Saturday, September 8, 2012

Could Your "Mystery" Pain Be Rheumatoid Arthritis?

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One of the hardest things I have to do as an orthopedic physician is tell a sick person that he or she has rheumatoid arthritis (Ra). When citizen see me for pain, it is sometimes difficult for them to expound exactly what is happening to them. Some review their symptoms as "mystery" pain because it's hard for them to pin point the exact location. One day they wake up with sore feet, other day their hands might hurt or they have pain in separate joints in their body.

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There are several possibilities that could cause this kind of pain from overexertion to varied forms of arthritis. In order to make a true diagnosis a series tests are given to narrow down the findings. A blood test that reads negative for the rheumatoid factor is not all the time accurate. You may test sure on the blood work yet have no symptoms. It is estimated that colse to 10% of the citizen who indubitably have Ra do not test positive.

The most base reaction from patients who hear they have Ra is commonly relief followed by fear and anger. They are relieved because now they can face their condition issue, fear because they know not what to expect, and anger because it is happening to them. After the initial shock wears off, the demand becomes, "How do I live with Ra?"

Someone suffering with Ra will most likely feel pain, fatigue, and joint stiffness. I advise working with a team of condition professionals, who may contain a physical therapist, counselor, and rheumatologist, to invent a plan to help administrate their symptoms. A typical plan includes study about the disease, exercise, diet changes, assistive devices, and other supports to help you stay active. Most citizen will have to make lifestyle changes to adapt their condition but it does not mean you can't live a full and satisfying life.

Lifestyle Changes Help Ease Pain

Most citizen with Ra find they have to slow down and get sufficient sleep or symptoms get worse. Here are a few things you can do to administrate your stress, sell out your pain and lessen the exhaustion that accompanies Ra.

Fatigue: Pace yourself throughout the day to allow for rest periods, and try not to get overtired.

•Depending upon your symptoms, you may need to rest your joints for longer periods of time or at intervals, 15 minutes or so several times a day.
•Give yourself permission to give up some mundane tasks and do the things that indubitably must get done or you things you want to do.
•Be careful not to rest too much because it can lead to more stiffness and underused muscles. Retention your range of petition going at a comfortable pace will help forestall stiffness.

Relieve Joint Pain: Be kind to your body and safe your joints by taking the time to follow these helpful suggestions:

•Take warm showers or baths after long periods of sitting or sleeping
•Soak hands in warm wax baths
•Sleep under a warm electric blanket
•Use extra kitchen tools or door knobs to sell out strain on joints
•Use splints, canes, or walkers to sell out pain and enhance mobility

Keep Moving: Although this may be difficult, activity will indubitably help profess strength, flexibility, and comprehensive health. Think the following:

•Exercise by stretching, strengthening, and conditioning. Weight-bearing and strength training are recommended for citizen with Ra.
•Physical therapy for definite joint problems as prescribed by your doctor
•Swimming is good for conditioning lower extremities such as knees, ankles, or feet
•Bicycling and walking are beneficial for joint problems that do not follow lower extremities
•Tai Chi is a form of movement therapy that involves diplomatic stretches combined with deep breathing. Studies have found tai chi to sell out pain from Ra but be careful not to do any moves that cause pain.

Diet: A healthy, balanced diet that is low in saturated fat, cholesterol, and salt and high in fiber and complex carbohydrates such as whole grains, beans, fruits, and vegetables is best. Be sure to watch your weight as being overweight can worsen the symptoms of Ra.

Study Links Smoking & Vitamin D to Ra in Women

A study conducted at the Mayo Clinic College of rehabilitation in Rochester, Mn led by Dr. Sherine E. Gabriel
used data from records that tracked anyone who sought curative care for the past several decades. In rheumatoid arthritis, or Ra, a person's immune system attacks the joints, foremost to inflammation, pain, stiffness and in some cases erosion of the bone and joint deformity.

The researchers found that the actual ration of women with Ra increased in incidence of 2.5% in the middle of 1995 and 2007. The suspect for the growth was deemed more environmental than genetic. Smoking is one of the few confirmed risk factors for the disease and women are slower in quitting than men. In addition, oral contraceptives contain far less estrogen than they used to so may offer less safety against Ra which the hormone is known to do.

Another factor is vitamin D deficiency, which has been related to Ra, and is particularly low in women. Researchers feel that this study is likely to reflect that of the U.S. Female population. The findings send two very strong messages to women; don't smoke and get checked for vitamin D deficiency!

Take operate of Ra

Don't let Ra take operate of you and your life. Learn as much as you can about the disease and research the side effects of the medication prescribed. Each someone is unique and how Ra affects your body may be very separate from someone else. Studies show that citizen who take an active role in the supervision of Ra perceive less pain and see their physician less often.

There are some base alternative treatments that can be added to your diet in supplement form that have shown promise for reducing the symptoms of Ra. all the time check with your physician before adding anyone new as there may be side effects.

•Plant oils - Seeds of evening primrose, borage and black currant contain a type of fatty acid that seems to help with morning stiffness.

•Omega-3 fatty acids (fish oil) - Helps to sell out inflammation and has been shown to slightly sell out swelling.

•Calcium and vitamin D - Protects bones against Osteoporosis

I advise joining a preserve group for those afflicted with Ra or become complex with the Arthritis Foundation. There are resources ready to you that will supply emotional preserve and help you cope with the stress of pain. Connect with others and keep your house informed as to how you are feeling. They may be reluctant to ask you about your pain.

Eat a balanced diet, exercise, get fullness of rest, don't smoke and most importantly take time for yourself. Allow yourself the space you need to reflect on your feelings, go for a walk, listen to music, or write in a journal. Rheumatoid arthritis does not have to ruin the ability of your life. Make the lifestyle changes today that will help make your tomorrow a best day!

Mark Bromson, M.D.

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