-- Table structure for table `node`
--

CREATE TABLE `node` (
  `nid` int(10) unsigned NOT NULL auto_increment,
  `vid` int(10) unsigned NOT NULL default '0',
  `type` varchar(32) NOT NULL default '',
  `title` varchar(128) NOT NULL default '',
  `uid` int(11) NOT NULL default '0',
  `status` int(11) NOT NULL default '1',
  `created` int(11) NOT NULL default '0',
  `changed` int(11) NOT NULL default '0',
  `comment` int(11) NOT NULL default '0',
  `promote` int(11) NOT NULL default '0',
  `moderate` int(11) NOT NULL default '0',
  `sticky` int(11) NOT NULL default '0',
  PRIMARY KEY  (`nid`,`vid`),
  UNIQUE KEY `vid` (`vid`),
  KEY `node_type` (`type`(4)),
  KEY `node_title_type` (`title`,`type`(4)),
  KEY `status` (`status`),
  KEY `uid` (`uid`),
  KEY `node_moderate` (`moderate`),
  KEY `node_promote_status` (`promote`,`status`),
  KEY `node_created` (`created`),
  KEY `node_changed` (`changed`),
  KEY `node_status_type` (`status`,`type`,`nid`),
  KEY `nid` (`nid`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node`
--


INSERT INTO `node` VALUES (149,149,'articles','The REAL Reasons Behind Your Pain',1,1,1205399693,1214505391,0,1,0,0),(150,150,'articles','Are You RIDDLED With Pain?',1,1,1205407242,1214505462,0,1,0,0),(151,151,'articles','Do May Have More Severe Issues?',1,1,1205407634,1214505532,0,0,0,0),(152,152,'articles','RHEUMATOID ARTHRITIS (RA)',1,1,1205408266,1213933559,0,1,0,0),(153,153,'articles','Are You Literally Wearing Out Your Body?(Free Article)',1,1,1205408393,1214525151,0,1,0,0),(154,154,'articles','Do You REALLY Have Arthitis?(Free Article)',1,1,1205408478,1214525144,0,1,0,0),(155,155,'articles','A Remedy Without The Damaging Drugs',1,1,1205408528,1214505495,0,1,0,0),(156,156,'articles','What is Psoriatic Arthritis?',1,1,1205408597,1213933480,0,1,0,0),(157,157,'articles','Gout – What It REALLY Is…',1,1,1205408686,1214505555,0,1,0,0),(158,158,'articles','Acid Crystals Which Cause You Pain(Free Article)',1,1,1205408794,1214525159,0,1,0,0),(159,159,'articles','You – And 21 Million Others!',1,1,1205408886,1214505632,0,1,0,0),(160,160,'articles','Do You Have This Disease?',1,1,1205408957,1214505683,0,1,0,0),(161,161,'articles','Treatments of Arthritis',1,1,1205409009,1213933654,0,1,0,0),(162,162,'articles','Age Concerns And Your Disease',1,1,1205409048,1214505763,0,1,0,0),(163,163,'articles','The ‘True’ Arthritis Wonder Cure?',1,1,1205409121,1214505815,0,1,0,0),(164,164,'articles','Easing The Pain Naturally',1,1,1205409178,1214505657,0,1,0,0),(165,165,'articles','Exercise – Yes Or No?',1,1,1205409216,1214505709,0,1,0,0),(166,166,'articles','Race and Arthritis: How It Affects You…',1,1,1205409353,1214505734,0,1,0,0),(167,167,'articles','Crucial Data About Arthritis',1,1,1205409430,1214505787,0,1,0,0),(168,168,'articles','Which Medicines Will Help…',1,1,1205409530,1214505838,0,1,0,0),(169,169,'articles','Over 100 Possible Symptoms',1,1,1205409582,1214505876,0,1,0,0),(170,170,'articles','Before You Exercise – Read This…',1,1,1205409628,1214505917,0,1,0,0),(171,171,'articles','Arthritis – Do You Have It?',1,1,1205409701,1214505951,0,1,0,0),(172,172,'articles','Do You Need Surgery?',1,1,1205409745,1214505902,0,1,0,0),(173,173,'articles','Joint Pain – Simply Explained',1,1,1205409840,1214505937,0,1,0,0),(174,174,'articles','FAQ – Your Questions Answered',1,1,1205409905,1214505965,0,1,0,0),(186,186,'forum','Another Forum Topic',1,1,1214252174,1214252174,2,0,0,0),(177,177,'page','About',1,1,1213261916,1213916741,0,0,0,0),(183,183,'product','Joint Pain Comfort Membership',1,1,1213970547,1215119175,0,0,0,0),(184,184,'page','Urgent-News',0,1,1214409233,1217201584,0,1,0,0),(185,185,'forum','Thanks for the warm welcome.',1,1,1214058137,1214058137,2,0,0,0),(187,187,'page','Checkout',1,1,1214426807,1214427278,0,0,0,0),(188,188,'forum','Test topic',1,1,1214499889,1214499889,2,0,0,0),(189,189,'page','Redirect to home',1,1,1215010520,1215010914,0,0,0,0);

--
-- Table structure for table `node_access`
--

CREATE TABLE `node_access` (
  `nid` int(10) unsigned NOT NULL default '0',
  `gid` int(10) unsigned NOT NULL default '0',
  `realm` varchar(255) NOT NULL default '',
  `grant_view` tinyint(3) unsigned NOT NULL default '0',
  `grant_update` tinyint(3) unsigned NOT NULL default '0',
  `grant_delete` tinyint(3) unsigned NOT NULL default '0',
  PRIMARY KEY  (`nid`,`gid`,`realm`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_access`
--


INSERT INTO `node_access` VALUES (149,1,'term_access',1,0,0),(149,0,'all',1,0,0),(150,1,'term_access',1,0,0),(150,0,'all',1,0,0),(151,1,'term_access',1,0,0),(151,0,'all',1,0,0),(152,1,'term_access',1,0,0),(152,2,'term_access',1,0,0),(153,1,'term_access',1,0,0),(153,0,'all',1,0,0),(154,1,'term_access',1,0,0),(154,0,'all',1,0,0),(155,1,'term_access',1,0,0),(155,0,'all',1,0,0),(156,1,'term_access',1,0,0),(156,2,'term_access',1,0,0),(157,1,'term_access',1,0,0),(157,0,'all',1,0,0),(158,1,'term_access',1,0,0),(158,0,'all',1,0,0),(159,1,'term_access',1,0,0),(159,0,'all',1,0,0),(160,1,'term_access',1,0,0),(160,0,'all',1,0,0),(161,1,'term_access',1,0,0),(161,2,'term_access',1,0,0),(162,1,'term_access',1,0,0),(162,0,'all',1,0,0),(163,1,'term_access',1,0,0),(163,0,'all',1,0,0),(164,1,'term_access',1,0,0),(164,0,'all',1,0,0),(165,1,'term_access',1,0,0),(165,0,'all',1,0,0),(166,1,'term_access',1,0,0),(166,0,'all',1,0,0),(167,1,'term_access',1,0,0),(167,0,'all',1,0,0),(168,1,'term_access',1,0,0),(168,0,'all',1,0,0),(169,1,'term_access',1,0,0),(169,0,'all',1,0,0),(170,1,'term_access',1,0,0),(170,0,'all',1,0,0),(171,1,'term_access',1,0,0),(171,0,'all',1,0,0),(172,1,'term_access',1,0,0),(172,0,'all',1,0,0),(173,1,'term_access',1,0,0),(173,0,'all',1,0,0),(174,1,'term_access',1,0,0),(174,0,'all',1,0,0),(176,2,'term_access',1,0,0),(177,2,'term_access',1,0,0),(177,1,'term_access',1,0,0),(177,0,'all',1,0,0),(178,0,'all',1,0,0),(178,1,'term_access',1,0,0),(178,2,'term_access',1,0,0),(179,1,'term_access',1,0,0),(179,0,'all',1,0,0),(179,2,'term_access',1,0,0),(180,0,'all',1,0,0),(180,1,'term_access',1,0,0),(180,2,'term_access',1,0,0),(181,0,'all',1,0,0),(181,1,'term_access',1,0,0),(181,2,'term_access',1,0,0),(153,2,'term_access',1,0,0),(149,2,'term_access',1,0,0),(150,2,'term_access',1,0,0),(174,2,'term_access',1,0,0),(173,2,'term_access',1,0,0),(171,2,'term_access',1,0,0),(172,2,'term_access',1,0,0),(169,2,'term_access',1,0,0),(151,2,'term_access',1,0,0),(170,2,'term_access',1,0,0),(167,2,'term_access',1,0,0),(166,2,'term_access',1,0,0),(168,2,'term_access',1,0,0),(164,2,'term_access',1,0,0),(161,0,'all',1,0,0),(162,2,'term_access',1,0,0),(163,2,'term_access',1,0,0),(165,2,'term_access',1,0,0),(152,0,'all',1,0,0),(154,2,'term_access',1,0,0),(155,2,'term_access',1,0,0),(156,0,'all',1,0,0),(157,2,'term_access',1,0,0),(158,2,'term_access',1,0,0),(159,2,'term_access',1,0,0),(160,2,'term_access',1,0,0),(176,1,'term_access',1,0,0),(176,0,'all',1,0,0),(182,0,'all',1,0,0),(182,1,'term_access',1,0,0),(182,2,'term_access',1,0,0),(183,2,'term_access',1,0,0),(183,1,'term_access',1,0,0),(183,0,'all',1,0,0),(184,1,'term_access',1,0,0),(184,2,'term_access',1,0,0),(185,0,'all',1,0,0),(185,1,'forum_access',1,0,0),(185,2,'forum_access',1,0,0),(185,1,'term_access',1,0,0),(185,2,'term_access',1,0,0),(186,0,'all',1,0,0),(186,1,'forum_access',1,0,0),(186,2,'forum_access',1,0,0),(186,1,'term_access',1,0,0),(186,2,'term_access',1,0,0),(184,0,'all',1,0,0),(187,1,'term_access',1,0,0),(187,2,'term_access',1,0,0),(187,0,'all',1,0,0),(188,0,'all',1,0,0),(188,1,'forum_access',1,0,0),(188,2,'forum_access',1,0,0),(188,1,'term_access',1,0,0),(188,2,'term_access',1,0,0),(189,1,'term_access',1,0,0),(189,2,'term_access',1,0,0),(189,0,'all',1,0,0),(190,0,'all',1,0,0),(190,1,'term_access',1,0,0),(190,2,'term_access',1,0,0),(191,0,'all',1,0,0),(191,1,'term_access',1,0,0),(191,2,'term_access',1,0,0);

--
-- Table structure for table `node_comment_statistics`
--

CREATE TABLE `node_comment_statistics` (
  `nid` int(10) unsigned NOT NULL auto_increment,
  `last_comment_timestamp` int(11) NOT NULL default '0',
  `last_comment_name` varchar(60) default NULL,
  `last_comment_uid` int(11) NOT NULL default '0',
  `comment_count` int(10) unsigned NOT NULL default '0',
  PRIMARY KEY  (`nid`),
  KEY `node_comment_timestamp` (`last_comment_timestamp`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_comment_statistics`
--


INSERT INTO `node_comment_statistics` VALUES (1,1204554578,NULL,1,0),(65,1204891247,NULL,1,0),(85,1204900267,NULL,5,0),(21,1204808347,NULL,5,0),(6,1204831499,'',63,8),(7,1204842078,'',1,6),(8,1204849891,'',29,4),(9,1204775966,'',103,5),(11,1204803607,'',1,2),(12,1204776979,'',114,4),(13,1204837279,'',29,12),(86,1204900388,NULL,0,0),(17,1204803327,NULL,5,0),(18,1204803728,NULL,5,0),(20,1204806826,NULL,1,0),(93,1204900664,NULL,0,0),(104,1205039501,'',1,2),(73,1204898542,NULL,0,0),(71,1204898451,NULL,0,0),(72,1204898491,NULL,0,0),(87,1204900431,NULL,5,0),(35,1204811497,NULL,0,0),(36,1204811778,NULL,0,0),(74,1204898591,NULL,0,0),(89,1204900542,NULL,0,0),(39,1204812096,NULL,0,0),(91,1204900615,NULL,5,0),(41,1204812157,NULL,0,0),(42,1204812289,NULL,0,0),(43,1204812396,NULL,0,0),(78,1204899103,NULL,0,0),(45,1204812485,NULL,0,0),(46,1204812571,NULL,0,0),(81,1204899327,NULL,0,0),(92,1204900623,NULL,0,0),(51,1204813051,NULL,0,0),(90,1204900592,NULL,0,0),(53,1204813202,NULL,0,0),(79,1204899128,NULL,0,0),(102,1204979042,'',1,1),(57,1205099765,'',29,11),(58,1205042155,'',30,12),(59,1204831654,NULL,40,0),(60,1204990352,'',92,30),(61,1204861371,'',1,4),(62,1205039726,'',1,3),(63,1204891010,'',1,3),(64,1204890324,NULL,1,0),(66,1204891259,NULL,1,0),(88,1204900513,NULL,5,0),(94,1204900733,NULL,5,0),(95,1204900776,NULL,0,0),(96,1204900875,NULL,0,0),(97,1204983784,'',15,6),(98,1204931911,'',56,2),(99,1205067310,'',89,2),(101,1205105645,'',18,7),(106,1205041436,'',1,1),(107,1205106167,'',1,3),(110,1205114207,'',56,1),(111,1205116349,'',26,2),(113,1205128801,NULL,1,0),(147,1205227949,NULL,1,0),(149,1205399693,NULL,1,0),(150,1205407242,NULL,1,0),(151,1205407634,NULL,1,0),(152,1205408266,NULL,1,0),(153,1205408393,NULL,1,0),(154,1205408478,NULL,1,0),(155,1205408528,NULL,1,0),(156,1205408597,NULL,1,0),(157,1205408686,NULL,1,0),(158,1205408794,NULL,1,0),(159,1205408886,NULL,1,0),(160,1205408957,NULL,1,0),(161,1205409009,NULL,1,0),(162,1205409048,NULL,1,0),(163,1205409121,NULL,1,0),(164,1205409178,NULL,1,0),(165,1205409216,NULL,1,0),(166,1205409353,NULL,1,0),(167,1205409430,NULL,1,0),(168,1205409530,NULL,1,0),(169,1205409582,NULL,1,0),(170,1205409628,NULL,1,0),(171,1205409701,NULL,1,0),(172,1205409745,NULL,1,0),(173,1205409840,NULL,1,0),(174,1205409905,NULL,1,0),(183,1213970547,NULL,1,0),(177,1213261916,NULL,1,0),(184,1214001056,NULL,1,0),(185,1214058137,NULL,1,0),(186,1214252174,NULL,1,0),(187,1214426807,NULL,1,0),(188,1217294435,'',222,3),(189,1215010520,NULL,1,0);

--
-- Table structure for table `node_counter`
--

CREATE TABLE `node_counter` (
  `nid` int(11) NOT NULL default '0',
  `totalcount` bigint(20) unsigned NOT NULL default '0',
  `daycount` mediumint(8) unsigned NOT NULL default '0',
  `timestamp` int(10) unsigned NOT NULL default '0',
  PRIMARY KEY  (`nid`),
  KEY `totalcount` (`totalcount`),
  KEY `daycount` (`daycount`),
  KEY `timestamp` (`timestamp`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_counter`
--



--
-- Table structure for table `node_field`
--

CREATE TABLE `node_field` (
  `field_name` varchar(32) NOT NULL default '',
  `type` varchar(127) NOT NULL default '',
  `global_settings` mediumtext NOT NULL,
  `required` int(11) NOT NULL default '0',
  `multiple` int(11) NOT NULL default '0',
  `db_storage` int(11) NOT NULL default '0',
  PRIMARY KEY  (`field_name`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_field`
--


INSERT INTO `node_field` VALUES ('field_snippet','text','a:4:{s:15:\"text_processing\";s:1:\"0\";s:10:\"max_length\";s:3:\"250\";s:14:\"allowed_values\";s:0:\"\";s:18:\"allowed_values_php\";s:0:\"\";}',0,0,1);

--
-- Table structure for table `node_field_instance`
--

CREATE TABLE `node_field_instance` (
  `field_name` varchar(32) NOT NULL default '',
  `type_name` varchar(32) NOT NULL default '',
  `weight` int(11) NOT NULL default '0',
  `label` varchar(255) NOT NULL default '',
  `widget_type` varchar(32) NOT NULL default '',
  `widget_settings` mediumtext NOT NULL,
  `display_settings` mediumtext NOT NULL,
  `description` mediumtext NOT NULL,
  PRIMARY KEY  (`field_name`,`type_name`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_field_instance`
--


INSERT INTO `node_field_instance` VALUES ('field_snippet','articles',-1,'Snippet','text','a:3:{s:13:\"default_value\";a:1:{i:0;a:1:{s:5:\"value\";s:0:\"\";}}s:17:\"default_value_php\";s:0:\"\";s:4:\"rows\";s:1:\"4\";}','a:3:{s:5:\"label\";a:1:{s:6:\"format\";s:5:\"above\";}s:6:\"teaser\";a:1:{s:6:\"format\";s:6:\"hidden\";}s:4:\"full\";a:1:{s:6:\"format\";s:6:\"hidden\";}}','This bit of text appears on the homepage and is seen by the public.');

--
-- Table structure for table `node_group`
--

CREATE TABLE `node_group` (
  `type_name` varchar(32) NOT NULL default '',
  `group_name` varchar(32) NOT NULL default '',
  `label` varchar(255) NOT NULL default '',
  `settings` mediumtext NOT NULL,
  `weight` tinyint(4) NOT NULL default '0',
  PRIMARY KEY  (`type_name`,`group_name`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_group`
--



--
-- Table structure for table `node_group_fields`
--

CREATE TABLE `node_group_fields` (
  `type_name` varchar(32) NOT NULL default '',
  `group_name` varchar(32) NOT NULL default '',
  `field_name` varchar(32) NOT NULL default '',
  PRIMARY KEY  (`type_name`,`group_name`,`field_name`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_group_fields`
--



--
-- Table structure for table `node_import_mappings`
--

CREATE TABLE `node_import_mappings` (
  `type` varchar(16) NOT NULL default '',
  `csv_headers` text NOT NULL,
  `mapping` text NOT NULL,
  KEY `type` (`type`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_import_mappings`
--


INSERT INTO `node_import_mappings` VALUES ('forum','a:12:{i:0;s:7:\"GroupID\";i:1;s:8:\"ThreadID\";i:2;s:10:\"ThreadName\";i:3;s:4:\"Link\";i:4;s:6:\"Posted\";i:5;s:8:\"UserName\";i:6;s:9:\"UserEmail\";i:7;s:7:\"Message\";i:8;s:9:\"ArticleID\";i:9;s:8:\"link_url\";i:10;s:10:\"link_title\";i:11;s:9:\"Image_url\";}','a:12:{i:0;s:0:\"\";i:1;s:0:\"\";i:2;s:5:\"title\";i:3;s:0:\"\";i:4;s:4:\"date\";i:5;s:4:\"name\";i:6;s:0:\"\";i:7;s:4:\"body\";i:8;s:0:\"\";i:9;s:0:\"\";i:10;s:0:\"\";i:11;s:0:\"\";}');

--
-- Table structure for table `node_revisions`
--

CREATE TABLE `node_revisions` (
  `nid` int(10) unsigned NOT NULL default '0',
  `vid` int(10) unsigned NOT NULL default '0',
  `uid` int(11) NOT NULL default '0',
  `title` varchar(128) NOT NULL default '',
  `body` longtext NOT NULL,
  `teaser` longtext NOT NULL,
  `log` longtext NOT NULL,
  `timestamp` int(11) NOT NULL default '0',
  `format` int(11) NOT NULL default '0',
  PRIMARY KEY  (`vid`),
  KEY `nid` (`nid`),
  KEY `uid` (`uid`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_revisions`
--




--
-- Table structure for table `node_state`
--

CREATE TABLE `node_state` (
  `nid` int(10) unsigned NOT NULL default '0',
  `vid` int(10) unsigned NOT NULL default '0',
  `machine` varchar(63) NOT NULL default '',
  `state` varchar(127) default NULL,
  PRIMARY KEY  (`vid`,`machine`),
  KEY `nid` (`nid`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_state`
--



--
-- Table structure for table `node_type`
--

CREATE TABLE `node_type` (
  `type` varchar(32) NOT NULL default '',
  `name` varchar(255) NOT NULL default '',
  `module` varchar(255) NOT NULL default '',
  `description` mediumtext NOT NULL,
  `help` mediumtext NOT NULL,
  `has_title` tinyint(3) unsigned NOT NULL default '0',
  `title_label` varchar(255) NOT NULL default '',
  `has_body` tinyint(3) unsigned NOT NULL default '0',
  `body_label` varchar(255) NOT NULL default '',
  `min_word_count` smallint(5) unsigned NOT NULL default '0',
  `custom` tinyint(4) NOT NULL default '0',
  `modified` tinyint(4) NOT NULL default '0',
  `locked` tinyint(4) NOT NULL default '0',
  `orig_type` varchar(255) NOT NULL default '',
  PRIMARY KEY  (`type`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `node_type`
--


INSERT INTO `node_type` VALUES ('page','Page','node','If you want to add a static page, like a contact page or an about page, use a page.','',1,'Title',1,'Body',0,1,1,0,'page'),('story','Story','node','Stories are articles in their simplest form: they have a title, a teaser and a body, but can be extended by other modules. The teaser is part of the body too. Stories may be used as a personal blog or for news articles.','',1,'Title',1,'Body',0,1,1,0,'story'),('forum','Forum topic','forum','Create a new topic for discussion in the forums.','',1,'Subject',1,'Body',0,0,0,1,'forum'),('faq','FAQ','faq','A frequently asked question and its answer.','',1,'Title',1,'Body',0,0,1,1,'faq'),('video','Videos','video','Allow a variety of video formats to be posted as nodes in your site','',1,'Title',1,'Body',0,0,1,1,'video'),('image','Image','image','An image (with thumbnail). This is ideal for publishing photographs or screenshots.','',1,'Title',1,'Body',0,0,0,1,'image'),('articles','Articles','node','This is the content type used for posting articles and article info.','',1,'Title',1,'Body',0,1,1,0,''),('product','Product','uc_product','This node displays the representation of a product for sale on the website. It includes\r\n        all the unique information that can be attributed to a specific model number.','',1,'Name',1,'Description',0,0,1,1,'product');

--
-- Table structure for table `nodeaccess`
--

CREATE TABLE `nodeaccess` (
  `nid` int(10) unsigned NOT NULL default '0',
  `gid` int(10) unsigned NOT NULL default '0',
  `realm` varchar(255) NOT NULL default '',
  `grant_view` tinyint(1) unsigned NOT NULL default '0',
  `grant_update` tinyint(1) unsigned NOT NULL default '0',
  `grant_delete` tinyint(1) unsigned NOT NULL default '0',
  PRIMARY KEY  (`nid`,`gid`,`realm`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `nodeaccess`
--


INSERT INTO `nodeaccess` VALUES (174,1,'nodeaccess_rid',0,0,0),(174,5,'nodeaccess_rid',1,0,0);

--
-- Table structure for table `nodewords`
--

CREATE TABLE `nodewords` (
  `type` varchar(16) NOT NULL default '',
  `id` varchar(255) NOT NULL default '',
  `name` varchar(32) NOT NULL default '',
  `content` text,
  PRIMARY KEY  (`type`,`id`,`name`)
) ENGINE=MyISAM DEFAULT CHARSET=utf8;

--
-- Dumping data for table `nodewords`
--



--
-- Table structure for table `panels_area`
--

CREATE TABLE `panels_area` (
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INSERT INTO `search_dataset` VALUES (177,'node',' about about list item test list item test list item test list item test list item test list item test list item test  '),(160,'node',' do you have this disease  osteoarthritis is a disease that affects the joints it can involve any joint but usually concerns hands and weightbearing joints such as hips knees feet and spine cartilage is the tough elastic material that covers and protects the ends of bones in healthy joints cartilage acts as a shock absorber when you put weight on the joint the slippery surface of the cartilage allows the bones to move smoothly when a joint develops osteoarthritis the cartilage gradually becomes rough and thin and the bone underneath thickens osteoarthritis is classified as noninflammatory arthritis this suggests that there is no inflammation swelling however recent research shows that this is not true although there is usually no swelling in the early stage of the disease as the arthritis progresses there can be inflammation bits of cartilage may break off and float around inside the joint this disturbs other soft tissues inside the joint and can cause pain and swelling between bones the result is you may have trouble moving the joint over time as the cartilage wears down the bones may form bumps on their ends these bumps are called spurs or the cartilage may wear away entirely and your bones may rub together there are many kinds of arthritis the most common kind is called osteoarthritis or oa for short it affects 3000000 1 in 10 oa affects men and women in equal numbers most people develop osteoarthritis after the age of 45 but it can occur at any age the warning signs of oa are the following pain stiffness and swelling around a joint that lasts longer than two weeks the joints that are usually affected are the hips knees feet and spine finger and thumb joints might also be affected damage due to oa progresses slowly over time and may result in several problems you may have pain especially when moving a joint sometimes you may hear a grating sound when the roughened cartilage on the surface of the bones rubs together bumps or swelling may appear especially on the fingers and feet a joint may feel sore and stiff and the joint won t move as easily or as far as it once did all these changes can make it hard to move around and to do everyday tasks such as opening a jar or walking up stairs no one knows for sure what causes oa although scientists are well on their way to understanding the events that lead to the breakdown of cartilage researchers now think that there are several factors that may increase your risk for getting oa key risk factors include heredity excess weight injury joint damage from another type of arthritis establishing the correct diagnosis is very important because something can be done to manage most forms of arthritis and most therapies work best when started early in the disease although there is no cure for oa a lot can be done to help manage the condition a variety of treatments can help to lessen pain and stiffness and to make movement easier your active involvement in developing your prescribed treatment plan is essential for mild to moderate osteoarthritis doctors often recommend acetaminophen acetaminophen is a pain reliever but does not reduce inflammation topical creams and gels that are available overthecounter may provide temporary pain relief but only in the areas where they are applied these creams aren t as effective as antiinflammatories nonsteroidal antiinflammatory drugs nsaids are a type of medication that helps reduce the pain and swelling of the joints and decrease stiffness however they do not prevent further joint damage these medications can be used to help reduce pain and swelling of the joints and decrease stiffness however they do not prevent further joint damage nsaids reduce pain when taken at a low dose and relieve inflammation when taken at a higher dose cox2 inhibitors eg celebrex are a specific kind of nsaid that may be prescribed if traditional nsaids are hard on your stomach or if you have experienced stomach ulcers when osteoarthritis progresses to the point where it s hard to get around corticosteroid injections may be an option to reduce pain and improve mobility cortisone is a steroid that reduces inflammation and swelling it is a hormone naturally produced by the body corticosteroids are drugs that closely resemble cortisone they are steroids that can be injected into the joints an injection can provide almost immediate relief for a tender swollen and inflamed joint however this treatment can only be used rarely since corticosteroids can weaken the cartilage and remove the minerals from and therefore weaken the bone resulting in further joint weakness osteoarthritis may progress to the point where surgery is necessary minor surgery can be performed to clean out cartilage debris from the joints particularly the knee this is called arthroscopic surgery it is performed as outpatient surgery and does not usually require an overnight stay in hospital severely damaged joints can be reconstructed or surgically replaced with artificial ones joint replacement is major surgery and is most often performed to replace hip and knee joints hip and knee replacements relieve pain and can restore your ability to move your joints and function normally artificial joints can last 1020 years before they require replacement which is why this type of surgery is delayed until it is clearly necessary  getting comfort  '),(159,'node',' you and 21 million others  osteoarthritis oa is the most common form of arthritis in the united states affecting an estimated 21 million adults oa begins with the breakdown of joint cartilage resulting in pain and stiffness oa commonly affects the joints of the fingers knees hips and spine other joints affected less frequently include the wrists elbows shoulders and ankles when oa is found in a lessfrequently affected joint there is usually a history of injury or unusual stress to that joint workrelated repetitive injury and physical trauma may contribute to the development of oa for example if you have a strenuous job that requires repetitive bending kneeling or squatting you may be at high risk for oa of the knee what are the symptoms of osteoarthritis the most common symptoms of oa include steady or intermittent pain in a joint stiffness after periods of inactivity such as sleeping or sitting swelling or tenderness in 1 or more joints crunching feeling or sound of bone rubbing on bone called crepitus when the joint is used oa usually comes on slowly early in the disease joints may ache after physical work or exercise if you are experiencing symptoms such as joint pain and stiffness see a doctor to find out if you have oa where do symptoms of osteoarthritis typically appear although oa can occur in any joint most often it occurs in the following areas fingers oa of the fingers is often hereditary meaning it runs in families fingers may ache or be stiff and numb the base of the thumb joint is commonly affected fingers can become enlarged and gnarled small bony knobs called heberden s nodes may also appear on the end joints of the fingers similar knobs called bouchard s nodes can appear on the middle joints of the fingers more women than men have oa of their fingers women become especially susceptible to oa after menopause knees because knees are primary weightbearing joints they are very commonly affected by oa they may be stiff swollen and painful making it hard to walk climb and get in and out of chairs and bathtubs hip oa in the hip can cause pain stiffness and severe disability in addition to your hip you may feel the pain in your groin inner thigh or knees this can lead to difficulty moving bending and walking spine oa of the spine can cause stiffness and pain in the neck or in the lower back as well as weakness or numbness in your arms or legs  getting comfort  '),(158,'node',' acid crystals which cause you pain free article  gout is a condition in which uric acid a waste product that occurs naturally within the body rises above normal levels rather than being flushed by the kidneys and through the urine it forms crystals which are then deposited in the joints these deposits give rise to inflammation of the joints causing pain swelling redness and tenderness of the area typically the joint affected is the big toe but gout can also affect the ankle knee foot hand wrist and elbow uric acid crystals may also form deposits in other areas such as under the skin or in other soft tissues and in the kidney or urinary tract gout predominantly affects adult males it is the most common cause of inflammatory arthritis in men over the age 40 men are at least four times more likely to develop gout than women women who do develop gout rarely develop it before reaching menopause the onset of gout is usually quick and unexpected often people who develop gout will do so during the night while sleeping after having gone to bed in good health they are awakened by acute pain in the big toe or more rarely in the heel ankle or instep this pain has been described as feeling as though a bucket of cold water poured over the affected area with the pain increasing to a violent stretching tearing sensation there is also a pressure and tightness around the area the pain becomes so acute that not even the weight of a bed sheet can be tolerated the soft tissues such as the muscles and tendons around the joint can become hot red and swollen and to wear a shoe may become impossible gout typically affects the joint at the base of the big toe in over half of all initial attacks this is the first joint affected the majority of initial gout attacks involve only one joint over 50 of people who have had an acute attack of gout will have a recurrence within the year over time the attacks may become more frequent lasting longer and often involve more joints for some individuals the attacks linger and the disease becomes chronic the crystals of uric acid deposited inside the joint and in the surrounding soft tissues lead to destructive changes in the joint and cause persistent inflammation a number of factors seem to contribute to the cause of gout acute gout may be triggered by events such as surgery heart attacks or trauma use of alcohol or some medications such as certain diuretics also known as water pills particularly those used to treat high blood pressure can set off a gout attack certain foods such as seafood and liver and beverages such as coffee and tea may contribute to the incidence of gout a family history of gout is common for those who develop it and this may be a result of genetic predisposition or environmental factors the goal in treating gout is to safely provide relief of acute attacks prevent further attacks and damage to the joints and prevent the formation of tophi or kidney stones establishing the correct diagnosis is important because most therapies work best when started early in the disease there are a variety of treatments used for gout some of the treatments used are the following nonsteroidal antiinflammatory drugs nsaids nsaids reduce pain when taken at a low dose and relieve inflammation when taken at a higher dose the most commonly used nsaid to treat gout is indocid other nsaids used to treat gout are naprosyn orudis voltaren and tolectin those who do not respond well to a nsaid usually are prescribed cortisone cortisone is a steroid that reduces inflammation and swelling it is typically administrated by an injection into the joint for severe pain and inflammation doctors can inject a powerful antiinflammatory drug called corticosteroid corticosteroids are drugs that closely resemble cortisone an injection can provide almost immediate relief for a tender swollen and inflamed joint however this treatment can only be used rarely since corticosteroids can weaken cartilage and remove the minerals from the bone resulting in further joint weakness colchicine is another medication that has been used since the 1800s to treat gout it is very effective however it is not used as frequently as nsaids are because it tends to cause side effects such as nausea vomiting and diarrhea there are a number of other medications used for treatment of other conditions that alter how uric acid is excreted through the kidneys dietary habits may cause your body to produce too much uric acid to keep levels of uric acid low reduce your amount of certain foods and drinks such as coffee cocoa tea seafood liver gravy peas and spinach alcohol beer wine etc also stops uric acid from leaving your body and can trigger gout sudden changes in your diet or dramatic weight gain loss may also cause gout attacks medications have made the management of gout very effective those people who have occasional attacks can usually manage them well with treatment which includes making changes to the way one lives types of foods eaten control of weight etc those with chronic gout can control the level of uric acid through the ongoing use of medication it is possible after years of treatment that the total body of uric acid stored can remain low enough to where one may not need medication  getting comfort  '),(157,'node',' gout what it really is  overview gout is a systemic disease ie condition that occurs throughout the body caused by the buildup of uric acid in the joints an elevated blood level of uric acid called hyperuricemia occurs when the liver produces more uric acid than the body can excrete in the urine or when a diet high in rich foods eg red meat cream sauces red wine produces more uric acid than the kidneys can filter from the blood over time uric acid in the blood crystallizes and settles in the joint spaces causing swelling inflammation stiffness and pain gout usually affects the first metatarsal phalangeal joint of the big toe hallux or the ankle joints incidence and prevalence according to the national institutes of health nih gout affects approximately 21 million people in the united states and is more common in men between the ages of 40 and 50 in women incidence increases after menopause the condition is rare in children and young adults causes and risk factors gout is caused by the buildup of uric acid in the joints approximately 18 of people who develop gout have a family history of the condition according to the national institute of arthritis and musculoskeletal and skin diseases diseases and conditions that increase the risk include diabetes obesity kidney disease and sickle cell anemia regularly drinking alcohol interferes with the removal of uric acid from the body and can increase the risk for developing gout other risk factors include the following exposure to lead in the environment high dietary intake of rich foods that contain purine eg cream sauces red meat sardines liver scallops medications that may interfere with the body s ability to remove uric acid eg aspirin diuretics levodopa used to treat parkinson s disease cyclosporine eg gengraf which is a medication used to suppress the body s immune system and prevent rejection after organ transplant also increases the risk for developing gout signs and symptoms gout usually develops in the joint of the first toe ie the big toe or hallux common symptoms include the following inflammation pain redness stiffness swelling touching or moving the toe may be intensely painful and patients often say that having as much as a bed sheet over the toe increases the pain symptoms of gout develop quickly sometimes in 1 day and typically occur in only one joint at a time rarely symptoms develop in two or three joints simultaneously if widespread symptoms occur the condition is probably not gout if left untreated gout can damage joints and cause disability diagnosis diagnosis of gout involves inserting a needle into the affected joint and drawing a sample of the fluid that lubricates the joint called synovial fluid the fluid is then analyzed under a microscope to determine if uric acid crystals are present to rule out joint infection the fluid also is examined for the presence of bacteria patients with gout have elevated blood levels of uric acid hyperuricemia but this condition may or may not be present during an acute attack treatment the goal of treatment is to decrease the amount of uric acid in the joints which helps to reduce symptoms and prevent further attacks if left untreated affected joints may be damaged causing disability in most cases gout is not treated unless it occurs frequently treatment may involve no steroidal antiinflammatories nsaids such as naproxen eg anaprox naprosyn and indomethacin eg indocin due to potentially severe gastrointestinal and cardiovascular side effects nsaids should only be used as instructed corticosteroids eg prednisone also may be taken orally or injected into the affected joint these medications usually resolve symptoms in about a week colchicine and probenecid benemid may be used alone or in combination eg colbenemid when other medications do not relieve symptoms these medications are most effective when taken within 12 hours of the onset of symptoms side effects include abdominal pain diarrhea nausea and vomiting prevention prevention is the best defense against gout medication eg small doses of nsaids colchicine allopurinol zyloprim probenecid may prevent continued accumulation of uric acid in the joints and further attacks avoiding alcohol and rich foods that are high in purine eg scallops sardines red meat sweetbreads gravy cream sauces also may help to prevent the condition other preventative measures include the following drink plenty of fluids especially water exercise regularly maintain a healthy diet and healthy body weight see a physician regularly  getting comfort  '),(156,'node',' what is psoriatic arthritis  psoriatic arthritis is a condition that causes swelling and pain in and around the joints it can affect a number of joints including the fingers wrists toes knees ankles elbows and shoulder joints as well as the spine and lower back joints psoriatic arthritis also affects tissues surrounding the joints such as the tendons and ligaments this form of arthritis may cause a swelling of the whole digit called sausage finger or toe it also may cause skin inflammation particularly on the elbows knees and scalp psoriatic arthritis is linked to psoriasis a disorder causing areas of the skin to become inflamed and be covered with silvery or grey scales psoriatic arthritis is a less common form of arthritis it affects both men and women in equal numbers usually between the ages of 20 and 50 thirty percent of people affected with psoriasis will also get psoriatic arthritis although psoriasis may start at any age commonly in the late teens the arthritis component usually develops in ones 20 s through 40 s the other types of psoriatic arthritis include tendonitis swelling of the tendons and enteritis pain and swelling at sites where tendons and ligaments attach to the bone common examples of these conditions are heel spurs tennis elbow and tendonitis of the achilles tendon cord at the back of the heel psoriatic arthritis will generally develop in one of two ways localized mild psoriatic arthritis develops slowly with mild symptoms and affects less than five joints people with this type of psoriatic arthritis will often live without symptoms for an extended period of time generalized disabling psoriatic arthritis is a more serious form of the disease that affects five or more joints at the same time this form of the disease will often lead to permanent joint damage and disability and requires medication early in severe cases surgery and rehabilitation may be required while no one knows for sure what causes psoriatic arthritis it is known that heredity plays a big role children of parents with psoriasis are three times more likely to develop it if an identical twin has psoriasis then there is a 75 chance the other twin suffer from it as well other possible causes of psoriatic arthritis are exposure to infection or changes in the environment at this time there is no cure for psoriatic arthritis therefore treatment is designed to minimize pain and stiffness establishing the correct diagnosis early on is very important because most therapies work best when started early in the disease however this form of arthritis is similar to other forms such as gout reiter s syndrome and rheumatoid arthritis therefore your doctor may order in addition to a physical examination various tests xrays are often ordered to look for changes in the bone blood and joint fluid tests may be done to rule out other conditions once the diagnosis is confirmed then the exact treatment s will be prescribed to help decrease your pain and stiffness while increasing ones rom treatment of psoriatic arthritis is for both the skin condition and the arthritis for mild psoriatic arthritis the treatment plan is comprised of medication physiotherapy and dailyliving adjustments medications that are prescribed to reduce pain and swelling include but are not limited to coated acetylsalicylic acid ibuprofen various cox2 inhibitors gold salts methotrexate sulfasalazine leflunomide hydroxychloroquinine chloroquinine and azathioprine corticosteroids which resemble cortisone a hormone naturally produced by the body are also used to decrease the pain and swelling corticosteroids are given as an injection into one or more joints or other areas of inflammation the most common form of treatment is prednisone properly caring for your skin will help one manage his her symptoms however if a person suspects having severe psoriasis then they should see a dermatologist right away another way to help manage skin symptoms is to monitor ones exposure to sunlight light therapy has been used in the treatment of psoriasis it consists of a medication called psoralen along with exposure to type a ultraviolet light typically 2030 treatments over several weeks under medical supervision will produce favorable results in addition to the prior there are different types of exercises that one can perform as a way to lessen pain and stiffness associated with the disease the following are some examples range of motion exercises reduces stiffness and keeps your joints moving strengthening exercises maintain or increase muscle strength endurance exercises strengthen your heart give you energy and control your weight these exercises include things like walking swimming and cycling moderate stretching exercises help relieve the pain and keep the muscles and tendons around an affect joint flexible and strong some people with severe advanced psoriatic arthritis may require surgery or if one of your joints becomes badly damaged surgery for psoriatic arthritis usually is done to replace a joint with a prosthetic joint benefits include less pain better movement and function if you suspect you may have some signs and symptoms of psoriatic arthritis contact your doctor for a consult  getting comfort  '),(155,'node',' a remedy without the damaging drugs after extensively researching treatment options for rheumatoid arthritis osteoarthritis and related joint pain conditions there was a breakthrough in the natural arthritis pain relief medicines this special arthritis supplement is called arthriteze and it contains all of the natural arthritis relieving nutrients including glucosamine chondroitin msm and other special ingredients to help reduce inflammation swelling and stiffness as well as protect the joints and provide long lasting pain relief an alternative arthritis pain reliever can offer a safe natural solution for those who wish to avoid the serious side effects of conventional medications such as vioxx celebrex and other antiinflammatory drugs in the wake of recent drug recalls and new evidence of the potential for health complications with cox2 inhibitors arthritis alternative medicine is becoming a popular treatment for rheumatoid and osteoarthritis as well as related joint pain surprisingly much recent research shows that some of these natural treatments can be as effective as antiinflammatory drugs without causing any of the side effects associated with conventional medications for those looking for an alternative arthritis pain reliever these new studies offer hope and further research should prove conclusively that these natural remedies are effective in reducing inflammation and fighting the pain associated with these debilitating conditions so what are these natural treatments following are the most promising alternative arthritis pain relief supplements glucosamine and chondroitin two of the more popular natural arthritis treatments these two naturally occurring substances can aid in joint repair and function and slow the progression of osteoarthritis msm natural sulfur compound that acts as an antiinflammatory and can help reduce swelling and inflammation and thereby reduce pain same reduces swelling and improves range of motion and mobility boswellia an herbal extract that acts as a natural antiinflammatory turmeric another powerful herb that can naturally relieve arthritis pain all of these can offer effective alternative arthritis pain relief either on their own or together in a comprehensive formula where each can enhance the medicinal benefits of the others arthritis sufferers have touted glucosamine benefits for years and more research is pointing to its efficacy as an effective treatment for osteoarthritis and rheumatoid arthritis glucosamine benefits the body because it occurs naturally in human tissues making it a viable alternative to the synthetically derived drugs that have infiltrated the market in past years like glucosamine these drugs known as nsaids or nonsteroidal antiinflammatory drugs can help relieve the discomfort associated with arthritis however they work in vastly different ways the problem with nsaids such as the now infamous vioxx is that they can increase the risk of heart attacks and gastrointestinal bleeding according to the united states food and drug administration the fda even targeted nonprescription nsaids such as ibuprofen by advising manufacturers to revise their labeling and provide more specific information about the potential cardiovascular and gastrointestinal risks of their individual products glucosamine side effects are minimal in comparison so how exactly is glucosamine an amino sugar different from nsaids and what are the proven glucosamine benefits instead of tricking the body into not receiving pain signals glucosamine goes straight to the cause of the disease studies indicate that glucosamine benefits tender joints by stimulating the production of proteins which aid in the building and repairing of connective tissue in the body as we grow older our body s ability to produce glucosamine decreases and our structural system pays the price because osteoarthritis in particular is often caused by age and wear glucosamine benefits the body by possibly slowing or reversing the progression of the disease more importantly experts agree that few glucosamine side effects exist when taken in recommended doses too much of any nutrient vitamins and minerals included can be harmful possible glucosamine side effects include nausea diarrhea heartburn drowsiness skin rash and headache in addition supplement manufacturers derive glucosamine from the exoskeleton of shellfish therefore those who are allergic to shellfish should avoid taking glucosamine to complement glucosamine benefits arthritis sufferers often take chondroitin sulfate also a naturally occurring compound in addition to obtain full glucosamine benefits and to avoid any glucosamine side effects always purchase supplements glucosamine or otherwise from reputable manufacturers with a proven history of quality still skeptical about glucosamine benefits the national institute of health is conducting a study to determine the effectiveness of glucosamine chondroitin sulfate and or the combination in the treatment of knee pain associated with osteoarthritis the study will be completed at the end of 2005 despite the results government studies will not sway the thousands of sufferers who have taken glucosamine and seen results  getting comfort  '),(154,'node',' do you really have arthitis free article  tests and diagnosis discussion for arthritis diagnosing rheumatic diseases can be difficult because some symptoms and signs are common to many different diseases a general practitioner or family doctor may be able to evaluate a patient or refer him or her to a rheumatologist a doctor who specializes in treating arthritis and other rheumatic diseases the doctor will review the patient s medical history conduct a physical examination and obtain laboratory tests and x rays or other imaging tests the doctor may need to see the patient more than once to make an accurate diagnosis medical history it is vital for people with joint pain to give the doctor a complete medical history it may be helpful for people to keep a daily journal that describes the pain patients should write down what the affected joint looks like how it feels how long the pain lasts and what they were doing when the pain started physical examination and laboratory tests the doctor will examine all of the patient s joints for redness warmth deformity ease of movement and tenderness because some forms of arthritis such as lupus may affect other organs a complete physical examination including the heart lungs abdomen nervous system and eyes ears and throat may be necessary the doctor may order some laboratory tests to help confirm a diagnosis such as samples of blood urine or synovial fluid common laboratory tests antinuclear antibody ana this test checks blood levels of antibodies that are often present in people who have connective tissue diseases or other autoimmune disorders such as lupus since the antibodies react with material in the cell s nucleus control center they are referred to as antinuclear antibodies there are also tests for individual types of ana s that may be more specific to people with certain autoimmune disorders ana s are also sometimes found in healthy people therefore having ana s in the blood does not necessarily mean that a person has a disease arthrocentesis arthrocentesis or joint aspiration is done to obtain a sample of synovial fluid the doctor injects a local anesthetic inserts a thin hollow needle into the joint and removes the synovial fluid into a syringe the test provides important diagnostic information for example the test allows the doctor to see whether crystals found in patients with gout or other types of crystalinduced arthritis or bacteria or viruses found in patients with infectious arthritis are present in the joint complement this test measures the level of complement a group of proteins in the blood complement helps destroy foreign substances such as germs that enter the body a low blood level of complement is common in people who have active lupus complete blood count cbc this test determines the number of white blood cells red blood cells and platelets present in a sample of blood some rheumatic conditions or drugs used to treat arthritis are associated with a low white blood count leukopenia low red blood count anemia or low platelet count thrombocytopenia when doctors prescribe medications that affect the cbc they periodically test the patient s blood creatinine this blood test is commonly ordered in patients who have rheumatic diseases to monitor for underlying kidney disease erythrocyte sedimentation rate sed rate this blood test is used to detect inflammation in the body higher sed rates indicate the presence of inflammation and are typical of many forms of arthritis such as rheumatoid arthritis and ankylosing spondylitis and many of the connective tissue diseases hematocrit pcv packed cell volume this test and the test for hemoglobin a substance in the red blood cells that carries oxygen through the body measure the number of red blood cells present in a sample of blood a decrease in the number of red blood cells anemia is common in people with inflammatory arthritis and rheumatic diseases rheumatoid factor this test determines whether rheumatoid factor is present in the blood rheumatoid factor is an antibody found in the blood of most but not all people who have rheumatoid arthritis rheumatoid factor may be found in many other diseases besides rheumatoid arthritis and sometimes in normal healthy people urinalysis in this test a urine sample is studied for protein red blood cells white blood cells or casts these abnormalities indicate kidney disease which may be seen in several rheumatic diseases such as lupus or vasculitis some medications used to treat arthritis can also cause abnormal findings on urinalysis white blood cell count wbc this test determines the number of white blood cells present in a sample of blood the number may increase as a result of infection or decrease in response to certain medications or with certain diseases such as lupus low numbers of white blood cells increase a person s risk of infections x rays and other imaging procedures  getting comfort  '),(152,'node',' rheumatoid arthritis ra  rheumatoid arthritis ra can affect many different joints and in some people other parts of the body as well including the blood the lungs and the heart inflammation of the joint lining called the synovium can cause pain stiffness swelling warmth and redness the affected joint may also lose its shape resulting in loss of normal movement ra can last a long time and can be a disease of flares active symptoms and remissions few to no symptoms ra affects 21 million americans or about 1 of the adult population in the united states this disease is 2 to 3 times more common in women than in men and generally affects people between the ages of 20 and 50 however young children can develop a form of ra called juvenile rheumatoid arthritis what are the symptoms of rheumatoid arthritis symptoms of ra differ from person to person but can generally include joint tenderness warmth and swelling both sides of the body are usually affected at the same time this is also called a symmetrical pattern of inflammation for example if one knee is affected the other one is also this is in contrast to osteoarthritis where it is possible for only one knee to be affected pain and stiffness lasting for more than 1 hour in the morning or after a long rest joint inflammation in the wrist and finger joints closest to the hand although joints of the neck shoulders elbows hips knees ankles and feet can be affected as well fatigue an occasional fever and a general sense of not feeling well called malaise symptoms that last for an extended period of time symptoms in other parts of the body not just in the joints ra causes inflammation of the joint lining which can lead to pain swelling stiffness and loss of function it also can cause inflammation of your tear glands salivary glands the lining of your heart and lungs and the lungs themselves as ra progresses about 25 of people with the disease develop small lumps of tissue under the skin called rheumatoid nodules these rheumatoid nodules usually aren t painful the nodules may form under the skin of the elbow hands the back of the scalp over the knee or on the feet and heels they can be as small as a pea to as large as a walnut although ra is often a chronic disease the severity and duration of the symptoms may unpredictably come and go for people with a severe case of ra the disease is generally active lasts for many years and leads to serious joint damage and disability periods of increased disease activity or worsening of symptoms are called flareups or flares if you are experiencing any of the symptoms described above it is important to find out from a doctor if you have ra early diagnosis may reduce the pain joint damage and disability that occur in some ra patients what causes rheumatoid arthritis ra is an autoimmune disease this means the body s natural immune system does not operate as it should it attacks healthy joint tissue initiating a process of inflammation and joint damage the exact cause of ra is not yet known although scientists do know that many factors may contribute to the development of ra genetic or hereditary factors play a role scientists have shown certain genes that play a role in the immune system may be involved in determining whether or not you develop ra however some people with ra do not have these particular genes and other people who do have the genes never develop the disease environmental factors may also contribute to the cause of the disease researchers have found that ra can be triggered by an infection possibly a virus or bacterium in people who have an inherited tendency for the disease however ra is not contagious you can t catch it from anyone how is rheumatoid arthritis diagnosed if you have persistent discomfort and swelling in multiple joints on both sides of your body make an appointment to see your doctor early intervention can ensure that you receive the right diagnosis and help you to start feeling better sooner early intervention can also help prevent irreversible joint damage to determine if your symptoms are due to ra your doctor will most likely review your medical history and conduct a physical examination request a blood test that looks for an antibody called rheumatoid factor about 70 to 90 of people with ra have this antibody however it is also possible to have the rheumatoid factor in your blood and not have ra perform a blood test that measures your erythrocyte sedimentation rate or sed rate which will indicate the presence of an inflammatory process in your body people with ra tend to have abnormally high sed rates take xrays of your joints to determine the extent of damage in your affected joints a sequence of xrays obtained over time can show the progression of ra if you have joint pain stiffness and or swelling for more than 2 weeks you may have arthritis talk with your doctor about your symptoms  getting comfort  '),(165,'node',' exercise yes or no  yes studies have shown that exercise helps people with arthritis in many ways exercise reduces joint pain and stiffness and increases flexibility muscle strength cardiac fitness and endurance it also helps with weight reduction and contributes to an improved sense of well being how does exercise fit into a treatment plan for people with arthritis exercise is one part of a comprehensive arthritis treatment plan treatment plans also may include rest and relaxation proper diet medication and instruction about proper use of joints and ways to conserve energy that is not waste motion as well as the use of pain relief methods what types of exercise are most suitable for someone with arthritis three types of exercise are best for people with arthritis rangeofmotion exercises eg dance help maintain normal joint movement and relieve stiffness this type of exercise helps maintain or increase flexibility strengthening exercises eg weight training help keep or increase muscle strength strong muscles help support and protect joints affected by arthritis aerobic or endurance exercises eg bicycle riding improve cardiovascular fitness help control weight and improve overall function weight control can be important to people who have arthritis because extra weight puts extra pressure on many joints some studies show that aerobic exercise can reduce inflammation in some joints most health clubs and community centers offer exercise programs for people with physical limitations how does a person with arthritis start an exercise program people with arthritis should discuss exercise options with their doctors and other health care providers most doctors recommend exercise for their patients many people with arthritis begin with easy rangeofmotion exercises and lowimpact aerobics people with arthritis can participate in a variety of but not all sports and exercise programs the doctor will know which if any sports are offlimits the doctor may have suggestions about how to get started or may refer the patient to a physical therapist it is best to find a physical therapist that has experience working with people who have arthritis the therapist will design an appropriate home exercise program and teach clients about painrelief methods proper body mechanics placement of the body for a given task such as lifting a heavy box joint protection and conserving energy how often should people with arthritis exercise rangeofmotion exercises can be done daily and should be done at least every other day strengthening exercises should be done every other day unless you have severe pain or swelling in your joints endurance exercises should be done for 20 to 30 minutes three times a week unless you have severe pain or swelling in your joints according to the american college of rheumatology 20 to 30minute exercise routines can be performed in increments of 10 minutes over the course of a day what type of strengthening program is best this varies depending on personal preference the type of arthritis involved and how active the inflammation is strengthening one s muscles can help take the burden off painful joints strength training can be done with small free weights exercise machines isometrics elastic bands and resistive water exercises correct positioning is critical because if done incorrectly strengthening exercises can cause muscle tears more pain and more joint swelling are there different exercises for people with different types of arthritis there are many types of arthritis experienced doctors physical therapists and occupational therapists can recommend exercises that are particularly helpful for a specific type of arthritis doctors and therapists also know specific exercises for particularly painful joints there may be exercises that are offlimits for people with a particular type of arthritis or when joints are swollen and inflamed people with arthritis should discuss their exercise plans with a doctor doctors who treat people with arthritis include rheumatologists orthopedic surgeons general practitioners family doctors internists and rehabilitation specialists physiatrists how much exercise is too much most experts agree that if exercise causes pain that lasts for more than 1 hour it is too strenuous people with arthritis should work with their physical therapist or doctor to adjust their exercise program when they notice any of the following signs of strenuous exercise unusual or persistent fatigue increased weakness decreased range of motion increased joint swelling continuing pain pain that lasts more than 1 hour after exercising are researchers studying arthritis and exercise researchers are looking at the effects of exercise and sports on the development of musculoskeletal disabilities including arthritis they have found that people who do moderate regular running have low if any risk of developing osteoarthritis however studies show that people who participate in sports with highintensity direct joint impact are at risk for the disease examples are football and soccer sports involving repeated joint impact and twisting such as baseball and soccer also increase osteoarthritis risk early diagnosis and effective treatment of sports injuries and complete rehabilitation should decrease the risk of osteoarthritis from these injuries researchers also are looking at the effects of muscle strength on the development of osteoarthritis studies show for example that strengthening the quadriceps muscles can reduce knee pain and disability associated with osteoarthritis one study shows that a relatively small increase in strength 2025 percent can lead to a 2030 percent decrease in the chance of developing knee osteoarthritis other researchers continue to look for and find benefits from exercise to patients with rheumatoid arthritis spondyloarthropathies systemic lupus erythematosus and fibromyalgia they are also studying the benefits of short and longterm exercise in older populations  getting comfort  '),(163,'node',' the true arthritis wonder cure  glucosamine and chondroitin sulfate are two natural substances that are found in normal joint tissue and have produced tremendous results in reducing the pain and discomfort caused by arthritis these two substances are the foundation for the natural arthritis program recommended by jason theodosakis md ms mph in his best selling book the arthritis cure according to dr theodosakis glucosamine and chondroitin sulfate when taken in supplemental form have been shown to reverse damage in joint cartilage are extensively used and studied throughout the world and are proven effective in the treatment of osteoarthritis since 1959 what kinds of treatments are available for arthritis most conventional physicians today treat arthritis with drugs designed to minimize inflammation and attempt to control or manage pain a nonsteroidal antiinflammatory drug nsaid will most likely be prescribed available overthecounter drugs include ibuprofen motrin naprosyn clinoril and others although these nsaids are affective in managing the effects of arthritis they do not come without considerable risks and or side effects of their own they are rapidly becoming a concern in the medical and health communities studies show that nsaids deteriorate the lining of the gastrointestinal tract according to the national institute of health consistent use of nsaids over prolonged time periods increase the incidence of hospitalization for stomach ulcers by six and a half times the most serious problem from taking nsaids is their degenerating effect on cartilage nsaids actually prevent the growth of collagen in the joints when researchers added aspirin to normal and osteoarthritic cartilage cultures from animals and humans they found that the synthesis of proteoglycans the water absorbing cells in cartilage slows down significantly the doses used in labdish cultures equaled the usual doses taken by arthritic sufferers for pain this means that aspirin when taken internally prevents cartilage from repairing itself and speeds up the progression of osteoarthritis in similar experiments with animal cultures other nsaids inhibited cartilage synthesis in an ironic twist of medical fate the only nsaid that stimulates proteoglycans is benoxaprofen now banned for causing liver and kidney damage related deaths further potential damage caused by the use of nsaids is nausea vomiting diarrhea abdominal pain constipation memory loss inability to concentrate and allergic reactions what is a pain sufferer to do a growing number of very exciting studies pouring forth from research centers and hospitals in europe and asia have forced health practitioners to look at specific nutrients that many feel can reverse arthritis these nutrients have been shown in studies to provide the raw materials for cartilage regeneration the names of these three nutritional supplements are glucosamine chondroitin sulfate and gelatin glucosamine glusosamine is made of glucose the sugar that the body burns for fuel and an amino acid called glutamine glucosamine is an important part of the mucopolysachiarides which provide structure to the bone cartilage skin nails hair and other body tissues it is a major building block of the water loving proteoglycans one of the substances that cartilage needs in order to thrive without these waterattracting molecules in place there is cartilage damage with cartilage losing its ability to absorb shock it becomes more susceptible to cracking fissuring and possibly wearing through completely glucosamine is an allnatural source that helps relieve arthritis symptoms and reconstruct cartilage health by forming the proteoglycans that healthy cartilage must have chondroitin sulfate the second nutrient that works synergistically with glucosamine to enhance cartilage health and bring further relief of pain is chondroitin sulfate also called the water magnet or liquid magnet this supplement draws in precious depleted fluid while protecting existing cartilage from premature breakdown this function is crucial because the more fluid that flows into cartilage the more shock absorbent it will become like a dehydrated sponge that you pour water over the cartilage becomes more cushioned gelatin gelatin is a source of collagen one of the functions of collagen is to assist the body in the regeneration healthy collagen fibers studies in europe now show that gelatin provides building blocks of cartilage effectively providing nutritional support required for cartilage regeneration cartilage is largely made of collagen fibers the entire structure flexibility and strength of cartilage is due to collagen fibers the absence of collagen fibers to hold cartilage in place as buffers would result in bones grinding against each other a study published in therapiewoche by adam et al 1991 using randomized doubleblinded crossover trial of 52 patients with hip or knee osteoarthritis found that gelatin supplements improved symptoms related to joint pain compared to a placebo another study in 1994 by beuker and rosenfeld using a randomized blinded placebocontrolled trial of 92 geriatric patients found that gelatin appears to have a significantly positive affect on joint health by reducing the sensation of pain and enhancing mobility compared to a placebo  getting comfort  '),(162,'node',' age concerns and your disease life expectancy is influenced by many factors including family history overall health and other lifestyle choices rheumatoid arthritis is a debilitating disease with serious physical emotional and economic consequences afflicting about 1 of the adult population of the world the prevalence of the disease increases with age and affects two to three times as many women as men the rheumatoid arthritis patient often faces increasing functional disability likelihood of work disability within 10 years after the onset of the disease dramatic reduction in earnings compared to people without the disease patients with rheumatoid arthritis will incur higher medical care costs increased hospitalization greater numbers of physician visits mortality risks as in the general population the leading cause of death among patients with rheumatoid arthritis is cardiovascular disease and deaths due to malignancy occur at a comparable incidence patients with rheumatoid arthritis however are at greater risk of mortality due to infections renal disease respiratory conditions gastrointestinal disease life expectancy life expectancy is shorter among patients with rheumatoid arthritis than in the general population and survival rates are comparable to those for hodgkin s disease diabetes mellitus and threevessel coronary artery disease excess mortality from infection and from renal disease likely is indicative of the presence of severe disease and most of the added mortality from gastrointestinal causes is treatment related the bulk of renal problems in rheumatoid arthritis are related to complications such as vasculitis and amyloidosis and complications to medical treatment of the disease with some of the main offenders being gold salts penicillamine cyclosporine there is also increasing evidence that rheumatoid arthritis can cause sub clinical renal dysfunction with microalbuminuria as well as clinical disease caused by immunecomplex mediated glomerulonephritis and interstitial tubular fibrosis life expectancy studies with regard to reduced life expectancy for rheumatoid arthritis patients the standardized mortality ratio from different studies has ranged from 113 to 298 this mainly applies to rheumatoid factor positive cases although a subgroup of rheumatoid factor negative cases with an adverse longterm prognosis exists clinically based studies probably overestimate the true shortening of life span and populationbased studies may underestimate it in 1989 a study was done in finland of 1666 people who had died and had been receiving medication for rheumatoid arthritis ra demographic data on the finnish population and sickness insurance statistics were used as the basis for computations results indicated that the life span of subjects with ra was shortened by 1520 from the date of onset of illness about 40 of the excess deaths were due to cardiovascular causes about 30 due to infections about 15 due to amyloidosis the remaining 15 were due to various other causes risks vs benefits it can be concluded that life expectancy is shortened for patients with rheumatoid arthritis and treatment of the disease enhances quality of life the benefits of treatment outweigh the risks  getting comfort  '),(161,'node',' treatments of arthritis most often osteoarthritis of the knee is treated with painreducing medicines such as aspirin or acetaminophen nonsteroidal antiinflammatory drugs nsaids such as ibuprofen and exercises to restore joint movement and strengthen the knee losing excess weight can also help people with osteoarthritis what are some pain relief methods for people with arthritis there are known methods to help stop pain for short periods of time this temporary relief can make it easier for people who have arthritis to exercise the doctor or physical therapist can suggest a method that is best for each patient the following methods have worked for many people moist heat supplied by warm towels hot packs a bath or a shower can be used at home for 15 to 20 minutes three times a day to relieve symptoms a health professional can use short waves microwaves and ultrasound to deliver deep heat to non inflamed joint areas deep heat is not recommended for patients with acutely inflamed joints deep heat is often used around the shoulder to relax tight tendons prior to stretching exercises cold supplied by a bag of ice or frozen vegetables wrapped in a towel helps to stop pain and reduce swelling when used for 10 to 15 minutes at a time it is often used for acutely inflamed joints people who have raynaud s phenomenon should not use this method hydrotherapy water therapy can decrease pain and stiffness exercising in a large pool may be easier because water takes some weight off painful joints community centers ymcas and ywcas have water exercise classes developed for people with arthritis some patients also find relief from the heat and movement provided by a whirlpool mobilization therapies include traction gentle steady pulling massage and manipulation using the hands to restore normal movement to stiff joints when done by a trained professional these methods can help control pain and increase joint motion and muscle and tendon flexibility tens transcutaneous electrical nerve stimulation and biofeedback are two additional methods that may provide some pain relief but many patients find that they cost too much money and take too much time in tens an electrical shock is transmitted through electrodes placed on the skin s surface tens machines cost between 80 and 800 the inexpensive units are fine patients can wear them during the day and turn them off and on as needed for pain control relaxation therapy also helps reduce pain patients can learn to release the tension in their muscles to relieve pain physical therapists may be able to teach relaxation techniques the arthritis foundation has a selfhelp course that includes relaxation therapy health spas and vacation resorts sometimes have special relaxation courses acupuncture is a traditional chinese method of pain relief a medically qualified acupuncturist places needles in certain sites researchers believe that the needles stimulate deep sensory nerves that tell the brain to release natural painkillers endorphins acupressure is similar to acupuncture but pressure is applied to the acupuncture sites instead of using needles rest exercise and diet people who have a rheumatic disease should develop a comfortable balance between rest and activity one sign of many rheumatic conditions is fatigue patients must pay attention to signals from their bodies for example when experiencing pain or fatigue it is important to take a break and rest too much rest however may cause muscles and joints to become stiff physical exercise can reduce joint pain and stiffness and increase flexibility muscle strength and endurance it also helps with weight reduction and contributes to an improved sense of wellbeing before starting any exercise program people with arthritis should talk with their doctor people with arthritis can participate in a variety of sports and exercise programs exercises that doctors often recommend include rangeofmotion exercises to help maintain normal joint movement maintain or increase flexibility and relieve stiffness strengthening exercises to maintain or increase muscle strength strong muscles help support and protect joints affected by arthritis aerobic or endurance exercises to improve cardiovascular fitness help control weight and improve overall well being studies show that aerobic exercise can also reduce inflammation in some joints medications a variety of medications are used to treat rheumatic diseases the type of medication depends on the rheumatic disease and on the individual patient at this time the medications used to treat most rheumatic diseases do not provide a cure but rather limit the symptoms of the disease the one exception is treatments for infectious arthritis if caught early enough arthritis associated with an infection such as lyme disease can usually be cured with antibiotics medications commonly used to treat rheumatic diseases provide relief from pain and inflammation in some cases the medication may slow the course of the disease and prevent further damage to joints or other parts of the body this fact sheet describes the medications most commonly used to treat pain and inflammation analgesics pain relievers such as aspirin other non steroidal antiinflammatory drugs nsaid s such as ibuprofen motrin advil nuprin and acetaminophen tylenol are used to reduce the pain caused by many rheumatic conditions corticosteroids such as prednisone cortisone solumedrol and hydrocortisone are used to treat many rheumatic conditions because they decrease inflammation and suppress the immune system surgery surgery may be required to repair damage to a joint after trauma a torn meniscus for example or to restore function or relieve pain in a joint damaged by arthritis the doctor may recommend arthroscopic surgery bone fusion surgery in which bones in the joint are fused or joined together or arthroplasty also known as total joint replacement in which the damaged joint is removed and replaced with an artificial one   getting comfort  '),(164,'node',' easing the pain naturally glucosamine glucosamine helps to rebuild cartilage and it s useful for people who suffer pain from cartilage degeneration osteoarthritis another benefit from it is that it can reduce inflammation and thus it s sometimes recommended for other forms of arthritis too it can take long to have effects even up to six months or so and one has to continue taking it in the future chondroitin chondroitin works similar to glucosamine and is helpful against inflammation and cartilage degeneration fish oils there is evidence that fish oils omega 3 fatty acids dha epa have anti inflammatory properties the best way is probably by taking them through a glucosamine product which also includes omega3 you can buy them separately the end results should be the same like glucosamine it doesn t have serious side effects it s a natural substance for our body and basically it s just a cartilage material msm nutritional supplement it appears to be very safe however long term research is not completed bromelain bromelain is a proteindigestive enzyme that was found 1957 bromelain supplements are made from pineapple stem shark s cartilage sometimes sharks cartilage is used as a source for chondroitin sulfate cmo cmo to treat arthritis is cetyl myristoleate a good treatment remedy for rheumatoid osteoarthritis herbs for arthritis herbs for arthritis pain and inflammation are the following cats claw devil s claw harpagophytum procumbens willow bark yucca boswellia serrata boswellin chamomile dandelion root quercetin black cumin ginger myrrh olive leaf and turmeric arthritis vitamins vitamins for arthritis also minerals and other nutrients are the following vitamin c d e boron copper manganese selenium zinc calcium magnesium bromelain beta carotene alpha lipoic acid precursors to coq10 tocotrienols lcarnosine nacetyl cysteine natural remedies for arthritis apple cider vinegar avc is considered to be harmless nonproven remedy for arthritis the theory behind this is that acid crystals harden the joints and cause stiffness and that avc prevents this emu oil is used as a remedy for swollen joints and pain in australia it s claimed to have analgesic and anti inflammatory effects cetyl myristoleate is believed to cure arthritis in laboratory tests given to animals  getting comfort  '),(168,'node',' which medicines will help  arthritis pain relief medicine can seem like a miracle to those who suffer this debilitating disease but with more and more of the widely prescribed drugs that seemed to be working so well for people are being pulled from the shelves and recalled because of widespread side effects many people are turning to alternative medicine for arthritis pain relief pain medicine for arthritis generally falls into three categories the nonsteroidal antiinflammatory drugs nsaids often sold over the counter narcotic pain medications and steroids while the risks of using steroids long term such as breakdown of bone tissue are generally well known we are only now learning about the harmful side effects of prescription nsaids arthritis pain relief medications such as the popular cox2 inhibitors bextra and vioxx have been put on hold since evidence that they might be linked to some serious problems such as kidney and heart failure hardening of the arteries and increased blood pressure these are only some of the side effects reported and are more often seen in the elderly who were frequently prescribed these pills for arthritis and joint pain narcotic pain medicine for arthritis such as codeine or hydrocodone vicodin comes with plenty of its own problems the most serious of which is the potential to get addicted to it after long term use moreover the body has a tendency to build up a resistance to these pain medications over time which means that the patient must use larger doses of the narcotic to find relief leading to the possibility of respiratory failure and even death many people are now turning to alternative medicine for arthritis in the hope of getting lasting relief from their symptoms without the risks associated with pharmaceutical arthritis pain relief medication there are many excellent natural choices that can stand on their own but for those who don t have the time or inclination to mix and match ingredients until they find the right combination there are combination supplements which incorporate a host of trusted herbal ingredients to help your body create a natural pain response to deal with pain in the long term alternative medicine for arthritis can also take the form of using supplements to help rebuild and strengthen the stiff or broken down cartilage that results from the disease supplements such as msm glucosamine and chondroitin are well known for their ability to help the body strengthen and repair joint cartilage and using the three combined is a powerful triple whammy that will help your body replace rebuild and repair the damage already caused to get you back on your feet the pharmaceutical industry has made arthritis pain relief medicine big business but it seems that in their hurry to get these drugs out on the market they may have sidestepped some important information chronic sufferers claim that using natural pain medicine for arthritis is almost always a better choice as these remedies have been trusted for years and have few side effects  getting comfort  '),(166,'node',' race and arthritis how it affects you  arthritis is one of the most common chronic pain conditions in america diagnosed in about 21 of the adult population and yet study after study illustrates how the experience of arthritis is significantly more debilitating for black americans for instance there is the recent study finding that black americans more often ranked arthritis as their primary source of physical limitation black americans experienced greater pain severity and black americans were less likely to see a physician about their arthritis problems then there is the center for disease control s study before that the study reported a higher rate of physical limitation attributable to arthritis among black americans even while the prevalence of arthritis was similar between white and black americans so what s going on here there is a noted racial disparity but what are we to make of it well the reasons aren t entirely known and given the stakes and sensitivity of the question there is little jumping to conclusions but however tentative any answer starts with a consideration of the chronic under treatment that black americans are prone to primarily this under treatment is a consequence of inadequate health services which in turn is a consequence of economic disparity disadvantaged often citydwelling black americans simply cannot afford regular access to the best and usually most expensive doctors who would reliably know what action to take and what medicines to prescribe instead the alternatives are overworked hospitals and clinics with a lower paid staff and poorer grade facilities additionally there is the black american s increased risk of obesity as a definite precondition to arthritis this increased risk reveals the same force of economic disadvantage walk along any city block and compare the price of milk and eggs to the price of a can of coke and a bag of chips the sad fact is it is far cheaper to eat poorly alongside limited medical resources this nutritional deficit may go a long way to explain why arthritis comes with greater severity and with greater physical limitations beyond socioeconomic trends chronic under treatment might also spring from an indifferent doctorpatient relationship under treatment operates at many levels and both ways just as a good doctor knows what the correct diagnosis is and what the proper treatment should be the patient must be willing to volunteer the information of what hurts when it hurts etc both appear to be lacking for black americans a telephone survey recently found black americans to be less participatory during doctor s visits especially when the doctor was white the study found the same decrease in participation for white americans with a black doctor comfort ability and trust seem to be at issue here and unlike the ideas of resources and access this problem turns on a more personal dynamic perhaps seated in larger ideas of diversity and multiculturalism at the same time the question of arthritis differing impact doesn t appear to have a viable genetic component not yet at least remember there was a similar prevalence of condition that suggests a similar genetic risk in all races furthermore a team of scientists studied the genetics of four major racial ethnic groups black white hispanic and east asian to find only modest genetic differences between the four of course this isn t to say genetics won t play a part in treatment pending future scientific discoveries but for now the cultural and economic challenges seem the most glaring factors in this important disparity  getting comfort  '),(167,'node',' crucial data about arthritis what is arthritis the word arthritis actually means joint inflammation and that is how clinicians and biomedical researchers use it in the public health world however arthritis is used as a shorthand term for arthritis and other rheumatic conditions a label for the more than 100 rheumatic diseases and conditions that affect joints the tissues that surround joints and other connective tissue the pattern severity and location of symptoms can vary depending on the specific form of the disease typically rheumatic conditions are characterized by pain and stiffness in and around one or more joints the symptoms can develop gradually or suddenly certain rheumatic conditions can also involve the immune system and various internal organs of the body who is at risk for arthritis certain factors are associated with a greater risk of arthritis some of these risk factors are modifiable while others are not nonmodifiable risk factors o age the risk of developing most types of arthritis increases with age o gender most types of arthritis are more common in women accounting for 60 of all cases gout is more common in men o genetic genes have been identified that are associated with a higher risk of certain types of arthritis such as rheumatoid arthritis ra and systemic lupus erythematosus sle modifiable risk factors o overweight and obesity excess weight can contribute to both the onset and progression of knee osteoarthritis o joint injuries damage to a joint can contribute to the development of osteoarthritis in that joint o infection many microbial agents can infect joints and potentially cause the development of various forms of arthritis o occupation certain occupations involving repetitive knee bending are associated with osteoarthritis of the knee what causes arthritis elevated uric acid levels cause gout and specific infections can cause arthritis of a joint the causes of many of the other forms of arthritis are unknown scientists are studying the role of factors such as genetics lifestyle and environment on the various types of arthritis what are the most common types of arthritis the most common form of arthritis in the unites states is osteoarthritis followed by gout fibromyalgia and rheumatoid arthritis what are the symptoms of arthritis the pattern and location of symptoms can vary depending on the types of arthritis generally people with arthritis feel pain and stiffness in and around one or more joints the onset of arthritis symptoms can develop gradually or suddenly arthritis is most often a chronic disease so symptoms may come and go or persist over time what should i do if i think i have arthritis if you have pain stiffness or swelling in or around one or more of your joints talk to your doctor it is important to keep in mind that there are many forms of arthritis the specific diagnosis of the type of arthritis you have is necessary to direct the proper treatment although there is no cure for most types of arthritis early diagnosis and appropriate management are important especially for inflammatory types of arthritis for example early use of diseasemodifying drugs can affect the course of rheumatoid arthritis an early diagnosis and appropriate treatment can make a difference in pain and joint damage the earlier you understand your arthritis the earlier you can start managing your disease and making healthy lifestyle changes to help your arthritis can i prevent arthritis depending on the form of arthritis there are steps that can be taken to reduce your risk of arthritis maintaining an appropriate body weight has been shown to decrease the risk of developing osteoarthritis and gout protecting your joints from injuries or overuse can reduce the risk of osteoarthritis how is arthritis diagnosed diagnosing arthritis often includes a detailed medical history of current and past symptoms physical examination xrays and blood work to determine the type of arthritis it is possible to have more than one form of arthritis at the same time what are the treatments for arthritis the focus of treatment for arthritis is to control pain minimize joint damage and to improve or maintain function and quality of life according to the american college of rheumatology the treatment of arthritis might involve the following o medication o nonpharmacologic therapies physical or occupational therapy splints or joint assistive aids patient education and support weight loss o surgery in conjunction with medical treatment selfmanagement of arthritis pain and symptoms is very important as well the arthritis selfhelp course is an effective selfmanagement education program for people with arthritis developed by dr kate lorig of stanford university the course helps people learn and practice the different skills needed to build an individualized selfmanagement program and gain the confidence to carry it out how can i manage arthritis pain medical treatment of arthritis pain and selfmanagement strategies is very important the arthritis selfhelp course ashc is an effective selfmanagement education intervention for people with arthritis the ashc developed by dr kate lorig of stanford university helps people learn and practice the different skills needed to build an individualized selfmanagement program and gain the confidence to carry it out how many people in the united states have arthritis in 2002 an estimated 43 million americans had doctordiagnosed arthritis and an additional 23 million adults had chronic joint symptoms but have not been diagnosed with arthritis as our nation s population ages the prevalence is expected to increase how many children have arthritis the answer to this question is not currently known with much certainty estimates vary and range from 80000 to 285000 depending on the definition of arthritis among children age ranges for children and the different methods used to find cases the small size of most studies can also lead to chance variation in estimates is exercise recommended for people who have arthritis recent studies have shown that moderate physical activity 3 or more days a week can help to relieve arthritis pain and stiffness and give you more energy regular physical activity can also lift your mood and make you feel more positive an activity that provides a slight increase in heart rate or breathing is considered moderate physical activity lowimpact activities performed at a moderate pace work best for people with arthritis these include walking swimming and riding a bicycle everyday activities such as dancing gardening and washing the car can be good if done at a moderate pace that produces slight breathing and heart rate changes if you are having an acute flareup of your inflammatory arthritis it may be better to restrict your exercise to simple range of motion carefully moving the joint as far as it can go during the flareup how does body weight influence arthritis weight control is essential because extra pounds put extra pressure on many joints research suggests that maintaining a healthy weight reduces the risk of developing arthritis and may decrease disease progression a loss of just 11 pounds can decrease the occurrence incidence of knee osteoarthritis  getting comfort  '),(170,'node',' before you exercise read this  you may think that exercise and arthritis do not go hand in hand if so you would be mistaken it was thought for many years that if you had arthritis you should not exercise because it would damage your joints now however research has shown that exercise is an essential tool in managing your arthritis regular moderate exercise offers a whole host of benefits to people with arthritis mainly exercise reduces joint pain and stiffness builds strong muscle around the joints and increases flexibility and endurance but it also helps promote overall health and fitness by giving you more energy helping you sleep better controlling your weight decreasing depression and improving your selfesteem furthermore exercise can help stave off other health problems such as osteoporosis and heart disease starting an exercise program can seem like a daunting proposition the important thing to remember is to start slow and make it fun it is always good to start with flexibility exercises which are basically stretching exercises that will improve your range of motion and help you perform daily activities once you feel comfortable you can move on to weight training and endurance exercises such as bicycling you may be reluctant to exercise because you are in such pain if this is the case you may want to start with a water exercise program in the water your body s buoyancy reduces stress on your hips knees and spine an exercise program can include anything from walking around the block taking a yoga class or playing a round of golf in this section we ve attempted to give you all the information you will need on how to start exercising and the proper way to incorporate exercise into the management of your arthritis whatever exercise program you decide on you should always consult with your doctor before starting out two other types of health professionals that can help you develop an exercise program that fits your specific needs are a physical or occupational therapist a physical therapist can show you the proper techniques and precautions when performing certain types of exercise an occupational therapist can show you how to perform daily activities without putting additional stress on your joints and can provide you with splint devices that can make working out more comfortable  getting comfort  '),(151,'node',' do may have more severe issues  rheumatoid arthritis ra can affect many different joints and in some people other parts of the body as well including the blood the lungs and the heart inflammation of the joint lining called the synovium can cause pain stiffness swelling warmth and redness the affected joint may also lose its shape resulting in loss of normal movement ra can last a long time and can be a disease of flares active symptoms and remissions few to no symptoms ra affects 21 million americans or about 1 of the adult population in the united states this disease is 2 to 3 times more common in women than in men and generally affects people between the ages of 20 and 50 however young children can develop a form of ra called juvenile rheumatoid arthritis what are the symptoms of rheumatoid arthritis symptoms of ra differ from person to person but can generally include joint tenderness warmth and swelling both sides of the body are usually affected at the same time this is also called a symmetrical pattern of inflammation for example if one knee is affected the other one is also this is in contrast to osteoarthritis where it is possible for only one knee to be affected pain and stiffness lasting for more than 1 hour in the morning or after a long rest joint inflammation in the wrist and finger joints closest to the hand although joints of the neck shoulders elbows hips knees ankles and feet can be affected as well fatigue an occasional fever and a general sense of not feeling well called malaise symptoms that last for an extended period of time symptoms in other parts of the body not just in the joints ra causes inflammation of the joint lining which can lead to pain swelling stiffness and loss of function it also can cause inflammation of your tear glands salivary glands the lining of your heart and lungs and the lungs themselves as ra progresses about 25 of people with the disease develop small lumps of tissue under the skin called rheumatoid nodules these rheumatoid nodules usually aren t painful the nodules may form under the skin of the elbow hands the back of the scalp over the knee or on the feet and heels they can be as small as a pea to as large as a walnut although ra is often a chronic disease the severity and duration of the symptoms may unpredictably come and go for people with a severe case of ra the disease is generally active lasts for many years and leads to serious joint damage and disability periods of increased disease activity or worsening of symptoms are called flareups or flares if you are experiencing any of the symptoms described above it is important to find out from a doctor if you have ra early diagnosis may reduce the pain joint damage and disability that occur in some ra patients what causes rheumatoid arthritis ra is an autoimmune disease this means the body s natural immune system does not operate as it should it attacks healthy joint tissue initiating a process of inflammation and joint damage the exact cause of ra is not yet known although scientists do know that many factors may contribute to the development of ra genetic or hereditary factors play a role scientists have shown certain genes that play a role in the immune system may be involved in determining whether or not you develop ra however some people with ra do not have these particular genes and other people who do have the genes never develop the disease environmental factors may also contribute to the cause of the disease researchers have found that ra can be triggered by an infection possibly a virus or bacterium in people who have an inherited tendency for the disease however ra is not contagious you can t catch it from anyone how is rheumatoid arthritis diagnosed if you have persistent discomfort and swelling in multiple joints on both sides of your body make an appointment to see your doctor early intervention can ensure that you receive the right diagnosis and help you to start feeling better sooner early intervention can also help prevent irreversible joint damage to determine if your symptoms are due to ra your doctor will most likely review your medical history and conduct a physical examination request a blood test that looks for an antibody called rheumatoid factor about 70 to 90 of people with ra have this antibody however it is also possible to have the rheumatoid factor in your blood and not have ra perform a blood test that measures your erythrocyte sedimentation rate or sed rate which will indicate the presence of an inflammatory process in your body people with ra tend to have abnormally high sed rates take xrays of your joints to determine the extent of damage in your affected joints a sequence of xrays obtained over time can show the progression of ra if you have joint pain stiffness and or swelling for more than 2 weeks you may have arthritis talk with your doctor about your symptoms  getting comfort  '),(169,'node',' over 100 possible symptoms arthritis isn t a onenote story or even a few variations on a single theme it actually consists of more than 100 different conditions these can be anything from relatively mild forms of tendonitis as in tennis elbow and bursitis to crippling systemic forms such as rheumatoid arthritis there are pain syndromes like fibromyalgia and arthritisrelated disorders such as systemic lupus erythematosus that involve every part of the body there are forms of the disease such as gout that almost nobody connects with arthritis and there are other conditions like osteoarthritis the misnamed wear and tear arthritis that a good many people think is the only form of the disease who can get arthritis true many older people do have arthritis but it s not just a disease of the old some forms of arthritis affect children still in nappies while thousands of people are stricken in the prime of their lives the common denominator for all these conditions is joint and musculoskeletal pain which is why they are grouped together as arthritis often that pain is a result of inflammation of the joint lining inflammation is involved in many forms of arthritis it is the body s natural response to injury the warning signs that inflammation presents are redness swelling heat and pain these are the same kinds of reaction the body has to a sliver in the hand for example when a joint becomes inflamed it may get any or all of these symptoms this can prevent the normal use of the joint and therefore it can cause the loss of flexibility of the joint anatomy of a joint there are more than 100 joints connecting the body s 206 bones most of the major bone connections in the body are joints designed to allow a broad range of motion there are different kinds for different functions ballandsocket hips and shoulders saddle joints which connect thumb to hand hinge joints fingers and knees or pivot joints wrists tied together by ligaments the bones of joints are capped with a smooth substance called cartilage this tough elastic material acts as a shock absorber and allows the bone ends to glide smoothly across each other if the cartilage is destroyed as in osteoarthritis the bones of a joint can grind against each other causing pain loss of mobility deformity and dysfunction between the bones is a joint cavity which gives the bones room to move a capsule that s flexible yet strong enough to protect the joint against dislocation encloses the joint space between two bones the inner lining of this capsule the synovium produces a thick fluid that lubricates and nourishes the joint in many forms of arthritis the synovium becomes inflamed and thickened producing extra fluid which contains inflammatory cells the inflamed synovium and fluid can damage the cartilage and underlying bone treatment of arthritis no one knows what causes arthritis though scientists have uncovered a host of clues something can be done to manage most forms of arthritis but it s very important that a correct diagnosis is established early most therapies work best when started early in the disease process then proper medication can be distributed to ease the pain of arthritis  getting comfort  '),(172,'node',' do you need surgery  knee joint replacements knee joint replacement surgery may be total where both sides of the knee joint are replaced or unicompartmental where only one side of the knee joint is replaced separating muscles and ligaments around the knee to expose the knee capsule and then the inside of the joint performs the procedure the ends of the thighbone femur and the shinbone tibia are removed and often the underside of the kneecap patella is removed the artificial parts are cemented into place the new knee joint will consist of a metal shell on the end of the femur a metal and plastic trough on the tibia and if needed a plastic button in the kneecap how long will the joint last about 8595 of total knee replacements are successful for more than 10 years the major longterm problem is loosening loosening is in part related to your weight and activity and for that reason replacements may not be considered on the very obese or very young a loose painful prosthesis can usually but not always be replaced the results of the second operation are not as good as the first and the risks of complications are higher what happens after surgery once you are back in your room after surgery the rest of your hospital stay will focus on helping you begin to walk again before going home you will start on a physical therapy program to exercise your knee muscles and regain strength and range of motion in your new knee during the next few days you will be asked to wiggle your toes and do other easy exercises to improve your circulation you will be given a specially designed program to strengthen your muscles and to start to walk with a walker then with crutches and then a cane to help regain confidence and you re normal walking motion this program will need to be continued when you get home the importance of caring for your prosthesis is the result of many years of research like any other device your new knee s life span depends on how you care for it precautions after knee joint replacement follow your surgeon s advice on using crutches or cane to keep weight off your healing knee keep in mind that your prosthesis is designed for activities of daily living not sports before dental work or surgery let your dentist know you have prosthesis antibiotics may be needed to prevent infection if one experiences increased knee pain swelling incision draining chest pain shortness of breath or other symptoms then they should call their physician immediately  getting comfort  '),(171,'node',' arthritis do you have it  live long enough and you can pretty much count on developing arthritis arthritis consists of more than 100 different conditions these conditions can be anything from relatively mild forms of tendonitis as in tennis elbow and bursitis to crippling systemic forms such as rheumatoid arthritis there are pain syndromes like fibromyalgia and arthritisrelated disorders such as systemic lupus erythematosus that involve every part of the body there are forms of the disease such as gout which almost nobody connects with arthritis and there are other conditions like osteoarthritis it is true that many older people suffer from arthritis however it does not limit itself to the elderly some forms of arthritis affect children as well as thousands of people in the prime of their lives the common denominator for all these conditions is joint and musculoskeletal pain which is why they are grouped together as arthritis often that pain is a result of inflammation of the joint lining inflammation is involved in many forms of arthritis it is the body s natural response to injury the warning signs that inflammation presents are redness swelling heat and pain these are the same kinds of reaction the body has to a sliver in the hand for example when a joint becomes inflamed it may get any or all of these symptoms this can prevent the normal use of the joint and therefore it can cause the loss of function of that joint there are more than 100 joints connecting the body s 206 bones most of the major bone connections in the body are joints designed to allow a broad range of motion there are different kinds for different functions ballandsocket hips and shoulders saddle joints which connect thumb to hand hinge joints fingers and knees or pivot joints wrists tied together by ligaments the bones of joints are capped with a smooth substance called cartilage this tough elastic material acts as a shock absorber and allows the bone ends to glide smoothly across each other if the cartilage is destroyed as in osteoarthritis the bones of a joint can grind against each other causing pain loss of mobility deformity and dysfunction between the bones is a joint cavity an elastic type capsule encloses this cavity the capsule protects the joint against dislocation the inner lining of this capsule the synovium produces a thick fluid that lubricates and nourishes the joint in many forms of arthritis the synovium becomes inflamed and thickened producing extra fluid which contains inflammatory cells the inflamed synovium and fluid can damage the cartilage and underlying bone no one knows what causes arthritis physical therapy and certain drugs can be prescribed to manage most forms of arthritis however if the disease is not detected early enough the treatments have a less chance of being successful hopefully scientists will find a cure soon if you or someone you know suspects that he she may have arthritis then it is imperative to see a doctor for a consult  getting comfort  '),(173,'node',' joint pain simply explained alternative names stiffness in a joint pain joints arthralgia definition joint pain can affect one or more joints see also arthritis inflammation of joints muscle pain and bursitis considerations joint pain can be caused by many types of injuries or conditions no matter what causes it joint pain can be very bothersome rheumatoid arthritis is an autoimmune disorder that causes stiffness and pain in the joints osteoarthritis involves growth of bone spurs and degeneration of cartilage at a joint it is very common in adults older than 45 and can cause joint pain joint pain may also be caused by bursitis inflammation of the bursae the bursae are fluidfilled sacs that cushion and pad bony prominences allowing muscles and tendons to move freely over the bone common causes unusual exertion or overuse including strains or sprains injury including fracture gout especially found in the big toe osteoarthritis septic arthritis tendonitis bursitis infectious diseases including o influenza o measles rubeola o rheumatic fever o epsteinbarr viral syndrome o hepatitis o mumps o rubella german measles o varicella chickenpox chondromalacia patellae osteomyelitis autoimmune diseases such as rheumatoid arthritis and lupus home care follow prescribed therapy in treating the underlying cause for nonarthritis joint pain both rest and exercise are important warm baths massage and stretching exercises should be used as frequently as possible antiinflammatory medications may help relieve pain and swelling consult your health care provider before giving aspirin or nsaids such as ibruprofen to children call your health care provider if fever is not associated with flu symptoms you have involuntary weight loss of 10 pounds or more the joint pain persists beyond 3 days you have severe unexplained joint pain especially if accompanied by other unexplained symptoms what to expect at your health care provider s office your health care provider will perform a physical examination the following questions may help your provider identify the cause of your joint pain which joint hurts is the pain on one side or both sides how long have you been having this pain have you had it before did this pain begin suddenly and severely or slowly and mildly is the pain constant or does it come and go has the pain become more severe what started your pain have you injured your joint have you had an illness or fever does resting the joint reduce the pain or make it worse does moving the joint reduce the pain or make it worse are certain positions comfortable does keeping the joint elevated help do medications massage or applying heat reduce the pain what other symptoms do you have is there any numbness can you bend and straighten the joint does the joint feel stiff diagnostic tests that may be performed include the following blood studies cbc or blood differential joint xray physical therapy for muscle and joint rehabilitation may be recommended  getting comfort  '),(150,'node',' are you riddled with pain  over 100 different disorders can be classified as arthritis some can affect 1 or more joints whereas others have their most significant effects on other parts of the body more detailed information on these disorders is available at the arthritis foundation web site listed here are some of the other most common arthritic conditions ankylosing spondylitis bursitis fibromyalgia gout infectious arthritis psoriatic arthritis reactive arthritis scleroderma systemic lupus erythematosus sle tendonitis tendinitis if you think that you or someone you care for may have a rheumatic condition see a doctor ankylosing spondylitis this condition primarily affects the spine but it may also cause arthritis in the hips shoulders and knees the tendons and ligaments around the bones and joints in the spine become inflamed symptoms include pain and stiffness especially in the lower back ankylosing spondylitis tends to develop during late adolescence or early adulthood bursitis bursitis involves inflammation of the bursae which are small fluidfilled sacs that help reduce friction between bones and other moving structures in joints the inflammation may result from arthritis in the joint or from injury or infection of the bursae symptoms include pain tenderness and limited movement of the involved joint fibromyalgia this chronic syndrome is associated with pain and stiffness throughout the tissues that support and move the bones and joints pain and localized tender points occur in the muscles and tendons particularly those of the neck spine shoulders and hips other common symptoms include widespread pain fatigue and sleep disturbances gout gout results from deposits of needlelike crystals of uric acid in the connective tissue near joints and or in the joint space symptoms include inflammation swelling and pain in the affected joint often the big toe psoriatic arthritis this condition occurs in some patients with psoriasis a common scaling skin disorder psoriatic arthritis often affects the joints at the ends of the fingers and causes changes in the fingernails and toenails reactive arthritis reactive arthritis can develop after an infection of the lower urinary tract intestines or other organs it is commonly associated with eye problems skin rashes and mouth sores scleroderma also known as systemic sclerosis scleroderma means hard skin scleroderma is an autoimmune disease that almost always affects the skin blood vessels and joints a more serious form also affects internal organs such as the lungs and kidneys in scleroderma patients there is an excessive production of collagen a fiberlike protein in the involved areas of skin or internal organs systemic lupus erythematosus sle also known as lupus sle is an autoimmune disease in which the immune system harms the body s cells and tissues this can result in inflammation and damage to the joints skin kidneys heart lungs blood vessels or brain tendonitis tendonitis this condition refers to inflammation of tendons tough cords of tissue that connect muscle to bone caused by overuse injury or arthritisproducing conditions symptoms include pain tenderness and restricted movement of nearby joints  getting comfort  '),(149,'node',' the real reasons behind your pain rheumatoid arthritis is when the body s immune system attacks its healthy joints causing inflammation in the lining of the joints it can also affect other parts of the body such as the eyes lungs and heart the inflammation can be painful and can lead to permanent damage if the disease is not treated and controlled joint damage can occur in cases where the pain is not severe this generally happens within the early stages of the disease for many people with ra damage is detected from xrays of the hands and feet within two years of the onset of the disease however by the time xrays discover the problem the disease usually has progressed and is irreversible severe damage can lead to permanent joint deformity and disability it can cause a high level of pain and swelling that one may be unable to walk rheumatoid arthritis usually appears between the ages of 25 and 50 there is a range of signs and symptoms for ra some of the symptoms may include the following sudden severe attacks with flulike symptoms periods of activity followed by joint inflammation flareups weakness tiredness fever and or sudden weight loss if any of the prior warning signs last more than two weeks one should consult his her physician one important way to distinguish ra from other forms of arthritis is by the pattern of joint involvement for example ra affects the wrist and many of the hand joints but usually not the joints that are closest to the fingernails other joints commonly affected by ra include the elbows shoulders neck jaw feet ankles knees and hips along with painful inflamed joints ra can cause inflammation in body tissues and organs in 20 of ra cases lumps called rheumatoid nodules develop under the skin often over bony areas these occur most often around the elbow but can be found elsewhere on the body and even in internal organs occasionally people with ra will develop inflammation of the membranes that surround the heart and lung or inflammation of the lung tissue itself inflammation of tear glands and salivary glands called sicca syndrome result in dry eyes and dry mouth there are five types of medicines used to treat ra nonsteroidal antiinflammatory drugs nsaids are a type of medicine that reduces pain and swelling however they do not prevent further joint damage two common nsaids are aspirin and advil cox2 inhibitors eg celebrex are a specific kind of nsaid that may be prescribed if traditional nsaids are hard on your stomach or if you have experienced stomach ulcers people who have had a heart attack or stroke or experienced serious chest pain related to heart disease should not use nsaids or coxibs diseasemodifying antirheumatic drugs dmards they work by slowing or stopping the immune system from attacking the joints dmards take about one to three months before they begin to make a difference in the pain and swelling persistent inflammation in several joints due to inflammatory arthritis for longer than six weeks requires stronger medicine that s when the socalled disease modifying antirheumatic drugs dmards are often used rheumatologists usually prescribe this class of medication in addition to nsaids while the nsaid reduces daytoday inflammation the dmard slows down the biological processes that are the driving force behind persistent inflammation corticosteroids are drugs that closely resemble cortisone a hormone natural produced by the body in ra these drugs are used to treat extreme inflammation that is accompanied by severe pain and stiffness they are also used to treat systemic ra which may affect the lining of the lungs and blood vessels corticosteroids sometimes are given as injection into one or more joints or other areas of inflammation the most common form is prednisone some people with severe advanced ra may benefit from surgery there are a number of different kinds of surgery for ra ranging from minor procedures to complete joint reconstruction arthroscopic surgery for example involves using a scope through a small incision and cleaning or removing inflamed or damaged joint tissue some kinds of surgery repair bone deformity through realigning joints fusing joints or rebuilding parts of joints joint reconstruction involves removing all or parts of the damaged joint and replacing them with artificial materials no one knows for sure what causes ra scientists are trying to learn why the immune system attacks healthy body tissues as well as medicines to help prevent joint swelling until then please contact your physician at the onset of the signs and symptoms of ra  getting comfort  '),(153,'node',' are you literally wearing out your body free article  many people throughout the whole world suffer from arthritis at times the pain that arises from inflamed joints can be quite unbearable most arthritis is caused by the wear and tear of joints over a long period of time osteoarthritis it is characterized in its early stages by stiffness in the morning and occasional cracking joints but if left unchecked can leave the sufferer in crippling pain nonsteroidal antiinflammatory drugs such as aspirin or ibuprofen are generally available to provide pain relief from arthritis but their effectiveness is countered by harsh side effects usually damaging the stomach lining of the patient in the form of stomach ulcers leading to hospitalization and in severe cases death tinnitus can also occur furthermore although they relieve the painful symptoms it has been found that they inhibit cartilage regeneration therefore use of these drugs over a period of time can only lead to a worsening of the arthritis work has been carried out to try to find suitable natural remedies for inflamed joints the main benefit of the natural remedies is that side effects are negligible or nonexistent here are the best natural antiinflammatory alternatives plus some advice on good lifestyle practice explaining how they combat the rigors of arthritis ginger extract sometime referred to a zinaxin is a natural antiinflammatory substance it works by removing potentially damaging oxidizing agents from within the body ie it is an antioxidant like the majority of natural remedies it has no side effects and so can be taken without worry willow has been used to ease the pain of arthritis for many years now it can be traced back as far as the ancient greeks who used to mash up the leaves with a little wine and apply it to a sore back in more modern times willow bark has been sold as part of a prepared remedy it is in fact a naturally occurring form of aspirin but with far fewer side effects cod liver oil taken on a daily basis helps to strengthen the bones the fatty acids that it contains prevent the cartilage from breaking up thus avoiding inflamed joints there is a chemical in our bodies called glucosamine a sugar much like glucose this helps to prevent arthritis by keeping the joint tissue and surrounding fluid very gelatinous hence well lubricated unfortunately as we get older the amount of glucosamine in our bodies begins to decrease glucosamine sulphate can be bought in either a tablet or cream form and has a high success rate sufferers of arthritis should bear in mind that lifestyle factors can play an important role in pain levels take daily exercise involving the use of joints that are affected this helps to strengthen the joint and keep it lubricated inactivity will only stiffen the joint and make the pain far worse the next time it is used it is important to remember not to overdo it though a little exercise everyday is fine try to avoid those foods that can adversely affect inflamed joints in the main this means avoiding vegetables of the nightshade family tomatoes potatoes aubergine and capsicum it can benefit some sufferers to cut back on dairy products and red meat as well eating lots of fruit and vegetables except those previously mentioned oily fish and whole meal products it is essential to include plenty of vitamin c in your diet because it is a component of collagen which constitutes part of your joint protecting cartilage  getting comfort  '),(174,'node',' faq your questions answered question 1 is arthritis hereditary there are some forms of arthritis which are clearly inherited but most are not there is evidence that one type of arthritis of the spine ankylosing spondylitis and gouty arthritis are inherited but other common forms such as osteoarthritis and rhuematoid arthritis show only a weak tendency to be inherited question 2 is it possible that my children will contract arthritis apart from a few rare forms of arthritis there is little danger that your children will develop arthritis gout is inherited but usually skips a generation so the grandson may be affected but not the son question 3 are physically active people more prone to arthritis as far as physically active people are concerned there are certainly some occupations which predispose to arthritis in particular osteoarthritis miners who have to kneel to dig in the coalseam are prone to develop arthritis of their spines and knees footballers also tend to develop arthritis of their knees and ankles with the repeated injuries they receive to these parts while playing there is no evidence that someone who is generally physically active and who is not exposed to injury in sport or by virtue of his occupation is any more prone to develop arthritis than is the individual who does not take much exercise question 4 what are the psychological effects of arthritis these vary in different people in the early stages most people are fearful and anxious about what will happen to them how their lives will be affected and how bad the pain will be young people often attempt to deny the presence of their arthritis another reaction is frustration irritability and anger at the difficulty or time it takes to do simple tasks depression and withdrawal from society may occur in people with chronic arthritis especially if pain is prolonged and sleep difficult most people with arthritis however learn to cope with their disabilities and remain cheerful and outgoing question 5 does climate affect my arthritis living in a cold damp climate may make you feel your arthritis more than living in a hot dry one change of weather such as a rise in humidity and a fall in barometric pressure may also make the joints worse temporarily but not everyone with arthritis can predict weather change climate does not otherwise have an effect on the arthritis and it will not make its course any worse in the long term thus theoretically a warm climate with low humidity would be best but such places are not without people suffering from arthritis and no place in the world has a reputation for curing arthritis question 6 why does treatment only appear to help some people this is usually because among the people who improve are those with different sorts of arthritis some of which get better without treatment moreover certain chronic types of arthritis may vary in their severity from time to time and appear to be cured in pregnancy and jaundice arthritis may spontaneously improve for months on end question 7 when i have a bad day how can i tell it s just my arthritis and not something else everyone has bad days and someone with arthritis is no exception arthritis being a chronic painful disease can make a person feel very tired in the evening in addition to causing pain and stiffness if you are worried that you are feeling more tired than you would expect from your arthritis you should consult your doctor about this anxiety depression and anemia are common causes of fatigue question 8 does arthritis produce any new symptoms or are these purely side effects from my pills many forms of arthritis produce symptoms in addition to those of pain swelling and tenderness in the joints they may also affect the skin eyes and internal organs other symptoms may be due to the medications you are taking so you should consult your doctor about new symptoms question 9 what is esr esr is the initials standing for erythrocyte sedimentation rate commonly known as sed rate it measures the amount of inflammation when an arthritis problem is present a high sed rate means a high amount of inflammation this is an old and simple test which consists of determining the rate at which the red blood cells in the blood settle in a tube when it is left standing for an hour normally the red cells will settle at the rate of no more than 15mm of fall in the first hour but in severe cases of arthritis they exceed 50mm if there is no inflammation the sedimentation rate is usually less than 20 mm per hour this is a very common test that may be repeated fairly frequently depending on the course and activity of the disease the esr is useful as a guide to the doctor of activity of arthritis and is helpful in determining treatment and progress question 10 can arthritis conceal the symptoms of other diseases in general arthritis produces a fairly characteristic clinical picture your doctor will be able to advise you if any symptoms you are having due to the arthritis or to some other disease in general arthritis does not conceal symptoms of other illnesses  getting comfort  '),(183,'node',' joint pain comfort membership  1997 jpm joint pain comfort membership price 1997  '),(184,'node',' urgentnews if you have ever suffered joint pain then this letter may well transform your life read an amazing story which may well give you what you have been searching for a healthy body without joint pain for 16 years my joint pain was so agonizing i cried myself to sleepfrom my little toe to my elbows my whole body was riddled with agony using only the methods that i am going to offer you i was able to rid my body of pain in a way that i can only describe as miraculous and you could to my pain was so intense that for 16 years i walked around with a foam cushion easing it under my own body weight whenever i needed to sit downit was the only way to live with the unspeakable pain that was slowly eating away at my dignity hi my name is elisabeth gowling 18 years ago at the age of 45 i had been working for 4 years as a dinner lady in a local school kitchen suffering from periodical bouts of mild back pain during a routine check up it was suggested that i make an appointment at my local hospital so they could get to the bottom of my back pain once and for all following the briefest of consultations it was suggested that i have a routine exploratory operation i was told that i would be back to work before i knew it  tragic accident left me in agonising pain for over 16 years  i was to be one of a handful of patients to be injected with a dye myodil which would travel around my body hilighting any problem area the drug itself was being tested by one of the world s richest pharmaceutical companies unfortunately the myodil dye stayed in my body causing a chronic medical condition known as arachnoiditis years after my operation i learned that thousands of other people had also suffered the same fate as a result of the myodil dye the worldleading pharmaceutical company found themselves faced with a class action suit being brought against them and subsequently made an out of court settlement to over 15000 clients totalling millions of dollars  as for me i can remember waking up from the operation as though it was yesterday as i opened my eyes i can remember immediately knowing that something was wrong what followed can only be described as 16 years of the most heart wrenching joint pain my world had changedit was though god had put me back in someone else s body the first feeling in my body was of cramp in my left toes or was it my right i was confusedmy mind was telling me that cramp in both feet at the same time was not possiblebut my body was telling me something very different within a few minutes i realised that it wasn t cramp and within the hour i was getting similar pains in every joint beneath my waist the pain killing drugs they gave me that night were to be the cure all but when i woke the next morning i realised that the nightmare was just beginning for over 16 years every joint in my body suffered such unspeakable pain that my life was limited to finding ways to cope with it i tried  drugs  everything from mild analgesics to hugely expensive over the counter morphine based drugs which made me at best nauseous and at worst violently sick none of them helped my pain herbs  including all sorts of potions and panaceas touted by people who made a living out of preying on the vulnerable not one of them could alleviate my joint pain even in the slightest doctors visits  doctors were just the start and over the years i ended up going from specialist to specialist all trying to fathom out how to get the myodil the poisoned dye back out of my body but my pain just continued to worsen exercise  including yoga meditation and subliminal suggestion again my pain levels at best just levelled off and at worse continued to spread further into my joints i was in horrendous pain by this time my dignity had long gone the joint pain i was suffering was so bad that i would cry myself to sleep every night openly and selfishly looking for sympathy to help ease the pain but could all the pain have been avoided and then just as freakily as it had begun the whole nightmare ended and with a bang it had been rumoured throughout the legal battle that as well as some of the smartest intellectual law minds in the land the pharmaceutical giant had also hired some of the world s top medical minds in an attempt to do the right thing and find a cure to the horrendous joint pain that people were now suffering what i am about to share with you is the secret which enabled me to banish the pain that had hounded me for nearly 16 years i am not an expert but it wouldn t surprise me if what you are about to read even saved billions of dollars for one of the largest and most successful pharmaceutical firms in the world  was it a doctor with a conscience  i had never given up hope that one day there would be a cure for my joint pain but i did not have the necessary finances to join the legal fight that was going on and so my only choice was to keep watching from the sidelines to see if there would ever be relief for all of us who were suffering from debilitating joint painand then one day a letter came which transformed my life to this day i still do not know who dropped the envelope through my door the usual daily post had been delivered hours earlier so as soon as i saw it half edged between the stair rim and my old hat stand i knew what it wasalthough i made my usual whine with pain as i bent down to pick up the envelope somehow that morning the pain didn t seem to bother me the way it had done for all those yearsit s as though my subconscious already knew what was inside for the avoidance of doubt i am going to reproduce what was inside the letter word for word my dearest friend i understand that for a long time now your health has not been good and that you have been suffering from the most acute joint pain i know how bad your pain is and i also know where it affects you i had so dearly wanted to send you this letter some time ago but it was important that i did not give you false hope and i needed to be sure of what i was able to do for you before giving you what you have been waiting for for so long i would like to thank you for how brave you have been your pain has probably affected your quality of life in a way that one can only imagine however the time has come to take your pain away in the rest of this document you will find the exact steps to take which will banish your joint pain forever if your knuckles have been swollen then the swelling should go if your knees have been grinding in agony every time you bend then almost immediately the pain should also lift please follow what you are about to read because that is the only thing you will need do in order to regain the pain free life you have been longing for if you know anyone else with similar pain then you may wish to pass on the favour i am sending you signed a wellwisher as i read those words i felt as though someone had lifted the world off my shoulders as i continued to read what was inside it became clear that whoever was behind the miracle was leaving nothing to chance there was a detailed section covering every single possible joint in the body which could suffer pain the whole thing just left me speechless why hadn t somebody told me what to do years ago why leave me all of these years suffering in silence i started to wonder whether the court case had finally given them sufficient motivation to find a cure for joint pain but the truth is that i will probably never know why i was given this miracle cure it may not even have come from them at all why i was sent the package in the first place may never be answered but what i can tell you is that within 18 days i was pain free totally 100 for the first time in my life those around me could see happiness in my face i was like a blind person who had regained their sight and you can be too of course at first i was sceptical i had no choice to be anything other than sceptical but i had nothing to lose and soon as i realised that what i was being told had possibly never been divulged before then it all made sense all i had to do was give it a try after 16 years of gut wrenching joint pain i had become pain free in a matter of weeks with the majority of all of my joint pain disappearing within the first seven days now you can live painfree again  at last you have the opportunity of living your life the way you used to without counting every second in your head with the pain that is currently seething through your joints my pain was not selfinflicted and chances are yours isn t either but whatever the reasons behind your daily drug taking ritual the good news is that it doesn t have to be that way you are about to learn something that millions of joint pain sufferers don t know why a joint degenerates to the point where pain starts to dominate as well as the exact steps to reverse the pain away completely this will work for you too just ask yourself this question   do you have joint pain if your answer yes read on what i am about to reveal to you will not make you live foreverhowever it will change your life if any of the following are on your wish list to regain your independence and not have to rely on other people s charity to help you in and out of cars beds boats and trains the freedom of choice to be able to go for a walk without facing the dreadful reality that the pain will bring you to your knees within minutes the luxury of a good night s sleep knowing your joint pain will not keep you awake until the sun rises you know that joint pain can restrict your life and you now know that it doesn t have to be that way wouldn t you like the opportunity to spend your hard earned money on the finer things on life instead of hugely expensive drugs and prescriptions that simply do nothing other than drain your finances peace of mind to know that your body is not being artificially poisoned by drugs which will never give you the relief you either want or so dearly need the chance to do the things you used to play golf go fishing go dancing walk in the park take a holiday laugh with friends or just sit anywhere you choose without the fear of crippling joint pain attacking any part of your body like i said what i am about to give you will not double your life expectancy but it will do everything stated so don t let the system continue to make you think there are no options there are  ask yourself the following  have you had any joint pain in the last 24 hours does the thought of constantly having to take pain killers get you down do you wonder whether loved ones may one day tire of your health issues do you suffer in silent agony watching the world go by when you receive the membership of no more joint pain you will be able to face a brighter future knowing that your joints will ease your pains will subside you will be able to get your life back on track remember this is not a general get well soon remedy this is a very real alternative to living with your joint pains not only will you be able to rekindle distant memories of what you used to do when you were pain free but you will be able to do more than you ever could just imagine a future with no more joint pain holidays without the worry of letting others down due to your inability to keep up a completely new quality of life and everything you ever hoped for allow yourself to be hugged and have your hands held again  order now before no more joint pain i spent over 16 years not being able to wear a comfortable pair of shoes due to the pain that i suffered in my joints now my new shoes match my clothes and my new clothes match my new outlook on life you now have a choice those that tell you that you are destined to live in pain don t know how bad it is and if they did they would realise that one day you will find a way to beat the pain and here it is the drugs won t help conventional drugs may not help anyone apart from the pharmaceutical companies and i think by now you can understand why i say that it may not be in their interests to sell you drugs which will cure your ailments they could go out of business it may be in their interest to sell you placebos and drugs which could just mask your painand had i not been one of the unfortunate few to have suffered in the way that i did then this program may never have seen the light of day  this is for anyone who is suffering from joint pain  no more joint pain is clear proof that there are ways to combat joint pain and i am living proof of the results i am sure that it was never the intention for this program to be put on general release but maybe it s morally correct that it has done just that there is no advice that i have not been given over the years about my joint pain take codeine take valium walk more rest more swim more eat better see another doctor see a faith healer turn to god how about you  what would you be prepared to pay for the one solution to all of your joint pain worries what if i was to tell you that the very next product you buy will be the very one that you have been waiting for since the first day that you suffered joint pain in any way let s be honest you would jump up out of your chair in excitement if it were that easy wouldn t you well it is  order now the truth is that it will probably not even cost you that much the only problem is which you choose as your next product another placebo or the only product which may offer you the total joint pain relief answer how much have you already spent would you spend just one tenth of what you already have for the guarantee of living the rest of your life pain free no more risks because you have come this far i think we may even become personal friends and because of this i want to give you some cast iron assurances of what i am saying i know that you cannot go through another failed product and you certainly don t need any more broken promises so i will offer you the following after putting no more joint pain to the test i will stay with you for a full twelve months if at any time your pain returns then let me know and i will refund what you are going to send me all that i ask is that you promise to do what is detailed in the system after all it will only work if you give it a chance to here s what you will receive a fool proof az of how to ease your joint pain within the first 30 minutes a way to reduce joint swelling that you have probably never come across a plan you will need one to keep the pain away what exercise to take and what to avoid a lot of exercise may bring back the pain peace of mind knowing you may never have to buy drugs again ways to ensure that you sleep throughout the night like a baby with no pain is there a better alternative  i don t think so but you don t know what i know yet and that is why i will give you 100 of your money back if at any time during the next 12 months you disagree with me when i say that this program is the most effective at treating joint pain you have ever witnessed i know you could always carry on dreaming or you could keep searching the what s new aisles in your local pharmacy but haven t you done that enough already is it not time that you banished your joint pain for good let me just say one final thing i have been where you are and i have lived in constant pain as a friend i would urge you to take the most rewarding step of your life you really can look forward to a life free from joint pain i look forward to your improving health elisabeth gowling happy and painfree ps thousands of people have beaten joint pain the guinea pigs have been and gone if you are still suffering joint pain then there is no need pps i spent over 16 years in crippling pain you have read a human pain story if you can relate to anything i have told you then take me up on 12 months of full money back guarantee support  order now '),(187,'node',' checkout thisdocumentcartformsubmit  '),(185,'node',' thanks for the warm welcome this is a great place everyone i can t tell you how excited i am to be here thanks  guidance  '),(186,'node',' another forum topic another forum topic  test topic thanks for the warm welcome   guidance  '),(188,'node',' test topic some content will go here another forum topic   guidance  '),(189,'node',' redirect to home ');

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