Showing posts with label Rheumatic Arthritis. Show all posts
Showing posts with label Rheumatic Arthritis. Show all posts

Can Rooster Comb Injections Prevent Knee Replacement?

Osteoarthritis (OA) of the knee is one of the most common problems seen by both rheumatologists as well as orthopedists in the office. The standard forms of therapy include maintenance of proper weight, exercise, application of cold, bracing, analgesics (pain killers), anti-inflammatory medicines, steroid injections, and viscosupplementation. This latter type of treatment involves the injection of a lubricant directly into the knee.
These lubricants consist of a purified form of a protein called hyaluronic acid (HA). These preparations are effective in relieving pain. pain relief from OA of the knee starts between the 5th and 13th week follwoing injection. While HA is felt to be effective for pain relief, it has been unclear as to whether there are any other benefits.
Two recent studies have demonstrated that viscosupplementation may actually forestall the need for eventual knee replacement surgery and also may represent a long term cost savings.

The first study from Louisiana State University surveyed patients from a large orthopedic practice. A total of 863 patients (1187 knees) were evaluated. All patients had grade 4 changes, meaning they had "bone on bone" and were candidates for total knee replacement.
Using survival analysis of the data, it was estimated that total knee replacement was delayed approximately 3.8 years in 75 percent of the knees receiving viscosupplementation (Waddell DD, et al. J. Managed Care Pharm. 2007; 2:113-121.)
In another study, investigators in Thailand studied one hundred and eighty three patients with knee OA (208 knees) who failed conservative treatments and did not have contraindications for surgery were enrolled. All patients were treated with one course of three hyaluoronic acid injections at weekly intervals and followed up for a minimum 2-year period. In case of successful treatment (response group), repeated doses were recommended. If the patients did not improve within one month after completion of the injections, they would be classified as a non-response group and total knee replacement surgery was considered. Cost of direct medical costs (drugs), hospitalization, and resource utilization were recorded and analyzed.

They concluded that IA-HA (joint injection with HA) should be considered as a medical intervention before surgical procedures in knee OA patients who failed conservative treatments. Even though the cost of IA-HA treatment would increase the total costs of treatment and some patients might fail, it was only 6.44% of the total costs. On the other hand, if patients responded to IA-HA treatment, then the surgical procedures were not required. This treatment would represent a savings of 63.26% of total costs. (Turajane T, et al. J Med Assoc Thailand. 2007; 90;1839).
While, the exact analyses and conclusions of these two studies are different, they do suggest that HA may be cost effectve in delaying the need for total knee replacement.
There are five HA preparations available. They are Hyalgan, Synvisc, Supartz, Orthovisc, and Euflexxa. Only Euflexxa is not derived from a chicken source.

The number of injections required varies from 3-5 depending on the preparation used. Hyalgan and Supartz generally are given as weekly injections for 5 weeks while Synvisc, Orthovisc, and Euflexxa are given as weekly injections for 3 weeks.
Thes injections should be administered using either fluoroscopic or ultrasound needle guidance to ensure accuracy.
Side-effects are minimal when administered by trained specialists.
HA injections are worth a try even with grade 4 knees if patients wish to delay surgery.
Author: Nathan Wei
Knee Replacement

Arthritis Advice That Everyone Should Read About

Arthritis is not a laughing matter as symptoms can start at any point in your life. It causes joint problems that can inhibit daily activity.
Reduce the amount of weight you carry around with you on a daily basis. All arthritis sufferers, but especially women, can be afflicted by arthritis in their shoulders. Large shoulder handbags, computer bags, and messenger bags are common causes of inflamed neck and shoulder problems. Carry a bag which only has items you cant go out without, and take it off your shoulder as often as possible.
If you have been diagnosed with arthritis, a massage could really help you out. Massages will soothe stress and relax your muscles. Find a massage therapist who has experience working with arthritic individuals. Avoid getting a massage on days when your pain is at higher levels, since it will only aggravate your pain. It is best to wait until another day.
Arthritis pain can make sleep difficult. Try taking a bath with warm water and soothing bath salts. With the relaxation that follows, your pain will be alleviated, thus contributing to longer periods of sound sleep.
A steamy bath or shower can work wonders in instantly easing the pain and discomfort of arthritis. Moist heat relaxes tendons and muscles, and provides temporary relief of arthritis pain. A heating pad may also do the trick. Find heating pads that can accommodate a moist cloth in many drug stores.
Stop using cigarettes if you want to reduce the pain and
inflammation that commonly comes with arthritis. Research has indicated that smokers have more issues with joint swelling and pain related to arthritis than nonsmokers. If you regularly smoke or use tobacco products, kicking the habit may alleviate some of the pain. If you have tried to quit and have failed, speak to your doctor about getting a prescribed medication to help kick the habit.
Keep a notebook to record pain, flare ups and the elements that may affect them. Write down when you feel the worst, how bad the pain is, what activities you were engaged in, what you eat, and that treatment you use. Write down other medications you are taking, take this to your physician. All these things your doctor should know so he can better help manage your arthritis.
Customize your bed to minimize arthritis symptoms. Speak with your doctor, and ask his or her advice as to which bed would best benefit you. Everybody is different, and getting an experts advice is one of the ways to really find out the kind of bed that is best for you and the unique arthritis pain you have.
Be sure to share your circumstances with others. If they know you have it and how it makes you feel, they will be more understanding when you choose not to do certain things. Arthritis is painful, and people in pain may be grouchy, frustrated, and overall unpleasant. People may feel confused by your mood swings and irritability. Let them help you by understanding what you are going through, and let them support you and all that you have to go through.
Dont abuse your joints. With arthritis, some of the smallest tasks can hurt. You could always slide items across the counter or on the floor instead of lifting them, or you could always ask people for help. The best thing you can do to prevent pain is to prevent irritation and inflammation.
Arthritis Advice That Everyone Should Read AboutA good treatment can help ease pain, decrease your arthritic symptoms and prevent further joint damage. Research the best methods for decreasing the specific symptoms of your arthritis.
You should do your best to manage your weight in order to reduce the amount of strain that you feel on your joints if you suffer from arthritis. Joints are under more stress and arthritiss effects are more severe if the sufferer is even a little bit overweight. There are other health benefits associated with managing your weight.
Temperature changes from heating pads and ice packs can help fight joint pain. For the best results, alternate between the hot and cold applications. Always check with your physician for a pain management strategy when using cold and heat for pain.
If you believe you are experiencing symptoms of arthritis, you should immediately visit your doctor. An early diagnosis can benefit you greatly if you start a treatment plan right away. This also means you will endure less joint damage and pain. If your doctor is ignoring your symptoms, find another.
Relaxing your body and eliminating stress can help to control your arthritis symptoms. When you are stressed out, your body produces chemicals that make body pain worse and trigger inflammation. Consider practicing new time management techniques or adding a light exercise routine to your daily routine to reduce the effects of stress.
Always be prepared. Because arthritis pain can strike at any time, having a game plan to deal with your pain will benefit you. Do your chores in sections that allow you to rest frequently, or even stop indefinitely without inconvenience.
You have to take extra care to get enough sleep if you have arthritis. If your day has been really hectic, take several breaks to help you relax your body and mind. This can greatly soothe joint pain. Being inactive for too long will cause your joints to deteriorate faster. Try to keep a good balance between sleeping, resting and being active. This will help to reduce arthritis pain.
Rheumatoid arthritis is no laughing matter, but if you want to manage it effectively, laughter is one of your best strategies. Most experts agree on the medicinal value of laughter and how it can improve moods, reduce stress and alleviate the symptoms of any condition, including arthritis. Take a break from your day and watch some comedic television, read a funny book or find other things that make you laugh and feel good.
LED light therapy makes a great treatment for pain from arthritis. You can get affordable LED lights easily, and you will notice a reduction in your pain level. Most drug stores and department stores carry these devices. Using your light for two 20-minute sessions a day will help to reduce arthritis pain.
Reorganizing your home to allow easy access to items is a good idea if you suffer from rheumatoid arthritis. Prioritize objects when putting them on shelves. Put the necessities you use most lower down so that you do not stress your body when you have flare ups.
Be on the lookout for the development of new treatments. Often times, doctors are hesitant to change a treatment that is already working well for the patient. Remember that you have the final say over the treatment of your body, so dont hesitate to bring up new treatments you are interested in trying with your doctor.
Sleep deprivation will make arthritis worse so even if it is only a nap, get enough sleep each day. Even if you must set an appointment to nap, getting enough rest should be a priority.
If you have arthritis, the first thing you should do is speak to a physician about your treatment options for pain and inflammation. Usually, all you can do about arthritis is avoid additional damage, and come up with a way to treat the pain that is effective and safe. Your doctor can advise you and make recommendations for FDA approved medications and treatments and even new ideas that can possibly help in your particular case.
Have you noticed the correlation between your arthritis flaring up and the state of your body being overheated? If this is happening to you, take a break and cool down. Stop exercising and sit down in a cool shaded spot.
Vegetarian people seem to suffer less from arthritis than other people. Even if you arent a vegetarian, try eating more vegetables. Antioxidant rich foods, such as green beans or peas, will strengthen your joints. Try to eat these vegetables as part of a balanced diet.
Yoga classes can really boost your health, flexibility and stamina. Yoga incorporates many stretches, which calms your mind. This helps anyone dealing with arthritis. You can start out with a yoga DVD if you arent ready to join a class in person. Fitness DVDs offer almost the same level of interaction as a class right in your living room.
Dont let yourself stress out too much. When dealing with lot of stress it can trigger inflammation that causes a lot of pain. Try to get control of your stress so you can control your body more clearly.
The pain of arthritis will cause you to seek new ways of treating the pain and complications that come with it. You can assess the effectiveness of treatments by rating the pain on the scale of 1-10 before and after the treatment. You will then be able to subjectively measure the effectiveness of the new technique or treatment by comparing the level of pain before and after.
By staying consistent in the battle against arthritis, one can be afflicted with the disease and still live a happy, productive life. The key is not letting it pull you down emotionally as well as physically. There are items that can help you manage or fight of the pain and condition. When you keep your head up, you can overcome this.