World Arthritis Day

 

October 12 is World Arthritis Day "Let’s Get a Grip on  Arthritis"

                                                                     -N.Hari lakshmamanan

This World Arthritis Day theme -"Let’s Get a Grip on  Arthritis" so the disease can be eradicated once and for all. Aims to remind both physicians and patients of the benefits of regular exercise in the management of arthritis. We need to raise awareness and the funds needed so that people with arthritis can one day have a cure.

Why we need to have Knowledge about Arthritis? IFL Kuwait

If current trends pursue, India is likely to emerge as the capital of Osteoarthritis by 2025 with more than 60 million affected. The most common arthritis in India is age-related degenerative arthritis which involves degeneration (wear and tear) of cartilage, and can affect any joint such as the knee.

 In India, arthritis is more common in women than men and in people who are overweight. The reasons for early onset of the disease in females include obesity and poor nutrition.About 90% of Indian women aredare deficient in vitamin D which is a critical component in controlling bone metabolism. 

USA, with a population of 30 crores, sees 7 lakh knee replacement surgeries every year, but for India, this figure is only 150,000. While this is a huge jump from a mere 350 knee surgeries that were performed in India in 1994.

More than 15 crore Indians suffer from knee problems, out of which 4 crore need total knee replacement, imposing a huge health burden on the society and country. In contrast, in China, about 6.5 crore people suffer from knee problems, which is less than half the number in India. This is because of the genetic predisposition of Indians towards knee arthritis, and a lifestyle that results in overuse of the knee joints.

What Is Arthritis?IFL Kuwait

Arthritis is an inflammation of the joints. It can affect one joint or multiple joints.

Arthritis is very common but is not well understood. Actually, “arthritis” is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. People of all ages, sexes and races can and do have arthritis.

Causes

With many forms of, the cause is unknown. But some things can raise your chances of getting it.

Age:As you get older, your joints tend to get worn down.

Gender: Most types of arthritis are more common among women.

Genes: Conditions are linked to certain genes.

Excess: Carrying extra pounds makes start sooner and get worse faster.

Injuries: They can cause that can bring on some types of the condition.

Infection: Bacteria, viruses, or fungi can infect joints and trigger .

Work: If you go hard on your at work -- knee bends and squats -- you might be more likely to get .

Types of Arthritis

There are more than 100 different forms of arthritis and related diseases. The most common types include osteoarthritis (OA), rheumatoid arthritis (RA), psoriatic arthritis (PsA), fibromyalgia and gout. All of them cause pain in different ways.

OsteoarthritisIFL Kuwait

Osteoarthritis happens when the protective cartilage on the ends of the bones break down, causing pain, swelling and problems moving the  joint.In time, bones of the joint may rub directly against one another, causing severe pain. Pain can also come from parts of your joint other than the cartilage, such as bone, synovium and ligaments.

Rheumatoid Arthritis(RA) IFL Kuwait

In rheumatoid arthritis (RA), the joints and other organs are attacked by the body’s own immune system. The immune system normally protects a person from viruses, bacteria and other invaders.

 In people with autoimmune diseases like RA, it becomes overactive and attacks healthy tissue.Over time, the persistent inflammation breaks down the joint and damages it permanently.

Rheumatoid arthritis usually affects the hands, feet and wrists.

FibromyalgiaIFL Kuwait

Fibromyalgia is considered a central pain syndrome. This means that the brain and spinal cord process pain signals differently. A touch or movement that doesn’t cause pain for others may feel painful to you (this is called allodynia

Gout IFL Kuwait

Gout is a form of inflammatory arthritis, uric acid crystals are the problem.Excess uric acid can form crystals in your joints. This results in extremely painful joint inflammation. Gout usually strikes in the large joint of the big toe, but can also affect other joints.

Lupus

Lupus is an autoimmune inflammatory disease that affects many parts of the body, including the joints, kidneys, skin, blood, brain and other organs. It can cause joint pain, fatigue, hair loss, sensitivity to light, fever, rash and kidney problems.

Back Pain

Back pain can be a symptom of several forms of arthritis and related conditions, including ankylosing spondylitis, psoriatic arthritis and fibromyalgia.

Other Musculoskeletal Pain

Soft-tissue rheumatic conditions can also cause pain. In these conditions, muscles, connective tissues such as tendons and ligaments, and bursae become inflamed and painful.

Diagnosis

During the physical exam, your doctor will check your joints for swelling, redness and warmth. He or she will also want to see how well you can move your joints. Depending on the type of arthritis suspected, your doctor may suggest some of the following tests.

Laboratory tests

The analysis of different types of body fluids can help pinpoint the type of arthritis you may have. Fluids commonly analyzed include blood, urine and joint fluid. To obtain a sample of your joint fluid, your doctor will cleanse and numb the area before inserting a needle in your joint space to withdraw some fluid (aspiration)

Antinuclear antibody (ANA)IFL Kuwait Commonly found in the blood of people who have lupus, ANAs (abnormal antibodies directed against the cells’ nuclei) can also suggest the presence of polymyositis, scleroderma, Sjogren’s syndrome, mixed connective tissue disease or rheumatoid arthritis. Tests to detect specific subsets of these antibodies can be used to confirm the diagnosis of a particular disease or form of arthritis.

Rheumatoid factor (RF) – Designed to detect and measure the level of an antibody that acts against the blood component gamma globulin, this test is often positive in people with rheumatoid arthritis.

Anti-cyclic citrullinated peptide (anti-CCP) -- Also called anti-citrullinated protein antibodies (ACPA), this test (like the test for rheumatoid factor) looks for the presence of a particular autoantibody that is present in approximately 60-80 percent of people with Rheumatoid Arthritis(RA).

Uric acid – By measuring the letvel of uric acid in the blood, this test helps doctors diagnose gout.

HLA tissue typing – This test, which detects the presence of certain genetic markers in the blood.

 Erythrocyte sedimentation rate – Also called ESR or “sedrate,The higher the sed rate, the greater the amountdamount of inflammation.

C-reactive protein – This test, also called CRP, is another blood test that measures body-wide inflammation.

Lyme serology – This test detects an immune response to the infectious agent that causes Lyme disease

Muscle biopsy – By going a little deeper into the tissue than with the skin biopsy, the surgeon can take a sample of muscle to be examined for signs of damage to the muscle fibers. Findings can confirm a diagnosis of polymyositis or vasculitis.

Point fluid tests-An examination of the fluid may reveal uric acid crystals, confirming a diagnosis of gout;

Imaging

These types of tests can detect problems within your joint that may be causing your symptoms. Examples include:

X-rays: Using low levels of radiation to visualize bone, X-rays can show cartilage loss, bone damage and bone spurs. X-rays may not reveal early arthritic damage, but they are often used to track progression of the disease.

Computerized tomography (CT): CT scanners take X-rays from many different angles and combine the information to create cross-sectional views of internal structures. CTs can visualize both bone and the surrounding soft tissues.

Magnetic resonance imaging (MRI):  Combining radio waves with a strong magnetic field, MRI can produce more-detailed cross-sectional images of soft tissues such as cartilage, tendons and ligaments.

Ultrasound: This technology uses high-frequency sound waves to image soft tissues, cartilage and fluid-containing structures such as bursae. Ultrasound also is used to guide needle placement for joint aspirations and injections.

Treatment

Many people think arthritis can’t be treated, but there are a range of effective non-operative treatments that can help relieve symptoms.These include taking anti-inflammatory medication or, in cases of arthritis in the hand, using a splint to support the thumb or wrist.

Doctors advise trying non-surgical treatments first, which can help stabilize and control symptoms of arthritis over the long term. If these don’t work, surgical treatments such as joint replacements can help relieve pain, increase motion and improve joint junction. If you already have arthritis, exercise can help maintain supple joints and manage symptoms.

The main challenges in treating joint disorders and joint replacements are the financial incapacity of patients and very low awareness among the people about health insurance.

How to Prevent Arthritis

The fact is, there is no sure way to prevent arthritis. But you can help to prevent, that is, reduce your risk, and delay the potential onset of certain types of arthritis. If you have healthy joints right now, do all you can now to maintain mobility and function and avoid the pain and disability associated with arthritis.

Here are just a few examples arthritis and related diseases and associated modifiable risk factors:

Osteoarthritis – Maintain a healthy weight

Rheumatoid arthritis – Do not smoke

Gout – Eat a healthful diet, low in sugar, alcohol and purines.

Avoiding sports injuries through proper equipment, adequate training and safe play can prevent ACL (anterior cruciate ligament) tears that may lead to osteoarthritis in a few years or several decades later.

On World Arthritis Day, the idea is to offer help to everyone who is suffering from the condition. Spread awareness about how people suffering from arthritis can deal with their condition and prevent it from getting worse.