What is Arthritis


What Are Rheumatic Diseases and What Is Arthritis?

Rheumatic diseases are characterized by inflammation (signs are redness and/or heat, swelling, and pain) and loss of function of one or more connecting or supporting structures of the body. They especially affect joints, tendons, ligaments, bones, and muscles. Common symptoms are pain, swelling, and stiffness. Some rheumatic diseases can also involve internal organs. There are more than 100 rheumatic diseases.

Many people use the word "arthritis" to refer to all rheumatic diseases. However, the word literally means joint inflammation. The many different kinds of arthritis comprise just a portion of the rheumatic diseases.

Some rheumatic diseases are described as connective tissue diseases because they affect the supporting framework of the body and its internal organs. Others are known as autoimmune diseases because they occur when the immune system, which normally protects the body from infection and disease, harms the body's own healthy tissues. Throughout this page the terms "arthritis" and "rheumatic diseases" are sometimes used interchangeably.

What is Arthritis -
Examples of Rheumatic Diseases

Osteoarthritis--This is the most common type of arthritis, affecting an estimated 21 million adults in the United States. Osteoarthritis primarily affects cartilage, which is the tissue that cushions the ends of bones within the joint. In osteoarthritis, the cartilage begins to fray and may entirely wear away. Osteoarthritis can cause joint pain and stiffness. Disability results most often when the disease affects the spine and the weight-bearing joints (the knees and hips).

Rheumatoid arthritis--This inflammatory disease of the synovium, or lining of the joint, results in pain, stiffness, swelling, joint damage, and loss of function of the joints. Inflammation most often affects joints of the hands and feet and tends to be symmetrical (occurring equally on both sides of the body). This symmetry helps distinguish rheumatoid arthritis from other forms of the disease. About 1 percent of the U.S. population (about 2.1 million people) has rheumatoid arthritis.

Juvenile rheumatoid arthritis--This is the most common form of arthritis in childhood, causing pain, stiffness, swelling, and loss of function of the joints. The arthritis may be associated with rashes or fevers, and may affect various parts of the body.

Fibromyalgia--Fibromyalgia is a chronic disorder that causes pain throughout the tissues that support and move the bones and joints. Pain, stiffness, and localized tender points occur in the muscles and tendons, particularly those of the neck, spine, shoulders, and hips. Patients may also experience fatigue and sleep disturbances.

Systemic lupus erythematosus--Systemic lupus erythematosus (also known as lupus or SLE) is an autoimmune disease in which the immune system harms the body's own healthy cells and tissues. This can result in inflammation of and damage to the joints, skin, kidneys, heart, lungs, blood vessels, and brain.

Scleroderma--Also known as systemic sclerosis, scleroderma means literally "hard skin." The disease affects the skin, blood vessels, and joints. It may also affect internal organs, such as the lungs and kidneys. In scleroderma, there is an abnormal and excessive production of collagen (a fiber-like protein) in the skin or internal organs.

Spondyloarthropathies--This group of rheumatic diseases principally affects the spine. One common form--ankylosing spondylitis--not only affects the spine, but may also affect the hips, shoulders, and knees as the tendons and ligaments around the bones and joints become inflamed, resulting in pain and stiffness. Ankylosing spondylitis tends to affect people in late adolescence or early adulthood. Reactive arthritis, sometimes called Reiter's syndrome, is another spondyloarthropathy. It develops after an infection involving the lower urinary tract, bowel, or other organ and is commonly associated with eye problems, skin rashes, and mouth sores.

Gout--This type of arthritis results from deposits of needle-like crystals of uric acid in the joints. The crystals cause inflammation, swelling, and pain in the affected joint, which is often the big toe.

Infectious arthritis--This is a general term used to describe forms of arthritis that are caused by infectious agents, such as bacteria or viruses. Parvovirus arthritis and gonococcal arthritis are examples of infectious arthritis. Arthritis symptoms may also occur in Lyme disease, which is caused by a bacterial infection following the bite of certain ticks. In those cases of arthritis caused by bacteria, early diagnosis and treatment with antibiotics are crucial to get rid of the infection and minimize damage to the joints.

Polymyalgia rheumatica--Because this disease involves tendons, muscles, ligaments, and tissues around the joint, symptoms often include pain, aching, and morning stiffness in the shoulders, hips, neck, and lower back. It is sometimes the first sign of giant cell arteritis, a disease of the arteries characterized by inflammation, weakness, weight loss, and fever.

Polymyositis--This is a rheumatic disease that causes inflammation and weakness in the muscles. The disease may affect the whole body and cause disability.

Psoriatic arthritis--This form of arthritis occurs in some patients with psoriasis, a scaling skin disorder. Psoriatic arthritis often affects the joints at the ends of the fingers and toes and is accompanied by changes in the fingernails and toenails. Back pain may occur if the spine is involved.

Bursitis--This condition involves inflammation of the bursae, small, fluid-filled sacs that help reduce friction between bones and other moving structures in the joints. The inflammation may result from arthritis in the joint or injury or infection of the bursae. Bursitis produces pain and tenderness and may limit the movement of nearby joints.

Tendinitis (Tendonitis)--This condition refers to inflammation of tendons (tough cords of tissue that connect muscle to bone) caused by overuse, injury, or a rheumatic condition. Tendinitis produces pain and tenderness and may restrict movement of nearby joints.

What is Arthritis and What Causes Rheumatic Disease?

Scientists are studying risk factors that increase the likelihood of developing a rheumatic disease. Some of these factors have been identified. For example, in osteoarthritis, inherited cartilage weakness or excessive stress on the joint from repeated injury may play a role.

In lupus, rheumatoid arthritis, and scleroderma, the combination of genetic factors that determine susceptibility and environmental triggers are believed to be important. Family history also plays a role in some diseases such as gout and ankylosing spondylitis.

Gender is another factor in some rheumatic diseases. Lupus, rheumatoid arthritis, scleroderma, and fibromyalgia are more common among women. (See next section for details.) This indicates that hormones or other male-female differences may play a role in the development of these conditions.

Who Is Affected by Arthritis and Rheumatic Conditions?

An estimated 43 million people in the United States have arthritis or other rheumatic conditions, and many are searching for the answer to what is arthritis. By the year 2020, this number is expected to reach 60 million. Rheumatic diseases are the leading cause of disability among adults age 65 and older.

Rheumatic diseases affect people of all races and ages. Some rheumatic conditions are more common among certain populations. For example:

. Rheumatoid arthritis occurs two to three times more often in women than in men.

. Scleroderma is more common in women than in men.

. Nine out of 10 people who have lupus are women.

. Nine out of 10 people who have fibromyalgia are women.

. Gout is more common in men than in women.

. Lupus is three times more common in African American women than in Caucasian women.

. Ankylosing spondylitis is more common in men than in women.



Omega 3 Fatty Acid and Whole Food Supplements


Research shows that omega-3 fatty acids can help reduce inflammation, pain, and joint destruction in people with Rheumatoid Arthritis by reducing the activity of chemical messengers that are most likely to cause inflammation and joint destruction. Please note that it may take up to 6 months to see a reduction in Rheumatoid Arthritis inflammation and pain from a diet rich in omega 3 fatty acids.

A diet rich in monounsaturated fatty acids (MUFA) and the antioxidant vitamin E may also help reduce inflammation and pain in people with Rheumatoid Arthritis. Beneficial results have occurred as early as 6 weeks after beginning a diet rich in MUFA and vitamin E. Olive oil and high-oleic acid oils, such as canola and high-oleic safflower oil, are rich sources of monounsaturated fatty acids.

Antioxidants help prevent cell and tissue damage by free radicals. How? By scavenging for and "neutralizing" them. Some experts say that an adequate intake of antioxidants may even reduce the production of free radicals, which can help slow the progression of Rheumatoid Arthritis and may even reduce your Rheumatoid Arthritis symptoms and need for medication.

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For More Help on What is Arthritis


For more information on what is arthritis and related conditions contact any of the following organizations:

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Information Clearinghouse

National Institutes of Health
1 AMS Circle
Bethesda, MD 20892–3675
Phone: 301–495–4484 or 877–22–NIAMS (226–4267) (free of charge)
TTY: 301–565–2966
Fax: 301–718–6366
www.niams.nih.gov

The NIAMS, a part of the National Institutes of Health (NIH), leads the Federal Government research effort in what is arthritis and musculoskeletal and skin diseases in the United States. The National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse is a public service sponsored by the NIAMS.

Arthritis Foundation
P.O. Box 7669
Atlanta, GA 30357–0669
Phone: 404–872–7100 or 800–568–4045 (free of charge)
or your local chapter listed in the telephone book
www.arthritis.org

The Arthritis Foundation is the major voluntary organization devoted to supporting what is arthritis research and providing education and other services to people with arthritis. This foundation publishes free pamphlets on what is arthritis, as well as what is arthritis self-help books in English and Spanish.

American Academy of Orthopaedic Surgeons
P.O. Box 1998
Des Plaines, IL 60017–1998
Phone: 847–823–7186 or 800–842–BONE (2663) (free of charge)
Fax: 847–823–8125
www.aaos.org

The academy provides education and self-help services for orthopaedic surgeons (doctors) and other health providers. It supports improved patient care and informs the public about the science of orthopaedics (bone and joint health).

American College of Rheumatology
1800 Century Place, Suite 250
Atlanta, GA 30345
Phone: 404–633–3777
Fax: 404–633–1870
www.rheumatology.org

This group provides referrals to doctors and health professionals who work on what is arthritis, rheumatic diseases, and related conditions. It also provides educational materials and guidelines.




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What is Arthritis




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What Is Arthritis