Dr. Mahsa Tehrani, Founder of the Clinical Center arthritis And Rheumatologist from North Virginia, says: As a rheumatologist, with all people with different types arthritis They live, I deal. Most of them ask me questions about their problems, some of which are constantly repeated. In this article, I have tried to address these 5 simple questions that are relatively common among all of them, and I hope my answers are for anyone with some form of arthritis Is helpful:
1- Types of arthritis
The answer is one “No” It’s big. A variety of arthritis There is. When we hear about this disease, we often remember our grandparents hearing it, who could hardly get up from their chairs. Of course, it is also a common type of arthritis “Osteoarthritis” is. According to the Centers for Disease Control and Prevention, nearly 27 million Americans are infected Osteoarthritis are.
There are other types of arthritis, such as autoimmune diseases in which the body attacks its own joints. The most common example of this group can be “Rheumatoid Arthritis“ And “Arthritis Psoriasis“ Be.
2- Treatment of arthritis
There is no cure for any type of arthritis. Aim at Osteoarthritis Pain control to maximize quality of life and protect joints Trumا is; Which can predispose a person to aggravate joint degeneration. The goal in arthritis-related autoimmune diseases is to reduce its severity, which can be achieved today thanks to the rapid advancement of medical research.
If you have Inflammatory arthritis Like Rheumatoid Arthritis You are, time can be your best friend or enemy. The longer the inflammation starts, the more difficult it can be to treat joint damage. Therefore, timely initiation of appropriate medication to change the patient’s condition is essential.
3- Suggestions other than using housing and detailed replacement
Most people with excessive painkillers want to try something new; But they do not necessarily want to have joint replacement surgery. There may be choices depending on your arthritis to reduce the pain. For example for hand arthritis, based on recommendations American College of Rheumatology (ACR)In addition to oral medications, you can use over-the-counter topical capsaicin creams. If this does not help, ask your doctor about prescribing topical anti-inflammatory and non-steroidal creams. Hot paraffin baths and shaving bones may also relieve pain.
about Arthritis Knee weight loss, tai chi programs, hydrotherapy and electrical skin stimulation (TENS)All non-pharmacological treatments for knee osteoarthritis are recommended by ACR. Injecting steroids into the knee and pelvis can help relieve arthritis pain as well as reduce joint inflammation. If more conservative measures are not enough, some information from acid injections Hyaluronic (viscosity) That can help reduce pain. (viscosity, Is a thick gel similar to solids that helps lubricate the joints). In fact, a new study has shown that because steroid injections relieve pain immediately and in the short term, viscosity can have better results for long-term pain relief.
Avoid food to help with arthritis
With an anti-inflammatory diet, not only will you feel better and fitter, but you may also be able to help your joints. The kind guts in walnuts and fish can declare war on the onset of inflammation. Do not forget spices such as ginger and turmeric, which are said to have anti-inflammatory properties. Limit processed foods and trans fats. Obesity raises leptin levels, which in turn is associated with an increased risk of osteoarthritis.
If you have celiac disease, avoid gluten. Not consuming gluten for you will not only improve your digestive health and increase the absorption of nutrients, but also help solve celiac-related arthritis. For patients with extensive arthritis due to a recurrence of chronic gout, the best diet is to avoid foods that are high in uric acid. Meats, seafood, rabbit, high fructose corn syrup are some of the foods that are not suitable for this group at all. Make a list of foods that are high in uric acid; It is true that it is long, but people with chronic gout know what is best for their body.
Does glucosamine / chondroitin help my joints?
This is a very broad discussion in medicine and especially in rheumatology. We study, we do research, we read more every day, but there still seems to be no comprehensive agreement on this. Basic scientific data show that there is a synergistic effect in combining the two (at least in the case of laboratory animals).
Both appear to reduce excessive bone resorption. This means that a small group of glucosamine / chondroitin may potentially help maintain bone strength, at least according to animal data. Another study, published in the Journal of the American Scientific Society, found that while studies showing significant benefits from glucosamine / chondroitin may be a bit biased, the two could still be helpful.
Another study showed that this compound was no different from a placebo drug. However, in a subset of people with moderate to severe arthritis, patients experienced pain relief with these supplements. The ACR in particular does not recommend the use of sulfate or glucosamine compounds in knee and pelvic arthritis. This disease really goes down with prioritization.
Rheumatology guidelines do not support the use of glucosamine / chondroitin. Although the results are mixed. For some people with chronic arthritis who are addicted to daily painkillers, it is a victory, even if they feel a little less pain.
Translated by: Sima Azadfallah
Rewriting: Farzaneh Pashaei
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