it is comfortable for the back to put a pillow below the knees while lying down.
Driving - Driving seat should support the back properly. If there is a gap in between two back and the seat, it should be filled with small cushion or one can use a back rest. Seated properly, your knee should be higher than your hips. If your job demands long hours of driving on a regular basis, then it is a good idea to break the journey after half an hour to one hour drive, take a little exercise to relieve the stress and restart driving. When getting out of the car, swivel your whole body towards the door rather than suddenly jerking it. Slide your feet on to the ground and then get out.
Lifting - One should follow the principles underlined below: As you approach, relax your knees. Lowering movement should start at the knees and not at the head. After bending your knee get close to the object to be lifted ; almost sit down on the floor keeping the feet apart. One foot should be a little ahead of the other .Lift the object gradually, smoothly and without jerking, keeping the object close to the body and keeping the back straight although not necessarily vertical. Gradually get up without twisting the back, if the load is too heavy get help Pulling or pushing -When pulling or pushing any object - keep the back straight, bend at the hips and knees using your legs rather than your arms or back. Pushing is easier on your back than pulling, so push it if you have a choice.
Fitness -If you are not fit then you are much more likely to damage your back as it will not be as flexible as it should be.
Mobility - Good posture is not possible without a mobile spine and muscle tone. Joints must be moved to keep them. Mobile and the muscles, both the abdominal and back must be used to keep them strong. Back exercises if done once a day, will maintain essential flexibility of the spine and the necessary muscle strength to help to prevent injury.