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Arthritis Health Feed

Can I take himalaya liv52, ashwagandha, shallaki, hadjod and triphala together for rheumatoid arthritis?

Can I take himalaya liv52, ashwagandha, shallaki, hadjod and triphala together for rheumatoid arthritis?
As far as possible do not take two different pathy medicine together. Better to follow on pathy, there might be drug interactions. Consult online.
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Rheumatoid Arthritis - How To Diagnose It?

Rheumatoid Arthritis - How To Diagnose It?

Rheumatoid arthritis is chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised body aches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding the nature of the disease and the risk of complications. The need for early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on the patient's response but is generally long ( 5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in the skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long-standing, untreated RA. LEAD A HEALTHY LIFE! 

Importance Of Treating Rheumatoid Arthritis!

Importance Of Treating Rheumatoid Arthritis!

Rheumatoid arthritis is chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised body aches, low-grade fever. The onset is generally slow and eventually the patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% of patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding the nature of the disease and the risk of complications. The need for early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDs). These can be conventional DMARDs like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDs ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on the patient's response but is generally long ( 5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long-standing, untreated RA. LEAD A HEALTHY LIFE! 

Homeopathy For Osteoarthritis - Know More!

Homeopathy For Osteoarthritis - Know More!

Osteoarthritis (OA) is a degenerative disease that affects the various bone joints, leading to painful movement and thereby limiting the patient's mobility.  Knees, hips, joints of hands and legs are affected.

Symptoms of OA

The symptoms revolve around the bones and joints including

- Pain and stiffness of the joints
- Swelling of the joints
- Inability to form a clench
- Difficulty holding things 
- Stooped posture 
- Weakness of legs and hands
- Reduced height over time.

In most people with OA, the options in allopathy are limited to nonsteroidal analgesics to control pain and in severe cases, surgical correction.

However, homeopathy takes into account the triggering symptoms, the associated symptoms, and the status of the immune system before deciding on a treatment regimen. With this holistic approach, homeopathy achieve the following:

  • Reduce the pain, swelling ,and stiffness
  • Slows the pace of further degeneration
  • Improves mobility of the affected joint(s)
  • Improves the body's overall immune system, thereby allow the body to promote healing on its own
  • Homeopathic intervention in the early phases is particularly helpful, as it will arrest disease progression
  • It also enable better absorption of minerals and nutrients essential for bone health. This allows healing of existing bone fractures and avoids further bone damage by strengthening the bones.
  • Homeopathic treatment also enables the body's chemical state to withstand stress and illnesses better.
  • It vitalizes the body's natural healing and ability to repair itself, to create a better state of health and well-being

Some of the popular homeopathic medications based on areas and associated symptoms are listed below:

Knee joints:

  • Bryonia Alba: Pain worsened with movement, relieved with rest; associated with swelling and stiffness of the joints; difficulty in climbing stairs.
  • Calcarea Carbonica: Swelling and pain that is worsened when getting up from a seated position. The joints feel cold and painful.
  • Sulphur: Worse with climbing stairs, prolonged standing, feeling of warmth in the knees. 

Hip Joints:

  • Colcynthis: Cramping pain improved by pressure.
  • Rhus Toxicodendron: Pain when getting up from a seated position.
  • Pulsatilla Nigricans: Associated with muscle stiffness and cramping.

Finger joints:

  • Antimonium Crudum: The pain pain gets worse in cold weather, improved by applying something warm) 
  • Benzoic Acid: There is an associated crackling sound when the fingers are moved or if there are nodes in the area of joints. The urine is highly offensive in these people. 
  • Calcara Fluorica:  There are stony hard nodes formed in the joint area, greatly reducing the mobility.

These medications are safe, completely natural, do not induce habit formation, and are approved by FDA.  They don't just treat the symptoms but help manage the patient as a whole.  This justifies why homeopathy is definitely a good option in treating osteoarthritis.

Know More About Diagnosis & Cure Of Arthritis!

Know More About Diagnosis & Cure Of Arthritis!

Arthritis refers to extreme joint pain. It could either manifest in one of the joints in the body or more than one. At times, it occurs because of a vitamin deficiency. However, it can also advance with age. This is how arthritis can be easily diagnosed:

To diagnose arthritis, your specialist will consider the side effects and symptoms. They will then take a physical exam to check for swollen joints or loss of movement.

They will then use blood tests and X-ray to affirm the conclusion. X-ray and blood tests help in identifying the sort of arthritis you have. For instance, a great many people with rheumatoid arthritis have antibodies called rheumatoid components (RF) in their blood. X-rays are used to analyze osteoarthritis, normally uncovering lost ligament, bone deformities and in many extreme cases, a bone rubbing against another bone.

Sometimes, a needle is used to draw a little specimen of liquid from the joint for testing. This is done to eliminate different sorts of arthritis. In case your specialist speculates irresistible arthritis as a confusion of some other sickness, taking a sample of liquid from the influenced joint will typically affirm the finding and decide how it will be dealt with.

Depending on what kind of arthritis you have, your doctor will recommend you different therapies. However, some of the most common treatments for arthritis are as follows: 

Occupational Therapy-

  1. Certain therapies involve long-term treatment to treat the affected joint. With the assistance of an occupational therapist, you can learn simpler approaches to do your typical exercises. A therapist can show you how to do the following:
  2. Maintain a strategic distance from positions that strain your joints.
  3. Utilize your most healthy joints and muscles while saving weaker ones.
  4. Use props to support certain joints.

Medication-
Joint pain treatment will rely upon the nature and level of the condition. The principal objectives are to diminish aggravation and enhance the capacity of the influenced joints before the condition worsens. Your specialist will most likely recommend acetaminophen or a non-steroidal mitigating drug (NSAID), for example, Aleve.

Surgery-
Different types of surgeries might be expected to lessen the inconvenience of joint inflammation or to recover the joint capacity. Synovectomy is the expulsion of a harmed connective tissue coating a joint depression. In case that ligament pain and irritation turn out to be genuinely chronic, or ligament joints turn out to be badly damaged, the answer may lie in surgical substitution.

Non-medical management of arthritis pain:
Besides medicine-based treatment for arthritis, there are many psychotherapeutic techniques to manage the same. Enhancing patients’ mental state by showing them how to unwind and perform their everyday exercises at a sensible pace will also help in finding a way to defeat mental anxiety and nervousness.

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Why my knees too much crack and pop during sit and stand? There is no pain but too much cracking and popping. I want to know about treatment too please.

Why my knees too much crack and pop during sit and stand? There is no pain but too much cracking and popping. I want ...
The clicking and popping may be caused by catching on soft tissue or scar tissue within the knee. This kind of popping is often a sign that you have a meniscus tear or that a small piece of loose cartilage is caught in the knee. You would most likely feel this kind of popping pain come and go. Lets discuss you concern in detail so that we can help you with best possible medical plan.
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Rheumatoid Arthritis - How Can Homeopathy Tackle It?

Rheumatoid Arthritis - How Can Homeopathy Tackle It?

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition also can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.

Rheumatoid arthritis is not the same as osteoarthritis. This is an autoimmune disease characterized by the body’s attacks on the lining of its own joints. Rheumatoid arthritis is a very painful condition and can affect children as well as adults.

Symptoms:

Common symptoms of this condition include

  1. swelling
  2. pain
  3. reduction in the range of motion/functionality
  4. stiffness in joints 

These symptoms can vary from being mild to very severe. They may also come and go. Allopathic treatment can help control and manage the symptoms associated with this condition but cannot cure it completely. Thus many people suffering from this condition experience flare-ups throughout their life.

How Homeopathy Can Help?

Homeopathy has proven to be quite effective in treating and curing Rheumatoid arthritis. It aims at treating this condition not only by merely reducing the symptoms but by addressing the root cause of this disease. Homeopathy is an alternative form of medication that treats the symptoms being presented as well as the patient’s overall physical, mental, and emotional health. For this reason, two patients with the same symptoms may not always be treated with the same homeopathic remedy. This also makes it important to consult a doctor for homeopathic remedies and avoid self-medicating. That said, it is important to note that homeopathy has negligible side effects. When being treated with homeopathy, patience is essential as it can take a while for the body’s immune system to work properly and stop attacking itself.

Homeopathic remedies can work in many ways to treat Rheumatoid arthritis. Some medications are best suited to arthritic symptoms seen in small joints while others are effective against arthritic symptoms noticed in deformed joints. The joints affected by this disease also influence the remedy. It eases the pain associated with this condition and simultaneously keeps it from progressing by altering the immune system’s behaviour. It also strengthens the immune system so that the patient is less susceptible to other conditions such as the flu that can aggravate Rheumatoid arthritis symptoms.

In addition to medication, lifestyle changes can also help a Rheumatoid arthritis patient live more comfortably. Exercise in moderation can help improve joint flexibility and reduce stiffness. Omega 3 fatty acids found in fish and nuts; and antioxidants found in tea, fruits, and vegetables can help control inflammation. At the same time, foods that can aggravate inflammation such as fatty foods, red meat, and food with a high carbohydrate value should be avoided.

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Arthritis - How Effective Is Ayurveda In It?

Arthritis - How Effective Is Ayurveda In It?

Inflammation and resultant pain in the joints are usually the basic tenets of Arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with Ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and Yoga, oil massages, and other methods. Arthritis is known as Sandhivat in Ayurvedic jargon. Read on to find out how Ayurveda can help in dealing with Arthritis.

Herbs: One can make use of various herbs that contain Linoleic Acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include Borage seed oil which is extracted from borage seed, Evening Primrose oil, Blackcurrant seed oil, Capsaicin, Curcumin, Feverfew, Flaxseed oil and a standard Ayurvedic concoction that combines Ashwagandha, Gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of Arthritis.

Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the bodily toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.

Exercise: In Ayurveda, a certain amount of daily exercise which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like Arthritis. For this ailment specifically, light exercise like walking is recommended. Various Yoga asanas that involve sitting, standing, balancing and lying down poses, as well as restful poses, will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.

These are a few ways in which Ayurveda can help the Arthritis patient live a more normal life with minimal pain.

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Juvenile Rheumatoid Arthritis - An Overview!

Juvenile Rheumatoid Arthritis - An Overview!

Juvenile rheumatoid arthritis also known as juvenile idiopathic arthritis is a commonly occurring arthritis in children under the age of 15. Some common problems that are faced by patients with this disease include stiffness, joint pain, and swelling. While the symptoms might persist for a few months for some patients, for others it might continue for the rest of their lives. Patients might face serious complications such as inflammation of the eye, problems related to growth etc. The treatment of this condition focuses on preventing the bones from getting damaged, pain control and improving the function of the body.

What are some of the common symptoms of juvenile arthritis?

  1. Pain: A child suffering from juvenile rheumatoid arthritis might face extreme pain in the joints. They might limp after a nap or night sleep due to pain or stiff joints.
  2. Swelling: Larger joints such as the knee might swell frequently. The swelling might occur in smaller joints too.
  3. Stiffness: In addition to limping the child might appear rough and clumsy after waking from night sleep or a nap.

Other conditions could include rashes, swollen lymph nodes, frequent fever, headache, etc.

What are the causes of Juvenile Rheumatoid Arthritis?

Juvenile Rheumatoid Arthritis occurs when the immune system of the body attacks its own tissues and cells. It is still unclear as to why it happens, although, researchers believe that the environment and heredity have a role to play. Certain geneticmutations might make a childmore vulnerable and susceptible to microbes that can trigger this condition.

What are the complications involved?

There could be several complications that might arise due to this condition. It is, therefore, wise to keep a close watch on the child. Seeking immediate medical attention can go a long way in mitigating the risk of these complications.

  • Problems related to the eye: Juvenile Rheumatoid arthritis can damage the eye by causing an inflammation known as uveitis. If this condition is not treated, it might result in other conditions such as glaucoma, cataracts, blindness etc.
  • Growth problems: Juvenile rheumatoid arthritis could result in growth problems. To treat this, a child would require a dose of corticosteroid.

How to diagnose juvenile arthritis?

It is not very easy to diagnose juvenile arthritis. Doctors often prescribe blood tests to get an idea of erythrocyte sedimentation rate, rheumatoid factor, C-reactive protein, anti-nuclear antibody, cyclic citrullinated peptide etc. A doctor might also prescribe imaging tests such as X-rays, MRI etc to detect congenital defects, fractures, tumors etc.

What are the treatment options available?

Some of the medications that are prescribed for this condition include NSAID such as ibuprofen and naproxen, DMARD such as Trexall and Azulfidine, TNF blockers such as Humira and Enbrel, immune suppressants such as Kineret, Rituxin and Orencia. In addition to this doctors would also prescribe corticosteroids and therapies.
 

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Autoimmune Diseases - Things You Must Know About It!

Autoimmune Diseases - Things You Must Know About It!

Normally, the body’s immune system recognizes any foreign body as an antigen and produces what are known as antibodies. However, in autoimmune disorders, the body produces antibodies against the body’s own tissue. This is an abnormality and depending on what factor is triggering the production of antibodies, there are various types of autoimmune disorders (AID). When we look at the musculoskeletal system, there are quite a few, the top 4 being:

  1. Scleroderma
  2. Systemic lupus erythematosus
  3. Sjogren’s syndrome
  4. Rheumatoid arthritis

In all these conditions, the body produces antibodies against its own tissue, producing these conditions.

Causes:

  1. Family history is definitely an attribute to developing autoimmune diseases
  2. Environmental pollution
  3. Lifestyle including lack of exercise, smoking, excessive alcohol use

Know more about these:

  1. Scleroderma: Can be localized or generalized, the upper layers of the skin get thicker (sclerosis). This can be nodular or diffuse, and can also affect children. The skin and muscles are usually affected, but in severe cases, it can affect internal organs such as lungs and heart.
  2. Systemic lupus erythematosus: SLE, as it is often called, is very common and can be diagnosed as scleroderma in the initial stages. It can also occur with other autoimmune conditions and some of the types include cutaneous lupus, systemic lupus, drug-induced lupus, and neonatal lupus.
  3. Rheumatoid arthritis: The most common autoimmune rheumatic disease is RA, which causes inflammation of the joint spaces. There would be pain, stiffness, and swelling of the joints. This needs to be segregated as RA, as the symptoms are similar to any other form of arthritis. Treatment includes a combination of pain killers, heat and cold therapy, massage, steroid injections, and immune controlling agents.
  4. Sjogren’s syndrome: The symptoms are characteristic with dry mucous membranes including those of the eyes, mouth, and vagina. There could be accompanying pain and redness, significant fatigue, fibromyalgia, and complications relate06596a63c2bfa095274fedbd051133aing to other organs.

Diagnosis: Autoimmune diseases are tricky to diagnose as other diseases with similar symptoms need to be ruled out first. In some cases, there are specific antibodies, and checking their levels can help identify the underlying condition.

Management: For all the rheumatic autoimmune diseases, treatment is a multipronged approach with lifestyle changes, drugs, and alternative therapies.
Lifestyle changes: A healthy diet, regular exercise, and adequate vitamin and mineral supplementation is a must.

Drugs: Some drugs used are:

  1. Anti-inflammatory drugs
  2. Steroids
  3. ACE inhibitors
  4. Immunomodulatory therapy
  5. Stem cell transplants

Alternative therapies such as massages with herbal oils, acupuncture, and cold therapy are widely used to control inflammation. In addition, alcohol and smoking and exposure to environmental pollution need to be controlled.

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