Osteoarthritis involves the breakdown of the cartilage and tissues in a joint. Obese people as well as well as people with injured joints are more likely to develop osteoarthritis later in life.

The cartilage covers the ends of the bones. The cartilage cushions the bones as they move. As cartilage gets worn out, the bones rub together, causing pain.

Rheumatoid arthritis

Rheumatoid arthritis is when the immune system attacks the joint. This can go on until permanent joint deformity occurs.

Gout

Gout is the inflammation and swelling in one or more joints. This is due to the build up of uric acid in the fluid that lubricates the joint. The excess uric acid forms crystals in the fluid, which in turn cause the inflammation in the joint.

See a Doctor

If you have arthritis, don't keep quiet about it. See a doctor.

Untreated septic arthritis from an infected joint could cripple you. The infection needs immediate medical attention.

Even if there is no infection, a doctor could help you control the symptoms.

First, see a GP. The GP may refer you to a rheumatologist or to an orthopaedic surgeon if necessary.

Drugs used for arthritis and their side effects

First line drugs

These are usually tried first as they are usually the safest.

Non steroidal anti-inflammatory drugs

Non steroidal anti-inflammatory drugs, or NSAIDs are pain kllers and anti-inflammatory drugs. These include aspirin and paracetamol.

These are relatively safe. However, an overdose of paracetamol can lead to liver damage which could even be fatal. Aspirin in large doses could lead to stomach distress, ulcers or even internal bleeding.

The other NSAIDs need a doctor's monitoring because of potentially serious side effects.

Steroids

These are synthetic versions of hormones produced by your adrenal glands. Steroids are used to control inflammation. In fact, they provide almost immediate relief of pain and inflammation.

Possible side effects of steroids include bone loss and lowered resistance to infections. Frequently repeated injections of steroids into the joint is believed to possibly lead to joint destruction.

Second-line drugs.

Second line drugs can take weeks or months before you notice any effect. They also relieve the symptoms of arthritis. They are believed to slow the progress of the disease.

Gold salts

These are used to treat rheumatoid arthritis. Potential side effects include kidney damage, damage to the bone marrow and an itchy rash.

Penicillamine

Penicillamine is also effective against pain and inflammation. Its side effects include kidney problems, rashes, muscle weakness, bone marrow suppression and severe allergic reactions.

Plaquienil

Plaquienil takes 3 to 6 months to relieve pain and inflammation. Potential side effects include damage to the retina, opacity in the corneas. Your eyes need to be checked regularly for damage if you are on this drug.

Methotrescate

This also relieves the symptoms of arthritis. Side effects include severe or fatal bone marrow suppression and gastrointestinal toxicity, liver damage, skin rashes, nausea, headaches and birth defects in pregnant women.

Surgery

If you decide to go for surgery, go to a orthopaedic surgeon who does that particular procedure at least several times a week. Get you GPs recommendation and why that surgeon is recommended.

Reference

Questions you have.. Answers you need. Arthritis.

Arthritis resources

Arthritis and Women - the basics

Home remedies for Arthritis simple ways to relieve the pain at home.

Osteoarthritis is associated with the wear and tear of aging. It is more common among women. To deal with it, read Handling Osteoarthritis Naturally

Rheumatoid arthritis occurs when your body's immune system attacks your body. Read Natural ways to cope with rheumatoid arthritis

Gout is said to be a rich man's disease. It is rare on a spartan diet but more common in places where rich foods are plenty. Read Natural ways to cope with gout

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