I have often in these virtual pages emphasized the
importance of sleep in reducing the severity of chronic pain . Sleep has been shown in fibromyalgia studies
to be extremely important in reducing the pain fibromyalgia patients experience, and a lack of sleep appears to contribute to
the misery restless legs syndrome (RLS) patients experience.
Insomnia affects 10% to 20% of the United States
population. Among the elderly, the
percentage of those affected is 47%. For
the year 2007, it is estimated the cost of treating insomnia was approximately
$100 billion! We have all seen the
television commercials with the beaver and Abraham Lincoln.
There are several classes of medications for insomnia:
such as Restoril or Valium are effective in putting patients to sleep and
keeping them asleep, and they are relatively inexpensive. However, such drugs can have a hangover
effect, and a significant addiction potential...
It is so easy to forget that arthritis is not the only problem we see with rheumatoid arthritis, particularly when the disease is labeled and named an ARTHRITIS. However, the so-called extra-articular manifestations of rheumatoid arthritis can cause significant disability, even death. It must not be forgotten that rheumatoid arthritis is a SYSTEMIC disease, the most basic manifestation being malaise and fatigue. But there can also be significant inflammation of a variety of organ systems, particularly in those patients who are rheumatoid factor positive. Such patients also, in general, suffer from more severe arthritis and often have nodules. Rheumatoid nodules develop in about 50% of people suffering from rheumatoid arthritis, and most of these patients are rheumatoid factor positive. Another extra-articular manifestation of rheumatoid arthritis involving the skin is vasculitis. Sjogren's syndrome can cause dry mouth and dry eyes, common in rheumatoi...
We started our discussion about restless legs syndrome (RLS) in my recent blog, so let’s continue where we left off.
Mild symptoms of RLS occur in 5-15% of the general population, which makes it the second or third most common sleep disorder. Of these cases, only about 2-3% are considered clinically severe enough to require treatment. It appears to occur more commonly in females and can even affect children. Due to the difficult to describe leg sensations that are felt, children may be wrongly diagnosed with “growing pains” or even attention deficit hyperactivity disorder (ADHD). RLS symptoms occur more commonly as we age. Individuals who experience symptoms at a younger age tend to worsen as they get older, though there cases when the disease resolves spontaneously when the sufferer gets older.
Sleep disturbance is a major complaint in patients and is usually the main reason why they seek medical help. Though the dis...
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