Showing posts with label Living With Rheumatoid Arthritis. Show all posts
Showing posts with label Living With Rheumatoid Arthritis. Show all posts

Living With & Caring For Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a common rheumatic disease, affecting approximately 1.3 million people in the United States, according to current census data. The disease is 3 times more common in women as in men. It afflicts people of all races equally. The disease can begin at any age, but it most often starts after fourty years of age and before sixty years of age. In some families, multiple members can be affected, suggesting a genetic basis for the disorder. It’s not easy living with RA, but there are medications and tips in regards to caring for the disease. This type of arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks the joints producing an inflammatory synovitis that often progresses to destruction of the articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce diffuse inflammation in the lungs, pericardium, pleura, and sclera, and also nodular lesions, most common in subcutaneous tissue under the skin. Although the cause of rheumatoid arthritis is unknown, autoimmunity plays a pivotal role in its chronicity and progression.

The disease usually begins gradually with symptoms of fatigue, loss of appetite, morning stiffness (lasting more than one hour), widespread muscle aches and weakness. Last but not least, joint pain appears. When the joint is not used for a while, it can become warm, tender, and stiff. When the lining of the joint becomes inflamed, it gives off more fluid and the joint becomes swollen. Joint pain is often felt on both sides of the body, and may affect the fingers, wrists, elbows, shoulders, hips, knees, ankles, toes, and neck. Additional symptoms include anemia due to failure of the bone marrow to produce enough new red blood cells, eye burning, itching and discharge, hand and feet deformities, limited range of motion, low-grade fever, lung inflammation (pleurisy), nodules under the skin (usually a sign of more severe disease), numbness or tingling, paleness, skin redness or inflammation and swollen glands. It’s extremely important for early diagnosis, as joint destruction may occur within 1-2 years after the appearance of the disease. RA usually requires lifelong treatment, including medications, physical therapy, exercise, education, and possibly surgery. Early, aggressive treatment for RA can delay joint destruction.

This may be significant section of this matter. Range-of-motion exercises and individualized exercise programs prescribed by a physical therapist can delay the loss of joint function. Joint protection techniques, heat and cold treatments, and splints or orthotic devices to support and align joints may be very helpful. Sometimes therapists will use special machines to apply deep heat or electrical stimulation to reduce pain and improve joint mobility. Occupational therapists can construct splints for the hand and wrist, and teach how to best protect and use joints when they’re affected by arthritis. They also show people how to better cope with day-to-day tasks at work and at home, despite limitations caused by RA. Frequent rest periods between activities, as well as eight to ten hours of sleep per night, are recommended.

There are several main categories of drugs used to treat rheumatoid arthritis. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat the symptoms of rheumatoid arthritis – they don’t prevent the damage caused by rheumatoid arthritis from progressing and thus shouldn’t be considered the primary treatment. NSAIDs can reduce the swelling in affected joints and relieve pain. Aspirin is no longer used to treat rheumatoid arthritis because effective doses are often toxic. Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate, hydroxychloroquine and sulfasalazine slow the progression of rheumatoid arthritis and sometimes can improve the course of the disease, although most take weeks or months to have an effect. These drugs are usually added promptly after the diagnosis of rheumatoid arthritis is made. Even if pain is decreased with NSAIDs, a doctor will likely prescribe a DMARD because the disease progresses even if symptoms are absent or mild. Corticosteroids, such as prednisone, are the most dramatically effective drugs for reducing inflammation anywhere in the body. Although corticosteroids are effective for short-term use, they may become less effective over time, and rheumatoid arthritis is usually active for years.

Recently there has been great progress on studies and treatments for rheumatoid arthritis. People are bonding together to share their experiences and talk about what works for them. Award winning Deborah Norville is now hosting a new, online talk show, New Way RA, for people living with rheumatoid arthritis. The show focuses exclusively on addressing topics of overall health and well-being for people living with the disease. It provides expert advice and practical information through an engaging and accessible web-based format that includes caring for the disorder at home and at work. Visitors to the site can view the entire show online and listen to real-life stories from people living with rheumatoid arthritis. The project is sponsored by Centocor Ortho Biotech, Inc. This program will further raise awareness about a chronic disease that affects more than one million Americans, the majority of whom are women.

Stephanie Jewett has been a registered nurse for over thirty years. Of course, Stephanie holds a MBA. She’s the single mom of 2 wonderful sons and a dog by the name of Cody. Her hope is to share experiences from several nursing fields with colleagues, caregivers, patients and the general public.

As one reader commented:
Test showed normal for Rheumatoid Arthritis, but all the symptoms are there? For more than three weeks I’ve had intense, debilitating pain. When it first started, I couldn’t raise my arm above half way. The pain migrated into my elbows, wrists, fingers and now knees (symmetrical). It’s difficult to walk in the mornings and I’ve pain all day. I can barely type and my hands and wrists feel a though they’re being smashed with a hammer they hurt so bad. There is obvious joint swelling; I can't even wear my wedding ring. The pain is getting worse daily and my first anti-inflammatory didn’t help. My doctor prescribed me a new one, Mobic, which I’ve been taking for 3 days which is also not helping. The doctor took a myriad of blood tests to identify potential arthritis. The tests came back normal for the most part, with only a negligibly raised RA factor. He thinks I’ve no problem. I’m still going to a Rheumatologist, but I’m in awe that my tests aren’t pointing to RA as I was convinced that’s what I had. I'm thankful if it’sn't, but I'm confused. How common is a misdiagnosis? My sister was recently diagnosed with an autoimmune disease similar to RA that was undiagnosed for sometime. My doctor clearly thinks I’m fine, but I know I’m not, and you can see the joint issues by simply looking at my body.