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Jumeirah Prime Medical Center

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Mizhar Prime Medical Center

Arabian Center
Al Khawaneej Road, Mizhar, Dubai - UAE
+971 4 2845522

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Case of Arthritis

Question:

I am 60 years old and obese. Since 2 months, I have swelling in the knees with stiffness and pain in the morning. My fingers are also stiff in the morning. I never had this problem before but now it has become difficult to sit on the floor for a long time. Since one month, I am on the painkillers like mobic and voltarine which has given me some relief. Do you have any treatment for such conditions? Please advice.

Answer:

It looks like you have started getting symptoms of Arthritis. There are many types of arthritis. The common chronic ones are 1. Osteoarthritis 2. Rheumatoid arthritis.

Osteoarthritis is a degenerative joint disease that results in pain and restricted movements of the affected joints. The cause is unknown. Changes may be due to acceleration of normal ageing process in the joints that have excessive use. It usually develops in the late middle age and affects large weight bearing joints, i.e. the hips, knees and joints of the neck and lower back spine. In many case, only one joint is involved.

It is the product of wear and tear of the joints. Normally, the end of each bone has a smooth layer of cartilage that acts like a shock absorber. It has no blood supply and no nerves, so if you break it or if you put a crack, you just sort of wear out the pad. But some of the tissue that is being worn off can cause an inflammation in the joints, so that the joints become hot and swollen. The inflammation can be treated with the anti-inflammatory like asprine and ibuprofen.

Some physicians now say that inactivity actually causes osteoarthritis. So, the doctors suggest that one should regularly exercise your joints by stretching them through their full range of motion. With movements, oxygen and nutrients work their way in, waste is removed and swelling and pain are reduced.

Rheumatoid arthritis is more insidious than osteoarthritis because it can cause pain and inflammation of every joint in your body. This is chronic progressive inflammatory disease. It is more common in females than males and can affect all ages, including children. It usually develops between the ages of 35 and 55 years.

The disease starts in the small joints of the hand and the feet and moves on to cover the larger joints. The cause is not clearly understood but development of autoimmunity may initiate by microbial infection possible by viruses.

In the affected joints, there is swelling, pain and stiffness, all worse in the morning. The skin is red and shiny where it covers the joints which have been affected by rheumatoid arthritis.

Progressively, joints are deformed. In some case there may be loss of weight and onset of fever.

Food intolerance may contribute to flare- ups. Eliminating specific food from diet may relieve some pain and symptoms. Stress, cold and damp weather can flare up the pain and symptoms.

Some ant-inflammatory drug, joint exercises, massage and heat can give some relief in pain. Some people also report less stiffness when they sleep in a sleeping bag or wear thermals.

Most of the time, the problem lasts life long. Even prevention is not possible. Some medicines given below would help reduce discomfort and alleviate suffering in osteoarthritis and rheumatoid arthritis.

Bryonia, Rhus tox, Causticum, Cimicifuga, Actea spicata.

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