Arthritis For Dummies

Arthritis For Dummies
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An easy-to-understand in-depth look at of one of the most common medical conditions in the world If you’re one of the 350 million people around the world who suffer from arthritis, you know how challenging it can be to live with it. And if you care for someone who has arthritis, you know how difficult it is to help your loved one live comfortably with the disease. Arthritis For Dummies was written for you. In it, you’ll find no-nonsense guidance based on the latest arthritis research, the straight goods on medications old and new, and up-to-date info on over 40 forms of the disease, including osteoarthritis, rheumatoid arthritis, psoriatic arthritis, gout, and more. You’ll also find: Ten new cutting-edge treatments for arthritis A complete rundown of medications for arthritis, including the very latest ones Diet strategies to help combat arthritis pain and improve joint function The best exercises for building stronger joints and easing arthritis pain Biomechanical techniques to help ward off joint damageAn essential handbook for all who suffer from arthritis, as well as their caregivers, friends, and family, Arthritis For Dummies is the all-in-one handbook that shows you how to control arthritis symptoms, deal with chronic pain, assemble a top-notch healthcare team, and do much to help others who suffer from the disease.

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Barry Fox. Arthritis For Dummies

Arthritis For Dummies® To view this book's Cheat Sheet, simply go to www.dummies.com and search for “Arthritis For Dummies 3rd Edition Cheat Sheet” in the Search box. Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Introduction

About This Book

Foolish Assumptions

Icons Used in This Book

Beyond the Book

Where to Go from Here

Making Sense of the Types of Arthritis

What Is Arthritis?

Understanding How Arthritis Affects Your Joints

Saying hello to your joints

Cartilage: The human shock absorber

Types of joints

STRANGE-BUT-TRUE JOINT POINTS

Looking at the types of synovial joints

Gliding joints

Hinge joints

Saddle joints

Ball-and-socket joints

Distinguishing Between Arthritis and Arthritis-Related Conditions

Defining “true” arthritis

ARTHRITIS BY THE NUMBERS

Classifying arthritis as a “major player”

Describing arthritis as a “minor player”

Experiencing arthritis as a “companion condition”

Deciding Whether It’s Really Arthritis: Signs and Symptoms

Considering the Causes of Arthritis

Understanding Who Gets Arthritis

WHY ARE WOMEN MORE LIKELY TO DEVELOP ARTHRITIS?

Assessing Your Treatment Options

Looking into medications

Considering surgery

Making lifestyle changes

Looking at alternative approaches

STARGAZING: FAMOUS ARTHRITIS SUFFERERS

Osteoarthritis: The Most Common Form

Considering Cartilage

Identifying the Signs and Symptoms of Osteoarthritis

Discovering What Causes Cartilage Breakdown

Considering causes of primary osteoarthritis

Sorting out the sources of secondary osteoarthritis

Regarding the repair problem

Recognizing Risk Factors for Osteoarthritis

Determining Whether It Really Is Osteoarthritis

Treating Osteoarthritis

Muting the pain with medication

Lubricating your joints with exercise

Protecting your joints through good alignment

Heating and cooling the pain away

Taking a load off with weight control

Knowing how to help yourself

Considering surgery

KEEPING OA AT BAY: MARK’S STORY

A War Within: Rheumatoid Arthritis

Turning on Itself: When the Body Becomes Its Own Worst Enemy

Recognizing the signs and symptoms of RA

Understanding the causes of RA

Pinpointing the most likely victim of RA

OVERCOMING RA: LUCY’S STORY

Diagnosing Rheumatoid Arthritis

Searching for clues: The medical history and physical exam

Taking tests

Treating Rheumatoid Arthritis

Relying on rest during a flare

Delving into your diet

Easing into exercise and physical therapy

Protecting your joints

Applying hot or cold compresses

Taking medication

Non-steroidal anti-inflammatory drugs (NSAIDs)

Disease-modifying antirheumatic drugs (DMARDs)

Biologics

Steroids

Saving your joints through surgery

Reducing the risk factors for heart disease

Predicting the outcome

Focusing on the future

Understanding the Difference between Osteoarthritis and Rheumatoid Arthritis

Investigating Other Forms of Arthritis

Gaining Insight into Gout: It’s Not Just for Royalty

Summarizing the symptoms

Diagnosing and treating gout

Helping yourself heal

Studying Pseudogout: The Royal Pretender

Summarizing the symptoms

Diagnosing and treating pseudogout

Understanding Juvenile Idiopathic Arthritis

Summarizing the symptoms

Diagnosing and treating JIA

Investigating Infectious Arthritis

Summarizing the symptoms

Diagnosing and treating infectious arthritis

Getting a Grip On Gonococcal Arthritis

Summarizing the symptoms

Diagnosing and treating gonococcal arthritis

Surveying Psoriatic Arthritis

Summarizing the symptoms

Diagnosing and treating psoriatic arthritis

Anlalyzing Ankylosing Spondylitis

Summarizing the symptoms

Diagnosing and treating ankylosing spondylitis

Exploring Other Conditions Linked to Arthritis

Experiencing Arthritis as a Major Player

Systemic lupus erythematosus: The wolf disease

Summarizing the symptoms

Diagnosing and treating lupus

Cutaneous lupus erythematosus: A less dangerous form

Summarizing the symptoms

Diagnosing and treating discoid lupus

Systemic scleroderma: When the skin hardens

Summarizing the symptoms

Diagnosing and treating scleroderma

Reactive arthritis: From a stomach ache to arthritis

Summarizing the symptoms

Diagnosing and treating reactive arthritis

Lyme disease: When you’re the bull’s-eye

Summarizing the symptoms

Diagnosing and treating Lyme disease

STAYING IN THE CLEAR(ING): AVOIDING LYME DISEASE

Experiencing Arthritis as a Minor Player

Bursitis: When the bursae become swollen

Summarizing the symptoms

Diagnosing and treating bursitis

Tendonitis and tenosynovitis: Inflammation of the bone-and-muscle link

Summarizing the symptoms

Diagnosing and treating tendonitis and tenosynovitis

Raynaud’s: A chilling problem

Summarizing the symptoms

Diagnosing and treating Raynaud’s

Sjögren’s syndrome: Dry mouth, eyes, and maybe more

Summarizing the symptoms

Diagnosing and treating Sjögren’s

Polymyalgia rheumatica: The pain of many muscles

Summarizing the symptoms

Diagnosing and treating polymyalgia rheumatica

Paget’s disease: Becoming too bony

Summarizing the symptoms

Diagnosing and treating Paget’s disease

Experiencing Arthritis as a Companion Condition

Carpal tunnel syndrome: Nerve compression

Fibromyalgia: The pain no one can find

Polymyositis: A rare sapping of strength

Summarizing the symptoms

Diagnosing and treating polymyositis

Dermatomyositis: Polymyositis plus

Summarizing the symptoms

Diagnosing and treating dermatomyositis

Tests and Treatments: What to Expect

Your Doctor and You: Allies Against Arthritis

Positioning Yourself for Treatment Success

Choosing a Good Doctor

Determining whether the doctor is knowledgeable

Sharing the same treatment philosophy

Interviewing a prospective doctor

Considering compatibility

Working with Your Doctor

GENERAL PRACTITIONER VERSUS RHEUMATOLOGIST

Speaking Your Doctor’s Language

Figuring Out When You Should Find a New Doctor

Judging Joint Health with Low- and High-Tech Tests

Checking In for a Check-Up

Presenting the past: Your medical history

From head to toe: The physical exam

Explaining Imaging Tests

Examining the benefits of an X-ray

Seeing more with a scan

Backing Up a Diagnosis with Blood Tests

Taking Other Tests on the Road to Diagnosis

Joint aspiration

Arthroscopy

Genetic testing

Urine testing

From Aspirin to Steroids: Medicines for Arthritis

Talking to Your Doctor

GENERIC NAME, BRAND NAME, GENERIC EQUIVALENT: I’M SO CONFUSED!

Exploring the Five Classes of Drugs for Arthritis

Analgesics

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Disease modifying antirheumatic drugs (DMARDs)

Biologics

Steroids

Uncovering Specific Medicines for Specific Types of Arthritis

Actemra

Actonel

IT’S NOT JUST GULP AND SWALLOW

Amoxil

Anaprox-DS

Ansaid

Arava

Arthrotec

Aspirin

Azulfidine

Celebrex

Cimzia

Clinoril

Cochicine

ColBenemid

Cosentyx

Cymbalta

Cytoxan

Daypro

Decadron

Deltasone

Disalcid

Doryx

Enbrel

Etodolac

Feldene

Fosamax

Humira

Hymovis

Ibuprofen

Ilaris

Imuran

Indocin

Keflex

Ketoprofen

Kevzara

Kineret

Medrol

Miacalcin

Mobic

Naprosyn

Olumiant

Orencia

Pediapred

Penicillin

Plaquenil

Relafen

Remicade

Rheumatrex

Rinvoq

Rituxan

Simponi and Simponi Aria

Sulfinpyrazone

Tacrolimus

Taltz

Tetracycline

Tremfya

Trilisate

Tylenol

Voltaren

Xeljanz

Zyloprim

Cuts That Cure: Surgeries for Arthritis

FINDING OUT IF YOU’RE (MENTALLY) PREPPED FOR SURGERY

Knowing What to Ask Your Doctor Before Undergoing Surgery

Looking At Different Kinds of Joint Surgery

Synovectomy: Removing a diseased joint lining

Osteotomy: Cutting and resetting the bone

Arthrodesis: Fusing the bone

Arthroplasty: Replacing the joint

TAKING A LOOK AT THE TOTAL HIP REPLACEMENT PROCEDURE

WITH CEMENT OR WITHOUT?

TAKING A LOOK AT THE TOTAL KNEE REPLACEMENT PROCEDURE

Autologous chondrocyte implantation: Cartilage transplants

Getting Ready for Surgery

Getting yourself into the best possible physical shape

Arranging adequate postoperative care

Finding someone who can handle your responsibilities

Resolving financial and insurance matters

Making a recovery plan with your doctor

Overcoming the Ouch: Strategies for Pain Management

Understanding Arthritis Pain

Differentiating Between Acute Pain and Chronic Pain

Breaking the pain cycle

Dealing with chronic pain

Assembling your treatment team

CONTROLLING PAIN THE NATURAL WAY

Relieving Pain with Noninvasive Therapies

Applying heat

HOT PARAFFIN WAX TREATMENTS

Applying cold

Washing away pain with water therapy

Trying topical pain relievers

Manipulating the joints

Helping the joints with splints and supports

WHAT DOES A PHYSICAL THERAPIST DO?

Transmitting a tingle with TENS

Taking Pain Relief to the Next Level

Medicating the pain away

Undergoing surgery

The Arthritis Lifestyle Strategy

Fighting the Pain with Foods and Supplements

Finding Foods That Heal

Managing RA Mediterranean-style

Using omega-3s and omega-6s to fight arthritis pain and inflammation

Omega-3 fatty acids

WHAT DOES “OMEGA” MEAN?

SOURCES OF OMEGA-3 FATTY ACIDS

The good omega-6 fatty acid — GLA

Getting a grip on arthritis with green tea

Avoiding Foods That May Be Trouble

Saving Your Joints with Supplements

What you need to know before taking supplements

Fighting damaging oxidants and free radicals

Vitamin C

Vitamin E

Selenium

WHAT OXIDANTS AND FREE RADICALS DO

Warding off OA with boron

Lowering homocysteine with vitamin B6 and folic acid

Fighting OA and RA with vitamin D

Pumping up cartilage with hydrolyzed collagen

Combating Raynaud’s with niacin

Zapping RA and psoriatic arthritis with zinc

Relieving Arthritis Symptoms with Other Nutritional Substances

Alleviating inflammation with aloe vera

Supporting your joints with SAMe

Battling inflammation with bromelain

Curtailing the pain with capsaicin

Guarding your joints with grapeseed extract

Fighting disease with flaxseed oil

Jettisoning OA pain with ginger

Glucosamine sulfate and chondroitin sulfate: Cures for osteoarthritis?

Oiling Your Joints with Exercise

Achieving Different Goals with Different Exercises

Building cardiovascular endurance

WALKING

CYCLING

EXERCISING IN WATER

Strength training

Increasing flexibility

POSITIVE SIDE EFFECTS OF EXERCISE

Easing Joint Pain with Exercise

Stretching your neck

Stretching your hand and wrist

Extending the shoulder and arm

Stretching your side

Lifting your lower back and pelvis

Stretching your hamstring

Doing mini-sit-ups

Extending your hip and back leg

Rotating your ankle

Using Yoga to Ease Arthritis Pain

The snake

The cat

The pretzel

Knee-to-chest stretch

The spinal twist

The child’s pose

Using Chair Exercises to Save Your Joints

Chair marching

Chair running

Chair dancing

The hora

Heel-toe polka

Shuffle-off-to-Buffalo

Chair fencing

WHAT YOU MAY NOT KNOW ABOUT EXERCISE AND ARTHRITIS

Maximizing the Healing Effects of Exercise

Designing Your Workout Program

Considering the basic game plan

Figuring out if you’re working hard enough

Taking it easy!

Finding a good class

The Right Stride and Other Ways to Protect Your Joints

Believing in Biomechanics

Waxing Ergonomic at Your Workstation

Standing Tall: Body Alignment

Focusing on feet

Bending your knees – just a bit!

“Unswaying” your lower back

Relaxing your shoulders

Holding your head high

Putting the posture points together

Reducing Joint Stress with the Right Stride

Saving Your Joints When Hitting the Hay

Lifting Without Losing It

Controlling Your Stress, Aggression, and Depression

Understanding Why We Hurt More Than We Have To

Ratcheting up the pain with stress

Increasing pain the “A” way

Heightening pain when you’re feeling low

Identifying the symptoms of depression

Seeking medical treatment for depression

Lifting your mood to ease your pain

Discovering the Healing Power of Positive Thinking

Relaxing the pain away through biofeedback

Quieting your mind with meditation and programmed relaxation

Moving to a stress-free place through guided imagery and hypnosis

Controlling your breathing

Using cognitive behavioral therapy

Laughing your way to relaxation

Forgetting all about it

Easing Depression and Anxiety with Prayer and Spirituality

DEALING WITH “HELPFUL” LOVED ONES

Day-to-Day Living with Arthritis

Taking Care of You

Working with an occupational therapist

Conserving your energy

Getting a good night’s sleep

Holding on to your sex life

COPING WITH ARTHRITIS WHEN YOU’RE PREGNANT

Finding an Easier Way to Get Through the Day

Simplifying your household

Making household cleaning easier

Using assistive devices

Getting help from other people

Joining an Arthritis Support Group

Finding help and hope through the group

Locating a support group

Dealing with Arthritis in the Workplace

Easing the pain when you work

Applying for disability benefits

Is Alternative Medicine for You?

Exploring Alternative Medicine

Understanding the Many Faces of Alternative Medicine

CAM YOU DIG IT?

Easing Arthritis Through Alternative Approaches

Finding a Reputable CAM Practitioner

Checking credentials and certifications

Identifying false claims

Working with Your Doctor

Figuring Out Whether Alternative Medicine Is for You

Discovering Herbs and Homeopathy

Digging into Medicinal Herbs

Getting the Lowdown on Herbs for Arthritis

CBD AND ARTHRITIS

Anti-inflammatories

INSIDE THE HERBALIST’S TOOLBOX

Alfalfa

Angelica

Black cohosh

Bladderwrack

Borage oil

Boswellia

Cat’s claw

Centaury

Chinese peony

Curcumin

Devil’s claw

Sarsaparilla

Wild yam

Antirheumatics

Bogbean

Celery seed

Chinese Thunder God Vine

Meadowsweet

Sedatives and muscle relaxants

Kava kava

Valerian

Pain relievers

Aloe

Burdock

Capsaicin

Fennel

Ginger

Mustard (black)

Stinging nettle

Stimulating the Body to Heal Itself with Homeopathy

Determining remedies according to your symptoms

Discovering recipes for remedies

Homing in on homeopathic remedies for arthritis

Finding homeopathic help

Hands-On Healing Methods

Unblocking the Energy Flow: Eastern Hands-On Healing Methods

Pinpointing the pain with acupuncture

Discovering what acupuncture can do for you

Finding a good acupuncturist

Pressing your buttons with acupressure (shiatsu)

Discovering what acupressure can do for you

Finding a good acupressurist

Restoring healing energy with Reiki

Discovering what Reiki can do for you

Finding a good Reiki practitioner

Realigning and Releasing Tension: Western Hands-On Healing Methods

Rubbing away muscle tension with massage

Discovering what massage can do for you

Finding a good massage therapist

Promoting energy balance with polarity therapy

Discovering what polarity therapy can do for you

Finding a good polarity therapy practitioner

Relieving pain and encouraging healing with reflexology

Discovering what reflexology can do for you

Finding a good reflexologist

Transmitting healing energy through touch therapy

Discovering what touch therapy can do for you

Finding a good touch therapy practitioner

Other Alternative Approaches

Breathing In the Healing: Aromatherapy

Understanding how it works

Discovering what aromatherapy can do for you

Finding out where to get aromatherapy

Fighting Pain with Bee Venom Therapy

Understanding how it works

Discovering what bee venom therapy can do for you

Finding out where to get bee venom therapy

Replacing the Hormone DHEA

Understanding how it works

Discovering what DHEA can do for you

Finding out where to get DHEA

Fighting the Pain and Disability of RA with MSM

Understanding how MSM is used to treat arthritis

Discovering what MSM can do for you

Finding out how to get MSM

Whirling the Pain Away with Hydrotherapy

Understanding how hydrotherapy is used to treat arthritis

Discovering what it can do for you

Finding a good hydrotherapist

Peering into the Possibilities of Prolotherapy

Understanding how it works

Discovering what prolotherapy can do for you

Finding out where to get prolotherapy

The Part of Tens

Ten Crackerjack New Treatments

Janus Kinase Inhibitors for Rheumatoid Arthritis

New Drug Treatments for Psoriatic Arthritis

Matrix-Induced Cartilage Implantation for Knee Osteoarthritis

Bone Marrow Aspirate Concentrate (BMAC) Therapy for Damaged Cartilage

Platelet-Rich Plasma Injections for Knee Osteoarthritis

Hyaluronic Acid for Osteoarthritis

Cooled Radiofrequency Ablation for Knee Osteoarthritis

Vagus Neurostimulation for Rheumatoid Arthritis

Robotic-Assisted Surgery for Hip Replacements

New Drug Combination for Treatment for Uncontrolled Gout

Ten Tips for Traveling with Arthritis

Talking to Your Doctor

Reviewing Your Medications and Supplements

Preplanning to Reduce Stress

Eating Wisely and Well

Exercising, Even Though You’re on Vacation!

Using Joint-Protection Techniques

Using Assistive Devices

Renting an Arthritis-Friendly Car

Flying with Finesse

Taking a Test Run

Ten Ways to Save on Prescriptions

Review Your Medications

Ask Your Doctor for Free Samples

Check Out Medicare’s Extra Help Program

Look Into Patient Assistance Programs (PAPs)

Consider a Pharmacy Discount Card

Buy the Generic Version

Buy in Bulk

Double the Strength and Split the Pills

Compare Prices at Different Pharmacies

Consider Using Online Pharmacies

Ten Professionals Who Can Help You Fight Arthritis

Rheumatologist

Primary Care Physician

Orthopedic Surgeon

Pharmacist

Physical Therapist or Exercise Physiologist

Occupational Therapist

Registered Dietitian

Social Worker

Mental Health Professional

Massage Therapist

Appendixes

Glossary

Resources. Organizations. Acupuncture/Acupressure

Alexander Technique

Alternative Medicine

Aromatherapy

Arthritis Information and Management

Bee Venom Therapy

Biofeedback

Biomechanics Experts

Help for Caregivers

Homeopathic Medicine

Hypnotherapists

Massage Therapists

Medical Societies

The Mind/Body Connection

Naturopathic Medicine

Nutritional Counseling

Pain Management

Polarity Therapy

Psychotherapy

Reiki

Reflexology

Social Workers

Support Groups Online

Therapeutic Touch

The Trager Approach

Assistive Devices — Online Retailers

Books

Books/DVDs from the Arthritis Foundation

Weight Loss and Management Guide

Figuring Out Whether You’re Too Heavy

Losing Weight the Safe and Healthy Way

Aiming for long-term benefits

Eating fruits and vegetables

Limiting your intake of certain foods

Using psychological strategies to get through

Understanding that it’s not just what you eat …

Eyeballing those portions

Index. A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

R

S

T

U

V

W

X

Y

Z

About the Authors

Dedication

Author’s Acknowledgements

WILEY END USER LICENSE AGREEMENT

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Whether it appears as a little bit of creaky stiffness in the hip or knee or as a major case of inflammation that settles in several joints, arthritis is an unwelcome visitor that knocks on just about everybody’s door sooner or later. Although we don’t have an out-and-out cure for arthritis, there are many techniques for managing this disease — that is, controlling its symptoms so that you can get on with your life! Arthritis does not mean that you must spend your days relegated to a rocking chair or shuffling from your bed to an easy chair and back again. Most of the time, you can take charge of your disease, instead of letting it take charge of you. By following the simple techniques outlined in this book, you can do much to control your pain, exercise away your stiffness, keep yourself on the move, and slow down or prevent progression of your disease. All you need is a little know-how — and that’s what we provide in these chapters.

When writing this book, our goal was to provide you with the best and most up-to-date information on arthritis treatments in an easy-to-read format that you could simply thumb through. We have included the best-of-the-best of many different healing systems — ranging from standard Western medicine (including medications and surgery), to Eastern hands-on healing methods (including acupuncture, acupressure, and reiki), to alternative therapies (including homeopathy, herbs, DHEA, hydrotherapy) and such far-out approaches as bee venom therapy.

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The icons tell you what you must know, what you should know, and what you may find interesting but can live without.

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