Most Common Disease of elder: The Clinical trials and Studies edition of Musculo-Skeletal disorders(MSDs) - Osteoarthritis: The Causes and Risk Factors

Kyle J. Norton (Scholar)

Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are  medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

      Types of Musculo-Skeletal disorders in elder(2)

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia

                              

                                   Osteoarthritis 

Osteoarthritis (OA), a form of arthritis, is defined as a condition of as a result of aging causes of wear and tear on a joint, affecting over 25 million people in the United States in alone.  University of Porto Medical School indicated that one must understand the differences in prevalence and incidence estimates of osteoarthritis (OA), according to case definition, in knee, hip and hand joints(3).

The characteristics of osteoarthritis are aching pain(5), stiffness(6), or difficulty of moving the joint or joints(7). The pain usually gets worse in change of weather, at night and in the advanced diseases, the pain can occur even at rest(8). Today management of osteoarthritis (OA) focuses on pain relief and improved physical function through pharmacological, non pharmacological, and surgical treatments(4).

              

                      The Causes and Risk Factors

A. Causes
1. Process of wear and repair
Osteoarthritis (OA), a widespread degenerative disease of skeletal joints(34) and is often associated with senescence in vertebrates. arising from long term wear and tear, heavy long-term use or specific injuries(35). Improper repair process of injure of joints can also result of symptoms of Osteoarthritis (OA)(36) in old age(37), according to TCM.

2. Nutrient deficiency and overload
Poor nutritional conditions experienced early in life are linked to greater prevalence of osteoarthritis (OA)(35)(38), such as vitamin D. On the other hand, nutrient overload and metabolic surplus, such as obesity may contribute to early onset of osteoarthritis (OA)(38).

3. Cartilage
Cartilage is a flexible connective tissue cushioned the ends of bones in your joints and allowed the joints to move smoothly. Rough or wears down cartilage due to aging or damage can causes pain due to bone in the joint rubbing against another bone(39)(40).
The above causes of Osteoarthritis (OA) may also be the result of injure(35), overuse(15)(16), Rheumatoid Arthritis(41), etc.

4. Etc.

B. Risk factors
Aging changes in the musculoskeletal system contribute to the development of OA by making the joint more susceptible to the effects of other OA risk factors(39)(40)
1. Abnormal biomechanics

The biomechanics of the foot and ankle is important to the normal function of the lower extremity(42). Abnormal biomechanics can cause abnormal stress and eventual breakdown of connective tissue and muscle(42) of that can lead to early onset of  Osteoarthritis (OA)(43).

2. Joint injury and obesity 

According to the University of Calgary, joint injury and obesity were associated with an increased risk of OA of the knee and hip(44). Dr. Rogers LQ and the research team at the Southern Illinois University School of Medicine indicated that the high and low joint stress from physical activity (PA)

ate associated to reduce risk of the disease(45). In obesity, according to Duke University Medical Center, it is one of the most significant, and potentially most preventable, risk factors for the development of osteoarthritis due to a strong association between body mass index and osteoarthritis of the hip, knee, foot and hand(46)(47).

3. Age-related sarcopenia(48)(49) and increased bone turnover(49) have found to be associated to the development of OA(49). Other suggested that Osteoarthritis development in the injured joints is caused by pathways of joint-related mechanisms and deconditioning of the musculoskeletal system(50). As well as intra-articular pathogenic processes initiated at the time of injury(51).

4. Normal Aging 
Normal aging in humans is associated with declines in skeletal muscle mass and strength and increased muscle fatigability (sarcopenia)(52).

5. Muscle strength
Reduced muscle strength due to ageing, injure or other conditions is regarded as a risk factor for pain and disability in osteoarthritis (OA)(53)(54).

6. Gender

Women are susceptible to the greater risk for the development of  osteoarthritis (OA), but research in sex and gender differences in osteoarthritis to date, may not be appreciated by the orthopedic community, according to Mayo Clinic(56)(57)

7. Genetic 

 Asian are at higher risk to develop osteoarthritis, according to research of  Praxisklinik für Unfallchirurgie und Orthopädie(57)(58), due to  genetic polymorphisms associated with osteoarthritis and related end-points(58).

8. Deformation of bone
People who were born with defective joints or cartilage are at increased risk of developing osteoarthritis(59)(60).

9. Physical activity
People who involve in activity such as sport are at higher risk to develop osteoarthritis, if injure(61).

10. Occupations
Certain occupations are associated to the increased risk of osteoarthritis, especially to workers involving repetitive movements that stress on a particular joint(61)(62).

11. Deficiency in DNA repair
Progeroid human DNA repair syndrome trichothiodystrophy may be associated to the to the development of osteoarthritis(63).

12. Other diseases and conditions may have a higher risk of developing the condition.
a. Gout
Gout is a type of arthritis as a result of uric acid builds up in blood causes of joint inflammation(64). According to a total of 4249 completed questionnaires returned (32%) from 359 attendees, 164 cases of gout were clinically confirmed, there is highly significant association existed between the site of acute attacks of gout and the presence of OA(65).

b. Rheumatoid arthritis
Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease, causing the attack of flexible (synovial) joints, inflammation of the surrounding tissues and many tissues and organs. Patients with heumatoid arthritis (RA) are associated to increase risk of OA due to progression of aging(66).

c. Paget’s disease of the bone
Paget’s disease of bone is a condition a chronic disorder of excessive and abnormal bone remodeling result in excessive breakdown and formation of bone tissue causing pain, misshapen bones, fractures, and arthritis in the joints near the affected bones(67) with prevalence trends of doubling each decade from the age of 50 onwards, causing bone pain, depending on skeletal sites involved and range from secondary osteoarthritis to malignant degeneration(68).

d. Septic arthritis
Septic arthritis is a condition of inflammation of a joint as a result of bacterial or fungal infection causes of osteoarthritis(69).

9. Etc.

Arthritis Is Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/p/general-health.html

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca
References
(1) Prevalence of rheumatic symptoms, rheumatoid arthritis, ankylosing spondylitis, and gout in Shanghai, China: a COPCORD study by Dai SM1, Han XH, Zhao DB, Shi YQ, Liu Y, Meng JM.(PubMed)
(2) Musculoskeletal Disorders in the Elderly by Ramon Gheno, Juan M. Cepparo, Cristina E. Rosca,1 and Anne Cotten(PMC)
(3) The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review by Pereira D1, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E.(PubMed)
(4) Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteoarthritis: systematic review with meta-analysis by Waller B1, Ogonowska-Slodownik A2, Vitor M3, Lambeck J4, Daly D5, Kujala UM6, Heinonen A7.(PubMed)
(5) Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with kneeosteoarthritis: A systematic review and meta-analysis by Zhang C1, Xie Y2, Luo X3, Ji Q3, Lu C3, He C4, Wang P3.(PubMed)
(6) Oral intake of purple passion fruit peel extract reduces pain and stiffness and improves physical function in adult patients with knee osteoarthritis by Farid R1, Rezaieyazdi Z, Mirfeizi Z, Hatef MR, Mirheidari M, Mansouri H, Esmaelli H, Bentley G, Lu Y, Foo Y, Watson RR.(PubMed)
(7) Functional ability, mobility, and pain before and after knee replacement in patients aged 75 and older: a cross-sectional study by Limnell K1, Jämsen E, Huhtala H, Jäntti P, Puolakka T, Jylhä M.(PubMed)

(34) Targets, models and challenges in osteoarthritis research by Thysen S1, Luyten FP2, Lories RJ3.(PubMed)
(35) Ecology of arthritis. by Peterson RO1, Vucetich JA, Fenton G, Drummer TD, Larsen CS.(PubMed)
(36) Handout on Health: Osteoarthritis(NIH)
(37) Age-related changes in the musculoskeletal system and the development of osteoarthritis. by Loeser RF1.(PubMed)
(38) Metabolic triggered inflammation in osteoarthritis by Wang X1, Hunter D2, Xu J3, Ding C4.(PubMed)
(39) [Osteoarthritis. Etiology, typing, staging and histological grading].[Article in German] by Söder S1, Aigner T.(PubMed)
(40) [Typing, grading and staging of osteoarthritis: histopathological assessment of joint degeneration].[Article in German] by Aigner T1, Söder S.(PubMed)
(41) Association of rheumatoid arthritis and primary osteoarthritis with changes in the glycosylation pattern of total serum IgG by Parekh RB, Dwek RA, Sutton BJ, Fernandes DL, Leung A, Stanworth D, Rademacher TW, Mizuochi T, Taniguchi T, Matsuta K, et al.(PubMed)
(42) Abnormal biomechanics of the foot and ankle by Donatelli RA.(PubMed)
(43) Lateral compartment osteoarthritis of the knee: Biomechanics and surgical management of end-stage disease by Scott CE1, Nutton RW, Biant LC.(PubMed)
(44) Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review by Richmond SA1, Fukuchi RK, Ezzat A, Schneider K, Schneider G, Emery CA.(PubMed)
(45) The association between joint stress from physical activity and self-reported osteoarthritis: an analysis of the Cooper Clinic data by Rogers LQ1, Macera CA, Hootman JM, Ainsworth BE, Blairi SN.(PubMed)
(46) Why is obesity associated with osteoarthritis? Insights from mouse models of obesity by Griffin TM1, Guilak F.(PubMed)

(47) Diet-induced obesity differentially regulates behavioral, biomechanical, and molecular risk factors forosteoarthritis in mice by Griffin TM1, Fermor B, Huebner JL, Kraus VB, Rodriguiz RM, Wetsel WC, Cao L, Setton LA, Guilak F.(PubMed)
(48) Sarcopenia: a histological and immunohistochemical study on age-related muscle impairment. by Tarantino U1, Scimeca M2,3, Piccirilli E4, Tancredi V5, Baldi J4, Gasbarra E4, Bonanno E6.(PubMed)
(49) Age-related changes in the musculoskeletal system and the development of osteoarthritis by Loeser RF1.(PubMed)
(50) Joint injury causes knee osteoarthritis in young adults by Roos EM1.(PubMed)
(51) The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. by Lohmander LS1, Englund PM, Dahl LL, Roos EM.(PubMed)
(52) Age-Related Sarcopenia in Humans Is Associated with Reduced Synthetic Rates of Specific Muscle Proteins1,2 by D. N. Proctor, P. Balagopal*, and K. S. Nair*,3(The Journal of Nutrition)

(53) Muscle strength, pain and disability in patients with osteoarthritis by Steultjens MP1, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW.(PubMed)

(54) Effects of muscle-strength training on the functional status of patients with osteoarthritis of the knee joint by Schilke JM1, Johnson GO, Housh TJ, O'Dell JR.(PubMed)

(55) How do sex and gender affect knee OA? By Jennie McKee(AAOS)

(56) Osteoarthritis of the hip and knee: sex and gender differences by O'Connor MI1.(PubMed)

(57) [The prevalence of radiological osteoarthritis in relation to age, gender, birth-year cohort, and ethnic origins].[Article in German] by Spahn G1, Schiele R, Hofmann GO, Schiltenwolf M, Grifka J, Vaitl T, Schneider S, Liebers F, Klinger HM.(PubMed)

(58) The genetic epidemiology of osteoarthritis by Valdes AM1, Spector TD.(PubMed)

(59) Clinical significance of bone changes in osteoarthritis, Monitoring Editor: Gerolamo Bianchi

Tuhina Neog(PMC)

(60) Mechanobiology: Cartilage and Chondrocyte edited by J. F. Stoltz

(61) Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review. by Richmond SA1, Fukuchi RK, Ezzat A, Schneider K, Schneider G, Emery CA.(PubMed)

(62) Primary osteoarthritis and occupations: a national cross sectional survey of 10 412 symptomatic patients by Rossignol M1, Leclerc A, Hilliquin P, Allaert FA, Rozenberg S, Valat JP, Avouac B, Coste P, Savarieau B, Fautrel B.(PubMed)

(63) Analysis of osteoarthritis in a mouse model of the progeroid human DNA repair syndrome trichothiodystrophy by Botter SM1, Zar M, van Osch GJ, van Steeg H, Dollé ME, Hoeijmakers JH, Weinans H, van Leeuwen JP.(PubMed)

(64) Questions and Answers about Gout(NIH)

(65) Are joints affected by gout also affected by osteoarthritis? by Roddy E1, Zhang W, Doherty M.(PubMed)

(66) Patient compliance in rheumatoid arthritis, polymyalgia rheumatica, and gout by de Klerk E1, van der Heijde D, Landewé R, van der Tempel H, Urquhart J, van der Linden S.(PubMed)

(67) Paget's disease of bone(Wikipedia)

(68) Paget's disease of bone: a review by Colina M1, La Corte R, De Leonardis F, Trotta F.(PubMed)

(69) Septic arthritis complicating hip osteoarthritis by Donell S1, Williamson DM, Scott DL.(PubMed)

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Polymalgia Arthritis(PMR): The Diagnosis

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.


Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints. A shoulder disorderwas found in 27% of subjects, rheumatoid arthritis in 1% and osteoarthritis(OA) of the hand, hip, and knee in five, seven, and 18% of subjects, respectively. Disability was frequent: a walking distance of < 500 m was found in 60% and ADL dependency in 40% of the group. Factors related to one or both of these disability measures included female gender, hip and knee OA, impaired vision, cognitive impairment and neurologicaldisease(1).




                        Polymalgia Arthritis

Polymalgia Arthritis Polymalagia Arthritis is defined as a condition a common inflammatory rheumatic disease which cause pain, stiffness and tenderness in large muscles, including muscles shoulders and pelvic girdleas a result of the presence of a synovitis in proximal joints and periarticular structures, causing musculoskeletal symptoms in PMR.

Diagnosis

There is no specific test to diagnose polymyalgia rheumatica. The practice guideline for general practitioners (GPs) on polymyalgia rheumatica and temporal arteritis was published in February 2010 by the Dutch College of General Practitioners. This guideline provides GPs with recommendations for the diagnosis and treatment of polymyalgia rheumatica. After other disorders have been excluded, the diagnosis of ‘polymyalgia rheumatica’ is made in patients over the age of 50 who have bilateral pain in the neck and shouldergirdle and/or hip girdle that has lasted for longer than 4 weeks, morning stiffness that lasts longer than 60 minutes and an ESR > 40 mm in the first hour(22). Other researchers suggested that Diagnosis of rheumatologic disorders in the elderly is often complicated by the primary care clinician’s inability to differentiate among similar manifestations of rheumatologic disorders, the presence of comorbid conditions, and symptoms attributed simply to aging. A major consequence of the aches and pains associated with rheumatologic disorders, including polymyalgia rheumatica (PMR), is the impedance of activities of daily living, potentially leading to a loss of independence. PMR is common in the elderly. Often coexisting with PMR, temporal arteritis can lead to complications, including blindness, stroke, or cardiac sequelae. Timely detection and appropriate treatment of PMR in the elderly may improve quality of life, as well as deter irreversible problems. Patient education also has an important role(23).
If you are suspected to develop Polymalagia Arthritis, after a general physical exam, including the examination of shoulder motion, or swelling of the joints in the wrists, hands, etc., certain tests may be necessary

1. Blood test(24)
a. Erythrocyte sedimentation rate (ESR) is the blood test to exam the red blood cells in a test tube. he higher the ESR value is an indication of inflammation.

b. C-reactive protein (CRP)
Blood test measures the levels of C-reactive protein (CRP) produced by the liver in response to an injury or infection and people with polymyalgia rheumatic.

c. Blood test for thrombocytes
Patient with polymyalgia rheumatica have an unusually high number of thrombocytosis. On the other hand, People with anemic polymyalgia rheumatica have a lower number of red blood cells than normal.

d. Rheumatoid factor (RF)
RF is an antibody, a protein made by the immune system presented in the blood of people with rheumatoid arthritis, but not in the blood of people with polymyalgia rheumatica. 

2. Biopsy
Polymyalgia rheumatica is often associated with giant cell arteritis with biopsy by taking a small sample from the scalp artery in the emporal artery and examined under a microscope in a laboratory. Patients suspected ofgiant cell arteritis or polymyalgia rheumatica are often referred to the otolaryngologist for temporal artery biopsy. These patients may initially present to the otolaryngologist with symptoms referable to the head and neck(25).

3. Etc.

Arthritis Is Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/p/general-health.html

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca
Sources
(23) http://www.ncbi.nlm.nih.gov/pubmed/11858317
(24)http://web.archive.org/web/20080623203621/http://www.mayoclinic.com/health/polymyalgia-rheumatica/DS00441/DSECTION=tests-and-diagnosis
(25) http://www.ncbi.nlm.nih.gov/pubmed/3619280

Most Common Disease of elder: The Clinical trials and Studies edition of Musculo-Skeletal disorders(MSDs) - Osteoarthritis: The Symptoms

Kyle J. Norton (Scholar)

Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are  medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints(1).

      Types of Musculo-Skeletal disorders in elder(2)

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia

                                     

                                   Osteoarthritis 

Osteoarthritis (OA), a form of arthritis, is defined as a condition of as a result of aging causes of wear and tear on a joint, affecting over 25 million people in the United States in alone.  University of Porto Medical School indicated that one must understand the differences in prevalence and incidence estimates of osteoarthritis (OA), according to case definition, in knee, hip and hand joints(3).

The characteristics of osteoarthritis are aching pain(5), stiffness(6), or difficulty of moving the joint or joints(7). The pain usually gets worse in change of weather, at night and in the advanced diseases, the pain can occur even at rest(8). Today management of osteoarthritis (OA) focuses on pain relief and improved physical function through pharmacological, non pharmacological, and surgical treatments(4).

                         The Symptoms 

Some researchers classified the severity symptoms of osteoarthritis as follow
1. Pain in joints of the hand
Most commonly affected joints of the hand in osteoarthritis include the carpometacarpal joint of the thumb (CMC 1) and the distal (DIP) andproximal (PIP) interphalangeal joints. may be resulted of
associated of High Bone Mass in Women and Small Bone Size and Low Lean Mass in Men(9), especially for patient with knee osteoarthritis(10).Ageing(11), female gender(12), genotype(13)(14), heavy work(15)(16) have shown to associate to the pain and pressure on the hands, and injuries predispose to osteoarthritis in the hand(17). The pain may be also due to permeability change in the synovial tissue caused by molecules released from the joint cartilage(18)(19).

2. Knee and Hip
Osteoarthritis (OA) of the knee and hip is among the most frequent arthritic conditions(19). Some researcher suggested that the pathological joint changes in OA include: cartilage destruction by pro-inflammatory cytokines(20), matrix metalloproteinases(21)(22) and prostaglandins(23) in promotion of  a catabolic environment(19).

3. Spine
Vertebral deformity, in particular wedging, of the thoracic spine is not exclusively characteristic for osteoporosis(24), but in Europe, it is a marker of vertebral osteoporosis, in different regions and populations(25) and certain vertebral deformities develop by mechanisms other than fracture(26). Osteoporotic fracture of the thoracic spine can induce severe pain in your back, legs, and arms and weakness or numbness in these areas if the fracture injures the nerves of the spine(27)
 Osteoarthritis is found to affect the low back can lead to chronic low back pain (lumbago)(28)(29) and degenerative disc disease (spondylosis)(30)(31). Other researchers indicated that postmenopausal women with lumbar spine disc degeneration are as the result of  by increased CII degradation(32)(33).

Arthritis Is Curable

You Can Eliminate Osteoarthritis

By addressing the Underlying Causes through Clinical Trials and Studies

References

(1) Prevalence of rheumatic symptoms, rheumatoid arthritis, ankylosing spondylitis, and gout in Shanghai, China: a COPCORD study by Dai SM1, Han XH, Zhao DB, Shi YQ, Liu Y, Meng JM.(PubMed) 

(2) Musculoskeletal Disorders in the Elderly by Ramon Gheno, Juan M. Cepparo, Cristina E. Rosca,1 and Anne Cotten(PMC)  

(3) The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review by Pereira D1, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E.(PubMed)

(4) Effect of therapeutic aquatic exercise on symptoms and function associated with lower limb osteoarthritis: systematic review with meta-analysis by Waller B1, Ogonowska-Slodownik A2, Vitor M3, Lambeck J4, Daly D5, Kujala UM6, Heinonen A7.(PubMed)

(5) Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with kneeosteoarthritis: A systematic review and meta-analysis by Zhang C1, Xie Y2, Luo X3, Ji Q3, Lu C3, He C4, Wang P3.(PubMed)

(6) Oral intake of purple passion fruit peel extract reduces pain and stiffness and improves physical function in adult patients with knee osteoarthritis by Farid R1, Rezaieyazdi Z, Mirfeizi Z, Hatef MR, Mirheidari M, Mansouri H, Esmaelli H, Bentley G, Lu Y, Foo Y, Watson RR.(PubMed)

(7) Functional ability, mobility, and pain before and after knee replacement in patients aged 75 and older: a cross-sectional study by Limnell K1, Jämsen E, Huhtala H, Jäntti P, Puolakka T, Jylhä M.(PubMed)

(8) The symptoms of OA and the genesis of pain by David J. Hunter, MBBS PhD,1,2 Jason J. McDougall, BSc PhD,3 and Francis J. Keefe4(PubMed)

(9) Osteoarthritis of the Distal Interphalangeal and First Carpometacarpal Joints is Associated with High Bone Mass in Women and Small Bone Size and Low Lean Mass in Men by von Schewelov T1, Magnusson H1, Cöster M1, Karlsson C1, Rosengren BE1.(PubMed)
(10) Patients with knee osteoarthritis have a phenotype with higher bone mass, higher fat mass, and lower lean body mass by Karlsson MK1, Magnusson H, Cöster M, Karlsson C, Rosengren BE.(PubMed)

(11) Ageing and osteoarthritis: a circadian rhythm connection by Gossan N1, Boot-Handford R, Meng QJ.(PubMed)
(12) Osteoarthritis in Latin America: Study of Demographic and Clinical Characteristics in 3040 Patients by Reginato AM1, Riera H, Vera M, Torres AR, Espinosa R, Esquivel JA, Felipe OJ, Blas JR, Rillo O, Papasidero S, Souto R, Rossi C, Molina JF, Ballesteros F,Radrigan F, Guibert M, Chico A, Gil ML, Camacho W, Urioste L, Garcia AK, Iraheta I, Gutierrez CE, Duarte M, Castañeda O, Coimbra I, Muñoz Louis R, Reveille J, Quintero M; Pan-American League of Associations for Rheumatology (PANLAR) Osteoarthritis Study Group.(PubMed)
(13) Vitamin D receptor genotype is associated with radiographic osteoarthritis at the knee by Uitterlinden AG1, Burger H, Huang Q, Odding E, Duijn CM, Hofman A, Birkenhäger JC, van Leeuwen JP, Pols HA.(PubMed)
(14) Estrogen receptor alpha genotype is associated with a reduced prevalence of radiographic hip osteoarthritis in elderly Caucasian women by Lian K1, Lui L, Zmuda JM, Nevitt MC, Hochberg MC, Lee JM, Li J, Lane NE.(PubMed)
(15) Knee osteoarthritis: influence of work involving heavy lifting, kneeling, climbing stairs or ladders, or kneeling/squatting combined with heavy lifting by Jensen LK1.(PubMed)
(16) Hip osteoarthritis: influence of work with heavy lifting, climbing stairs or ladders, or combining kneeling/squatting with heavy lifting by Jensen LK1.(PubMed)
(17) [Osteoarthritis of the thumb and fingers].[Article in Finnish] by Waris E1, Waris V, Konttinen YT.(PubMed)
(18) Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretation by Jeremy Sokolove and Christin M. Lepus(PMC)
(19) Osteoarthritis of the knee and hip. Part I: aetiology and pathogenesis as a basis for pharmacotherapy. by Adatia A1, Rainsford KD, Kean WF.(PubMed)
(20) CNI-1493, an inhibitor of proinflammatory cytokines, retards cartilage destruction in rats with collagen induced arthritis. by Larsson E1, Harris HE, Palmblad K, Månsson B, Saxne T, Klareskog L.(PubMed)
(21) Effective knock down of matrix metalloproteinase-13 by an intra-articular injection of small interfering RNA (siRNA) in a murine surgically-induced osteoarthritis model. by Akagi R1, Sasho T, Saito M, Endo J, Yamaguchi S, Muramatsu Y, Mukoyama S, Akatsu Y, Katsuragi J, Fukawa T, Takahashi K.(PubMed)
(22) Knee loading reduces MMP13 activity in the mouse cartilage by Hamamura K, Zhang P, Zhao L, Shim JW, Chen A, Dodge TR, Wan Q, Shih H, Na S, Lin CC, Sun HB, Yokota H1.(PubMed)
(23) [Prostaglandin E₂: innovative approaches for tissue engineering of articular cartilage].[Article in German] by Brochhausen-Delius C1.(PubMed)
(24) Aging of the thoracic spine: distinction between wedging in osteoarthritis and fracture in osteoporosis--a cross-sectional and longitudinal study by Abdel-Hamid Osman A1, Bassiouni H, Koutri R, Nijs J, Geusens P, Dequeker J.(PubMed)

(25) The prevalence of vertebral deformity in european men and women: the European Vertebral Osteoporosis Study by O'Neill TW1, Felsenberg D, Varlow J, Cooper C, Kanis JA, Silman AJ.(PubMed)

(26) Vertebral Fracture Initiative Part II Radiological Assessment of Vertebral Fracture Authored by: Judith E Adams1 , Leon Lenchik2 , Christian Roux3 and Harry K. Genant4(International Osteoporosis Foundation)

(27) A Patient's Guide to Thoracic Compression Fractures(University of Maryland Medical Center)

(28) [Comparison of the effect of laser and magnetic therapy for pain level and the range of motion of the spine of people with osteoarthritis lower back].[Article in Polish] by Zdrodowska B1, Leszczyńska-Filus M1, Leszczyński R1, Błaszczyk J2.(PubMed)

(29) Development of an Experimental Animal Model for Lower Back Pain by Percutaneous Injury-Induced Lumbar Facet Joint Osteoarthritis. by Kim JS1,2, Ahmadinia K2,3, Li X2, Hamilton JL2, Andrews S4, Haralampus CA2, Xiao G2,5, Sohn HM6, You JW6, Seo YS7, Stein GS8, Van Wijnen AJ9, Kim SG10, Im HJ2,3,11,12,13.(PubMed)

(30) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study by Yoshimura N1, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T.(PubMed)

(31) Association of occupational activity with radiographic knee osteoarthritis and lumbar spondylosis in elderly patients of population-based cohorts: a large-scale population-based study. by Muraki S1, Akune T, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Nakamura K, Kawaguchi H, Yoshimura N.(PubMed)

(32) Association between spine disc degeneration and type II collagen degradation in postmenopausal women: the OFELY study by Garnero P1, Sornay-Rendu E, Arlot M, Christiansen C, Delmas PD.(PubMed)

(33) Regeneration of the intervertebral disc with nucleus pulposus cell-seeded collagen II/hyaluronan/chondroitin-6-sulfate tri-copolymer constructs in a rabbit disc degeneration model. by Huang B1, Zhuang Y, Li CQ, Liu LT, Zhou Y.(PubMed)

               

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Polymalgia Arthritis(PMR): The Complications

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints. A shoulder disorderwas found in 27% of subjects, rheumatoid arthritis in 1% and osteoarthritis(OA) of the hand, hip, and knee in five, seven, and 18% of subjects, respectively. Disability was frequent: a walking distance of < 500 m was found in 60% and ADL dependency in 40% of the group. Factors related to one or both of these disability measures included female gender, hip and knee OA, impaired vision, cognitive impairment and neurologicaldisease(1).

                            Polymalgia Arthritis 

Polymalgia Arthritis is defined as a condition a common inflammatory rheumatic disease which cause pain, stiffness and tenderness in large muscles, including muscles shoulders and pelvic girdleas a result of the presence of a synovitis in proximal joints and periarticular structures, causing musculoskeletal symptoms in PMR.

The Complications

1. Visual complications
There is a report of Four case histories are reported in which patients withpolymyalgia rheumatica (polymyalgia arteritic) developed evidence of cranial arteritis (in one case two years and in one six months) following withdrawal of steroid therapy after apparent cure(14). 

2. Stroke
Polymyalgia rheumatica (PMR) is a relatively common rheumatic disease, particularly in the elderly. Vasculitis is associated with PMR and theoretically makes such patients susceptible to vascular events such as stroke, according to study of researchers at the Taipei Medical University(15).

3. Low back pain and MRI-abnormalities
Abnormalities in shoulder and hip joints are most common, but signs of cervical and lumbar interspinous bursitis might also be found in patients with PMR(16). 

4. Cervical interspinous bursitis
Cervical interspinous bursitis is a likely basis for discomfort in the neck of patients with PMR. The prominent inflammatory involvement of cervical bursae supports the hypothesis that PMR is a disorder of prominent involvement of extra-articular synovial structures. MRI evidence of interspinous cervical bursitis was found in all patients with PMR, and in three patients with fibromyalgia, in two with psoriatic spondylitis and one with cervical osteoarthritis(17). 

5. Renal failure
Renal involvement in PMR is extremely rare and very few cases of AA amyloidosis secondary to PMR have been described in literature. Dr. Javaid MM, and research team at the King’s College Hospital NHS Foundation Trust, rpeort a case of a case of a patient with history PMR who developed nephrotic range proteinuria and rapidly deteriorating renal function secondary to AA amyloidosis within 18 months of the onset of symptoms of PMR. This case reinforces the association of PMR with secondary AA amyloidosis and highlights the importance of monitoring renal function in patients with PMR(18).

6. Perforated colonic diverticular disease
Patients with polymyalgia may have perforated colonic diverticular disease which mimics their rheumatic pathology. In such cases steroid therapy, which is the mainstay of polymyalgia therapy, can be detrimental. Primary and hospital practitioners are encouraged to be vigilant regarding non-specific gastrointestinal symptoms and consider alternative diagnoses in those patients whose symptoms do not resolve with standard therapy, as this can lead to an overall better outcome(19).

7. Metastatic lymphoma
There is a report of A 48-year-old HIV-positive woman presented with progressive pain and stiffness of both shoulders and hips. She was given the diagnosis of polymyalgia rheumatica (PMR) due to high erythrocyte sedimentation rate. However, a 1-week course of prednisolone failed to improve her symptoms. She later discovered a breast lump of which histopathological tissue was consistent with a diffuse large B-cell lymphoma. Whole body bone scan revealed multiple bony metastases(20).

8. Cancer
Patients hospitalized for PMR and GCA had a marginally increased risk of cancer, with the highest risk noted for the first year after hospitalization. However, for specific cancers, such as skin cancer and leukaemia, the increases were still significant for patients diagnosed later than 1 year after hospitalization(21)
9. Etc.

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Sources
(14) http://www.ncbi.nlm.nih.gov/pubmed/1223854
(15) http://www.ncbi.nlm.nih.gov/pubmed/22057203
(16) http://www.ncbi.nlm.nih.gov/pubmed/21262024
(17) http://www.ncbi.nlm.nih.gov/pubmed/18208867
(18) http://www.ncbi.nlm.nih.gov/pubmed/20969738
(19) http://www.ncbi.nlm.nih.gov/pubmed/20819228
(20) http://www.ncbi.nlm.nih.gov/pubmed/20686306
(21) http://www.ncbi.nlm.nih.gov/pubmed/20299378

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Polymalgia Arthritis(PMR): The Causes and Rick factors

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints. A shoulder disorderwas found in 27% of subjects, rheumatoid arthritis in 1% and osteoarthritis(OA) of the hand, hip, and knee in five, seven, and 18% of subjects, respectively. Disability was frequent: a walking distance of < 500 m was found in 60% and ADL dependency in 40% of the group. Factors related to one or both of these disability measures included female gender, hip and knee OA, impaired vision, cognitive impairment and neurologicaldisease(1).

                            Polymalgia Arthritis 

Polymalgia Arthritis is defined as a condition a common inflammatory rheumatic disease which cause pain, stiffness and tenderness in large muscles, including muscles shoulders and pelvic girdleas a result of the presence of a synovitis in proximal joints and periarticular structures, causing musculoskeletal symptoms in PMR.

B. Causes and Rick factors
B.1. Causes
The cause of PMR is not well understood, but researchers believe it is a result of the abnormal inflammatory activity of inflammatory cells and proteins of the immune system due to the presence of a synovitis in proximal joints and periarticular structures.
1. Genetic factors
In the study to evaluate HLA-DRB1 associations in patients with polymyalgiarheumatica (PMR) and giant cell arteritis (GCA) in the Spanish population, showed that he HLA-DRB1 alleles associated with susceptibility for developing PMR and GCA are different. Whether PMR with low ESR represents a different clinical subset of the disease should be clarified in a larger sample of patients. HLA-DRB1 genes might predict the presence of relapses in PMR, but they do not seem to be indicators of severe disease in GCA patients(7).

2. Environmental contagious factors
In the review personal and published observations of giant cell (temporal)arteritis (GCA) or polymyal-gia rheumatica (PMR) with familial or conjugal aggregation and emphasise on epidemiological, clinical and genetic features of such cases, showed that familial aggregation of GCA and PMR accumulated data pointing to a genetic predisposition. However,environmental contagious factors could have trigger synchronous disease onset in up to one-fourth of the cases(8).

3. Giant cell arteritisGiant cell arteritis (GCA) is an inflammatory vasculopathy that involves large- and medium-sized arteries and can cause vision loss, stroke and aneurysms. GCA occurs in people aged >50 years and is more common in women. A higher incidence of the disease is observed in populations from Northern European countries. Polymyalgiarheumatica (PMR) is a periarticular inflammatory process manifesting as pain and stiffness in the neck, shoulders and pelvic girdle. PMR shares the same pattern of age and sex distribution as GCA. The pathophysiology of PMR and GCA is not completely understood, but the two conditions may be related and often occur concurrently(9).

4. Etc. 

B.2. Risk factors
1. Aging
If you are over 50 years of age, you are at increased risk of Polymalagia Arthritis (PMR). Polymyalgia rheumatica is a rheumatic disease which mainly affects the elderly, and is seldom diagnosed in patients <50 years of age. the prevalence polymyalgia rheumatica is approximately 16.8 to 53.7 per 100,000 of the population >50 years of age(10).

2. Diet
In the study to investigate the association of red meat and other specific dietary components in predicting the development of inflammatory polyarthritis, DR. Pattison DJ, and the research team at the University of Manchester, indicated that high level of red meat consumption may represent a novel risk factor for inflammatory arthritis or may act as a marker for a group of persons with an increased risk from other lifestyle causes(11).

3. Smoking
In the study to examined the influence of smoking on disease outcome at 3 years among patients newly presenting with inflammatory polyarthritis (IP), indicated that Despite smokers being more likely to develop nodules and to be RF positive, current smokers did not have higher levels of radiologic damage, and had fewer swollen joints. We hypothesize that this could be due to either the effect of cigarette smoking on the inflammatory response or other factors (e.g., reduced physical activity in smokers) which may limit joint inflammation and damage(12).

4. Gender
If you are women, you are at increased risk to develop Polymalagia Arthritis

5. Race
Rheumatic diseases are common in China. In the study to clarify prevalence rates of common rheumatic diseases in China, using the World Health Organization-International League of Associations for Rheumatology COPCORD (Community Oriented Program for Control of Rheumatic Diseases) protocol and those that did not employ this protocol but were published in recognized journals were identified and analyzed. showed that the prevalence of rheumatic complaints varied with the locality surveyed. The prevalence of OA is comparable with that in Western countries but varies in terms of joint involvement. The prevalence of ankylosing spondylitis is similar to that in Caucasians. Except in Taiwan, the prevalence of RA in China is lower than that in developed countries. The prevalence of hyperuricemia and gout increased after the 1980s, but it remains lower than that in developed countries(13).

6. Etc.

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Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

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Sources
(7) http://www.ncbi.nlm.nih.gov/pubmed/15305244
(8) http://www.ncbi.nlm.nih.gov/pubmed/19646354
(9) http://www.ncbi.nlm.nih.gov/pubmed/21812500
(10) http://www.ncbi.nlm.nih.gov/pubmed/19562970
(11) http://www.ncbi.nlm.nih.gov/pubmed/15593211
(12) http://www.ncbi.nlm.nih.gov/pubmed/11229462
(13) http://www.ncbi.nlm.nih.gov/pubmed/18237382

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Polymalgia Arthritis(PMR): The Signs and Symptoms

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home, musculoskeletal pain was reported by 57% of those interviewed. (1).

                            Polymalgia Arthritis 

Polymalgia Arthritis is defined as a condition a common inflammatory rheumatic disease which cause pain, stiffness and tenderness in large muscles, including muscles shoulders and pelvic girdleas a result of the presence of a synovitis in proximal joints and periarticular structures, causing musculoskeletal symptoms in PMR.

A. Signs and Symptoms
1. In the study in Assessment and management of polymyalgia rheumatica in older adults, Dr. Kennedy-Malone LM, and Dr. Enevold GL. at the University of North Carolina School of Nursing in Greensbor, showed thatPolymyalgia rheumatica (PMR) is a periarticular rheumatic condition characterized by pain and stiffness, primarily in the neck, shoulders, hips, and pelvic girdle. Temporal arteritis (TA) or giant cell arteritis, the most common primary vasculitis in older adults, is found in approximately 10% to 30% of people who have PMR. Left untreated, TA can result in sudden, irreversible blindness. Geriatric nurses need to familiarize themselves with these disorders to accurately assess and manage people with them(3).

2. Other symptoms include
a. Fever and lumbar pain
There is a report of a71-year-old man consulted our Department of Orthopedics for fever and lumbar pain, which initially developed in early September 2000. Administration of NSAIDs resulted in the disappearance of lumbar pain. However, fever persisted. Administration of NSAIDs resulted in the disappearance of lumbar pain. However, fever persisted. The C-reactive protein (CRP) level was persistently high. Therefore, on October 5, 2000, the patient was referred to our department. At the outpatient clinic, a detailed examination was performed. However, the etiology could not be determined. Repeated administration of NSAIDs resulted in pyretolysis, and the dose of NSAIDs was decreased from January 31, 2001. Severe fever appeared again, and inflammatory reaction also exacerbated. On March 11, 2001, muscular pain involving the bilateral shoulders and forearms suddenly developed. For diagnostic treatment, administration of prednisolone (PSL) at 10 mg/day was started. Muscular pain rapidly disappeared(4).

b. In the study of Polymyalgia rheumatica(PMR), Dr. Kwiatkowska B,and Dr. Filipowicz-Sosnowska A. at the Eleonora Reicher Rheumatology Institute, Warszawa, Poland indicated that PMR is a rheumatic disease which mainlyaffects the elderly, and is seldom diagnosed in patients <50 years of age. The prevalence of polymyalgia rheumatica is approximately 16.8 to 53.7 per 100,000 of the population >50 years of age. Patients may present withspiking fever, malaise, fatigue, weight loss and other features suggesting inflammation, which in each case requires differential diagnosis from malignancies(5). Others indicated that Polymyalgia rheumatica is a common disease affecting the elderly population. Symptoms and signs are often nonspecific, including pain and stiffness in the proximal muscles, anorexia, fatigue, depression, weight loss, fever and temporal headaches(6).
c. Etc.

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months


Back to General health http://kylejnorton.blogspot.ca/p/general-health.html

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Sources
(1) http://www.ncbi.nlm.nih.gov/pubmed/14528524
(2) http://health.yahoo.net/channel/musculoskeletal-disorders.html
(3) http://www.ncbi.nlm.nih.gov/pubmed/11410767
(4) http://www.ncbi.nlm.nih.gov/pubmed/12462022
(5) http://www.ncbi.nlm.nih.gov/pubmed/19562970
(6) http://www.ncbi.nlm.nih.gov/pubmed/3388001

Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Rheumatoid Arthritis (RA)Treatments In Traditional Chinese medicine perspective

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.


Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed. A major restriction of joint movement range was frequent in the shoulder but uncommon in other joints. A shoulder disorderwas found in 27% of subjects, rheumatoid arthritis in 1% and osteoarthritis(OA) of the hand, hip, and knee in five, seven, and 18% of subjects, respectively. Disability was frequent: a walking distance of < 500 m was found in 60% and ADL dependency in 40% of the group. Factors related to one or both of these disability measures included female gender, hip and knee OA, impaired vision, cognitive impairment and neurological disease(1).

Rheumatoid Arthritis is defined a chronic disorder as a result of inflammation, affecting mostly the flexible (synovial) joints and tissues and organs in the body. The disease affects more women than in men and generally occurs after the ages of 40 and diminishes the quality of life of many elders.

The Treatments
In traditional Chinese medicine perspective
According to the article of TCM Differentiation & Treatment for Rheumatic Arthritis & Rheumatoid Arthritis by Sam Shien-Chien Liang, C.A. PH.D. In TCM RA is chracterized asa type of “bi” syndrome ( Bi-syndrome is a disease characterized by pain, numbness, and dyskinesia of the muscle and joints of the limbs), wind “bi”, heat “bi”, cold “bi”, damp “bi”.
E.3.1. Heat “Bi”
1. Symptoms include pain, redness, inflammation, and localized heat sensation in the joints, fever, aversion to wind, thirst, and irritability.
2. Treatment: strengthen spleen, drain dampness, clear heat, detoxify, open channels.
3. Formulas:
a. For redness, swelling, and pain,
fomula includes Cinnamon & Anemarrhena Combination
a.1.(Gui Zhi Shao Yao Zhi Mu Tang) + Stephania & Astragalus Combinationa,2,(Fang Ji Huang Qi Tang) + Cinnamon & Angelica Formula
a.3.(Shang Zhong Xia Tong Yong Tong Feng Tang)
b. For redness, swelling, pain, and dampness
Cinnamon & Anemarrhena Combination (Gui Zhi Shao Yao Zhi Mu Tang) + Ma Huang & Coix
Combination (Ma Xing Yi Gan Tang)
c. For redness ,swelling, pain, aversion to wind, thirst, and irritability
Cinnamon & Anemarrhena Combination (Gui Zhi Shao Yao Zhi Mu Tang) + Ma Huang & Gypsum Combination (Yue Bi Tang) + Stephania & Astragalus Combination
d. For heat, pain, and subdermal red spots
Cinnamon & Anemarrhena Combination (Gui Zhi Shao Yao Zhi Mu Tang) Stephania & Astragalus Combination (Fang Ji Huang Qi Tang) + Tang Kuei & Anemarrhena Combination (Dang Gui Nian Tong Tang)
E.3.2. Wind “Bi”
a. Symptoms include soreness and pain in the joints throughout the body, often bigger joints such as the elbow, knee, and ankle joints, thin white coat, floating rapid or floating slow pulse.
b. Treatment: expel wind, disperse evil, dry dampness, activate blood.
c. Formulas
Cinnamon & Angelica Formula (Shang Zhong Xia Tong Yong Tong Feng Tang) + Stephania & Carthamus Combination (ShuFeng Huo Xue Tang) + Stephania & Astragalus Combination (Fang Ji Huang Qi Tang)
E.3.3. Cold (painful) “Bi”
a. Symptoms include excruciating pain in the joints, immobility, foot swelling, localized pain, no redness and local heat sensation, pain is aggravated by cold and alleviated by warmth, white tongue coat, wiry and tight pulse.
b. Treatment: warm yang, disperse cold, activate blood, dispel wind, dry damp, stop pain, and open channels.
c. Formulas
Wu Tou & Cinnamon Combination (Wu Tou Gui Zhi Tang) + Dang Gui & Astragalus Combination
(Dang Gui Bu Xue Tang) + Clematis & Stephania Combination (Shu Jing Huo Xue Tang)
E.3.4. Damp (stagnant) “Bi”
a. Symptoms include numbness, heavy sensation, and pain in the joints, localized pain and swelling, slow
exacerbation, flabby tongue with teethmarks, white greasy tongue coat, soggy or slow pulse.
b. Treatment: tonify mspleen, dry dampness, warm yang, dispel wind, disperse cold, open channel.
c. Formulas
c.1. Ma Huang & Asarum Combination (Ma Huang Fu Zi Xi Xin Tang) + Cinnamon, Hoelen & Atractylodes Combination (Gui Zhi Jia Ling Fu Zhu Tang)
c.2. Coix Combination (Yi Yi Ren Tang) or Chiang-huo & Tu-huo Combination (Qiang Huo Sheng Shi Tang)
E.3.5. Qi & Blood Stagnation “Bi”
a. Symptoms include swollen, painful joints, dull skin, color, dry lips, chest congestion, palpitation,
dark tongue, and choppy pulse.
b. Treatment: activate blood, relieve stagnation, mstop pain, open channels.
c. Formulas
Clematis & Stephania Combination (Shu Jing Huo Xue Tang) or Drive Out Blood Stasis from a Painful Body Decoction (Sheng Tong Zhu Yu Tang) + Stephania & Astragalus Combination (Fang
Ji Huang Qi Tang) + Dang Gui & Anemarrhena Combination (Dang Gui Nian Tong Tang)
E.3.6. Liver & Kidney Deficiency type Wind Cold Damp “Bi”
a. Symptoms include painful joints in the extremities, coldness and sore pain in the low back, numbness and immobility of the lower extremities, pain is aggravated by rainy weathers, thin white and slightly greasy tongue coat, soggy and slow, or deep and thin pulse.
b. Treatment: tonify and nourish liver and kidneys, benefit the blood and qi, dispel wind, disperse cold, dry dampness.
c. Formulas:
c.1. For lower extremities:
Du-huo & Loranthus Combination (Du Huo Ji Sheng Tang) or Three Painful Obstruction Decoction (San Bi Tang) + Cinnamon & Anemarrhena Combination (Gui Zhi Shao Yao Zhi Mu Tang) + Major Siler Combination (Da Fang Feng Tang)
E.3.7. Qi & Blood Deficiency type Wind Cold Damp “Bi”
a. Symptoms include sore pain in the low back and legs, numbness and trembling of the lower extremities, fatigue, shortness of breath, pale face and lips, dull pain in the joints, pale tongue, thin white tongue coat, deep and weak, or deep and thin pulse.
b. Treatment: benefit qi, nourish blood, warm and open channels.
c. Formulas
Astragalus & Cinnamon Twig Five Substance Decoction (Huang Qi Gui Zhi Wu Wu Tang) or Major Siler Combination (Da Fang Feng Tang) + Dang Gui & Anemarrhena Combination (Dang Gui Nian Tong Tang) + Coix Combination (Yi Yi Ren Tang)
E.3.8. Yin Cold Stagnation “Bi”
a. Symptoms include aversion to cold, swelling and dull pain throughout the body, swelling in the joints, no redness and local heat, numbness, clear and long stream urination, white tongue coat, slow and thin, or deep and thin pulse.
b. Treatment: warm and tonify yang, disperse cold, clear stagnation.
c. Formulas: Ma Huang & Asarum Combination (Ma Huang Fu Zi Xi Xin Tang) + Cinnamon, Hoelen & Atractylodes Combination (Gui Zhi Jia Ling Fu Zhu Tang) + Stephania & Astragalus Combination (Fang
Ji Huang Qi Tang) or Coix Combination (Yi Yi Ren Tang)
For more information of Acute Rheumatoid Arthritis, Chronic Rheumatoid Arthritis and acupuncture treatment in TCM perspective accotding to above doctor, please visit (64)

Sources
(64) http://www.suntenglobal.com/news/img/2008%20summer.pdf