Arthritis Joints Keeping You Moving

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ArthritisJointsKeeping You Moving
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• There are more than 100 types of Arthritis
• Osteoarthritis
• Rheumatoid arthritis
• Polymyalgia Rheumatica
• Lupus
• Gout
• Septic Arthritis-infection
• Psoriasis
• Fibromyalgia
• Osteoporosis

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• Arthritis as the leading cause of disability in
  the US
• 55.4 million have chronic joint symptoms lasting
  for more than 3 months and 2 million have
  activity limitations
• 21.5 million have not seen a physician
• 25 will be unable to work within 7 years of
  disease onset
• Healthcare costs are estimated at 1 of the US
  gross domestic product 86.2 billion annually

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• OSTEOARTHRITIS - Degenerative Arthritis
• Most common type of arthritis
• Causes breakdown of cartilage and bone over time
• Affects men and women usually after age 45

• Secondary osteoarthritis
• Obesity
• Repeated trauma
• Joint surgery
• Inflammatory causes
• Congenital abnormalities
• Gout
• Diabetes
• Hormone disorders

• Primary osteoarthritis
• Aging
• Hereditary (genetic

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Treatment Medications (topical, pain relieve,
anti inflammatory medications, local injection,
PT, refer to surgery ( arthroscpy, joint
replacement)
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Rheumatoid arthritis

• swelling of synovial membrane-joint lining
• Arthritis and deformity at the knuckle and joints
  of fingers
• Arthritis of the joints with early swan neck
  deformities
• Arthritis of the wrists

Treatment Medications, PT, Surgery
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Osteoporosis
84 year old Female (w/ vertebral fracture)
52 year old Female
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• Porous bones weak and brittle causes bone
  fractures
• Spine
• Hips
• Wrists
• Signs
• Back pain- Loss of height and stooped posture

• Risks
• Female male Low calcium
• Age
  Sedentary life
• Family history Alcohol
• Cigarette
  Depression
• Eating disorders Excess soda
  consumption
• Estrogene deficiencey

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Polymyalgia Rheumatica

Joint and muscle weakness at shoulder and hip,
with morning stiffness
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Systemic lupus erythematosus

• Presenting symptoms
• Fever, fatigue, weight loss, or anemia.
• Photosensitive rash
• Arthritis
• Raynaud's phenomenon
• Serositis (pericarditis, pleuritis, peritonitis)
• Kidney disease, seizures
• Loss of hair
• Phlebitis inflammation of veins, often with
  thrombus,
• Recurrent abortion
• Laboratory abnormalities

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Gout
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Infection-Septic Arthritis
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Psoriasis
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Fibromyalgia

• Tenderness of at least 11 to 18 specific sites of
  the anatomy
• Chronic aching
• Stiffness
• Sleep disturbances
• Fatigue
• Anxiety
• Depression
• Bloating/ Diarrhea/ Constipation
• Soft tissue swelling
• Dizziness, palpitations
• Decreased sense of energy
• Numbness hands
• Headache

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Falls

• Ages 65 falls are the leading cause of death
  and brain injuries.
• Risk of falling increases with age. 
• 95 of hip fractures among older adults are
  caused by falls.
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• Risk Factors for Falling 
• Female, white, previous fall, lower body weakness
  or balance problems.
• Physical limitations (wearing glasses, or having
  other visual problems)
• History of stroke, Parkinsons Disease,
  neuromuscular disease, urinary incontinence ,
  postural hypotension
• Taking more than four medications or using
  psychoactive medications

1988 to 2000, the unintentional fall death rates
for both men and women increased
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Exercise, medication review with modification,
and education about risk factors can reduce falls
among community Attention to patients needs,
reducing environmental hazards (removing tripping
hazards), increasing the safety and fit of wheel
chairs, improving lighting, and limiting the use
of psychoactive drugs can reduce falls among
nursing home residents If a person falls, hip
pads can effectively prevent most hip fractures  
Newly developed flooring material reduces fall
impact by 15 Calcium vitamin D, is critical
at all ages to maintain healthy bone.
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Hope in treating arthritis

• Non Steroidal Anti-inflammatory Medications
  decrease pain and inflammation
• Cox 1 inhibitors --? ulcer
• Cox 2 inhibitors
• Corticosteroids
• Immuno-suppressor therapy
• Biological Agents
• New medications
• patient education programs
• Physical Rehabilitation

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Rheumatoid arthritis walk