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Psoriasis Arthritis is an illness that affects millions of people. There is no cure yet for it. It is known for the swelling of joints and scaly patches of skin. This type of arthritis is related t

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== Psoriatic Arthritis ==

Psoriasis Arthritis is an illness that affects millions of people. There is no cure yet for it. It is known for the swelling of joints and scaly patches of skin. This type of arthritis is related to the skin condition of psoriasis and it also affects millions of people around the world. If you or someone that you know is dealing with psoriatic arthritis it is necessary to do the right research for this condition in order to completely understand its symptoms and treatment options that are out there for the pain. With learning all that you can about psoriatic arthritis and all the drugs that treat it you can get a better understanding of how to treat it. Your doctor will be able to provide you with the right information so that you can read on it and use the different organizations that are located on the Internet and at the centers across the country.

There are a lot of people that are diagnosed with psoriatic arthritis and experience swelling of the joints in the body. This will include the wrists, knees, back, elbows, and fingers. This condition will also bring gray areas of skin that are very dry around the knees, elbows and lower back. The people that are suffering from the condition will often have fingers that appear sausage like and pitted nails or cuts around the fingernails. The cause of the condition is not known but experts think that a combination of genetic predispositions and the environment play roles in the development of psoriatic arthritis. You can find these problems at any age and with any gender or race. The most common age for psoriatic arthritis will start between age 20 and 50.

This is a condition that is tricky because the patients are dealing with the two fused diseases. One is of the skin and the one of the joints. It is important to talk to your doctor or have another medical professional helping you with treatments. There are many drugs that can have a negative reaction to it. There are different options other than medication that you can use to treat this disease. Some exercises will work well with those patients that have swelling in their joints. You can also have skin therapy to treat psoriatic parts of the disease. Heat and cold can be used to treat psoriatic arthritis. Rest is very important too. Using splints and surgery are not usually used but the options are available for more of the extreme conditions. Cosmetically this is a disease that can be treated with laser surgery light treatment. There are other corrective cosmetic surgeries too. You can talk to our doctor to find out more on this disease and your options for treatments.

== Paget’s disease ==

There are different kinds of arthritic conditions. There are over 100 and one of these conditions is a very debilitating disorder that is called Paget’s disease. This type of arthritis is usually going to affect patients who are in their later years of life. This will be between the ages of 50 and 70. This is a chronic skeletal condition that is similar to osteoarthritis. It is sometimes misdiagnosed. Paget’s disease can be painful and make life hard but there are many things that you can do to prevent this disease from happening as well as a number of treatments if you have already started to get the disease.

Paget’s disease is characterized by enlarged and deformed bone structure in one or more parts of the body. The pelvis, legs, skull and back are more commonly affected with the disease and it can result in high amounts of arthritic pain and can also account for hearing loss that starts in the skull. The patient’s bones are fragile and fractures can happen easily. There is no one-way of cause for Paget’s disease but there are many things that a person can do if they develop this type of pain.

Paget’s Disease can occur when the enzyme SAP is overly produced in the bones and causing it to grow abnormally and start to be weak. Measuring SAP is what doctors can do to determine if the pain that you are having is due to Paget’s even if you may see some other signs like bowed limbs. SAP is measured often with a blood test and higher than normal levels along with normal kidney function. Doctors will also use SAP level readings to chart how patients are reacting to different forms of treatment for their conditions.

Bisphosponates and calcitonin are the two types of drugs that are ready by the Food and Drug Administration to treat Paget’s disease. There are doctors that may sometimes recommend surgery for fractures or extreme deformities. There are alternative medical treatments that can also help patients cope with the pain. This will include acupuncture, massage, cupping, medication, and Eastern exercises like Yoga.

It is important to remain positive with the treatment. Paget’s Disease can be extremely painful but it is possible for patients to live even when they are suffering from the disease. You need to learn all that you can about the illness and stay educated on new medications and treatments so that you can take good care of your body and keep healthy.

== Arthritis Support ==

There are millions of Americans that suffer from the pain of arthritis and related conditions all the time. The most important thing to know is that you are not alone in this suffering. Many times you may feel like you are the only one going through this disease, but there are others that feel the same way that you do. Arthritis can be a very hard problem to understand and many patients who suffer from arthritis will feel like they are alone and confused. However, with some help, you can meet and talk to others that are dealing with the same pain of arthritis conditions. Joining one of the many different arthritis support groups will help you feel better about your condition and give you a better outlook on life.

The Arthritis Foundation is one of the non-profit organizations that were formed for those that have arthritis. There are over 100 different conditions that are related to arthritis and this foundation has worked hard to meet those needs and concerns for people. This organization will help to give out information about arthritic conditions as well as work as an advocate for the patients that are dealing with arthritis. They will sponsor medical research for the condition and hope to find a cure for it one day. The Arthritis Foundation will join in with many other organizations and companies to bring patients the service that they need. Their website will help those that are suffering and the family members and friends that want to learn more about how they can help and donate money towards arthritis research. You can also join an online organization and benefit from their different member services.

When you are looking for something on a personal level, you need to first find a local arthritis group and talk to your doctor about it. Usually hospitals will sponsor these types of support groups and help people cope with different disease and pain. Arthritis is no different. A local group will usually meet with others that are dealing with arthritis and get feedback on how to cope in daily life. These community groups are going to be lifelong friends and you can learn to live better and be more optimistic. You can check your local newspapers if your doctor does not know where to find a support group. You can even start your own group! If no support group exists in your town, there may be a huge need for someone to head up this type of project.

A support group is an important way for children that are suffering from arthritis as well. Arthritis is a condition that is usually more common with age; many children will feel isolated because they have it at such a young age. The children’s wing of your local hospital may be able to help you find a support group. It makes no difference what age you are, you can get benefits from the community or support group when you have arthritis. You need to look online and talk to your doctor about more information on this subject.

== Arthritis Risk ==

Having arthritis is common in most people of the world. Even though it is a very common disease, it is painful and very incurable at the moment. You can be at risk for getting arthritis and you may not even know it. Some of the conditions cannot be changed but there are a number of things that you can do to prevent arthritis from happening to you later on in life. Take a look at the risk in your life and what you can do to prevent arthritis from happening to you and causing great pain in your life.

You must first understand arthritis. It can affect anyone of any age, gender or race. Even babies at a young age of six months can develop arthritis. It is true that your risks will increase after the age of 40. There are different things that can increase your risk of arthritis as well. For example sports injuries can often occur and it is necessary to continue treating your injury throughout your life to prevent more serious conditions later on in life.

Weight is very important when it comes to having arthritis. If you are more than 30 pounds overweight, having this extra stress can affect your joints and create arthritis pain. Having a good healthy weight and exercising and eating right is very important when it comes to your health.

Genetics will also play a very important part in the development of arthritis. There is not much that you can do to counteract it. However if you live a good and healthy life, you can lower the risk of arthritis conditions in your body at a young age. Women are more at risk than men for getting different kinds of arthritis pain. This is because of the hormonal changes that a woman will go through. Keeping hormones in order by seeing your doctor regularly will put you at a lower risk for arthritis. African Americans are more likely to have lupus, which is an arthritic disease. Caucasians are at a larger risk for getting rheumatoid arthritis. There are certain groups of Americans that are at risk for getting certain type of arthritis.

If you are at a greater risk for arthritis, you need to take the right steps to reduce your chances of getting a disease. Having a healthy lifestyle by eating right and exercising well is going to keep you at a lower risk. Even though arthritis can be difficult to deal with, you can prevent it from happening.

== Arthritic Insomnia ==

If you are dealing with arthritis, one of the hardest things to deal with is the insomnia. The sleeping disorder is going to prevent you from getting the rest that you need to stay healthy and this will in return make your arthritis worse. It can be a terrible cycle that you are dealing with. There are many things that you can do to take on arthritis and it is important to consider all of the options so that you can get a better night’s rest every time you go to bed.

Having insomnia is figured out by a number of problems. You must first have difficulty falling asleep. Many people will experience this at some point in their life. However if you are frequently finding it hard to drift off to sleep, you may want to talk to your doctor about it. If you are waking up often through the night for no good reason, this is a symptom too. This will usually happen to everyone and more so to people if they are new parents. If you are finding that you are constantly tossing and turning more than once a week, you are probably dealing with insomnia. Some with insomnia will sleep throughout the night. Their problem may be that they wake up too early or they do not feel refreshed after many hours of sleep. It will depend on how frequently insomnia happens for you and if you can be diagnosed with short-term insomnia, intermittent insomnia or chronic insomnia.

Anyone that suffers from arthritis will also find that they have chronic insomnia or insomnia that does not go away and occurs for a long time period. There are many reasons that chronic insomnia is found in people that do have arthritis. The pain will keep some awake at night and will occur with illness but some of the patients find that their joints are painful and inflamed after they do activity. A second reason of insomnia due to arthritis is a high level of stress that most patients with arthritis have. Worrying about an appointment with a doctor can cause a person to stay awake all night long. There is no difference for any patient that is young and just recently diagnosed or older and has had the problem of arthritis for many years. Insomnia can be a side of effect of the medicine that is used to treat arthritis. These medicines may rid the pain but can make you stay up all night. Without taking the medication, you may also be awake all night with pain.

There are a number of ideas that a person can do for insomnia. You are not alone is the first step. You need to talk to your doctor about any medications that you are taking that keep you up all night. There are going to be side effects of drugs and they can be addicting as well. Taking the right steps to take the stress out of your life is going to help you sleep better at night too. You and your doctor are the only people that can take the right course of action to fix the insomnia in your life. Talk to them and get a good night’s sleep because it is essential for healthy living.

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<table width="800" border="0" align="center" cellpadding="0" cellspacing="0"><tr><td align="center"><img src="http://newsfeedresearcher.com/images/backtop.gif" width="800" height="45" align="middle"></td></tr><tr><td background="http://newsfeedresearcher.com/images/backmid.gif" valign="top"><table width="600" border="0" align="center"><tr><td><a name="top"><center>Your search has been for:  <div id="hlight">Arthritis site:.gov</div></center> Jump to: <a href="#overview">Key Topics</a> || <a href="#extend">In-Depth</a> || <a href="#sources">Selected Sources</a> || <a href="#advanced">Dig Deeper</a> <a name="overview"></a><a href="#" onclick="toggle_visibility('overv'); return false;" title="Pertinent Info, most relevant to your research."><div id="hlight">KEY TOPICS<image src="http://iresearch-reporter.com/images/apx4.jpg" alt="Pertinent Info, most relevant to your research."></a></div> <div id="overv"><ul><li>Your doctor will take a detailed medical history to see if arthritis or another musculoskeletal problem is the likely cause of your symptoms.<a href="#hdng0">(More...)</a> </li></ul> <a name="hdng0"></a>Your doctor will take a detailed medical history to see if arthritis or another musculoskeletal problem is the likely cause of your symptoms. Next, a thorough physical examination may show that fluid is collecting around the joint. (This is called an "effusion.") <a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> If arthritis is diagnosed and treated early, you can prevent joint damage. Find out if you have a family history of arthritis and share this information with your doctor, even if you have no joint symptoms. Osteoarthritis Osteoarthritis may be more likely to develop if you abuse your joints (injure them many times or over-use them while injured).<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Treatment, therefore, aims at reducing your pain and discomfort and preventing further disability. It is possible to greatly improve your symptoms from osteoarthritis and other long-term types of arthritis without medications.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Treatment of arthritis depends on the particular cause, which joints are affected, severity, and how the condition affects your daily activities.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> To check for infection and other causes of arthritis (like gout caused by crystals), joint fluid is removed from the joint with a needle and examined under a microscope.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Normal joints contain a lubricant called synovial fluid. In joints with arthritis, this fluid is not produced in adequate amounts.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Arthritis is inflammation of one or more joints, which results in pain, swelling, stiffness, and limited movement.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> With some injuries and diseases, the inflammation does not go away or destruction results in long-term pain and deformity. When this happens, you have chronic arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> DO NOT exceed the recommended doses of acetaminophen or take the drug in combination with large amounts of alcohol. These actions may damage your liver. Aspirin, ibuprofen, or naproxen -- these nonsteroidal anti-inflammatory (NSAID) drugs are often effective in combating arthritis pain. They have many potential risks, especially if used for a long time. They should not be taken in any amount without consulting your doctor.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Take up to 4 grams a day (2 extra-strength Tylenol every 6 hours). This can provide significant relief of arthritis pain without many of the side effects of prescription drugs.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> The joint may be tender when it is gently pressed, and may be warm and red (especially in infectious arthritis and autoimmune arthritis). It may be painful or difficult to rotate the joints in some directions. This is known as "limited range-of-motion."<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> If possible, treatment will focus on eliminating the underlying cause of the arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> The synthetic fluid may postpone the need for surgery at least temporarily and improve the quality of life for persons with arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Methotrexate itself can be highly toxic and requires frequent blood tests for patients on the medication. Biologics -- these are the most recent breakthrough for the treatment of rheumatoid arthritis. Such medications, including etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are administered by injection and can dramatically improve your quality of life.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Methotrexate has been shown to slow the progression of rheumatoid arthritis and improve your quality of life.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> In some autoimmune forms of arthritis, the joints may become deformed if the disease is not treated. Such joint deformities are the hallmarks of severe, untreated rheumatoid arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> A physical therapist can apply heat and cold treatments as needed and fit you for splints or orthotic (straightening) devices to support and align joints. This may be particularly necessary for rheumatoid arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Simon LS, Lipman AG, Jacox AK, etc. Pain in osteoarthritis, rheumatoid arthritis and juvenile chronic arthritis. 2nd ed. Glenview (IL): American Pain Society (APS); 2002.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> The cause is NOT necessarily curable, as with osteoarthritis and rheumatoid arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Close supervision by a physician is essential. Disease-modifying anti-rheumatic drugs -- these have been used traditionally to treat rheumatoid arthritis and other autoimmune causes of arthritis. These drugs include gold salts, penicillamine, sulfasalazine, and hydroxychloroquine.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Newer biologics include Orencia (abatacept) and Rituxan (rituximab). Immunosuppressants -- these drugs, like azathioprine or cyclophosphamide, are used for serious cases of rheumatoid arthritis when other medications have failed. It is very important to take your medications as directed by your doctor.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Steroids are used to treat autoimmune forms of arthritis but should be avoided in infectious arthritis.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> About 37 million people in America have arthritis of some kind, which is almost 1 out of every 7 people.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Exercise for arthritis is necessary to maintain healthy joints, relieve stiffness, reduce pain and fatigue, and improve muscle and bone strength.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> Krishnan E. Reduction in long-term functional disability in rheumatoid arthritis from 1977 to 1998: a longitudinal study of 3035 patients.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank" [1]</a> <a href="#top"><img alt="Back to Top" title="Back to Top" src="http://newsfeedresearcher.com/images/backtotop.jpg" style="border: 0px solid ; width: 72px; height: 14px;"></a> </div> <a name="extend"></a><a href="#" onclick="toggle_visibility('ext'); return false;" title="Detailed Info, highly relevant to your research."><div id="hlight">IN-DEPTH<image src="http://iresearch-reporter.com/images/apx4.jpg" alt="Detailed Info, highly relevant to your research."></a></div> <div id="ext">Section Contents: <ul><li>Most kinds of arthritis cause pain and swelling in your joints.<a href="#hdng1">(More...)</a> </li><li>'Engaging in regular physical activity and maintaining a healthy weight can help alleviate the pain and disability that often accompany arthritis.<a href="#hdng2">(More...)</a> </li><li>A large, nationally representative survey of people over 65 with arthritis in 2000 found that disruption of sleep, among all the disruptions of arthritis, was the main reason that people sought a variety of CAM, self-care, and conventional medical treatments.<a href="#hdng3">(More...)</a> </li></ul></ul> <a name="hdng1"></a>Most kinds of arthritis cause pain and swelling in your joints. Joints are places where two bones meet, such as your elbow or knee. <a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank" [2]</a> Over time, a swollen joint can become severely damaged. Some kinds of arthritis can also cause problems in your organs, such as your eyes or skin.<a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank" [2]</a> If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis.<a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank" [2]</a> One type of arthritis, osteoarthritis <a href='http://www.nlm.nih.gov/medlineplus/osteoarthritis.html'>osteoarthritis</a>, is often related to aging or to an injury. Other types occur when your immune system, which normally protects your body from infection, attacks your body's own tissues. Rheumatoid arthritis <a href='http://www.nlm.nih.gov/medlineplus/rheumatoidarthritis.html'>Rheumatoid arthritis</a> is the most common form of this kind of arthritis.<a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank" [2]</a> Juvenile rheumatoid arthritis <a href='http://www.nlm.nih.gov/medlineplus/juvenilerheumatoidarthritis.html'>Juvenile rheumatoid arthritis</a> is a form of the disease that happens in children.<a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank" [2]</a> <a href="#top"><img alt="Back to Top" title="Back to Top" src="http://newsfeedresearcher.com/images/backtotop.jpg" style="border: 0px solid ; width: 72px; height: 14px;"></a> <a name="hdng2"></a>'Engaging in regular physical activity and maintaining a healthy weight can help alleviate the pain and disability that often accompany arthritis. Prevalence Estimates of Arthritis and Other Rheumatic Conditions in the United States ' The Centers for Disease Control and Prevention (CDC) for the National Arthritis Data Workgroup is releasing a new study that reaffirms that nearly 1 in 5 U.S. adults'46 million people'have arthritis, the nation's most common cause of disability. <a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Arthritis as a potential barrier to physical activity among adults with diabetes, United States, 2005 and 2007 ' The Centers for Disease Control and Prevention released a study indicating that more than half of adults with diagnosed diabetes also have arthritis.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> The study found that 29.8% of adults with arthritis and diabetes were physically inactive, compared with 21% of people with diabetes alone.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> The CDC Arthritis Program is working to improve the quality of life for people affected by arthritis and other rheumatic conditions by working with states and other partners to increase awareness about appropriate arthritis self management activities and expanding the reach of programs proven to improve the quality of life for people with arthritis.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Projected State-Specific Increases in Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation'United States, 2005-2030 ' By the year 2030, the number of people with doctor-diagnosed arthritis and arthritis-attributable activity limitation will increase substantially in all 50 states.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> State-specific Prevalence of Arthritis-Attributable Work Limitation-United States, 2003 'The first available state-specific estimates of arthritis-attributable work limitation (AAWL) show that arthritis commonly causes work limitations among working-age (18-64 years old) adults in all U.S. states.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Work limitation due to arthritis varies by state but is generally high, ranging from 3.4% to 15% of all working-age adults. Among just those with arthritis, the prevalence of AAWL ranges from 25.1% to 51.3%.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Arthritis is the most common cause of disability in the United States, limiting the activities of nearly 19 million adults.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Forty-six million Americans report that a doctor told them they have arthritis or other rheumatic conditions.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Arthritis Burden and Impact are Greater Among U.S. Women than Men: Intervention Opportunities ' Women of all ages bear a disproportionate burden of arthritis and its impacts compared with men. Safe, effective interventions to prevent or delay arthritis impact, such as self-management education programs, physical activity, and weight management remain underused'meaning that people are missing opportunities to minimize arthritis impact.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> State-specific estimates for arthritis among adults with diabetes range from 42.6% in Hawaii to 62.2% in Missouri.<a href="http://www.cdc.gov/arthritis/" TARGET="_blank" [3]</a> Many people with arthritis become discouraged with typical treatments because the disease progresses over time and the symptoms worsen. They search for alternative therapies aimed at arthritis.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Systemic lupus erythematosus is an autoimmune disease that can involve the skin, kidneys, blood vessels, joints, nervous system, heart, and other internal organs. Symptoms vary among those affected, but may include a skin rash, arthritis, fever, anemia, hair loss, ulcers in the mouth, and kidney damage.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Although the term literally means joint inflammation, arthritis really refers to a group of more than 100 rheumatic diseases and conditions that can cause pain, stiffness and swelling in the joints.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Although it may feel like a joint disease, the Arthritis Foundation says it is not a true form of arthritis and does not cause deformities of the joints.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> If left undiagnosed and untreated, arthritis can cause irreversible damage to the joints. The two most common forms of the disease, osteoarthritis and rheumatoid arthritis, have the greatest public health implications, according to the Arthritis Foundation. (For more on other causes of joint pain, see "Other Forms of Arthritis and Related Conditions.")<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Arava (leflunomide) is the first oral treatment approved for slowing the progression of rheumatoid arthritis. Although its effects are similar to those of methotrexate, this drug works by a different chemical mechanism that blocks at least one enzyme in certain immune cells called lymphocytes (a type of white blood cell that is part of the immune system), and thereby retards the progression of the disease.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Rheumatoid arthritis is an autoimmune disease that occurs when the body's own immune system mistakenly attacks the synovium (cell lining inside the joint). This chronic, potentially disabling disease causes pain, stiffness, swelling, and loss of function in the joints.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Carpal tunnel syndrome is a condition in which pressure on the median nerve at the wrist causes tingling and numbness in the fingers. It can begin suddenly or gradually, and can be associated with another disease, such as rheumatoid arthritis, or it may be unrelated to other conditions.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Lyme arthritis may develop after a bacterial infection is transmitted to humans through tick bites. To prevent this type of arthritis, health experts advise people to use insect repellents, wear long-sleeved shirts and pants while walking near wooded areas, and check for and remove ticks to help reduce the risk of getting the disease.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> A skilled physician who is knowledgeable about the medical and rehabilitation needs of people with arthritis, working with a physical therapist, can design an exercise plan for each patient.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Arthritis patients need to be careful because treatments not shown to be safe and effective through controlled scientific studies may be dangerous.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The Arthritis Foundation and the American College of Rheumatology agree that awareness, early diagnosis, and an aggressive treatment plan developed by a doctor are key to stopping arthritis from taking over your life.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Proper exercises performed on a regular basis are an important part of arthritis treatment, according to the Arthritis Foundation.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> As the population ages and arthritis becomes a growing problem, the Arthritis Foundation believes that "more physicians are recognizing the severity of the disease and the need for a broader approach toward treatment."<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The Arthritis Foundation also says that copper bracelets, mineral springs, vibrators, magnets, vinegar and honey, dimethyl sulfoxide, large doses of vitamins, drugs with hidden ingredients (such as steroids), and snake venom are all unproven remedies.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Although the cause of spondylitis is unknown, scientists have discovered a strong genetic or family link, according to the Arthritis Foundation.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Reiter's syndrome (also called reactive arthritis) involves inflammation in the joints, and sometimes where ligaments and tendons attach to bones. This form of arthritis usually develops following an intestinal or a genital/urinary tract infection.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Infectious arthritis is a form of joint inflammation that is caused by bacteria, viruses or fungi.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> In psoriatic arthritis, there is inflammation of the joints and sometimes the spine.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> There are ways to help prevent arthritis. Both CDC and the American College of Rheumatology recommend maintaining ideal weight, taking precautions to reduce repetitive joint use and injury on the job, avoiding sports injuries by performing warm-ups and strengthening exercises using weights, and by choosing appropriate sports equipment.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The extent of the suffering is going to get worse. Arthritis already affects more than 42 million Americans in its chronic form, including 300,000 children.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> People with Reiter's syndrome have arthritis and one or more of the following conditions: urethritis, prostatitis, cervicitis, cystitis, eye problems, or skin sores.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> About 5 percent of people with psoriasis, a chronic skin disease, also develop psoriatic arthritis.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> A new type of NSAID, cyclooxygenase-2 inhibitors, better known as COX-2 inhibitors, has joined the old standbys. These drugs help suppress arthritis with less stomach irritation.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> There's no question that the incidence of arthritis increases with age, but nearly three of every five sufferers are under age 65.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Fewer joints may be involved than in rheumatoid arthritis, and there is no rheumatoid factor in the blood.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Juvenile rheumatoid arthritis is the most prevalent form in children, and there are three major types: polyarticular (affecting many joints), pauciarticular (pertaining to only a few joints), and systemic (affecting the entire body).<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Enbrel has been shown to be effective for children with the juvenile form of rheumatoid arthritis.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Rheumatoid arthritis can be difficult to diagnose early because it may begin gradually with subtle symptoms. According to the CDC, this form of arthritis affects more than 2 million people in the United States, and two to three times more women are affected than men.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The signs and symptoms of juvenile rheumatoid arthritis vary from child to child.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> To see an illustration of the cross section of a normal knee joint and the effects of osteoarthritis and rheumatoid arthritis, select the graphic at right.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> In clinical trials, Enbrel was generally well tolerated, and one of the most common side effects was an injection site reaction. Both Remicade and Enbrel show promise in treating rheumatoid arthritis, although the long-term risks and benefits of these agents are unknown. In post-marketing reports, serious infections, including fatalities, have been reported with these agents.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The most recently approved treatment regimen for rheumatoid arthritis is one that combines the genetically engineered biological drug Remicade (infliximab) with the drug methotrexate. (Not all patients with rheumatoid arthritis can tolerate or respond to methotrexate alone, a standard treatment for the disease.)<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The first non-drug alternative for adult patients with moderate to severe rheumatoid arthritis and longstanding disease was approved by the FDA in 1999.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Elevated levels of TNF are found in the synovial fluid of rheumatoid arthritis patients.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> While the cause remains elusive, doctors suspect that genetic factors are important in rheumatoid arthritis.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Arava is not a cure for rheumatoid arthritis. It may cause birth defects, and the label carries a special warning for pregnant women and those planning to become pregnant.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Approved in 1996, Enbrel (etanercept) is the first biologic response modifier to receive FDA approval for patients with moderate to severe rheumatoid arthritis.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> There is no single test that establishes conclusively a diagnosis of juvenile arthritis, and the condition must be present consistently for six or more consecutive weeks before a correct diagnosis can be made.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> The Arthritis Foundation says that juvenile arthritis is even more prevalent than juvenile diabetes and cerebral palsy.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> Juvenile arthritis is a general term for all types of arthritis that occur in children.<a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank" [4]</a> <a href="#top"><img alt="Back to Top" title="Back to Top" src="http://newsfeedresearcher.com/images/backtotop.jpg" style="border: 0px solid ; width: 72px; height: 14px;"></a> <a name="hdng3"></a>A large, nationally representative survey of people over 65 with arthritis in 2000 found that disruption of sleep, among all the disruptions of arthritis, was the main reason that people sought a variety of CAM, self-care, and conventional medical treatments. Valerian has also been taken for other reasons, such as the intent to relieve muscle and joint pain. <a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Chondroitin is a substance found in the cartilage around joints. As a supplement, it is obtained from sources such as sharks and cattle. Both glucosamine and chondroitin have shown anti-inflammatory effects in animal studies. In humans, they have been studied only for osteoarthritis so far, not for RA. Osteoarthritis is a different form of arthritis than RA, with different causes, although the symptoms are similar (such as joint pain and problems with function).<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> To find out more about RA, contact the National Institute of Arthritis and Musculoskeletal and Skin Diseases (see " For More Information "). There are many proven treatments in conventional medicine for RA. They are used to relieve pain, reduce swelling, slow down or stop the damage to joints, help the person function better, and improve the person's sense of well-being.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Common symptoms are pain, swelling, and stiffness, and some rheumatic diseases can also involve internal organs. Rheumatologist: A medical doctor who specializes in treating conditions that affect the joints and muscles, such as rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> It is important to make sure you have been diagnosed with RA by a health care provider who has substantial conventional medical training and experience with arthritis patients. RA can be hard to diagnose, there is no single test for it, and its symptoms can be similar to those of other conditions.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> A fourth botanical, feverfew, has been used in folk medicine with an intent to treat arthritis, migraine, and other conditions. One small published clinical trial was located for this report. It found no more benefit from feverfew than from the placebo.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Results from clinical trials indicate that mind-body therapies may be effective additions to the treatment and management of arthritis, including RA and its pain.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Examples of foods that are believed to possibly worsen the symptoms of arthritis (including RA) are the nightshade family of plants (white potatoes, tomatoes, eggplant, and peppers), dairy, citrus fruits, acidic foods, sweets, coffee, and animal protein. The foods one eats and how the digestive system handles them are known to affect the immune system.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Disrupted sleep has been called a common and often neglected symptom of arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> National Institute of Arthritis and Musculoskeletal and Skin Diseases Web site <a href="http://www.niams.nih.gov/hi/topics/arthritis/rahandout.htm">National Institute of Arthritis and Musculoskeletal and Skin Diseases Web site</a>.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> One cannot assume that if a treatment is helpful for one type of arthritis, it will also be helpful for another type.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Danao-Camara TC, Shintani TT. The dietary treatment of inflammatory arthritis: case reports and review of the literature.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> The aim is to increase the flow of blood and oxygen to the massaged area., diets, herbs, and/or mud packs. It is used with the intent to benefit arthritis, circulation, and various other health issues, and to enhance feelings of relaxation and well-being.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> These three botanicals have a history of use in Ayurveda to treat inflammatory conditions. Based on some early findings that may indicate promise, NCCAM is supporting studies at the University of Arizona on these three botanicals, to increase scientific knowledge about them and determine whether they are helpful for chronic inflammatory conditions such as arthritis and asthma.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Rheumatology (Oxford). 2003;42(5):652-659. Strange CJ. Coping with arthritis in its many forms <a href="http://www.fda.gov/fdac/features/296_art.html">Coping with arthritis in its many forms</a>.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Panush RS. American College of Rheumatology position statement: diet and arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Herman CJ, Allen P, Hunt WC, et al. Use of complementary therapies among primary care clinic patients with arthritis <a href="http://www.cdc.gov/pcd/issues/2004/oct/03_0036.htm">Use of complementary therapies among primary care clinic patients with arthritis</a>.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Tao X, Younger J, Fan FZ, et al. Benefit of an extract of Tripterygium wilfordii Hook F in patients with rheumatoid arthritis: a double-blind, placebo-controlled study.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Uhlig, T, Larsson C, Hjorth AG, et al. No improvement in a pilot study of tai chi exercise in rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Skoldstam L, Hagfors L, Johansson G. An experimental study of a Mediterranean diet intervention for patients with rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Pattrick M, Heptinstall S, Doherty M. Feverfew in rheumatoid arthritis: a double blind, placebo controlled study.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Effects of Omega-3 Fatty Acids on Lipids and Glycemic Control in Type II Diabetes and the Metabolic Syndrome and on Inflammatory Bowel Disease, Rheumatoid Arthritis, Renal Disease, Systemic Lupus Erythematosus, and Osteoporosis <a href="http://www.ahrq.gov/clinic/evrptfiles.htm#o3lipid">Effects of Omega-3 Fatty Acids on Lipids and Glycemic Control in Type II Diabetes and the Metabolic Syndrome and on Inflammatory Bowel Disease, Rheumatoid Arthritis, Renal Disease, Systemic Lupus Erythematosus, and Osteoporosis</a>.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Rheumatoid arthritis (RA) is what is called an autoimmune disease. In this type of disease, a person's immune system (the system in the body responsible for fighting disease) mistakenly attacks the person's own body.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Fortin PR, Lew RA, Liang MH, et al. Validation of a meta-analysis: the effects of fish oil in rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Hafstrom I, Ringertz B, Spangberg A, et al. A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Wang C, Roubenoff R, Lau J, et al. Effect of tai chi in adults with rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Soeken KL, Miller SA, Ernst E. Herbal medicines for the treatment of rheumatoid arthritis: a systematic review.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Cleland LG, James MJ, Proudman SM. The role of fish oils in the treatment of rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> James MF, Proudman SM, Cleland LG. Dietary n-3 fats as adjunctive therapy in a prototypic inflammatory disease: issues and obstacles for use in rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Berbert AA, Kondon CR, Almendra AL, et al. Supplementation of fish oil and olive oil in patients with rheumatoid arthritis.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Rao JK, Mihaliak K, Kroenke K, et al. Use of complementary therapies for arthritis among patients of rheumatologists.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Jordan JM, Benard SL, Callahan LF, et al. Self-reported arthritis-related disruptions in sleep and daily life and the use of medical, complementary, and self-care strategies for arthritis: the National Survey of Self-care and Aging.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> Chondroitin in dietary supplements is made in the laboratory or from the cartilage of sharks and cattle. sulfate (chondroitin) are popular dietary supplements for arthritis. They are sold separately, in combination with each other, and in other combinations.<a href="http://nccam.nih.gov/health/RA/" TARGET="_blank" [5]</a> <a href="#top"><img alt="Back to Top" title="Back to Top" src="http://newsfeedresearcher.com/images/backtotop.jpg" style="border: 0px solid ; width: 72px; height: 14px;"></a></div> <a name="sources"><a href="#" onclick="toggle_visibility('srcs'); return false;" title="Most Informative Documents, used in preparation of this report."><div id="hlight">SELECTED SOURCES<image src="http://iresearch-reporter.com/images/apx4.jpg" alt="Most Informative Documents, used in preparation of this report."></a></div> <div id="srcs"> 1. <a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank">MedlinePlus Medical Encyclopedia: Arthritis</a> <a href="http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm" TARGET="_blank">http://www.nlm.nih.gov/medlineplus/ency/article/001243.htm</a> 2. <a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank">MedlinePlus: Arthritis</a> <a href="http://www.nlm.nih.gov/medlineplus/arthritis.html" TARGET="_blank">http://www.nlm.nih.gov/medlineplus/arthritis.html</a> 3. <a href="http://www.cdc.gov/arthritis/" TARGET="_blank">Arthritis - Home</a> <a href="http://www.cdc.gov/arthritis/" TARGET="_blank">http://www.cdc.gov/arthritis/</a> 4. <a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank">Arthritis: Timely Treatments for an Ageless Disease</a> <a href="http://www.fda.gov/Fdac/features/2000/300_arth.html" TARGET="_blank">http://www.fda.gov/Fdac/features/2000/300_arth.html</a> 5. <a href="http://nccam.nih.gov/health/RA/" TARGET="_blank">Rheumatoid Arthritis and CAM [NCCAM Research Report]</a> <a href="http://nccam.nih.gov/health/RA/" TARGET="_blank">http://nccam.nih.gov/health/RA/</a> <a href="#top"><img alt="Back to Top" title="Back to Top" src="http://newsfeedresearcher.com/images/backtotop.jpg" style="border: 0px solid ; width: 72px; height: 14px;"></a></div> <a name="advanced">Try digging deeper by doing research on a LARGER SET OF DOCUMENTS: <form name="theForm2" action="http://iresearch-reporter.com/demo" target="_blank" method="get" ><input name="query" height="21" size="55" maxlength="2048" title="Search2" type="text" value="Arthritis site:.gov"><input alt="" name="Submit2" value="Submit" src="http://iresearch-reporter.com/irr/btn_submit.gif" title="Submit advanced request" align="center" height="21" type="image" width="77"></form> (Will open in a new window. Your browser must have JavaScript & Cookies enabled.) Automatically generated multi-source summary has been compiled basing on the fair use of snippets extracted from original articles, found through the Google web search.</td></tr></table></td></tr><tr><td align="center"><img src="http://newsfeedresearcher.com/images/backbottom.gif" width="800" height="45"></td></tr></table></td></tr></tbody></table>

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