What is Rheumatoid Arthritis?

Rheumatoid arthritis is a chronic inflammatory illness. It is an autoimmune disease in which the immune system attacks normal tissue components as if they were invading pathogens. This illness affects about one percent of the world's population. The inflammation associated with rheumatoid arthritis primarily attacks the linings of the joints. However, the membranes lining the blood vessels, heart, and lungs may also become inflamed. The hands and feet are most often affected, but any joint lined by a membrane may be involved. The inflammation can be controlled by medication. If the inflammation is not controlled the joints may become deformed.

Rheumatoid arthritis usually manifests itself over a period of a few months. However for some, the disease may appear over night. Rapid onset does not mean the individual is at greater risk of disease progression.

Rheumatiod Arthritis may have different affects on different people. Some individuals may experience extreme pain while others may not. Patients often suffer cycles of severe and light symptoms.

What are the symptoms of Rheuatoid Arthritis?

• joint swelling. Especially in the small joints of the hands and feet.
• joint tenderness, stiffness, and pain. Especially in the morning.
  

Outlook on Rheumatoid Arthritis?

With proper treatment, many people newly diagnosed with rheumatoid arthritis can prevent or delay the more disabling and feared complications of the disease.

Affects of Rheumatoid Arthritis?

Hardened Lumps. About twenty five present of rheumatoid arthritis patients develop hardened lumps under the skin. These hardened lumps are called rheumatoid nodules. Development of hardened lumps usually develops in the later course of the disease. Often times, the nodules are found on bony sites such elbows, hips, heels, and back of the head. However, they can also form under the skin in the finger, toe or heel pads, or in tendons.

Cartilage and bone destruction. If joint inflammation persists, cartilage and bone destruction can occur. When cartilage adn bone destruction occurs, the joint becomes deformed and immobile. Inflammation and deformity are most often seen in the hands and feet. Nonetheless, the knees, hips, and shoulders may also be affected. In addition to joint deterioration, people more severely affected may also experience weight loss, low-grade fever, and malaise because of the disease's effects on the whole body.

Risk factors?

Women suffer from it two to three times more than men.

Relatives of people with rheumatoid arthritis have an increased risk of developing the disease. The siblings of severely affected rheumatoid arthritis patients are at highest risk.

How is Rheumatoid Arthritis diagnosed?

Most patients suffering from rheumatoid arthritis have antibodies called rheumatoid factors in their bloodstream that are part of the inflammatory process of the disease. The presence of rheumatoid factor is used by doctors to help confirm a diagnosis of rheumatoid arthritis. However, rheumatoid factor may not be a definitive test for rheumatiod arthritis. Rheumatoid factor is also found in cases of chronic infection and in some other types of autoimmune disease. High levels of rheumatoid factor are often seen in severe cases of rheumatoid arthritis.

The diagnostic criteria of the American College of Rheumatology state that four out of seven signs and symptoms must be present for the diagnosis of rheumatoid arthritis to be made. Symptoms such as morning stiffness and swelling should be present for at least six weeks before the diagnosis is considered certain.

How is Rheumatoid Arthritis treated?

Rest, splinting of affected joints and exercise programs. Good nutrition is also very important. It is important because patients with a more advanced disease often experience anemia and weight loss. Medication to control pain and stiffness and reduce the risk of joint deformity.

***If you are taking the medication Vioxx, contact your doctor immediately. Vioxx has been pulled off the market because it increases the risk of heart attack and stroke.

Good News about Rheumatoid Arthritis?

A small number of patients will go into remission, usually within the first two years

Rheumatoid Arthritis

... doctors to help confirm a diagnosis of rheumatoid arthritis. However, rheumatoid factor may not be a ... for the diagnosis of rheumatoid arthritis to be made. Symptoms such as morning ...

www.mamashealth.com/rheumatoid_arthritis.asp

This can be one source of what is going on. Consult your physician, and have a blood screening done to check for arthritis.

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Sharon Frost
I JOHN 3-16:
For God so loved the World, that He gave His only begotton Son, that whosoever believith on Him, shall not perish, but have everlasting Life.
God is Good....All the time.

Hello

There are actually several possibilities for hip pain. I have included an article below listing the possibilities. I hope these give you some idea of what it is. Only a face to face exam by a doctor will tell you for sure.

Hope this helps!

Kerry

Hip Pain

Common conditions and treatment information

Hip pain is common problem, and it can be confusing because there are many causes. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the underlying problem. If you have hip pain, some common causes include:

• Arthritis
  Arthritis is among the most frequent causes of hip pain, and there are many treatments available. If conservative treatments fail, hip replacement surgery is an option.

• Trochanteric Bursitis
  Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa over the outside of the hip joint.

• Tendonitis
  Tendonitis can occur in any of the tendons that surround the hip joint. The most frequently encountered tendonitis around the hip is iliotibial band (IT band) tendonitis.

• Osteonecrosis
  Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for osteonecrosis to occur is in the hip joint.

• Lumbar Pain - Referred Symptoms
  Many back and spine problems can cause symptoms around the buttocks and hip. The most common problems that refer pain to the hip region are herniated discs and sciatica.

• Snapping Hip Syndrome
  Snapping hip syndrome is a word used to describe three distinct hip problems. The first is when the IT band snaps over the outside of the thigh. The second occurs when the deep hip flexor snaps over the front of the hip joint. Finally, tears of the cartilage, or labrum, around the hip socket can cause a snapping sensation.

• Muscle Strains
  Strains of the muscles around the hip and pelvis can cause pain and spasm. The most common strains are groin pulls and hamstring strains.

• Hip Fracture
  Hip fractures are most common in elderly patients with osteoporosis. Treatment of broken hips requires surgery to either replace the broken portion or repair it with a metal plate and screws.

Childhood Hip Problems:

• Developmental Dysplasia
  When the hips are dislocated or out of position in infancy, the joint may not develop properly. While this is not usually painful as a child, it will lead to early arthritis and problems with walking.

• Legg-Calve-Perthes Disease
  Also called Perthes disease, this is a problem similar to osteonecrosis (see above) but in childhood. If severe, it can lead to permanent damage to this hip joint and early arthritis.

When do you need to call your doctor about your hip pain?
If you are unsure of the cause of your symptoms, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of hip pain must be directed at the specific cause of your problem. Some signs that you should be seen by a doctor include:

• Inability to walk comfortably on the affected side
• Injury that causes deformity around the joint
• Hip pain that occurs at night or while resting
• Hip pain that persists beyond a few days
• Inability to bend the hip
• Swelling of the hip or the thigh area
• Signs of an infection, including fever, redness, warmth
• Any other unusual symptoms

What are the best treatments for hip pain?
Treatment depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment plan.

Some common treatments for hip pain are listed here. Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.

• Rest: The first treatment for most conditions that cause hip pain is to rest the joint, and allow the acute inflammation to subside. Often this is the only step needed to relieve hip pain. If the symptoms are severe, crutches or a cane may be helpful as well.

• Ice and Heat Application: Ice packs and heat pads are among the most commonly used treatments for inflammation. So which one is the right one to use, ice or heat? And how long should the ice or heat treatments last? Read on for more information about ice and heat treatment.

• Stretching: Stretching the muscles and tendons that surround the joint can help with some causes of hip pain. A good routine should be established, and following some specific suggestions will help you on your way.

• Physical Therapy: Physical therapy is an important aspect of treatment of almost all orthopedic conditions. Physical therapists use different modalities to increase strength, regain mobility, and help return patients to their pre-injury level of activity.

• Anti-Inflammatory Medication: Nonsteroidal anti-inflammatory medications, commonly referred to as NSAIDs, are some of the most frequently prescribed medications, especially for patients with hip pain caused by problems such as arthritis, bursitis, and tendonitis.

http://orthopedics.about.com/cs/hipsurgery/a/hippain.htm

Edited by dahlilahblue on September 12 2005 at 2:04pm

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Kerry, RN
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