Your Family Doctor Arthritis: Rheumatoid Arthritis / Osteo-arthritis / Gout / Osteoporosis
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About this ebook
Most patients of arthritis believe there is nothing they can do about the pain that accompanies the disease. Worse still, they believe any exercise of the joint will further worsen it. This handy and effective book breaks such myths and helps you manage and control arthritis.
Dr Vinod Wadhwa
Dr Vinod Wadhwa has a rich experience of over 20 years as a consulting physician. After completing his post-graduation, he has been actively advocating the cause of patient education.
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Book preview
Your Family Doctor Arthritis - Dr Vinod Wadhwa
© Dr Vinod Wadhwa, 2006
ISBN 81-8328-032-3
All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transmitted in any form or by any means — electronic, mechanical, photocopying, recording or otherwise — without the prior permission of the publisher.
While every precaution has been taken in the preparation of this book, the publisher and the author assume no responsibility for errors or omissions. Neither is any liability assumed for damages, if any, resulting from the use of information contained herein. No trade-mark infringement is intended upon.
Published by
Wisdom Tree
4779/23 Ansari Road
Darya Ganj, New Delhi-110002
Ph.: 23247966/67/68
Published by Shobit Arya for Wisdom Tree; edited by Manju Gupta; designed by Kamal P. Jammual; typeset at Icon Printographics, New Delhi-110018 and printed at Print Perfect, New Delhi-110064
I find by experience, that the mind and body are more than married, for they are most intimately united; and when one suffers, the other sympathizes.
Lord
— Lord Chesterfield
How true and how very expansive. Yes, when the body suffers from arthritis, the mind suffers from anxiety and depression and therefore, a need to understand arthritis is that much more important.
Understanding brings control.
— Bonewitz
Bonewitz
Contents
Preface ix
Acknowledgements xi 1. Joints: basic concept 1 2. Rheumatoid arthritis 5 3. Rheumatoid arthritis and the eye 13 4. Effect of rheumatoid arthritis on heart and blood vessels 15 5. Managing rheumatoid arthritis 17 6. Drugs, drugs and more drugs 29 7. Juvenile chronic arthritis 37 8. Gout 39 9. Ankylosing spondylitis 43 10. Osteoarthritis 47
11. Osteoporosis 57 12. Prosthesis – replacement of joint 63 13. Supplement, if you wish 71 14. Pain — the painful details 79 15. Exercise: if there is need 87
Medical terms 89
Preface
One never seems to appreciate the bounties of God. How often have you thought about the gift of refined locomotion that man has been bestowed with till you see a person who is unable to do so. Though diseases like rheumatoid arthritis are on the decline, yet age-related diseases are growing as we have a generation that has lived longer than any generation.The need to educate this group to prevent and manage disease conditions is the thought behind this tiny book.
Let years wrinkle only the skin, not the soul.
Acknowledgements
Acknowledgements are due to BMJ (volumes read over the years), Davidson’s Principles and Practice of Medicine and Current Medical Diagnosis and Treatment.
CHAPTER ONE
Joints: basic concept
When we talk of a joint, we usually think of an area where two bones meet, with room for movement. The first half of the statement is definitely correct but as far as the issue of movement is concerned, not all joints allow movement.
Let’s discuss this enigma — the joint — in more detail. Simply said, a joint is an area where two bones come together (whether there is movement between them or not). Where two bones meet with an intervening cartilage or fibrous tissue that might fuse later on, there is
2 Arthritis
no possibility of movement. On the other hand, a joint, where two bones are held to by a thick layer of fibrous tissue or fibro cartilage, a very limited range of movement is possible. This type of joint can be seen in the bodies of the vertebra where the disc