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_a___n__d____________________ ____________________________________________________________________________________________________________________ Treatment of Osteoarthritis, Rheumatoid Arthri- _____________________________________________________________________ _____________________________________ ________________t__i_s_,__ _J_u__v__e__n___i_l_e__ _A___r__t_h__r__i_t__i_s__,_ _G___o__u__t_,_ __I_n__f__e__c__t_i_o__u___s_ __A__r__t_h__r__i_t__i_s__,________________ ______________________________________________________________________________________________________________________ ________________________a__n___d__ _A___u__t__o__i_m____m___u___n__e__ __D___i_s__o__r__d__e___r_s_ _A___s_s_o___c__i_a___t_e__d_________________________ ____________________________________________________________________________________________________________________ _______________________________________________w__i_t_h___ _A__r__t__h_r__i_t_i__s_______________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ _________________A_l__o__n__g__ _w___i_t__h__ _F__a__c__t_s__ _a__b__o__u__t_ _M___e_d___i_c__a__t__i_o__n__s__,_ _S__u__r__g_e__r__i_e_s__,_________________ _____________________________________________________________________________________________________________________ and Self-Care Techniques to Manage Pain and ___________________________________________________________________________________________________________________ __________________D___i_s__a__b__i__l_i_t_y__,_ _T__i_p__s_ _o___n__ _L__i_v__i_n__g__ _w___i_t__h__ _A__r__t_h__r__i_t_i_s__,_ _a__ _G___l_o__s__-__________________ ____________________________________________________________________________________________________________________ _____________________s_a__r__y__ _o__f_ _R___e__l_a___t_e__d__ __T_e__r__m___s_,_ __a__n___d__ _R__e__s_o___u__r__c__e_s__ _f_o__r______________________ ____________________________________________________________________________________________________________________ ____________________________A__d__d__i__t_i_o___n__a__l_ H__e_l_p__ _a__n___d__ _I__n__f__o__r__m___a___t_i_o__n______________________________ ____________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ _______________________________________________________■_______________________________________________________ ______________________________________________________ ______________________________________________________ __________________________________________________________________________________________________________________ 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________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________ ________________________________ _____________________________ ______________________________ Health Reference Series ___________________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ Third Edition _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ Arthritis _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ ____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ SOURCEBOOK _____________________ _________________________ _____________________ _________________________ _____________________ ________________________ ____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ ■ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ Basic Consumer Health Information about the _____________________ _________________________ _____________________ __________________________ Risk Factors, Symptoms, Diagnosis, and Treatment _____________________ __________________________ _____________________ _________________________ of Osteoarthritis, Rheumatoid Arthritis, Juvenile _____________________ _________________________ _____________________ Arthritis, Gout, Infectious Arthritis, and Auto- _________________________ _____________________ _________________________ immune Disorders Associated with Arthritis _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ Along with Facts about Medications, Surgeries, _____________________ _________________________ ____________________ _________________________ and Self-Care Techniques to Manage Pain and _____________________ _________________________ _____________________ Disability, Tips on Living with Arthritis, a Glossary _________________________ _____________________ _________________________ of Related Terms, and Resources for Additional _____________________ _________________________ _____________________ _________________________ Help and Information _____________________ _________________________ _____________________ _________________________ ■ _____________________ _________________________ _____________________ ________________________ ____________________ _________________________ _____________________ _________________________ _____________________ _________________________ _____________________ _________________________ Edited by _____________________ ______________________________ Amy L. Sutton ___________________________ _______________________________ ____________________________ ________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ __________________________________________________P_.O_._ B_o_x_ _31_-_1_6_4_0_,_ D_e_t_r_o_i_t_, _M__I__ 48_2_3_1________________________________________________ _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ Bibliographic Note Because this page cannot legibly accommodate all the copyright notices, the Bibliographic Note portion of the Preface constitutes an extension of the copyright notice. Edited by Amy L. Sutton Health Reference Series Karen Bellenir, Managing Editor David A. Cooke, MD, FACP, Medical Consultant Elizabeth Collins, Research and Permissions Coordinator Cherry Edwards, Permissions Assistant EdIndex, Services for Publishers, Indexers * * * Omnigraphics, Inc. Matthew P. Barbour, Senior Vice President Kevin M. Hayes, Operations Manager * * * Peter E. Ruffner, Publisher Copyright © 2010 Omnigraphics, Inc. ISBN 978-0-7808-1077-8 Library of Congress Cataloging-in-Publication Data Arthritis sourcebook : basic consumer health information about the risk factors, symptoms, diagnosis, and treatment of osteoarthritis, rheumatoid arthritis, juvenile arthritis, gout, infectious ... / edited by Amy L. Sutton. -- 3rd ed. p. cm. -- (Health reference series) Includes bibliographical references and index. Summary: "Provides basic consumer health information about symptoms, diagnosis, and treatment for major forms of arthritis, along with self-care tips and coping strategies. Includes index, glossary of related terms, and other resources"--Provided by publisher. ISBN 978-0-7808-1077-8 (hardcover : alk. paper) 1. Arthritis--Popular works. I. Sutton, Amy L. RC933.A665257 2010 616.7'22--dc22 2009044768 Electronic or mechanical reproduction, including photography, recording, or any other in- formation storage and retrieval system for the purpose of resale is strictly prohibited with- out permission in writing from the publisher. The information in this publication was compiled from the sources cited and from other sources considered reliable. While every possible effort has been made to ensure reliability, the publisher will not assume liability for damages caused by inaccuracies in the data, and makes no warranty, express or implied, on the accuracy of the information contained herein. This book is printed on acid-free paper meeting the ANSI Z39.48 Standard. The infinity symbol that appears above indicates that the paper in this book meets that standard. Printed in the United States Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 15,000 topics and the volumes in which they are covered. Preface ...........................................................................................xiii Part I: Introduction to Arthritis Chapter 1—Understanding the Bones, Muscles, and Joints.....................................................3 Chapter 2—Overview of Arthritis and Rheumatic Diseases..................................................17 Chapter 3—Statistics on Arthritis in the United States ...........25 Chapter 4—Risk Factors for Arthritis.........................................31 Section 4.1—Genetic Risk Factor for Arthritis Identified...................32 Section 4.2—Veterans’ Orthopedic Injuries Contribute to Arthritis ..................34 Section 4.3—Weight and Joint Pain...................35 Chapter 5—Joints Affected by Arthritis......................................37 Section 5.1—Arthritis of the Shoulder ...............38 Section 5.2—Arthritis of the Wrist.....................44 Section 5.3—Arthritis of the Hip ........................46 Section 5.4—Arthritis of the Knee......................48 Section 5.5—Arthritis of the Foot and Ankle........................................54 v Part II: Types of Arthritis, Related Rheumatic Diseases, and Other Associated Medical Conditions Chapter 6—Osteoarthritis (OA).................................................63 Section 6.1—Understanding Osteoarthritis....64 Section 6.2—Spinal Stenosis Can Be Caused by OA.............................79 Chapter 7—Rheumatoid Arthritis (RA) ....................................83 Section 7.1—All about RA...............................84 Section 7.2—Heart Disease and RA.............101 Chapter 8—Childhood Arthritis...............................................103 Section 8.1—Questions and Answers about Childhood Arthritis.......104 Section 8.2—Systemic-Onset Juvenile Rheumatoid Arthritis (Still Disease)...........................117 Section 8.3—Juvenile Rheumatoid Arthritis and Vision Loss........................122 Section 8.4—Parenting a Child with a Chronic Illness......................124 Chapter 9—Ankylosing Spondylitis.........................................131 Chapter 10—Behçet Disease ......................................................135 Chapter 11—Bone Spurs, Bursitis, and Tendonitis.................145 Section 11.1—Bone Spurs Can Cause Foot Pain ..................................146 Section 11.2—Bursitis and Tendonitis ..........150 Chapter 12—Carpal Tunnel Syndrome.....................................157 Chapter 13—Fibromyalgia..........................................................161 Section 13.1—Questions and Answers about Fibromyalgia..................162 Section 13.2—Gabapentin Shown Effective for Fibromyalgia Pain..............166 Chapter 14—Gout and Pseudogout............................................169 Section 14.1—Gout ..........................................170 Section 14.2—Pseudogout...............................178 vi Chapter 15—Infectious Forms of Arthritis ...............................181 Section 15.1—Arthritis Associated with Lyme Disease...........................182 Section 15.2—Reactive Arthritis....................185 Section 15.3—Septic Arthritis........................192 Chapter 16—Lupus......................................................................195 Chapter 17—Myositis..................................................................211 Chapter 18—Osteoporosis...........................................................215 Section 18.1—Understanding Osteoporosis.............................216 Section 18.2—Osteoporosis and Arthritis: Two Common But Different Conditions ................................236 Section 18.3—What People with RA Need to Know about Osteoporosis.............................241 Chapter 19—Paget Disease of Bone...........................................245 Chapter 20—Polymyalgia Rheumatica and Giant Cell Arteritis...............................................251 Chapter 21—Psoriasis and Psoriatic Arthritis.........................257 Section 21.1—Psoriasis ...................................258 Section 21.2—Psoriatic Arthritis....................267 Chapter 22—Scleroderma...........................................................271 Chapter 23—Sjögren Syndrome.................................................287 Chapter 24—Arthritis Related to Other Disorders..................301 Section 24.1—Arthritis and Human Immunodeficiency Virus .........302 Section 24.2—Arthritis and Inflammatory Bowel Disease ..........................304 Part III: Medical and Surgical Treatments for Arthritis Chapter 25—Your Arthritis Health Care Provider..................309 Section 25.1—What Is a Rheumatologist?.....310 Section 25.2—Choosing a Doctor....................312 vii Section 25.3—Physician-Patient Partnership Improves Physical Functioning...............315 Section 25.4—Tips for Talking to Your Doctor ..............................318 Chapter 26—Diagnosing and Treating Arthritis......................321 Chapter 27—Overview of Pain Medicines for Rheumatic Diseases..............................................333 Chapter 28—Osteoarthritis Medicines......................................343 Chapter 29—Rheumatoid Arthritis Medicines.........................349 Chapter 30—Injections to Treat Arthritis Pain and Inflammation .................................................353 Section 30.1—Viscosupplementation and Corticosteroid Injection...........354 Section 30.2—Botulinum Toxin Injections and Osteoarthritis ...................356 Chapter 31—Tools and Devices Help Arthritis Patients Do Everyday Tasks ...............................................359 Chapter 32—Help Your Arthritis Treatment Work.................363 Section 32.1—How Patients Can Prevent Arthritis Damage.....................364 Section 32.2—Heat and Cold Therapies for Arthritis..............................367 Chapter 33—Surgical Procedures Used to Treat Arthritis .................................................................369 Section 33.1—Orthopedic Procedures Increase Dramatically.............370 Section 33.2—Arthroscopic Surgery...............371 Section 33.3—Bone Fusion Surgery...............374 Chapter 34—Understanding Joint Replacement Surgery.......379 Chapter 35—Knee Replacement ................................................385 Section 35.1—All about Total Knee Replacement.............................386 Section 35.2—Knee Replacement Rates Vary by Ethnicity.....................388 viii Section 35.3—Experience Is Key for Knee Replacement Outcomes...........389 Chapter 36—Other Types of Joint Surgery...............................391 Section 36.1—Hip Replacement .....................392 Section 36.2—Shoulder Replacement ............397 Section 36.3—Joint Revision Surgery............399 Chapter 37—Before, During, and After Joint Replacement .....411 Part IV: Arthritis Self-Management: Strategies to Reduce Pain and Inflammation Chapter 38—Questions and Answers about Arthritis Pain ....437 Chapter 39—Tips on Dealing with Your Pain ..........................441 Section 39.1—Pain Management Tips...........442 Section 39.2—Joint Protection: What Is It and Why Is It Important?................................450 Chapter 40—Lifestyle Changes to Manage Pain......................453 Chapter 41—Arthritis and Sleep Deprivation..........................459 Chapter 42—Weight Management and Arthritis.....................463 Chapter 43—Exercise and Arthritis ..........................................469 Section 43.1—Questions and Answers about Arthritis and Exercise ....470 Section 43.2—Yoga Promotes Physical Fitness and Joint Health ........475 Section 43.3—Water Aerobics Can Benefit People with Arthritis...............478 Chapter 44—Nutrition and Arthritis.........................................481 Section 44.1—Eating Right with Arthritis....482 Section 44.2—Psoriasis, Psoriatic Arthritis, and Gluten Intolerance: Is There a Connection?................486 Chapter 45—Herbs, Dietary Supplements, and Arthritis.......493 Section 45.1—Glucosamine and Chondroitin Fare No Better Than Placebo in Slowing Arthritis Damage.....................494 ix