Rheumatoid Arthritis
The joints that connect the bones in various parts of
the body are responsible for the movements that we
perform. Most of us often overuse our joints because of
work or sports activities, as a result, they may feel
pain or are susceptible to further injury. Arthritis is
a series of conditions with symptoms arising from pain
or inability of a specific joint for movement. Two of
the most common types of this condition are
osteoarthritis and rheumatoid arthritis.
Rheumatoid Arthritis is a dangerous pain sticking
disease. Rheumatoid arthritis can de defined as an
autoimmune and chronic disease, which is caused by the
inflammation of the lining or synovium of the joints. It
is called a chronic disease because it can has brutal
effects on the body of the person including long term
damage, chronic pain and may even lead to disability and
loss of functions of the body part. As an autoimmune
disease, the cells responsible for defending the body
from infection, mistakes certain normal tissues to be
infected, and attacks them. In the case of rheumatoid
arthritis, immune cells destroy the cells comprising the
synovium, or the protective tissue lying between two
bones in a joint. When this happens, painful friction
can be felt with the slightest movement of the joints.
Rheumatoid arthritis may have its affect on other parts
of the body in spite of having its affect on the joints;
these parts may be eyes, skin, lung, heart, blood or
nerves. Rheumatoid arthritis usually affects persons
from 25 years old up to 55 years old.
Symptoms
Any person suffering from arthritis has great difficulty
in commencing with normal activities or movement. In
more serious cases, especially in older people, they are
unable to walk without assistance, and are more likely
to get injured.
The symptoms of rheumatoid arthritis are reflected by
the structure and changes in the appearance of the
particular body part. The symptoms of rheumatoid
arthritis include the following:
Pain in the body joints
Swelling in the affected area.
Stiffness, in the morning time in particular, or after
sitting for long periods.
Fatigue.
If the arthritis occurs in the hands, a person feels
intense swelling that eventually leads to numbness. If
not treated immediately, the joints, along with the
bones, may get damaged further, causing it deteriorate.
This will prevent the joint from being movable again.
If rheumatoid arthritis attacks the synovium at the
knee, most people feel squeaks whenever they try to bend
the joint. When left untreated, walking eventually
becomes a painful and laborious task. Straightening of
the knee becomes almost impossible, and movements are
very limited.
The effects of rheumatoid arthritis are found to be
different in each person. In one person, it may develop
almost instantly or without the delay with rapid growth.
On the other side in some people it may take several
years to grow but when it gets there it shows up its
symptoms. Some people may have it for a shorter period
of time and after that time they may enter into the
remission phase of the disease but some people may have
it for longer periods.
Causes
The exact causes of rheumatoid arthritis, like too many
other medical reasons, are still unknown. It is thought,
yet it is not sure, that rheumatoid arthritis is caused
by the combination of genetic, environmental and
hormonal factors. It is thought that with rheumatoid
arthritis something is triggered in the immune system of
the body, which directs the immune system to attack the
joints of the body and other organs of the system.
Growth
When the immune system is once triggered, it sends its
cells to the joints of the body where these cells target
the joints by producing an inflammatory material. As the
number of cells and the amount of inflammatory substance
increases it causes problems like irritation, swelling
and inflammation of the joint lining and thus results in
the rheumatoid arthritis in the joints of the body. The
space between the bones is reduced to the destruction of
cushioning material in the bones. The bones now rub
against each other and cause pain and swelling which is
very sensitive to the touch.
Diagnosis
Different types and numbers of factors do the diagnosis
of the rheumatoid arthritis. These factors can be stated
as follows:
The exact location and the symmetry of painful joints,
especially the hand joints of the body.
Stiffness in the joints in the morning time.
Bumps and nodules found under the skin.
X-rays test result that suggests that the person has
rheumatoid arthritis.
Blood tests.
There are over the counter pain killers that help
alleviate the pain associated with rheumatoid arthritis,
but not necessarily the cure for making the condition go
away. Medical treatments and possible surgery might be
required. In the meantime, capsaicin creams and
ibuprofen can be safely used at home.
Rheumatoid arthritis on the knee area can be treated
with arthroscopic surgery.
Arthroscopic surgery involves making a small incision or
hole near the joint, and inserting a small camera into
it to view the condition of the joint from the inside.
When the problem area is detected, the cartilage or
damaged tissues are sewn together or replaced depending
on the extent. Knee replacement surgery is done in a
similar fashion. But in this case, all the damaged
cartilage and tissues between the knee joints are
completely removed. They are replaced by synthetic
polymer material that holds the joints more firmly.
After a few weeks of physical therapy, a patient is able
to walk normally.
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