Over a lifespan, celiac disease symptoms tend to shift from primarily gastrointestinal ones in children (diarrhea, bloating, pain) to “non-classical” or “subclinical” ones in adults (fatigue, anemia, arthritis, and numbness/tingling in the fingers and toes). Non-classical symptoms can make celiac disease harder to spot, particularly if a patient has other
Tag: psoriatic arthritis
Arthritis is a condition that affects the joints?the cushioning surfaces between bones?that leads to pain, stiffness, swelling, and reduced range of motion. Psoriatic arthritis is a form of the disease that causes not only sore and swollen joints, but also patches of red and silvery scales, called plaques, to form on the skin.
Lifestyle changes such as starting an exercise program can also help people manage psoriatic arthritis. Exercise is a good way to maintain flexibility and range of motion in the joints. Walking, cycling, swimming, and yoga are all low-impact exercises that strengthen joints.
About 15 percent of people with the skin condition, psoriasis, will also develop psoriatic arthritis. Psoriatic arthritis is caused by an overactive immune response, which attacks the joints and leads to the excess production of skin cells. The joints?especially those in the fingers, toes, spine, and pelvis?become inflamed. Excess skin cells die, slough off, and form scaly patches on the skin. Some people also develop nail changes like pits in the nail or a separation of the nail from its bed. Skin symptoms usually start before the joints become affected.
Treatment for psoriatic arthritis aims to slow disease progression, bring down swelling, reduce pain, and prevent permanent joint damage. Often the first step is to take a nonsteroidal anti-inflammatory drug (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) to control pain and swelling. Some people with psoriatic arthritis take disease modifying anti-rheumatic drugs (DMARDs) to slow the rate of joint damage. These medicines include sulfasalazine (Azulfidine), methotrexate (Rheumatrex, Trexall, Otrexup), or leflunomide (Arava). Recently introduced biologic drugs such as adalimumab (Humira), etanercept (Enbrel), golimumab (Simponi), and infliximab (Remicade) treat both psoriatic arthritis joint inflammation and skin psoriasis. These drugs target a protein called tumor necrosis alpha-factor (TNF-alpha), which contributes to the development of psoriatic arthritis.
Many patients who have heart failure also have other medical conditions, for which they may take numerous prescription medications daily. However, many commonly used medications can cause or worsen heart failure, according to the American Heart Association (AHA).
The AHA’s list of more than 70 medications that may cause or worsen
Old sports injuries. Repetitive stress. Swollen joints from “rheumatism.” Whatever the osteoarthritis and rheumatoid arthritis symptoms you may be experiencing, the next strategy is to come up with ways to beat it. Options for rheumatoid arthritis (RA) and osteoarthritis (OA) treatment range from prescribed medications to simple over-the-counter pain relievers
In the vast majority of people with psoriasis, the skin disease precedes the arthritis, but 10 to 15 percent of people will have both skin and joint symptoms. Having the skin disease does not guarantee that you’ll develop psoriatic arthritis; in fact, only 15 percent of people with psoriasis are
A group of international experts has developed the first treat-to-target method for treatment of gout, a concept that has been applied successfully to several other inflammatory rheumatic diseases, such as rheumatoid arthritis and psoriatic arthritis.
Gout is associated with hypertension, diabetes, metabolic syndrome and kidney and cardiovascular disease, with a strong
Q. My diastolic blood pressure is usually in the 80s, but my systolic pressure is in the 150s to 160s. Should I be treated for high blood pressure? I’m 71 years old.
A. Systolic blood pressure matters more than diastolic pressure, but both your numbers— the systolic (upper number) and your
Whether we are aware of it or not, our skin is engaged in an around-the-clock fight against forces from within and without. Regardless of the direction from which they come, if these conditions, disorders, and diseases prevail, even on a temporary basis, the results can be painful and unsightly. Box
Should Patients With “Low Disease Activity” Rheumatoid Arthritis Stop Using Tumor Necrosis Factor Inhibitor Drugs?
Tumor necrosis factor inhibitor drugs (TNFi) are biologic agents used worldwide, known to be effective in the treatment of inflammatory conditions such as rheumatoid arthritis (RA), and also such conditions as psoriatic arthritis, juvenile arthritis, inflammatory bowel disease and ankylosing spondylitis. The drugs can reduce inflammation and stop disease progression.
Our ankles are complex structures composed of four bones, the tibia and fibula (bones of the lower leg), the calcaneus (heel bone), and the talus (a small bone between the tibia, fibula and calcaneus), along with multiple tendons and ligaments.
Cushioning between the bones in the ankle is provided by