FROM OUR EXPERTS
ANSWER TO QUESTION REGARDING "OVERLAPPING ARTHRITIS"
From a reader: "I have
an overlapping arthritis, based on my last x-rays, I have deterioration in all
of the fingers on my left hand, as well as my knuckles and wrists on both
hands. I also have deterioration in 3 fingers on my right hand. ...
I would like to know
if you could advise me of any arthritis drugs that could maybe slow down the
Answer: Deterioration could mean several things - including joint deformities or joint erosions.
An even more important question deals with whether you have
active joint disease that would respond to even more aggressive therapy. Perhaps the damage is done, so to speak. If that is the case, no drug is going to
reverse the deformities that have developed as a result of the unchecked
inflammation of progressive rheumatoid arthritis.
You mention swelling, but you have no morning
stiffness. Usually, patients with active
Definition Joint swelling is the buildup of fluid in the soft tissue surrounding the joint. Alternative Names Swelling of a joint Considerations Joint swelling may occur along with joint pain . The swelling may cause the joint to appear larger or abnormally shaped. Joint swelling can cause pain or stiffness. After an injury, swelling of the joint may mean you have a broken bone or a tear in the muscle tendon or ligament. Many different types of arthritis may cause swelling, redness, or warmth around the joint. An infection in the joint can cause swelling, pain, and fever. Common Causes Joint swelling may be caused many different things, including: Ankylosing spondylitis Gout Osteoarthritis Pseudogout Psoriatic arthritis Reactive arthritis Rheumatoid arthritis Septic arthritis Systemic lupus erythematosus
Total knee replacement (TKR) is designed to reduce pain while also improving motion and function. Some patients have significant joint stiffness after the operation. In this article, orthopedic surgeons review ways to prevent and treat this problem. As Ben Franklin once said, An ounce of prevention is worth a pound of cure . In the case of joint stiffness after TKR, it is much better to avoid the problem than try to treat it. That's been the experience of many patients and surgeons faced with this complication. Prevention begins by recognizing risk factors. Patients with poor motion before surgery are not as likely to have a good result. Likewise, poor motion when under the effects of anesthesia during the operation is also a negative prognostic sign. Anticoagulants (blood thinners) are routinely prescribed for all joint replacement patients. The goal is to prevent blood clots. Some studies show that patients taking a particular blood thinner (coumadin) have a higher rate of joint stiffn...
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