What Other Diseases Masquerade as Rheumatoid Arthritis? Part 1 - The Non-Infectious Group

Rheumatoid arthritis (RA) is the most common form of inflammatory arthritis and affects more than 2 million Americans. The diagnosis is not easy to make in many instances. There are more than 100 different kinds of arthritis. Most of them involve inflammation. When a patient goes to a rheumatologist to get a diagnosis, there is a process of elimination in order to arrive at the proper diagnosis. This process of elimination is called "differential diagnosis."

Differential diagnosis can be a difficult undertaking because so many forms of arthritis, particularly inflammatory forms of arthritis look alike. Generally it is helpful to divide the differential diagnosis of rheumatoid arthritis into two groups. The first group are the non-infectious diseases to consider and the second group are the infection-related conditions.

Since the discussion is rather long I have chosen to divide the article into two parts.

The following is a partial list of forms of inflammatory arthritis that can be seen and must be considered when evaluating a patient with inflammatory symptoms of arthritis and are not infection related.

RA is an autoimmune chronic inflammatory disease, primarily involving the peripheral joints (hands, wrists, elbows, shoulders, hips, knees, ankles, and feet). It can also affect non joint structures such as the lung, eye, skin, and cardiovascular system.

RA may start slowly with nonspecific symptoms, including fatigue, malaise (feeling "blah"), appetite loss, low-grade fever, weight loss, and vague joint pains, or it may have an explosive onset with inflammation involving multiple joints. The joint symptoms usually occur bilaterally- both sides of the body equally involved- and symmetric. Erosions- damage to the joint- can be seen with x-ray. In about 80% of cases, elevated levels of rheumatoid factor (RF) or anti-cyclic citrullinated antibodies (anti-CCP) are present in the blood. There appears to be a correlation between the presence of anti-CCP antibodies and erosions.

Juvenile rheumatoid arthritis (JRA) occurs in children under the age of 16. Three forms of JRA exist, including oligoarticular (1-4 joints), polyarticular (more than 4 joints), and systemic-onset or Still's disease. The latter condition is associated with systemic symptoms -- including fever and rash in addition to joint disease.

Polyarticular JRA has similar characteristics to adult RA. It causes about 30% of cases of JRA. Most children with polyarticular JRA are negative for RF and their prognosis is usually good.

Approximately 20% of polyarticular JRA patients have elevated RF, and these patients are at risk for chronic, progressive joint damage.

Eye involvement in the form of inflammation- called uveitis- is a common finding in oligoarticular JRA, especially in patients who are positive for anti-nuclear antibody (ANA), a blood test that is often used to screen for autoimmune disease. Uveitis may not cause symptoms so careful screening should be performed in these patients.

SLE is an inflammatory, chronic, autoimmune disorder that can involve the skin, joints, kidneys, central nervous system, and blood vessel walls. Patients may present with 1 or more of the following: butterfly-shaped rash on the face, affecting the cheeks; rash on other parts of the body; sensitivity to sunlight; mouth sores; joint inflammation; fluid around the lungs, heart, or other organs; kidney abnormalities; low white blood cell count, low red blood cell count, or low platelet count; nerve or brain inflammation; positive results of a blood test for ANA; positive results of a blood test for antibodies to double-stranded DNA or other antibodies.

Patients with lupus can have significant inflammatory arthritis. As a result, lupus can be difficult to distinguish from RA, especially if other features of lupus are not present. Clues that favor a diagnosis of RA over lupus in a patient presenting with arthritis affecting multiple joints include lack of lupus features, erosions (joint damage) seen on x-rays, and elevations of RF and anti-CCP antibodies.

Polymyositis (PM) and dermatomyositis (DM) are types of inflammatory muscle disease. These conditions typically present with bilateral (both sides involved) large muscle weakness. In the case of DM, rash is present. Diagnosis consists of finding the following: elevation of muscle enzyme levels in the blood [the two enzymes that are measured are creatine kinase (CPK) and aldolase], signs and symptoms, electromyograph (EMG)- an electrical test- alteration, and a positive muscle biopsy.

In addition, in many cases abnormal antibodies specific for inflammatory muscle disease can be elevated.

In both PM and DM, inflammatory arthritis can be present and can look like RA. Both inflammatory muscle disease and RA can affect the lungs. In RA, muscle function will usually be normal. Also, in PM and DM, erosive joint disease is unlikely. RF and anti-CCP antibodies are typically elevated in RA but not PM or DM.

SAs -- psoriatic arthritis, reactive arthritis, ankylosing spondylitis, and enteropathic arthritis -- are a category of diseases that cause systemic inflammation, and preferentially attack parts of the spine and other joints where tendons attach to bones. They also can cause pain and stiffness in the neck, upper and lower back, tendonitis, bursitis, heel pain, and fatigue. They are termed "seronegative" types of arthritis. The term 'seronegative' means that testing for rheumatoid factor is negative. Symptoms of adult SAs include:

o Back and/or joint pain;

o Morning stiffness;

o Tenderness near bones;

o Sores on the skin;

o Inflammation of the joints on both sides of the body;

o Skin or mouth ulcers;

o Rash on the bottom of the feet; and

o Eye inflammation.

Occasionally, arthritis similar to that seen in RA can be present. Careful history and physical examination can often distinguish between these conditions, especially if an obvious disease that is promoting inflammation is present (psoriasis, inflammatory bowel disease, etc.). In addition, RA rarely affects the DIP joints- the last row of finger joints. If these joints are involved with inflammatory arthritis, the diagnosis of an SA is possible. (Note of caution: a condition known as inflammatory erosive nodal osteoarthritis can also affect the DIP joints). RF and anti-CCP antibodies are negative in SAs, although, rarely, in cases of psoriatic arthritis there may be elevations of RF and anti-CCP antibodies.

Gout is caused by deposits of monosodium urate (uric acid) crystals into a joint. Gouty arthritis is acute in onset, very painful, with signs of significant inflammation on exam (red, warm, swollen joints). Gout can affect almost any joint in the body, but typically affects cooler areas including the toes, feet, ankles, knees, and hands. Diagnosis is made by drawing fluid from an inflamed joint and analyzing the fluid. Demonstrating monosodium urate crystals in the joint fluid is diagnostic, although finding elevated serum levels of uric acid can also be helpful.

In most cases, gout is an acute single joint disease that is easy to distinguish from RA. However, in some cases, chronic erosive joint inflammation where multiple joints are involved can develop. And, in cases where tophi (deposits of uric acid) are present, it can be difficult to distinguish from erosive RA. However, crystal analysis of joints or tophi and blood tests should be helpful in distinguishing gout from RA.

Calcium pyrophosphate deposition disease (CPPD), also known as pseudogout, is a disease is caused by deposits of calcium pyrophosphate dihydrate crystals in a joint. The presence of these crystals in the joints leads to significant inflammation. Establishing the diagnosis includes using:

o Detailed medical history;

o Withdrawing fluid from a joint to check for crystals;

o Joint x-rays to show crystals deposition in the cartilage (chondrocalcinosis); and

o Blood tests to rule out other diseases (e.g., RA or osteoarthritis).

In most cases, CPPD arthritis presents with single joint inflammation. In some cases, CPPD disease can present with chronic symmetric multiple joint erosive arthritis similar to RA. RA and CPPD disease can usually be told apart by joint aspiration demonstrating calcium pyrophosphate crystals, and by blood tests, including RF and anti-CCP antibodies, which are usually negative in CCPD arthritis. A complicating feature is that RA and CPPD can coexist!

Sarcoidosis is an inflammatory joint disorder. The majority of patients with this disease have lung disease, with eye and skin disease being the next most frequent signs of disease. Although the diagnosis of sarcoidosis can be made on clinical and x-ray presentation alone, sometimes the use of tissue biopsy with the demonstration of "noncaseating granulomas" is necessary for diagnosis.

Arthritis is present in 15% of patients with sarcoidosis, and in rare cases can be the only sign of disease. In acute sarcoid arthritis, joint disease is usually of rapid onset. It is symmetric involving the ankles, although knees, wrists, and hands can be involved. In most cases of acute disease, lung and skin disease are also present. Chronic sarcoid arthritis can be difficult to distinguish from RA. Although RA-specific blood tests, such as RF and anti-CCP antibodies, can be helpful in distinguishing RA from sarcoidosis, in some cases a biopsy of joint tissue may be required for diagnosis.

Polymyalgia Rheumatica (PMR) is a disease that leads to inflammation of tendons, muscles, ligaments, and tissues around the joints. It presents with large muscle pain, aching, morning stiffness, fatigue, and in some cases, fever. It can be associated with temporal arteritis (TA), also known as giant-cell arteritis, which is a related but more serious condition in which inflammation of large blood vessels can lead to blindness and aneurysms. Also, a peculiar syndrome where use of the arms and legs leads to cramping because of insufficient blood flow (limb claudication) can occur. PMR is diagnosed when the clinical picture is present along with elevated markers of inflammation (ESR and/or CRP). If temporal arteritis is suspected (headache, vision changes, limb claudication), biopsy of a temporal artery may be necessary to demonstrate inflammation of blood vessels.

PMR and TA can present with symmetric inflammatory arthritis similar to RA. These diseases can usually be distinguished by blood testing. In addition, headaches, vision changes, and large muscle pain are uncommon in RA, and if these are present, PMR and/or TA should be considered.

In part 2 of this article, I will discuss infectious diseases that need to be considered in the differential diagnosis of rheumatoid arthritis. When RA is suspected, it is critical to consult with an expert rheumatologist.

Ayurvedic Herbal Treatment for Costochondritis

Costochondritis is a medical condition in which there is severe or moderate type of pain which is localised to the chest and usually seen on the rib joints. The pain is aggravated by movement and deep breathing. Costochondritis is usually caused due to repeated, minor trauma or unaccustomed heavy activity. The affected costo-chondral joints are tender to touch and pressure. Anti-inflammatory treatment and pain killers, local application of ointments, adequate rest, graded physical activity, and avoidance of heavy activity form the conservative management of this condition.

Even under normal circumstances, minor trauma to the ribs causes pain which usually lasts for about four to six weeks in spite of taking conventional treatment. Costochondritis, which is inflammation of the joints of the ribs, is usually quite refractory to treatment and this experience can be frustrating both to the affected individual as well as to the treating physician. This condition responds completely to treatment only if the causative factors are examined well and efforts are made to address these issues in a comprehensive manner.

Ayurvedic herbal treatment for costochondritis is aimed at giving anti-inflammatory medicines to treat the basic disorder, control pain and tenderness, and also strengthen the costo-chondral joints, so as to avoid recurrence of this situation. Treatment is given in different stages, with control of pain and inflammation forming the first stage. This can be done with oral medication and supplemented by local application of medicines in the form of ointments, pastes, and medicated oils. Local application is usually followed by steam fomentation using herbal decoctions. The application of anti-inflammatory herbal pastes also provides long-term relief from pain and tenderness.

Once pain, swelling and tenderness are brought under control, some medicines with an anti-inflammatory action are continued in a low dose and in addition to these medications, herbal medicines are added which provide a strengthening action to these small joints as well as the ribs and muscles connecting the ribs. This strengthening action provides long-term relief from pain and also helps the affected individual to avoid a recurrence of this situation, as well as develop more tolerance for unaccustomed activity and occupational seating postures.

Some affected individuals do not respond satisfactorily even with the above mentioned treatments. In these situations, it is important to look for other factors which prevent a complete therapeutic response. Stress, depression, generalized weakness and long-term fatigue are some of the factors responsible for this situation. The specific cause needs to be identified and treated with specific medicines. In addition, medicines may also be required to treat depression, stress, and weakness. Herbal medicines which have an immunomodulatory action and which provide long-term strength and vitality to the body are especially useful in this condition.

Such individuals need to develop a daily schedule of regular exercise, relaxation techniques, eat healthy food regularly at prescribed times, and obtain adequate rest and sleep. Meditation, Yogasanas and breathing techniques like Pranayam may also help to achieve control from pain, or reduce sensitivity to pain. Non-irritating and strengthening medicated oils can also be applied on the tender costo-chondral joints on a long term basis, so as to provide complete relief from costochondritis.

Change The Shape Of Your Face - From Square To Oval - Without Surgery!

Although often felt to be a handsome quality for a man's face, a square looking jaw is not usually thought to be a desirable feature for a woman. Having a square look to the lower face is definitely more of a masculine look. And having a round, full face can be kind of cute when you're five years old - but not when you're past twenty-five! On the other hand, an oval-shaped face is thinner, softer, and looks more genteel, and more feminine. So, does someone with a square, round or wide looking lower face need major facial contouring or jaw surgery to look more elegant? Actually, a narrower, more oval, and more feminine look to the face can be easily achieved with a simple, 5 minute office treatment! No surgery - just Botox簧!

A face looking full, round, square and wide is often a result of a relative jaw (masseter) muscle hypertrophy- overthickened, overdeveloped jaw muscles - which lie over the outside edge and angle of the jaw. Bite down with your teeth together while holding your hand on the side of your jaw. You'll easily feel just how strong this powerful muscle is as it bulges when you clench down. This is the same muscle that is often overactive and overdeveloped in those with night time teeth/jaw "grinding" and similarly so in some cases of those suffering from TMJ Syndrome. The muscle can develop tremendous and recurring pressure on the temperomandibular joint (the TMJ, located just in front of the ear), and on the teeth, and the jaw leading to TMJ Syndrome and chronic headaches. The muscle may start out just being naturally thick and strong (i.e. genetically thick, such as is seen in many Asian women) or it eventually becomes that way from being overused and overly active (like a jaw muscle "on steroids"). The bottom line: it is the robust thickness of the masseter muscle which creates the wide look to the jawline.

This all too hearty and thickened muscle on the sides of the jaw can be thinned out and settled down with Botox簧 treatments. Botox簧 works on facial wrinkles the same way - it relaxes the muscles, and makes them much less active. The muscles learn to enjoy their decreased activity and they start to actually get thinner and progressively less active over time. In the case of a wrinkle, we see smoother skin. In the case of the masseter muscle, we see a more narrow look to the jawline and a more oval look to the face! A more refined, delicate, and less masculine look. A single treatment session will likely yield a visible change in facial shape within about two weeks that should last for some 3 - 6 months. Often, the thinning out of the jaw muscle also simultaneously creates a bit more visibility and prominence to the cheekbones, further accentuating a more feminine and aesthetically pleasing look. With repeated injection treatments over a year or two, the jaw muscle is more and more prone to staying thinner on its own and so, therefore, is the more oval facial shape! One potential side effect - some slight weakness with chewing pressures. But with a less strong, thinner masseter muscle, we often see a decrease in TMJ symptoms, headaches, and less of the side effects of teeth grinding as well!

Some patients truly do have a wide jaw or thick jaw bones. Botox簧 might not work quite as well in those situations where actual surgery might be needed. But Botox簧 will still help - and might make enough of an improvement to be more than a reasonable alternative to having the jaw surgically cut apart and partly removed! Softening the facial shape with Botox簧 is just one more of the many nice and simple things plastic surgeons can now offer to improve one's look - without surgery!

DPL Therapy System - One LED Device For Pain Relief And Skin Care

The Deep Penetrating Light Therapy System (DPL Therapy System)by LED Technologies, is both a skin care and joint, muscle pain relief device. It provides both benefits of photo rejuvenation for your skin as well as pain treatment, all from the comfort of your own home.

This FDA cleared and approved device for skin rejuvenation and pain management is made of two removable LED panels, both equipped with visible red lights (20 diodes total) and invisible infrared lights (154 diodes total). It also comes with a Velcro strap so you can attach it to any part of your body.

Red light therapy is now regularly used to treat skin problems, mainly aging but also acne. It penetrates at about 8 to 10mm deep inside the skin and helps healing scars, cuts, wounds. It triggers a natural body repair process, stimulating collagen and elastin production. This will smooths your skin by progressively, filling your fine lines and wrinkles with collagen.

Studies have shown LED technology used in DPL Therapy System is a painless and risk free skin care treatment.

Infrared light therapy penetrates deeper in the body, 30 to 40mm deep. It is thus effective to reach joints, bones and muscles. It has been proven to reduce joint aches, sprains, back pain or muscle spasms. In recent studies, this easy to use, safe and effective treatment showed it can reduce chronic back pain by 50% over a period of 6 weeks.

LED light therapy is a very effective technology, which has been researched for over 40 years providing powerful therapeutic benefits. The DPL Therapy System is recommended and used for its many benefits, below are few of these.

Benefits in skin care:

• diminishes the appearance of fine lines and wrinkles


• stimulates production of collagen


• increases blood circulation


• decreases pore size


• prevents acne

Pain management uses for

• Pain relief for many body parts: back, neck, shoulder, wrist, leg, ankle pain


• Tennis elbow, golfers elbow


• Muscle spasms and knots


• Carpal tunnel syndrome


• Arthritis


• Ligament tears

These are just several problems DPL Therapy System can be employed for, but there are of course many more. The Deep Penetrating Light Therapy System is the first home device that has been promoted as a double action device (skin care and pain relief) and is still almost the only one on the market to effectively treat these two concerns. Most of LED light therapy devices are made for skin care only.

Arthritis Pain Relief Cream Doesn't Really Provide Any Long-Term Solution to the Problem

Arthritis pain relief cream comes in many different forms and is among the most popular treatments on the market today, yet it is also one of the least effective ways to address arthritis symptoms. For safe, thorough and complete treatment of the pain, swelling and stiffness associated with rheumatoid and osteoarthritis, natural products containing anti-inflammatories, antioxidants and other similar ingredients offer the best and most reliable solution.

Arthritis is the result of inflammation of the joints and the degeneration of the protective layer of cartilage which surrounds them. As the cartilage wears away, the bones of the joints rub against each other, causing the bones to become malformed and resulting in extreme pain. As many sufferers experience chronic pain, they often reach for arthritis cream to soothe and relieve their symptoms. While creams and gels may provide some relief, because they are applied locally and are generally not very strong, this relief is usually only temporary.

Topical arthritis medications come in several forms, including creams, gels and patches. While some arthritis pain relief cream treats the problem by replacing it with a hot or cold sensation, others contain a small amount of salicylates, the pain reliever found in aspirin. Still others include a pain reliever call capsaicin, which is found in chili pepper seeds. Though capsaicin can be effective, it really only works on joints close to the surface such as the fingers and elbows because it is not deeply absorbed.

Creams Only Provide Temporary Pain Relief

While arthritis cream and other topical pain relievers can be effective, they can not treat the underlying cause of arthritis pain and therefore offer no long-term solution. Treatments made from natural ingredients such as glucosamine, chondroitin, manganese, turmeric and ginger extract have proven to target the inflammation, loss of cartilage and malformation of the bones which cause arthritis pain. This makes these products among the most effective on the market for providing long term results.

Along with providing only temporary relief, arthritis pain relief cream can also cause skin irritations and other side effects. Creams which contain salicylates may be particularly harmful to individuals who are allergic to aspirin or those who are taking blood thinners. Aside from irritating side effects, most creams and gels also produce both a stinging sensation and a strong medicinal odor which can be unpleasant.

The latest development in arthritis natural treatment, comprehensive remedies containing a carefully balanced combination of natural ingredients including antioxidants maximize healing effects as never before. By helping to free the body of harmful free radicals, these substances promote healing from the inside out, enabling the body to repair itself. Used in combination with a healthy diet and proper exercise, these products provide the most reliable and complete method for relieving arthritis pain and offer a safer, gentler, and more reliable alternative to arthritis cream and gel.

Talk To Your Doctor About Treatment Options

Though these products offer an exciting option for arthritis treatment, you should never consider using any of them without first consulting your doctor. Even mild arthritis pain relief cream should not be used without first determining that it is safe for you. Each product works differently for each person, so what works for one may not work for the next. Together, you and your doctor will be able to choose the best course of treatment for you.

If arthritis pain is slowing you down, don't be fooled by the promise of topical treatments. They may ease your pain for the time being, but lasting relief will only be achieved when you treat the cause instead of just relieving the symptoms. So talk to your doctor today about the natural products that are available for arthritis treatment and get pain relief that is more than just skin deep.

Treatment For TMJ Disorder

There are many ways by which one can treat TMJ. However, one should seek all simple, non-invasive procedures first before moving on to invasive ones. If you think you have TMJ, go to your doctor as he will prescribe talk to you about the treatment for TMJ that you can do at home. Some of these treatments may be discussed with you: eating only soft foods such as yogurt, eggs, oatmeal. Avoid hard, crunchy and large foods. Use moist heat and cold packs and taking medications.

The doctor will also tell you to avoid doing wide movements with your mouth that will cause strain to it such as yawning too wide, resting your chin on your hand, too much talking or clenching your jaw. Generally, the doctor will tell you to avoid stressful situations. And learn to do gentle exercise and relaxation techniques that can be helpful with the management of the pain brought about by TMJ disorder. Of course, nothing will beat having enough sleep and diet. Sometimes TMJ is aggravated by lack of sleep.

The treatment for TMJ depends on the severity of the disorder and how long has it been in existence. Of course, the invasive treatment for TMJ is surgery but usually the doctor will exhaust all other options first before he will consider surgery for you. There are some patients who have done simple, non-invasive procedures and no longer needed to consider further treatments. One thing is for sure; never discount your jaw pain as just pain in the jaw. Have it looked at by a doctor and get it treated.

Tips On Dog Arthritis Prevention

Arthritis is so common in people it should not come as a surprise that it is very widespread with dogs and cats and the numbers keep rising every year.

It may surprise you to know that your dog does not have to suffer with this and other related diseases such as: hip dysplasia, elbow dysplasia, Joint Inflammation and other painful diseases.

Put your pet on a balanced healthy diet, which does not include commercial dog foods and treats. If you feed your dog this type of diet you can almost rest assured your dog will be heading for arthritis, diabetes, and cancer. The reason for the widespread of these diseases which have increased tenfold in the last twenty years is directly related to the deterioration of dog food diets.

Nutritional Therapy:

The best diet for maintaining your dog or cat's health is a raw food diet.

If you cannot do a completely raw diet there are enzymes added to your pet's food that can supply the absorption of essential nutrients and fatty acids from cooked foods.

If you do follow enzyme therapy you can reduce the food intake by over 15 percent and feed your dog less to avoid your dog becoming overweight.

Veterinarians that have tested enzyme supplements have found improvements in coat, higher puppy survival rates, and fewer problems with hip dysplasia and arthritis. Once your dog develops arthritis there are tips to help it maintain a good quality of life especially in older dogs.

A Comfortable Bed:

If your dog is not sleeping in your comfortable bed you have to get one for your furry companion. Or if your dog is sleeping in your bed and you do not want that, you have to get it a comfortable bed. I have seen some pretty fancy beds on the internet that would befit a king, or queen with four posters and step stools which is truly over the top. The motto: " Nothing is too good for my dog" really is adaptable in this case. It could be grandma's old blanket or a soft throw blanket whatever makes a nice comfortable bed for the Prince or Princess of your household.

Nutraceuticals for Dog Arthritis:

Veterinarians who care about nutrition will recommend using supplements for treating and preventing arthritis, as much as they prescribe drugs. These supplements are used by humans and have been studied to provide relief from painful joints, and inflammation while repairing joint cartilage.

Glucosamine:

One of the essential ingredients in Arthritis supplements is Glucosamine which builds and is a major component of joint cartilage in humans and animals.

It is especially useful in osteoarthritis and used in veterinary medicine for horses, dogs, and cats with arthritis and as a preventive supplement. You will find you can purchase the Glucosamine with Chondroitin in the same bottle which you can use as directed for your particular pet's needs.

Chondroitin:

Chondroitin sulfate attaches to proteins and is a major goal of the study of Glycobiology. Chondroitin is a major structural part of cartilage and provides resistance to pressure on joints as the joint is used for daily activities. Again it is made with Glucosamine in the same bottle and you can take it as directed for your particular pet's needs.

MSM:

Methylsulfonylmethane or MSM is assessed as an anti-inflammatory medicinal supplement and for relieving pain associated with joints and arthritis. If your dog is showing the signs of arthritis by limping, struggling to walk or having difficulty after a short walk you should consider relieving its pain by using MSM regularly.

Omega -3 Fatty Acids:

Omega-3 Fatty Acids or DHA and EPA are found in fish oils which are important in reducing joint swelling. Another side benefit of Omega -3's is it supports heart health of your dog or cat. As your pet ages you may want to consider especially if it is overweight the strain on the heart. It is also found to help with alertness and mental vitality in older pets, and memory.

Doses for Dogs:

A Dog of 60 -70 Pounds:

2,000 milligrams of Glucosamine daily, divide in 2 doses morning and night.

1,500 to 2,000 milligrams of MSM per day, divided in 2 does morning and at night.

1,500 to 2,000 milligrams of Omega 3 fatty acids per day, 2 doses morning and night.

Larger Dogs: double the doses.

Smaller Dogs: take 翻 of the dose for a 60-70 pound Dog.

Smaller Smaller Dogs: take 翹 of the dose for a 60-70 pound Dog.

Animals are like people and as we age, we all need reinforcement to the bone and joint structures of our bodies. These simple measures can repair the damage of arthritis and the most important benefit is it prevents future damage to our pets. Prevention is 99 percent of the cure and far easier than dealing with the disease.

Upper Back Pain - Natural and Alternative Treatments for Backache Relief

Upper back pain is not normally the result of a spinal disorder, but it is more likely to be caused by muscular irritation or joint dysfunction. It is not as common as the lower back pain, but it is even more troublesome and uncomfortable for the sufferers. Upper backache can also be the result of a prolonged wrong posture and in this case we are talking about a severe and stabbing pain.

Muscle injury is another main reason for upper backache and since we use the upper back muscles and the shoulder muscles in almost everything we do, this produces an incredible discomfort. People whose jobs involve repetitive physical movements are predisposed to upper back pain. When upper backache or backache is caused by a joint problem, then manual manipulation is recommended in order to fix the joint. Physical exercise and massage are also helpful both in coping with the pain and in the recovery process.

There are cases in which you must make a doctor's appointment as soon as possible because upper back pain might be provoked by a life threatening medical condition like heart diseases. If the pain radiates from the upper back to your chest and if you don't seem to find any reason for it, then it is high time you are seen by a doctor. It also matters if you had someone in your family with a history of cardiovascular problems.

Upper back pain can be very upsetting and many people decide to deal with it using natural remedies. Massage is great even if it is alone, but if it is done using essential oils its positive effects are enhanced. Lavender oil is great in all pains and upper backache makes no exception. Peppermint, marjoram and basil oils are also indicated for massaging the aching upper back. They rapidly penetrate the body tissue and sustain faster muscle healing. They also reduce the muscle soreness that sometimes accompanies back pain.

The hot and cold therapy is also having good results so try applying either ice pack or hot compresses. Ice packs are recommended in case of an inflammation that is causing the pain, while hot compresses help in reducing the tighten muscles and in relaxing them.

Keep in mind that physical activity is very important so don't let your upper back pain aggravate because of inactivity. Also avoid physical exercises that might injure your back and only go for safe ones that are improving, not worsening your condition.

How To Treat And Prevent Wrist Pain

The wrist is an unusual joint because stiffness or even fusion causes relatively little difficulty, while if it is wobbly and unstable there can't be real problems. The wrist provides the platform from which the fine motions of the fingers operate. It is essential that this platform be stable. The eight wrist bones form a rather crude joint that is very limited in motion compared with, for example, the shoulder, but which is strong, and stable. Almost no regular human activities require the wrist to be bent all the way back or all the way forward, and the fingers don't operate as well as when the wrist is fully flexed or fully extended.

The wrist platform works best when the wrist is bent upward just a little. When the wrist is in proper position, you can pull or push most efficiently. To illustrate this position, make a fist and put your thumb in the middle of the wrist. Looking down your arm, the thumb should be on an imaginary horizontal line going straight down the middle of your forearm.

The wrist is very frequently involved in rheumatoid arthritis, and the side of the wrist by the thumb is very commonly involved in osteoarthritis.

The "carpal tunnel syndrome" can cause pain at the wrist. In this syndrome, the median nerve is trapped and squeezed as it passes through the fibrous carpal tunnel in the front of the wrist. Usually the squeezing results from too much inflammatory tissue. The cause can be tennis playing, a blow to the front of the wrist, canoe paddling, rheumatoid arthritis, or many other activities that repeatedly flex and extend the wrist. In addition to wrist pain, this syndrome can cause pains to shoot down into the fingers or up into the forearm; usually there is a numb feeling in the fingers, as if they were asleep.

You can diagnose this syndrome pretty well yourself. The numbness in the fingers will not involve the little finger and often will not involve the half of the ring finger nearest the little finger. If you tap with a finger on the front of the wrist, you may get a sudden tingling in the fingers similar to the feeling of hitting your funny bone. Tingling and pain in the carpal tunnel syndrome may be worse at right or when the wrists are bent down.

The key to management of wrist pain is splinting. Since stability is essential and loss of motion is not as serious in the wrist as in other joints, the treatment strategy is a little different. Exercises to stretch the joint are not very important. The strategy is to rest the joint in the position of best function. Wrist splints are available at hospital supply stores and some drugstores. Any that fit you are probably all right. The splint will be of plastic or aluminum and the hand rest will cock your wrist back just a bit. You can put a cloth sleeve around the splint to make it more comfortable against your skin and wrap the splint on your arm gently with an elastic bandage to keep it in place. That's all there is to it. Wear it all the time for a few days, then just at night for a few weeks. This simple treatment is all that is required for most wrist flare-ups. Even the carpal tunnel syndrome is initially treated by splinting. But since nerve damage is potentially serious, give your doctor a call if you seem to have the carpal tunnel syndrome.

No major pain medication should be necessary. Aspirin and similar-strength medications are all right but probably won't help very much. If you are taking a prescribed anti-inflammatory drug be certain that you are taking it just as directed; sometimes a flare-up is simply due to inadequate medication. If you know what triggered the pain, work out a way to avoid that activity. Common sense means listen to the pain message.

Stop Rheumatoid Arthritis

Are you feeling hopeless, that there is no help out there for your?

Want to live and become healthy again?

Are you constantly taking drugs that do not relieve your pain and discomfort?

Are you angry, depressed, constantly tired and left with no energy at all?

Are you in constant severe pain, joint swelling and stiffness, leg cramps, unable to walk or even perform basic daily tasks?

The exact cause of arthritis is not known. Arthritis cannot be cured through traditional medicine, they treat the symptoms of the disease, and not the root cause of the problem. Rheumatoid Arthritis - is a long-lasting disease, which can affect joints, in any part of the body. It mistakenly attacks itself and causes the joint lining to swell. It can affect other areas of the body, like the skin, eyes and nerves. There are many different types of arthritis. The most common form of arthritis is Osteoarthritis. It can occur in any joint, often affects the hands and weight bearing joints. Sometimes it is called "degenerative joint disease".

Learn to cure rheumatoid arthritis in 6 steps, using Rheumatoid Arthritis Home Health Course. This healing system is 100% natural. Cleanse the inner body completely from acidosis and the overflow of acids, and find out what toxins are attacking the body. Once the body is cleansed, it starts to heal, rebuild and recover slowly. Notice an absence of pain, aches and stiffness, and how certain herbs can boost the immune system.

To make sure that the body, will function properly for a long time. Start living healthy as soon as possible. Starting now, will help the body fight to off symptoms of many illnesses and diseases. Some factors that can lead to an early onset of rheumatoid arthritis include a poor diet. Some diseases are hereditary, and you can still be at risk. By keeping healthy, you will be able to control the symptoms when they onset. Break-free from your debilitating arthritis and invest in your happiness and health now. Don't wait until your rheumatoid arthritis is completely out of control.

Arthritis - Signs and Symptoms

Arthritis is a group of conditions involving damage to the joints of the body. The most common form is the osteoarthritis also referred to as the degenerative joint disease. Osteoarthritis is caused by a trauma or an infection to the joint. Sometimes it could be as a result of age.

Other forms of this condition are rheumatoid, psoriatic and autoimmune diseases in which the body attacks itself. Septic is another form that is caused by a joint infection while gouty is caused by deposition of uric acid crystals in the joint causing inflammation. Pseudo gout is a rare form of gout that is normally caused by the formation of rhomboid crystals of calcium pyrophosphate.

Some of the symptoms of arthritis include pain and swelling in the joint, stiffness especially in the morning and feeling of warmth around the affected joint. Redness of the skin around the joint as well as inability to easily move the joint are other signs.

Pain patterns may differ depending on the type and the location of the affected area. Rheumatoid is normally worse in the morning and it leads to stiffness especially in the early stages. The stiffness normally disappears after a morning shower. Radiographs are normally used to asses the severity of the condition while blood tests and x-rays of the affected joints are used to make the diagnosis.

The type of arthritis you have determines the type of treatment to be administered. Available treatments include physical therapy and lifestyle changes such as exercise and weight control. Medications and dietary supplements are the other treatment options.

Arthritis Problems?

There are over 100 different types of arthritis. The two most commonly related to age are osteoarthritis and rheumatoid arthritis. The two types of arthritis, although the same family of disease, have different progression in the body.

Osteoarthritis is a degenerative joint disease. This is a chronic condition causing the breakdown of the joints' cartilage. As the cartilage breaks down, the joints then rub bone on bone and can cause pain, restricted movement and stiffness.

Rheumatoid Arthritis on the other hand is an autoimmune disease. This commonly effects the smaller joints such as those of the wrist, feet, knees, ankles and hands. It can also cause pain from moderate to severe. The inflammation may in time effect internal organs as well. Increased loss of range of motion along with swelling, redness and stiffness.

Diagnosing these types of arthritis is in the hands of both you and your physician. When you go to the doctors office have a list of all of your medications, symptoms such as pain, swelling that causes asymmetry in the effected joints, fatigue and some redness.

The primary symptoms that indicate the possibility of one of these types of arthritis are:

• swelling or fluid accumulation
  
• tenderness or stiffness
  
• warmth accompanied by redness around the joint
  
• reduced range of motion
  
• fever
  
• fatigue

Osteoarthritis is the most common type. This will also cause limited motion, stiffness and joint pain. Usually it progresses to a necessary change in your daily activities due to that pain and stiffness. Osteoarthritis develops gradually. Effects are noticed later in the day after constant use. It does not effect other organs or have a systemic effect. Swelling, stiffness and warmth can also present themselves after lengthy inactivity. Spurs and enlargements of bones is also characteristic and osteoarthritis can appear along with rheumatoid arthritis.

An accurate diagnosing of these types of arthritis must be done by your physician. Your medical examination, your history and your account of symptoms along with progression are vitally important to your diagnosis.

There are many different types of arthritis and some diagnoses are difficult to ascertain. Blood tests and x-rays are usually used as part of an accurate diagnosis.

Getting diagnosed is the first part of the battle. Treatment then presents the second part of the battle.

Medications available for types of arthritis.

Medications fall into classes for both types of arthritis. These work to control symptoms, improve function and mobility and prevent joint damage. There are five basic categories of arthritis medication.

1. painkillers/analgesics

2. nonsteroidal anti-inflammatory drugs or NSAIDS

3. corticosteroids

4. disease-modifying anti-rheumatics DMARD

5. newer biologics.

It is important to learn about these medications and know your options for the types of arthritis you may have, either rheumatoid or osteoarthritis.

NSAIDS
This class of medication has been in use for over three decades. They contain both a fever-reducing and painkilling formula. The risks and benefits of NSAIDS need to be considered, as they do have some severe side effects in some patients.

ANALGESICS
Analgesics are pain killing drugs that block the signals to the brain or misinterprets those signals. There are narcotic type and non-narcotic types of analgesics. Neither will cause the patient to become unconscious or producing anesthetic effects.

STEROIDS
Steroids/corticosteroids are related to cortisol. The adrenal gland produces this hormone. While initially the use of steroids for arthritis was so impressive they considered it a cure. As time progressed and use expanded, many severe side effects became known. Steroids are still used either by injections or orally but only to decrease inflammation.

BIOLOGICS
This anti-rheumatic class of drugs either restore or stimulate the immune system. The immune systems' job is to fight off disease and infection. These drugs were specifically designed for rheumatoid arthritis.

DMARD
Disease-modifying drugs seem to decrease the inflammation associated with arthritis. It is however, not categorized as such. Instead of directly reducing pain, they modify the immune system, thus slowing the disease process.

NATURAL METHODS
As many people try to find alternative and thus more natural forms of treatment to complement the traditional types some get very little respect in the medical community. Before embarking on any remedies other than those prescribed by your physician, you should consult with them due to the fact that although "natural", they may interfere with the actions of your prescribed medications.

PAIN RELIEVERS
Both non-pharmacologic and drug pain relievers are available. Due to the fact that chronic pain is debilitating and will interfere with your normal daily activities it is necessary to find the correct way to manage that pain. Before trying anything new, please consult with your physician. Some patients have found that relaxation therapies may help reduce stress and thus relieve some of the discomfort caused by the types of arthritis. Although painkillers may help in the earlier stages of the both types of arthritis, it is no guarantee that it will help throughout the entire disease process.

JOINT REPLACEMENT
Although surgical intervention sounds a bit extreme, it has proven to be very successful. Joint replacement surgery removes joints that are so severely affected that the patient has no other recourse. Before having your joint replacement consult with your health care team about what to expect. Following their advice will get you through the procedure and lead you to a much freer life. Post operatively your physical therapy will get you to the point where taking a hike in the woods is a pleasant experience and not one to be shunned.

There are great similarities between both types of arthritis, rheumatoid and osteoarthritis. Pain, swelling, redness, stiffness are evident in both. The symptoms will not go away without some type of treatment. As we age the wear and tear we have done to our bones just may rear it's ugly head. This is not as hopeless as it was decades ago when someone in your parents family became greatly debilitated by either type. Today with current medications and treatments such as joint replacement people can lead a healthy full life.

(c) Copyright The Baby Boomers Webplace 2010

Gout Pain Relief Through Ayurvedic Medicine

Gout pain relief is available not only through conventional western medicine, but also through alternative medicines such as the ancient form of ayurvedic medicine. In ayurvedic medicine, gout is referred to as vatrakta.

Vatrakta is indicated biochemically of:

- An augmentation in the concentration level of serum urate.
- Recurrent acute pain attacks within the joints, which may become persistent and chronic in nature.
- Occurrence of monosodium urate mono hydrate crystals within the fluid spaces inside the joints at the time of an acute attack.

Ayurvedic gout pain relief is not a generalized form of treatment and is therefore not the same for everyone. The recommended treatments vary from person to patient depending on the physical and psychological health and status of the individual. However, there are certain single and compound formulations that are used for gout pain relief as well as to minimize other symptoms of the condition. Some of the more commonly used formulations are:

- Guduchi
- Manjisth
- Punarnava
- Yashtimadhu
- Mahamanjishthadi kwath
- Shilajitwadi vati
- Panchitkta churna

Diet is very important to Ayurvedic gout pain relief methods, as everything that will increase the production of uric acid is to be eliminated from the diet. Foods that are considered to be purine-rich should therefore be avoided as they encourage uric acid production, these commonly include:

- Yeasts
- Legumes (peas, dried beans, lentils, etc)
- Beer and other beverages containing alcohol
- Oil-packed sardines, anchovies, roes from fish, herring
- Organ meats (kidneys, liver, sweetbreads, etc)
- Meat extracts (gravies, consommés, etc)

Foods that are often recommended during Ayurvedic gout pain relief treatments may include the following:

- Dark skinned berries such as cherries as they contain substances that act within the body to reduce levels of uric acid as well as minimize inflammation.

- To eat tofu in place of meats.

- Foods high in certain fatty acids (such as omega 3), for example, olive oil, flax oil, and certain nuts. These fatty acids contain important anti-inflammatory properties that help to ease inflammation in the joints.

Another level of gout pain relief in the ayurvedic style can include panchakarma, which can involve either a form of massage using medicated oils or snehana therapies, which have shown very beneficial results when treating gout.

If you are considering ayurvedic treatments for gout pain relief, you should first make sure to speak to your doctor or another trained health professional in order to assess your unique health needs and determine whether ayurvedic medicine is the right choice for you.

You may find that there are also other treatments available for gout pain relief that may work better or in conjunction with ayurvedic methods. These may include techniques such as uric acid manipulation through the pH level of the body. The only way that you will be able to make this decision is by speaking to your health practitioner and learning about the various techniques and treatments for gout sufferers before coming to a decision on the best approach for your individual situation.

Main Causes of Upper Back Pain

Upper back pain can be caused by muscular or joint dysfunction. Each vertebrae of the thoracic spine connects to ribs on either side. This segment of the spine is less mobile than the lumbar and cervical (neck) regions, as its main function is to provide stability and structural support to the vital organs within the ribcage. Since it is not mobile, disc injuries are uncommon in the thoracic spine.

Muscular Causes of Pain

The rhomboid and trapezius muscles in the upper back stretch between the spine and shoulder blades. They are large muscles that provide support to the spine and are used in many daily actions, especially pulling motions. These muscles may become irritated due to either weakness or overuse.

If the large upper back muscles are not strong, they can be strained by simple daily activities. If core muscles in the stomach and lower back are weak, your posture will suffer since the upper body's weight will not be adequately supported. This leads the shoulders to droop and hunch over, pulling on the muscles in the upper back. Proper conditioning of muscles throughout the back and core is necessary to avoid and correct this type of muscular pain. If you have upper back pain, a physical therapist may be needed to instruct you on the types of exercise that will benefit you.

Upper back muscles can become strained by overuse. Jobs that require repetitive arm motions can overtax your muscles, as can rigorous sports like rowing. Muscles that are chronically tense may develop trigger points, dense knots that form in the tissue surrounding the muscle called myofascia. These knots cause localized pain and make it difficult for muscles to relax. They can also refer pain to other parts of the body by pressing on nerves. Trigger points and overuse injuries are best treated with massage therapy. Deep tissue and trigger point massage will force your muscles to relax. Physical therapy may be needed to correct poor body mechanics that cause injuries.

Joint Causes of Pain

Thoracic vertebrae each have a number of joints: two on each side that link to other vertebrae called facet joints and one on each side that connects the vertebra to a rib, called costovertebral joints. Unlike the rest of the body's joints, thoracic joints usually do not wear down due to the normal aging process, since the area is very stable. There are other situations that can cause joint dysfunction in the upper back.

Facet and costovertebral joint dysfunction generally occur in the thoracic spine due to poor body mechanics. Excessive bending, twisting and lifting can stress the joints, damaging the strong connective tissue that comprises joints. The joints can become inflamed and stiff, limiting range of motion of the shoulder and causing upper back pain. Costovertebral joint dysfunction can cause pain both in the back and the ribcage.

Chiropractic manipulation is considered the best conservative treatment for thoracic joint dysfunction. Chiropractors work to restore range of motion and joint alignment.

There are a number of conservative treatments for upper back pain management. Massage, chiropractic care and physical therapy can help to reduce muscular pain and resolve joint dysfunction. Make sure you are performing your daily tasks with proper body mechanics and practicing good posture; these will help to prevent upper back pain in the future.

Beat Eye Disease - Aging People Forced To Adjust To an Eye Disease That's Related To Aging

There might be a way to beat eye disease. Aging people are forced to adjust to macular degeneration (MD), which is an eye disease that's related to aging. This commentary talks about how people, who are going blind, have to adjust to their loss of vision; and it introduces a potential solution to the problem.

Aging people start losing their eyesight because neurons are affected. When neural input is disrupted, the brain can't discern visual input because the part of the eye related to the disease, the macula, becomes dysfunctional.

Massachusetts Institute of Technology (MIT) researchers, in a study published in the March 4, 2009 issue of Journal of Neuroscience; said they discovered that aging people must adjust to loss of vision with a unique technique, in order to see better; and the researchers related it to the way their brains process visual input.

Neurons apparently need to receive input. So, when usual visual information of aging people is disrupted, they are forced to respond with "the next best thing," according to a press release of MIT McGovern Institute for Brain Research; by senior author Nancy Kanwisher.

Researchers discovered that when cells in the fovea, which is the part of the retina that's responsible for a person's central field of vision and it's the central part of the macular portion of the eye, degenerate; the brain forces undamaged neurons, attached to the degenerated section of the fovea on outer portions of the macula, to respond to stimuli by necessitating aging people with MD to tilt their heads.

The MIT researchers theorized that it's a kind of internal reorganization, and the brain forces aging people to adjust so their brains can interpret the visual map of the eye; rather than using the outer part of the eye, known as the cortex, to get information from other neurons.

Kanwisher said their study demonstrated that discernible changes in neural responses of aging people suffering from MD are probably forced by their brains, because of "the lack of input to a population of neurons," to adjust; rather than their brains changing the discernible visual information-processing method.

Macular degeneration is the most common disease related to adult blindness, and almost 2 million people are affected by it in the United States alone. Their brains force people to roll their eyes upward, so they can adjust to the lack of central vision. They exploit the preferred retinal locus (PRL), which is the undamaged area adjacent to and underneath the part of the retina affected by MD, by tilting the head.

Kanwisher said that MD is a great opportunity to understand more about flexibility in the eye cortex in aging adults. But it might be possible to beat the eye disease with simple eye drops.

The theory is that macular degeneration is linked to hardening of the lens in the eye, which creates the "lack of input to a population of neurons" that the MIT researchers mentioned in their study; and those neurons in the fovea of the macula, over time, degenerate. In other words, "If you don't use it, you lose it."

The brain must get visual input by any mean that it can get it. If lenses of the eyes become stiff and cloudy, thereby obstructing the necessary data that the brain requires; neurons of the fovea degenerate.

The brain forces people to tilt their heads to get the visual input that their brains desperately need, by using neurons adjacent to and underneath the neurons that are degenerated in the fovea, by accessing visual information through the cortex of the eye rather than trying to analyze data through ineffective eyeball lenses.

It's a horrible disadvantage to have to tilt the head just to get a blurry image. But people do what people must do; and people simply must be able to see, so their brains demand them to get visual information by whatever means is available.

There is a formula that has been tested for 10 years, which not only may impede macular degeneration and subsequent blindness; but it might beat presbyopia and MD altogether IF people use it early enough, and IF aging people have just enough faith to try it.

Blind Bartimaeus called out to the LORD; when Jesus was on his way, through Jericho, to bear the sins of the world on the cross, "Son of David, have mercy on me... If I could just have my vision, I'd be happy."

Jesus said to him, "Receive your sight; your faith has healed you."

Immediately he received his sight and followed Jesus, praising God. When all the people saw it, they also praised God. (Luke 18:35-43)

How many aging people would be happy if they could only see again? Now, with the breakthrough revelation of this fantastic new product, people might be able to beat presbyopia and MD. People might not have to lose their vision just because they're in the aging process IF they can preserve elasticity in the lenses of their eyeballs.

Copyright by J. Michael Brown; January 7, 2011

Arthritis Pain? Stop Eating Junk Food And Get Relief From Pain Naturally

After years of aggravating joint pain I finally found relief from my arthritis pain, naturally, and you can do it too. I got rid of my arthritis symptoms and arthritis pain forever by making one simple change in my lifestyle. I stopped eating all junk food.

Osteoarthritis is a chronic disease of the joint cartilage and bone. It's often thought to result from continuous "wear and tear" on a joint. There are other causes of arthritis such as congenital arthritis with congenital defects, trauma and metabolic disorders. And osteoarthritis is the most common form of arthritis. When people refer to arthritis they usually mean osteoarthritis not rheumatoid arthritis, which can be detected by blood tests. Osteoarthritis cannot be diagnosed using blood tests. Arthritis is usually found in the joints of the fingers, feet, knees, hips, and spine.

The ability to make repairs to the cartilage becomes very limited as cartilage cells age. Damaged joints cause pain and arthritis sufferers are constantly looking for ways to relieve this pain. Our joints are uniquely designed to provide flexibility, support, stability, and protection.

Genetic factors are thought to be involved in about fifty percent of osteoarthritis cases in the hands and hips and a somewhat lower percentage of cases for the knee. An inflammatory response causes cytokines to gather in injured areas and cause inflammation and damage to body tissue and cells. It's known to play a role in a systemic form of arthritis - rheumatoid arthritis and other muscle and joint issues associated with autoimmune diseases. Genetic researchers report a higher incidence of osteoarthritis between parents and children and between siblings rather than between husbands and wives.

For part of a dietary approach try avoiding seven of the eight most allergic foods - wheat, which is the most allergenic of all, corn, eggs, milk, peanuts, fish and shellfish. If you really want to get rid of your arthritis pain forever it may take a big change in your diet and an ongoing commitment to it. So the first step in managing your arthritis is to change your diet. I think all health professionals would agree with this.

Try massaging your fingers or other affected joints with virgin coconut oil once or twice a day to help loosen them up and maintain flexibility. Nutrition experts say it takes a combination of supplements, not just one supplement to help relieve arthritis pain, build cartilage, etc. but studies done on antioxidant vitamins question their value as supplements. It's clearly better to consume these antioxidants in living plant foods because they may also need to work together with other nutrients present in the foods to work properly - called synergistic action.

One good natural treatment method involves avoiding all inflammatory foods. And dried Montmorency tart cherries and cherries and their juice seem to be helpful as a natural treatment for arthritis pain for many people.

Gluten may be just one of the culprits in arthritic diseases including fibromyalgia. So avoid wheat, barley, rye, spelt, triticale, kamut and oats (although it's not a gluten grain it gets contaminated with wheat during the milling process at the where it is usually milled). Many arthritis sufferers who've changed their diets significantly have noticed major or total improvement in their overall health.

Exercise all your non-affected and affected joints every day, to keep them flexible. Even if you don't think you can exercise, you can do some movements no matter how small so just keep moving as much as possible. Don't lie down when you can sit and don't sit when you can stand. Keep your feet moving. Use the Chinese Taiji health balls, the kind with the chimes, to strengthen the finger joints. To use them hold the two balls in on hand, move them in a clockwise circle with your fingers to rotate them, then try moving them counterclockwise and do this off and on throughout the day and at bedtime. If you do have pain and swelling in your fingers, you can try squeezing some Thera-putty, which is made for this purpose. It's available at your local health equipment supplier.

Try wearing pair of stretch gloves at night to help reduce the pain and swelling in your fingers if you have arthritic hands. A doctor I know said he has found sleeping in a sleeping bag on his bed has really helped him. If weight is an issue, try to using exercises that will help you with arthritis and in losing weight such as walking, even if just around the block a few times. And did I mention to make sure to keep moving?

Please be aware that the use of pain relievers like NSAIDs or COX-2 inhibitors do not halt the progress of osteoarthritis and may even hasten its onset. Only you know which arthritis treatment options are best for you. As for conventional treatment of arthritis - if you do choose to take drugs or arthritis medicines, be very careful, read the labels thoroughly and talk to your pharmacist about side effects and adverse reactions. Make sure you know the name of your medications and if they'll react with any other medications you're taking. Always know the name and dosage measurement of your drugs in case of an emergency situation.

So begin your treatment program with a diet change, exercise and weight loss plan to see the best results and pain relief fast. Your treatment plan should include an anti-inflammatory, anti-arthritis diet, lots of movement, exercise, and a positive mental outlook. Arthritis pain relief of your arthritis symptoms is the ultimate goal. Understanding arthritis and conventional and natural arthritis treatments and applying what will work for you is a good way to get there.

Melaleuca - How to Use the Internet to Build My Melaleuca Home Business

Although life on the internet has its good and bad days, the internet, which is commonly referred to as Pandora's box, can be used to yield huge returns in a relatively short time and with virtually no money if you know what you're doing and keep you're mind on the prize.

Keeping your mind on the prize includes thoroughly identifying your customer while knowing what you're doing involves constantly placing yourself in front of your ideal Melaleuca customer (Health and Wellness, Eczema, Heart Health, Green Living), and conveying an effective message (financial independence, contributing back to society, improved lifestyle). The following steps you shpuld use to supercharge your Melaleuca buiness are as follows:

1. Start blogging on industry related topics that are relevant to both Melaleuca business builders and customers. Blogging initially is good because it costs nothing and because it helps to get your name out there. Also, by drilling down on followers of certain blogs and getting acquainted with these folks you can befriend them and build a loyal following with these specific persons that are presold on your subject and looking for SOLUTIONS. In addition to blogging, Associated Content is a good way to begin establishing a market for specific internet dialogue that can lead to customer enrollments.

2. Build your own individually branded website as opposed to depending on a generic Melaleuca website. Let's face it... unless you want your website to simply act as an online business card that brings in no traffic or business, you must develop your own custom website with SEO(Search Engine Optimization) in mind. SEO will lead to more Google organic search results which is what separates the losers from the winners online over time.

3. Use eBay. Obviously, eBay is a whale online and more specifically in online website traffic generated daily. By selling Melaleuca products online you can collect e-mail addresses that you can program into your autoresponder software package and follow up with these customers periodically over time. Chances are that if they buy from you once that you will have a chance of selling those same persons again.

4. Place a high emphasis on content. When crafting your online melaleuca business marketing strategy be very specific as to what content that you place on your website. If you choose the most popular Melaleuca product (Renew lotion), naturally fill your website with articles and content related to skin conditions such as: eczema, psoriasis, rosacea, and itchy skin. Similarly, if Replenex is your favorite Melaleuca product, build your website content around joint and muscle pain topics such as sciatica, arthritis, and hip and joint pain.

5. Article marketing. To build targeted traffic to your website strongly consider becoming a member of ezine directories and becoming an online author. By creating pecific articles that have a signature box that leads back to your website you can generate traffic that is pre-qualified for your Melaleuca home business opportunity; this drives your chances of converting this specific traffic through the roof.

6. Cross- promote your Melaleuca business by utilizing your online marketing strategies with your offline marketing strategies. Ways to accomplish this include but are not limited to: Direct Mail marketing, business cards that have your email address and URL, car magnets, Stationary with your email and URL, and free seminars where you educate your audience and introduce your website as an example.

Ways to Remedy 4 Knee Pain Causes

Years of stooping, kneeling and running around truly takes a toll on your knees, and women have it specifically bad: Studies show women are up to 6 times more likely than men to suffer from knee pain injuries like ACL tears. Got an achy, creaky, or weak knee? Discover the real cause of knee pain and check out great ways to fix bad arthritis of the knees for good.

Creaky Knees. Your knees pop, grind and ache while climbing stairs or after a prolonged sitting.

* The Cause. Though it is commonly called "runner's knee", patellofemoral syndrome afflicts even those who are couch potatoes. The creaking you feel is due to misaligned kneecap grating over the lower end of your thighbone. Women are especially susceptible to this syndrome due to their naturally wide pelvises that causes their knees to slant inward, creating a wider quadriceps or Q than men have. Experts also state that this Q angle places extra force on a woman's knees.

* The Knee Pain Remedy: If you regularly do high-impact workouts such as running or playing tennis, cut back (but do not stop in general or the muscles that support your knees will weaken) and add gentler activities such as swimming and yoga to your routine. You can also purchase new workout shoes when your shoes' soles are worn so that your aches and joints are passably cushioned.

Achy Knees - During physical activity, you feel a sharp pain between your kneecap and shinbone. The pain persists as a constant, dull ache.

* The Cause: Tendonitis, which happens when the tendons connecting your kneecap to the shinbone become inflamed because of repeated stress and overuse. Symptoms trigger when you increase the intensity of your workouts.

* The Knee Pain Relief: To alleviate knee pain and reduce swelling, take a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen, and ice, rest and elevate your throbbing knee, particularly following a workout. Also, consult your physician about patellar tendon straps, Velcro bands placed just under your kneecap, which alleviate knee pain by taking pressure off the tendon. If knee pain persists or worsens, immediately consult your doctor.

Stiff Knees - Your knee is swollen and puffy, and you have trouble straightening or bending it.

* The Cause: Osteoarthritis. The cartilage that cushions your joints breaks down due to use, age or excess weight, and makes your body produce more joint fluid in the knee so when the cartilage wears down completely, you are left with bone rubbing on bone and painfully swollen joints.

* The Remedy: Losing just 11 pounds can take pressure off your knees and reduce knee pain by 50 percent, according to one study. Additionally, taking NSAIDs, resting and using ice can remedy arthritis of the knee. If your knee becomes red or feels warm to the touch, consult your doctor, who may drain the excess joint fluid with a needle. About 25 percent of people with osteoarthritis need knee-replacement surgery.

Twisted Knee. You feel and sometimes hear a "pop,", and then your knee buckles, causing terrific pain. Typically this knee injury happens while playing sports.

* The Cause: The anterior cruciate ligament (ACL), and elastic band of tissue that stabilizes the knee, tears. Once again, women's Q angle comes into play. According to expert, a woman's kneecap pulls slightly to the side when she lands after a jump due to her wider pelvis. As a result, the quadriceps pulls harder on the knee. Experts also speculate that high levels of estrogen (in the latter part of the menstrual cycle) loosen ligaments and weaken their ability to protect joints.

* The Knee Pain Remedy: Consult your physician immediately. About a third of those whose injure their ACL regain strength and motion after 6-8 weeks of rest and physical therapy. So if the kneecap remains unstable, arthroscopic surgery may be needed. And if you play sports, doing exercises that strengthen your hip and butt muscles and practicing proper jumping and landing can decrease your risk of ACL injuries.

Ideas For Teeth Grinding Symptom Relief

Feel like there is nothing you can do for teeth grinding symptoms that you are experiencing? There are many drugs that can treat the symptoms experienced from TMJ (Temporomandibular Joint Disorder), that pain in the jaw that can make it difficult to chew without discomfort and can cause other problems such as migraines.

There is a particular drug that I want to highlight called Soma (Carisoprodol). This drug is used to treat the pain associated with muscle discomfort caused by strains, sprains or spasms. Carisoprodol is a centrally acting muscle relaxant. It acts on the nerves resulting in relief from muscle pain. It can also bring relief by calming the nervous system. This medication must be prescribed by a doctor and sometimes is taken as much as four times a day, with or without food.

One can become dependent on Soma if it is used regularly or particularly if taken in high doses for an extended period of time. When a dependence is developed, symptoms of withdrawal can include stomach cramps, trouble sleeping, headache and nausea. Although rare, some patients may also experience abnormal drug-seeking behavior (addition/habit-forming). When taking this drug it is important not to increase the dosage, take it more often, or take it for a longer of period of time than your doctor has prescribed.

The side effects of this medication can include dizziness, drowsiness, headache, rapid heartbeat, low blood pressure, or face flushing. If these symptoms persist, it is important to contact your doctor or pharmacist promptly.

As you read about the possibility of dependency and side effects associated with Soma, does it not make you desire a natural way that you can relieve your TMJ symptoms?

Knee Pain and Stiffness - How You Can Be Pain Free With a Combination of Pilates & Physical Therapy

Are you using the handrail more and more often when you go down the stairs. Are your knees failing you?

More people are now seeing their doctors because of painful joints, muscles and tendons than for the common cold, and the knee joint is responsible for over 20 million doctor visits each year in the US alone. Your knee plays a major role in the chain of weight bearing in the leg. It has to respond to ground forces from below and the load of your body from above. It is a relatively simple joint, but it has to be ready to quickly react to force from the ground while balancing the load of the rest of the body at the same time. Your knee is at the mercy of what's going on in the joints directly above and below: the hip, pelvis, ankle and foot.

Although there are many reasons for knee pain (arthritis, meniscus and ligament damage for example), long term relief of knee pain has to start with an assessment of your whole structure. This assessment begins with your feet to see how they influence the alignment and forces at the knee. Any joint is only as good as its structure, and poor alignment in the feet and ankles has a negative influence on the knee, creating muscle imbalances and eventually pain and stiffness.

The hip joint also has a similar affect on the knee - poor mechanics and muscle imbalances in the hip creates problems for the knee. And because the socket of the hip joint is formed by the pelvis, it has to be aligned correctly too. In fact, when doing a full assessment of the knee, the whole body must be evaluated, since any structural imbalances in the body can affect the knee's ability to function.

The good news is that a well balanced Pilates-based Physical Therapy program addresses the whole body. Pilates is a recent addition to many Physical Therapy programs and is rapidly growing in popularity throughout the world. Combining Pilates with Physical Therapy will improve your body awareness, alignment, strength, flexibility and balance. You'll learn how to move with more efficiency and less pain.

At first, new and balanced movement habits feel weird and unfamiliar because they're foreign to your nervous system. Working with a skilled Pilates trained Physical Therapist will help you understand your own unique postural and movement habits and help you practice correct patterns effectively.

Here are a couple of things you can do right now to find out how your knees stack up:

1. Stand in shorts, barefoot in front of a full length mirror and look at your leg alignment. What do you see? Are there any funny angles between your hips and your knees? What about your feet? Do you have an arch on the inside of your foot? Can you see that your whole leg influences the alignment of your knee? This includes the alignment of your pelvis, since the pelvis is the top of your hip joint. Be aware that when you do any exercise "for your knees", you must also consider the rest of your body, especially the foot, ankle and hip.

2. While standing, imagine a line going through the center of your leg from your hip joint, through the center of your thigh, your knee joint, the center of your lower leg, ankle and out the 2nd toe. This is the ideal alignment for your leg. A word about your hip joint: did you know that your "hips" are not the wide bones of your pelvis, but the place where you crease when you bend your knee towards your chest? This is where your heel should line up when your foot hits the ground when walking. The hip joint itself is really quite narrow - about the same distance apart as your sits bones in the back.

3. When you stand, walk and exercise, the alignment of your whole leg affects which muscles you use to move. And the way you use your muscles strongly influences your alignment. Be very aware of keeping correct alignment from your pelvis to your foot - hip to 2nd toe - so that you create good balance around your knees. If you do exercises like squats and leg press, do you pay attention to your leg alignment? Your knee program will be far more effective if you do. Remember that pain is your body's way of telling you that something's not right, so if you can't modify your position to relieve the pain, skip the exercise. Remember also that not every "recommended" knee exercise is right for every knee - you need to find out what's right for your knees.

The point is that your knee pain is usually just a result of the alignment you set up from the ground (you feet and ankles) and the load you put on them from above (your hips, pelvis and trunk). Figure out how to de-stress your knee joints by changing your whole-body alignment and your knee pain and stiffness will resolve.

If you have knee pain and want to find out how to get relief, see a Pilates trained Physical Therapist who will assess your whole body, rather than looking only at your knees. A Pilates exercise program, with a home routine, is a great way to reduce pain and stiffness in your knees, and a 2nd pair of experienced eyes will help you sort out your unique imbalances. Then you'll know exactly what to do for YOUR knees.

How do you find a Pilates trained Physical Therapist? Many PT clinics now offer Pilates, and many Pilates centers employee Physical Therapists. Check your local PT clinics and Pilates centers. And make sure that your practitioner has completed a comprehensive Pilates training program.

Copyright © Park Meadows Pilates 2008

What Is a TMJ Specialist

Even though the TMJ (Temporomandibular joint) disorder affects so many people there really is no such thing as a TMJ specialist in the sense that there are specialists in other fields. There are many doctors that can treat your TMJ disorder that could be considered a TMJ specialist but for it to be treated right you may need more than one doctor.

The reason for this is there are so many different types of treatment plans and each person is different and the treatment plan for each person needs to be designed around understanding the root cause of the disorder and treating that root cause plus the specific symptoms the TMJ patient is experiencing.

To help you get an idea of the different professions that are currently treating patients for their TMJ disorder check out this list:

1. Physicians
2. Radiologists
3. Prosthodontists
4. Kinesiologists
5. Biofeedback specialists
6. Craniofacial pain specialists
7. Osteopaths
8. Orthodontists
9. Neurologists
10. Maxillofacial surgeons
11. Oral surgeons
12. ENT surgeons (otolaryngologists)
13. Acupuncturists
14. Physical Therapists
15. Psychiatrists
16. Psychologists
17. Counselors
18. Dentists

The length of this list may be surprising to some people but not when you consider there are literally dozens of symptoms caused by the TMJ disorder and also dozens of different treatment plans used to treat TMJ.

Some of the treatments used by a TMJ specialist may be facial exercises, surgery, night guards, occlusal equilibration, occlusal restoration, and splints. A TMJ specialist may also use injections, heating pads, cold packs, drugs, and psychiatric treatments.
Facial exercises are designed to do the same thing as any other physical therapy.

They are also what should be the first thing you try since they can be used to completely cure your TMJ and most of the time a TMJ specialist can help you with a treatment plan that is designed for you specifically.

Splints are much the same as braces except they are not designed to move the teeth. Instead they are designed to keep the teeth slightly apart and meeting correctly and to relieve pressure on the TMJ.

Sometimes a TMJ specialist will advise you to wear a night guard. If your problem is that you have a severe overbite or underbite this may help you but only if you can find one that's perfect for your problem and your dentist can make adjustments as your healing process moves along.

Occlusal restoration and equilibration is all about adjusting how the teeth meet in your mouth. When teeth do not meet the way they are supposed to it causes stress on the TMJ. Equilibration involves grinding some of your teeth to improve how they come together and restoration aims for the same result using things like fillings, inlays, crowns, bridges and other dental work.

Since the most common cause of the TMJ disorder is grinding or clenching of the teeth in your sleep induced by tension or stress you also need to work on the root cause of the TMJ disorder and that's where counselors and psychologists come in.

If you are having jaw pains or have been diagnosed with TMJ you should make sure to find someone who has treated the TMJ disorder successfully to be your TMJ specialist.

What You Should Know About Antibiotic Treatment During Dental Procedures

Dentists often administer antibiotics to patients. To alleviate any concern about antibiotics during dental treatment, you should become aware of their purpose during the procedure and how they can help.

When Are Antibiotics Used?

One important use of antibiotics during a dental procedure is to prevent bacteria from entering your bloodstream. Depending on the type of dental work you have performed by a dentist, there is a chance that light bleeding may occur. If the tooth that is being worked on has an infection, a dentist can administer antibiotics during the dental procedure to kill the bacteria.

There are definite benefits of using antibiotics during dental procedures, but dental specialists use them in cases where they are essential. People with heart conditions must be extra careful during dental procedures because of a risk for developing infective endocarditis. The American Dental Association (ADA) worked with the American Heart Association (AHA) to develop standards for dentists to follow when determining if a patient requires antibiotics. People who are at risk for developing infective endocarditis, characterized by inflammation of the heart, are at the top of the list. In addition to people with heart disorders, individuals who have undergone joint replacement surgery are susceptible to developing infections of the bloodstream, and are recommended for antibiotic treatment when having dental procedures.

How Are Antibiotics Administered?

Most people are familiar with the pill form of antibiotics. In addition to this form, dentists also use other forms of antibiotics during procedures, including gel, chip, and powder. These forms of antibiotics are injected just under gum level where most infection-causing bacteria collect. They differ in the type of antimicrobial agent they contain: gel antibiotics contain Doxycline. Chip antibiotics contain Chlorhexadine, and the powder form uses Minocycline.

Preparing for Dental Work with Antibiotics

If your dentist informs you that you need a dental procedure and he or she is considering antibiotic treatment, the first item of importance is to make sure that you are an ideal candidate. If you have a health-related disorder or you are taking medication, talk to your doctor or pharmacist to make sure you can have antibiotic treatment.

The only other step you need to take to prepare for a dental procedure that involves the dentist administering antibiotics is to alert your dentist to any reactions you have after the procedure. Serious side effects are not typically associated with antibiotics. However, if you experience any unusual symptoms, let your dentist know right away.

Facts About Arthritis In Dogs - Signs That Your Dog Is Suffering From Arthritis Or Hip Dysplasia

Arthritis in dogs is a very common concern. It is comparable to arthritis in human beings it is an inflammation of the joints. It is a condition many older dogs are afflicted by.

Joint disease can affect every dog, particularly dogs which have entered senior ages and it is usually very likely to effecting larger breeds such as Labrador Retrievers, German Shepherd, St. Bernard, Boxer, Springer Spaniel, Great Dane, and the Bull Mastiff. It is the leading cause of chronic pain in dogs.

Some joint disease can start early, without you knowing, and can only start showing effects when your dog ages. It can usually start as a gradual limpness in the affected limb or limbs, and might progress to lameness. One common symptom is limping or favoring one or more limbs.

Dog arthritis might additionally bring concerning changes in your dog's temperament. Canine arthritis is as uncomfortable on a dog as osteoarthritis is on a human. In fact, dog arthritis is one of the most common illnesses that pet owners and veterinarians have to deal with.The most widespread types of dog arthritis are osteoarthritis, infective, immune mediated and idiopathic arthritis.

Treatments for dog with arthritis that involve improvements in a lubrication of joints are most desirable. One of the best and safest treatments for dog arthritis is natural remedies such as chondroitin and glucosamine. Chondroitin is is a component of the connective tissues that are found in joint cartilage and bone. A form of chondroitin, known as chondroitin sulfate is a good supplement for your dog. Chondroitin sulfate usually is derived from bovine (cow) trachea or pork by-products. Glucosamine is found in the cartilage and synovial fluid, in your joints. It is a normal constituent of your dog's glycosaminoglycans, which form part of the ground substance of connective tissue.

With the right remedies, arthritis can be treated and its painful effect can be kept at a minimum

Another disease which may lead to dog arthritis is canine hip dysplasia. Left untreated, can cause severe pain and depression for your dog. Human and Dog arthritis are very similar however dogs pain tolerance is much different than humans. Take a look at some of the symptoms you may notice in your dog with arthritis or hip dysplasia:

• More time is required to sit or stand up


• The dog continuously licks the joints


• Warm and swollen joints Increased lethargy, the dog sleeps all day long


• Difficulty in walking, limping or walking developing a stiff gait


• Fever, decrease of appetite, weight loss, wasting of muscle tone


• The dog expresses unwillingness to go for walks, and avoids climbing or jumping


• The dog is seen continuously moaning due to pain If you try to touch the dog, he expresses protest or yelps when touched.

TMJ Disorder - What is it and How Your Dentist Can Help

The temporomandibular joint (TMJ) is the joint located on each side of your head in front of your ears, where your lower jawbone meets your skull. This important joint enables you to eat, speak and yawn, and in order to function properly, each intricate part of the joint must work together properly. Any problem that prevents the TMJ's complex system from functioning properly can result in TMJ disorder, with symptoms including loss of jaw movement and intense jaw pain.

The severity of TMJ disorder will vary from person to person. Some people may only experience temporary discomfort while others may have TMJ problems for many years. Women are diagnosed with TMJ problems more frequently than men.

Warning Signs of TMJ

A variety of symptoms accompany TMJ disorder. Many patients complain of headaches, ear pain and limited ability to open the mouth. Symptoms will vary from patient to patient depending on the cause of their discomfort.

Other Common Symptoms include:

* Dull, aching pain in the jaw joint
* Neck, shoulder and facial pain
* Locking of the jaw
* Pain or ringing in the ears
* Hearing loss
* Dizziness and vision problems
* Uncomfortable or uneven bite
* Swelling of the face and mouth on the affected side
* Unexplained morning headaches
* Limited jaw mobility, especially when chewing or yawning

Finding Relief for TMJ Symptoms

Treatment for a TMJ problem will depend on the cause. And while the exact cause of TMJ is unclear, arthritis, trauma, a dislocated joint or disk displacement are contributing factors known to trigger TMJ disorder. With simple steps, your TMJ symptoms may go away on their own in a matter of days. Avoid opening your mouth wide, eat a diet of soft foods and apply a warm compress on the area of pain. When pain persists or worsens, you will want to see your dentist or physician for professional care.

Dental problems can be the cause of TMJ as well, including teeth grinding and malocclusion. If this is the case, a dentist that specializes in TMJ disorders can help manage and control the pain. If your jaw pain is caused by teeth grinding, your dentist may recommend a TMJ mouthguard which slips over the upper and lower teeth to prevent grinding that leads to TMJ symptoms. The soft plastic protectors make it difficult to clench the jaws, a leading cause of TMJ pain. If a misaligned bite is the cause of TMJ, orthodontic treatment and other dental work to correct the malocclusion can be performed to eliminate jaw pain. When symptoms don't respond to other treatments, surgery to repair the damaged joint tissue may be necessary.

If your symptoms match up with TMJ symptoms, visit your dentist for an evaluation. Left untreated, pain will persist and symptoms may get worse. Your dentist will help you determine the cause of your TMJ and recommend the best course of treatment for your individual needs.

Surgery for Temporomandibular Joint Disorder

Surgery is a permanent choice and should only be used as a last resort. Make sure you have tried all the other alternatives before making this final move. Surgery for Temporomandibular Joint Disorder, or TMJ, is rarely used for a treatment because it does not guarantee a cure and could further damage the joint. Surgery may also decrease your jaw's range of movement as the jaw heals with scar tissue, which is harder and tighter than normal tissue. Surgery may become an option if you have tried everything and are still in constant, intense pain that is disrupting your ability to eat or work and is disabling your every day life. The other time that surgery may help is if a specific, severe structural problem has been definitely diagnosed.

Arthroscopy, arthrocentesis, and open-joint surgery are the three types of surgery for this disorder. What type to have depends on the type of problems or severity of the temporomandibular joint pain.

All the surgeries are done with general anesthesia. Make sure you do not have difficulties with using anesthesia. Also, make sure to check the qualifications of your surgeon and anesthesiologist..

Arthroscopy - First general anesthesia is given. Then a small incision is made by the surgeon in front of the ear. This incision allows a tiny, thin instrument with a lens and a light to be inserted. This device is hooked to a video screen where the surgeon examines the temporomandibular joint and areas around it. Removal of inflamed tissue or realignment of a disc or condyle is done by what the surgeon can see. The condyle is the part of your jaw consisting of the "ball" portion of the "ball and socket."

This choice is considered less invasive than open-joint surgery. Arthroscopic surgery leaves less scarring, usually has less complications and a shorter recovery period. The cause of the TMJ may rule out this option for you and open-joint surgery may become necessary.

Open-joint Surgery - For this option a general anesthesia is given. The incision is larger than with arthroscopy as the entire area around the temporomandibular joint needs to be opened for a full view by the surgeon. The larger incision is also to allow better access. The type of open-joint surgery needed depends on what is wrong. It can be that there is extreme scarring or chips of bone in the joint that need to be adjusted. The surgeon may find a tumor that will need to be removed,. The worst cases involve the deteriorating bony structures of the jaw and will need to be reconstructed. With the more intense problems and surgeries comes the longer healing times and chances of permanent scarring and nerve trauma.

Arthrocentesis - This is a minor procedure for sudden-onset problems when restricted jaw opening is diagnosed. It is performed under general anesthesia. This choice is for cases with no major history of temporomandibular joint disorders. The affected joints have a needle inserted and are washed out with sterile fluids. If necessary, insertion of another instrument to remove tissue adhesion or dislodge a stuck disc in the condyle is done at the same time. This is a common procedure for a painfully locked jaw and is successful in 94% of cases.

Foot Swelling - Good, Bad, and Ugly

Hot air balloons are beautiful, aren't they? Bright and colorful, they drift quietly through the air, removing the traveler from toil and endless trouble. Unfortunately, not all things that swell up like hot air balloons are beautiful or free from difficulty. Joints, for one, are decidedly less pleasant when they begin to swell. Fortunately, your friendly local podiatrist has the know how to help reduce swelling and get your joints to function a bit better.

Swelling is, of course, perfectly natural. It's the body's way of responding to injury or infection. After damage to a joint, more blood is sent to the area to try to heal it. Unfortunately, the increase of blood also causes a buildup of fluid in the tissues around the joint, which tends to cause pressure and pain.

Swelling may be caused by many things. It may be a result of trauma, such as an ankle sprain or break, or stubbing your toe. Or, swelling might accompany arthritis, which itself may be caused by crystal deposits in the joint (in the case of gout), degeneration of cartilage in the joint (osteoarthritis), an autoimmune disease attacking the joints (rheumatoid arthritis), and so on. Or, joint swelling may be caused by an infection.

Swelling may appear as one of the first symptoms of arthritis. Those who suffer from rheumatoid arthritis, for instance, often list joint swelling as one of the earliest symptoms. In the case of gout, swelling may be so severe that the skin over the joint will appear stretched and shiny.

Joint swelling is usually accompanied by other symptoms, such as redness, warmth, stiffness in the joint, and pain. You may also find it difficult to walk, usually because of pain, but sometimes because your joint has lost some mobility.

Because the potential causes of joint swelling are so numerous, you should be prepared to give plenty of information to your podiatrist so he or she can make an accurate diagnosis. Your foot doctor will most likely perform a physical examination of your foot, check your joint for range of motion, and will inquire about your medical history and a history of your symptoms. Be prepared to answer questions such as how long the swelling has been present, whether it comes and goes, when it's worst (i.e. is it worse at night, or perhaps does it tend to get worse during certain activities such as running), and also whether or not you've ever ridden in a hot air balloon. (Actually, they may not ask that last question.)

There are a few tests your podiatrist may suggest to determine the cause of your joint swelling. These may include X-rays, CT scans, or MRIs to get an accurate picture of what's going on inside your joint. Additionally, your doctor may want to withdraw some fluid from your joint to test it for infection, or for uric acid crystals in the case of gout.

Treating swelling in the joint generally focuses on reducing bloodflow to the area. This may be accomplished by icing the joint (20 minutes on over a thin towel and 40 minutes off), and elevating your foot at hip level, or slightly higher. Your podiatrist may also recommend anti-inflammatory medications such as ibuprofen, or sometimes cortisone injections.

Of course, your doctor will also want to address the underlying injury or problem that's actually causing the swelling. This may be done by using casts, braces, or orthotics (prescription shoe inserts) to provide support to the foot and prevent further injury. Physical therapy might be used to help strengthen your muscles. In some cases, surgery is necessary to reduce swelling and reestablish the functionality of the joint, or your foot surgeon may opt to fuse the joint to reduce pain and swelling.

Some patients also find it beneficial to soar through the sky in a basket suspended from a balloon filled with hot air. Actually, this may not really be the case. But hot air balloon rides (or even just looking at pictures of hot air balloons) will help you remember that, even though your joints may be painful and unpleasant when they swell up, some swollen things are actually pretty darn nice.

GSP Rushfit: How It Keeps Me Fit With Less Joint Pain

Like some people over 40, I am developing joint pain. I am also a fitness fanatic. These two characteristics can work well together or be disastrous. After going through other, similar workout regimens, I had huge health gains but pretty severe joint pain. It was beyond "no pain, no gain" stuff -- this was full-on pain in the bone. So, when I discovered Georges St. Pierre (GSP), one of the best MMA (mixed-martial arts) fighters in the world, had just released a home workout regimen on DVD, I had to check it out. I was, of course, a bit skeptical and concerned, as GSP is not a very talkative guy and I was still a bit sore from my last cycle of another regimen. I was not disappointed, though, as GSP Rushfit is not as hard on the joints as my previous workout cycle. GSP is also a fairly colorful guy, as well, which made the DVDs much more watchable than I thought they would be.

The GSP Rushfit package itself is a fairly comprehensive kit. It includes the main course on several DVDs, along with bonus DVDs with extra workouts for full-body conditioning and one for balance and agility. Also included are three training calendars -- one for the beginner, medium and expert, and extra guides with workout tips and nutritional information. Seven workouts are included in total, each lasting around 50 minutes (including warm-up and cool-down). The package is obviously professionally done, so there are no complaints about book or video quality.

One may be surprised that GSP does not actually lead the exercises. His trainer, Erik Owings, conducts the actual workouts while Georges participates alongside. Erik is the more vocal of the two, with GSP contributing color commentary when appropriate. Erik Owings is an accomplished MMA fighter himself, so the workouts are certainly MMA-themed. You certainly get a "fighting focus" with these routines, and Erik does an adequate job of transforming mundane exercises into fighting techniques. This is not, of course, a self-defense course, but it's certainly MMA-themed. Most men, and plenty of ladies, will still enjoy this thoroughly, as it breaks the monotony of other workout routines.

GSP Rushfit's main advantage in this genre is that it's a bit less harsh on the joints. I found that after my cycle of GSP Rushfit I was not in as much pain as I would be after a run-through of other multi-week fitness plans. My knees and elbows were not banged up, and I felt that GSP Rushfit's focus on stretching and joint warm-ups eased the pressure on my joints. This was a huge benefit for me and it's the reason why I will be putting the other DVD series on the shelf for a long time.

GSP Rushfit has been a very entertaining and effective method for my home-based workout regimen. It's easy on my joints but keeps intensity high, and for that reason, I'm sticking with it.