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Few
people consider the health and well being of their bones and joints until they
experience the pain of inflammation and stiffness. For those who currently
experience joint pain, you know all too well that it is far from pleasant.
However, there are certain things you can do to help alleviate the severity of
your discomfort and possibly prevent inflammation and cartilage degeneration,
which cause this type of joint pain.
Throughout your lifetime, your joints
sustain significant physical stress from everyday activities such as walking and
bending. Fortunately, your body was miraculously built to accomplish these many
activities. Your bones are connected with a material known as cartilage - the
smooth, elastic tissue that covers the ends of bones, allowing them to safely
move against each other as you move.
As a normal function, your body offers
a joint maintenance program that includes rebuilding and regenerating cartilage.
As a result, your joints are mostly able to maintain their shock-absorbing
capabilities.
However, as you age or incur injuries,
the body is sometimes unable to sustain the level of cartilage regeneration
required by the body. Upon injury or cartilage breakdown, the body's natural
reaction is to produce inflammation within the joint so blood flow is increased,
making more nutrients and oxygen available to aid in the healing process. Pain
and discomfort that prohibit normal movement can result from the inflammation
and injury.
What is arthritis?
It is very important for people who
are suffering from any of the rheumatic or arthritic conditions to understand
that "arthritis" in itself is a rather bad name.
The literal translation of arthritis
is: Inflammation of, or belonging to, a joint. To differentiate between the various
types of inflammation which can be found in and around joints we add a word
before it. The two most common words we use are:
(a) osteoarthritis
(b) rheumatoid arthritis
Osteoarthritis
Osteoarthritis is a condition which in
the first instance attacks the cartilages of the joint. Cartilage is the very
smooth substance which surrounds the ends of the bone and makes it easy for the
two surfaces to run together. The cartilage is of a very smooth silvery grey
appearance. An osteoarthritic joint is a mechanical condition which is brought
about when the joint bears loads or strains at the incorrect point. For example,
a sufferer with an osteoarthritic hip joint has for some considerable time been
carrying his/her weight incorrectly.
When considering the early stages of
an osteoarthritic hip joint, the most important part is to deal with the lumbar
spine, because it is at this point that the weight levels through hip joints are
controlled. If there has been an injury of long standing to the lumbar spine,
the weight will fall incorrectly through the hip joint. This produces a
mechanical inefficiency and a wearing away at a particular joint.
The early diagnosis of an
osteoarthritic condition is very important because quite frequently, by
treatment and by the use of decalcification methods, It is possible to prevent
the osteoarthritic joint from developing.
When the cartilage of the joint wears,
due to incorrect weight bearing, nature comes to the defense of the joint.
First of all, it tightens up the soft
tissue, around the joint i.e. the ligaments, tendons and muscles. This makes the
joint rather difficult to move.
The next stage is that, as cartilage
is difficult to regenerate and bone is easy to regenerate, extra bone is laid
down to replace the damaged or lost cartilage. The amount of bone laid down is
grossly in excess of the quantity that is needed to replace the damaged
cartilage. This leads to the typical x-ray appearance of an osteoarthritic joint
where there are little pinnacles (spikes) sticking out which are very easily
detectable.
The challenge is to persuade the bone
to deposit less, and at the same time maintain the flexibility of the soft
tissues around the joint, and persuade the joint to move; this can minimize the
damage already done to the osteoarthritic joint, and make it as near as is
humanly possible a perfectly useful and pain free joint.
This is the typical process of
degeneration of an osteoarthritic joint.
There is a second type of
osteoarthritic joint and that is caused by direct violence to a joint i.e. a
fracture through the joint or a very severe blow or break or damage in any shape
or form, such as from a fall.
We differentiate between the term
osteoarthritis and this second type, by referring to it as traumatic arthritis,
but the resultant process is identical, and the treatment for it is also
identical; only in this case we do not have to correct the alignment of the
weight within the body, unless of course there has been damage to other portions
at the
same time.
But here again, posture, the correct
use of the joint and the movement of the joint to its full range are very
important.
If you, or any friends of yours, are
in the least bit doubtful about the resultant effect of falls - this especially
applies to teenage children - then do seek advice as quickly as possible,
bearing in mind that under the National Health Service very few General
Practitioners have the time to devote to a full scale investigation as to why
these little niggling pains are developing.
This is a very brief account of what
happens when osteoarthritis is apparent.
Rheumatoid arthritis
Although the term arthritis is in the
title, it is the rheumatoid part which is the important factor.
Where osteoarthritis is caused by wear
and tear, incorrect posture, damage or injury, rheumatoid arthritis is a disease
which is caused by a glandular deficiency. As far as we know, the main gland
involved is one of the two suprarenal glands, the one which is situated above
the kidney.
Various hormones are produced by these
glands, one of which is adrenaline; another is the substance known as cortisone.
You may have read about cortisone .and its effects on arthritic cases.
Unfortunately, synthetically produced
cortisone has many detrimental effects upon the body as a whole, and if injected
to any great degree produces various reactions within other glands of the body
and also in such organs as the liver and, to a lesser extent, the kidneys.
One of the endocrine glands involved
in this process is the pituitary body, which is a very large gland situated at
the base of the brain.
Rheumatoid arthritis is a disease
caused by the malfunctioning of endocrine glands and is very different to
osteoarthritis which, as we said, is a condition brought about by incorrect
postures, injuries and general malfunctioning of the bodily systems.
With rheumatoid arthritis we have a
chemical problem; possibly a reduction in blood flow or a thickening of the
arteries.
As a result of the malfunction of the
endocrine glands, the soft tissues surrounding the joint (by this we mean the
capsule, the ligaments and tendons of muscles which pass over the joints) become
inflamed and very painful to move.
If this condition is allowed to
continue, these soft tissues (which if you feel around any of your joints you
will see is quite soft and pliable) become hard and somewhat brittle.
Any movement now occasions a great
deal of pain. Pain is the biggest symptom that is produced in a rheumatoid
arthritic joint.
Invariably the small joints are
affected first; that is, the joints of the fingers and the toes, and, as many of
you know, these joints are particularly sensitive to pain. The patient suffering
with this terrible condition is very loath to move their joints in any shape or
form.
As a result of not moving the joint,
the cartilage of the joint itself, as in osteoarthritis, becomes slightly gummed
down, leading to further disability.
In an attempt to overcome the pain
occasioned by the inflammation of the soft tissues and the tendency of the
cartilage of the joint to stick together, various abnormal movements are
attempted. The result of this, of course, is the distortion, which you can see
in the patient's fingers and toes.
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Arthritis Health Center
Arthritis or other chronic joint pain affects nearly 70 million people in the
U.S. alone. Get in-depth information here about osteoarthritis, rheumatoid
arthritis, and related conditions. You'll find articles about arthritis symptoms
and prevention, arthritis drugs, and other promising treatments. |