Degenerative Arthritis is most common type of arthritis. Cartilage which gives cushioning surface on the end of bone gets worn away or when bone rubs against the bone causing pain, causes degenerative changes. When joint loses its strength, pain may increase causing chronic condition like osteoarthritis.
Inflammatory Arthritis- body's defense system (immune system) starts attacking its own tissues causes internal inflammation. Example rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, juvenile idiopathic arthritis and systemic lupus erythematosus (lupus)
Infectious Arthritis- Virus, fungus or bacteria can enter joints and may lead to inflammation. Food poisoning and contamination (salmonella and shigella), sexually transmitted disease (chlamydia and gonorrhea) and hepatitis C.
Metabolic Arthritis- Many food products contain a substance called purines. Uric acid is formed as the body breaks down purines. When body canât get rid of it, it forms needle like crystals in the joints resulting in extreme joint pain or gout attack.
OSTEOARTHRITIS (Degenerative Arthritis) Osteoarthritis is a chronic joint disorder of cartilage which is most common among all joint diseases. Wear and tear of cartilaginous structure of joint and affects other structural joints also. There are two types of osteoarthritis, namely
Primary Osteoarthritis is mainly due to normal biological aging process and not resulting from injury or disease. When cartilage cushion gets totally lost because of repetitive use of joint and cartilage, it leads to worn out state with inflammation, swelling and pain. Inflammation further enhancing the disease by outgrowth of new bone like spur /osteophyte around (visible on x-ray) the joint.
Secondary Osteoarthritis Mainly caused due to another disease or condition like obesity, repeated trauma, surgery to joint structure, abnormal joint structure (congenital abnormalities), gout, diabetes and other hormone disorders like hypothyroidism.SYMPTOMS
Depending on which joint are affected and as per severity of it. Common symptoms
Hip joint- Pain felt in groins, buttock or inner thigh.
Knee-Grafting /Scrapping such sensation is felt in moving knee due to wear and tear.
Feet- Pain and tenderness is usually felt in big toe with swelling of Ankles or toes.
Fingers- Bone growth called as spur at edge of joint leading to swelling, with sings of inflammation Redness and Tenderness at the base of thumb.
Swelling after extended activity.
Stiffness particularly in morning and after rest, in hip or knee joint or lower back
Limited range of motion
Clicking or cracking sound when joints bends.
Swelling around jointâs with warmth.
Pain aggravate after Activity.TREATMENT OSTEOARTHRITIS
This is chronic disease and there is no permanent cure for it. The main aim of medical management would be to reduce pain stiffness and swelling. Mobility is important so improving joint flexibility will help patient to be independent. Proper recommend exercise can also help. Weight management by maintaining healthy weight and avoiding obesity.
The treatment mainly consists of
Nonsteroidal Anti-inflammatory drugs (NSAIDs).
Hyaluronic acid is the substance which occurs naturally in joints. It absorbs shock and gives lubrication to joints. Break down of it leads to osteoarthritis, because of friction degeneration
Surgery can either be repair or replace depending upon severity and conditions of patient. Mainly hip joint and knee joint are common.RHEUMATOID ARTHRITIS
It is an autoimmune disease which causes joint pain and damage body. Mainly it has bilateral involvement of joint. Rheumatoid arthritis is long term or chronic disease marked by symptoms of inflammation and pain in the joints. Symptoms and sign that occur during periods known as flare up and inactive periods are called remission.Symptoms
Loss of joint function.Diagnosis
Clinical findings can be confirmed with lab test. X-Ray, magnetic resonance imaging gives severity of involvement.Blood Test for Rheumatoid Arthritis
Rheumatoid factor test (RA factor) is a blood test for protein called Rheumatoid factor. High level is specific with autoimmune disease, specifically RA.
Antinuclear antibody (ANA) check for producing antibodies.
Erythrocyte sedimentation rate (ESR) checks the level of inflammation.
C-reactive protein test (CRP) severe infection or significant inflammation present anywhere in body may cause triggering liver to make C-reactive protein.TREATMENT
Reduce pain and inflammation.
Reduce flares and limit the damage that RA does to joint.
Non steroid anti-inflammatory drug (NSAIDs),corticosteroids, acetaminophens
Homeopathic medicines have provided evidence in the treatment of osteoarthritis and rheumatoid arthritis, and helps in avoiding going for surgery as well. It treats the patient as a whole and improves the quality of life. Few homeopathic medicines given for joint pains are mentioned below.
Sanguinaria can (Right side shoulder pain) This medicine gives very good results in joint pains affecting the shoulder mainly when it is Right sided shoulder. Sensation of stiffness is associated with pain in joints which gets worsen with motion or when raising the arm. Right shoulder pain aggravation is in night
Ferrum Met (left side shoulder pain) It is affected mainly on left side of shoulder with sensation of stiffness and cracking appears in the joint. Pain gets worsen by raising the left arm from taking arm behind the back and while trying to lift things. Symptoms are better by heat.
Acres spicata (wrist pain) Pain in wrist with intense swelling these remedy acts the best. Pains worsen with motion and exertion causing hands feel week.
Lithium carb (pain in fingers) pain in fingers with intense swelling along with tenderness is well marked symptoms of this remedy. Complaints are better by heat application and pain is accompanied by itching in finger joints.
Aesculus (Hip joint pain) Aesculus is most proved and most effective remedy for aching, bruised hip joint. Pain gets worsen by walking and stopping. Pain localized in sacrum region.
Colocynth (pain in hip joint) The pain which is cramping is nature felt in hip joint which radiate in thigh or leg. Pain is better by warmth and pressure.
Ledum pal (pain in toe joint and ankle joint) It is very good medicine for pain in ankle joint which involves toe. Stiffness persists along with pain in toe joint. Complaints are better by cold but worsen by Heat.Marked symptom of these remedy is that Pain travels upwards from the toe.
Homeopathy is very effective in pain relief and offers a good alternative to pain-killers known to have side-effects and strains the kidney and liver in processing them. There are over 200 medicines in homeopathy that can give joint pain relief depending upon the type of pain,pathology, body-type.
In Osteo arthritis it is a good alternative to knee replacements and/or postponing knee replacements. If taken early it can limit the deterioration in the joints and one can prevent replacement altogether.