Arthritis: Conquering the Pain and Reclaiming Movement
Arthritis affects a surprisingly large number of Americans. A
2005 survey showed that more than 20 percent of adults reported having cases of arthritis, with a significant percentage claiming that the condition was serious enough to limit their activity. Increasing your understanding of arthritis—including how to treat and manage it—can be instrumental in reducing long-term joint damage and pain. In this guide we'll direct you to sites with all the resources you need to understand this extremely prevalent condition.
Arthritis is an umbrella term that refers to more than 100 conditions affecting the musculoskeletal system; in particular, those causing inflammation, stiffness, pain, or swelling of the joints. There's great variation in the severity and scope of the conditions classified as arthritis, as some affect only the joints, and others are systemic and have serious effects on other systems within the body. Injury, abnormal metabolism, genetics, aging, and infection are cited as leading causes of arthritis, depending on the type. Follow the links in this section to sites with overviews of arthritis, as well as specific information on the disease in children and seniors.
- Medical dictionaries provide brief overviews of arthritis, generally within the space of one paragraph. Medical encyclopedias bring a slightly deeper degree of specificity by introducing the symptoms, causes, and treatments of arthritis, often in a bulleted format. Overviews from consumer health sites are designed to provide comprehensive introductions to diseases and conditions, and represent the most specific type of overview. Each of these resources can be found in the Picks.
For a dictionary definition ...
MedicineNet.com
includes a “MedTerms Dictionary” that has a definition of arthritis with links to definitions for a handful of the 100+ diseases classified as arthritis. The site’s "
Arthritis Center" features an expanded discussion of arthritis, and an arthritis glossary, which will be useful to reference as you begin your research.
For encyclopedia entries ...
NHS Direct's
encyclopedia article on arthritis covers all the basic issues relating to the disease, including symptoms, causes, diagnosis, treatment, complications, and prevention. Descriptions of two primary forms of the disease—rheumatoid arthritis and osteoarthritis—are on the homepage.
MedlinePlus
offers this "Medical Encyclopedia" with extraordinarily succinct and usable entries addressing topics ranging from symptoms to prevention. Definitions of related terms (like the different types of arthritis) are hyperlinked in the text.
For overviews ...
WebMD
provides this osteoarthritis page with lots of information. The table of contents, which lists all the osteoarthritis-related articles in the WebMD database, is arranged into categories such as "Overview and Facts" and "Symptoms and Types." You’ll find that having many shorter articles on specific issues is a helpful way to expand on the topic.
The American Physical Therapy Association
provides an overview of arthritis that approaches the condition from a distinctly physical-therapy perspective. It begins with a discussion of how joints work, covers all the major varieties of arthritis, and then explains how physical therapy can aid in the recovery process.
The American Academy of Orthopaedic Surgeon
presents this overview, which includes has a diagram of an arthritic hip that shows the effects upon the cartilage of the leg bone and the acetabulum of the hip, along with several other diagrams and photos that help to illustrate the causes of osteoarthritis and rheumatoid arthritis.
The Centers for Disease Control and Prevention
hosts an Arthritis Program that covers the efforts that the U.S. government has taken to "measure the burden of arthritis," "strengthen the science base," "increase awareness," and "build state arthritis programs." The “National Arthritis Action Plan” can be accessed as a
PDF file; read it to learn what the government is doing to improve the lives of those living with arthritis.
For children ...
The American College of Rheumatology
describes the incidence of arthritis in children and provides an introduction to juvenile rheumatoid arthritis (JRA), the most common form of arthritis in children. Designed to educate parents about their child's disease, the article offers advice on coping in a section called, "Children living with arthritis." It also has useful resources for locating a rheumatologist.
WebMD
publishes this article, which focuses on the most prominent form of childhood arthritis, juvenile rheumatoid arthritis (JRA). Information on the disease is presented through 19 questions, organized into the following categories: "Learning about juvenile rheumatoid arthritis," "Being diagnosed," "Getting treatment," "Ongoing concerns," and "Living with juvenile rheumatoid arthritis."
For seniors ...
National Institutes of Health
hosts this Senior Health site with arthritis information for elderly sufferers. The most extensive of this site's sections is the "Frequently Asked Questions" page.
The National Institute on Aging
has a text-heavy arthritis information page, available also as a PDF download. The title of the article is "Arthritis Advice" and it takes a distinctly advisory, layman's approach to communicating the material; which is a pleasure, considering the alternative.
There are more than 100 varieties of arthritis, according to the MedTerms Dictionary on MedicineNet.com. These include common conditions, such as osteoarthritis and rheumatoid arthritis, and rare conditions, such as Paget's disease and Reiter's syndrome. Learn about these and more using the sites in this guide.
- The three most prominent types of arthritis are:
- Osteoarthritis, the most common form of arthritis, caused by degradation of the cartilage at the ends of the bones, leading to increased friction, pain, stiffness, and swelling.
- Rheumatoid arthritis, afflicting the lining of the joints. Although its cause is unknown, it is characterized by pain, stiffness, and inflammation of the joints, which can lead to destruction of the cartilage and bone.
- Fibromyalgia, causing stiffness and pain in the tissue supporting bones and joints.
- It might sound obvious but, as arthritis is a general term, be sure the information you find pertains to the specific type of arthritis you're researching. If it's a rare condition and the following sites don't yield information that you're satisfied with, take your search to a health-specific search engine. You'll find this in the "Where should I begin my research?" section of the findingDulcinea Health Guide.
For an overview ...
The American Academy of Orthopaedic Surgeons
presents separate overviews of rheumatoid arthritis; osteoarthritis; juvenile rheumatoid arthritis; and arthritis of the foot and ankle; hip; hand, thumb, and wrist; knee; shoulder, arm, and elbow.
All About Arthritis
has articles on more than 30 varieties of arthritis. Each provides a solid introduction and nearly half are supplemented by useful, if rudimentary, diagrams and graphics. See the “
Rheumatoid Arthritis” section for an example.
Between the invasive and noninvasive procedures used to diagnose arthritis, and the supplements, physical therapies, surgical and noninvasive procedures used to treat it, modern medicine gives the prospective patient a lot to learn about. This section connects you with overviews of the myriad techniques for dealing with arthritis.
- Descriptions of diagnostic procedures include explanations of what the tests aim to achieve, how they are conducted, and what is required of the patient. Likewise, descriptions of surgical procedures overview the goal of the surgery, and describe how it is conducted.
For diagnosis ...
The American Academy of Orthopaedic Surgeons
has a "Glossary of Orthopaedic Diagnostic Tests" that contains an alphabetized list of procedures used to diagnose arthritis. These include arthrography, computed tomography (CT scan), electromyography, nerve conduction studies, and venography.
To understand a diagnostic report ...
Arthritis Central
is a doctor-created and -maintained site with a section dedicated to helping you understand the technical aspects of your diagnostic tests. Tests included are blood tests; x-rays, scans, and ultrasounds; tissue biopsies; joint aspiration, and electrical studies.
For treatment ...
The Arthritis Foundation
offers a "
Conditions and Treatments" section, which is the Web's most extensive portal to information on arthritis treatments. This great piece on self-care offers more than 30 tips for things that you can do to ease the physical or emotional stress of arthritis. Laughing, exercising in water, and kicking cigarette addictions are examples of the tips you'll find.
For surgical treatments ...
The Arthritis Foundation
has a glossary with descriptions of the surgical procedures used to correct arthritis. These procedures include arthrodesis, osteotomy, resection, total joint replacement, and others.
For holistic treatment ...
The Johns Hopkins Arthritis Center
has 10 articles on managing arthritis that deal with holistic and alternative therapies. An
article on yoga is in question-and-answer format, and overviews some of the poses, lists tips for selecting classes, and summarizes the research surrounding the effectiveness of yoga as an arthritis treatment.
Aetna InteliHealth
publishes "Complementary And Alternative Therapies For Osteoarthritis," an article introducing different therapies and the research (or lack there of) justifying them. Interestingly, recent studies show that acupuncture treatments "for osteoarthritis of the knee suggest a benefit not only for pain relief but also with respect to function," though scientists have no idea why.
The American College of Rheumatology
has an overview of herbal and natural remedies for the treatment of arthritis. The article warns of the dangers associated with herbal remedies, and briefly discusses herbs and supplements believed (although not FDA-approved) to treat arthritis.
The Arthritis Foundation
makes another appearance here with a list of alternative therapies often used to supplement the standard treatment regimen of arthritis patients. Massage, acupuncture, and prayer and spirituality (which, polls show, are a commonly employed alternative arthritis treatment) are a few of the methods discussed.
For clinical trials ...
ClinicalTrials.gov
lists all the ongoing and upcoming clinical trials for arthritis. You can filter the results by clicking the "Search Within Results" button at the top of the page, and then entering a new term, such as a specific type of arthritis or a geographic location.
Nonprofit organizations, research institutes, and professional academies: every major disease affecting citizens of the United States is backed by a host of organizations working to increase awareness, enhance research efforts, and advocate on behalf of patients and professionals. In this section we'll look at the most prominent arthritis organizations, and those with the most useful and informative online resources.
- All arthritis organizations make enhancing public education a part of their program, and their Web sites reflect this. On the following sites you'll not only find overviews of the work these groups are actively engaged in, you'll find high quality, authoritative guides to understanding, treating, and managing arthritis.
- Many associations offer newsletters to keep readers abreast of new developments on the site or with arthritis. If you're interested in subscribing to a newsletter, you can generally find the link displayed prominently on the homepage or in the "About Us" section of the Web sites
- Arthritis organizations that fund research make the latest findings available on their sites. These pages are the perfect places to go for research summaries that aren't written in scientific babble.
The Arthritis Foundation
is a national nonprofit supporting over 100 types of arthritis. The site hosts the most comprehensive body of arthritis information available on the Web. The "
Advocacy" section outlines the national initiatives the organization is actively pursuing, including the Arthritis Prevention, Control and Cure Act, which aims to "strengthen arthritis public health initiatives," ensuring that "more people are diagnosed early and avoid pain and permanent disability."
The National Institute of Arthritis and Musculoskeletal and Skin Diseases,
is a member of the National Institutes of Health, and exists to "support research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases, the training of basic and clinical scientists to carry out this research, and the dissemination of information on research progress in these diseases." To this end, the "
Research" section has detailed information on arthritis research initiatives and related issues.
The American College of Rheumatology
is a professional organization of physicians, scientists, and health professionals working in rheumatology and arthritis. The "
Patient Education" section has comprehensive arthritis information on a myriad of topics. A particularly interesting example is the "Information About Medications" section, which describes the medications commonly used in rheumatologic care.
Ongoing scientific research in the area of arthritis means that there are regular developments in our understanding of this disease and the way we treat it. This section contains links to sites with the latest arthritis news. Also included here are arthritis blogs in which you can read commentary on the news as well as stories of those living with the disease.
- For distilled overviews and headline stories, go to news sites; for in-depth, primary information from leading scientists and researchers, medical journals are the best choice; for reactions to the news and personal perspective, try reading blogs. Together these resources can keep you abreast of the latest happenings on the subject.
- Some sites post abstracts (short summaries) of articles from professional journals on their sites. The full-length articles are only available to the paid subscribers of the journals. The abstracts, however, do give a good sense of the study and its findings.
For news ...
HealthDay
is a health news service updated with new articles every day. To access arthritis-related news stories, do a keyword search for "arthritis," using the "Archive Search" at the top right of the page. The site is also available in Spanish.
For a magazine ...
Arthritis Today
is a consumer health magazine published by the Arthritis Foundation. Browse topics in the list on the left side of the page for access to complete articles.
For a research journal ...
Arthritis Research & Therapy
is a journal containing research news and the latest findings related to the study of arthritis. Full-text articles from the current issue can be found on the homepage, and are distinguished by blue "Open Access" labels. This journal has a very academic focus, so don't expect light reading. A few titles from a recent issue are "Human meniscus cells express HIF-1alpha and increased SOX9 in response to low-oxygen tension in cell aggregate culture," and "Effects of dsDNA binding to SmD derived peptides on the clinical accuracy in the diagnosis of systemic lupus erythematosus."
For blogs ...
Arthritis Today's Hot Topics
is a blog associated with the Arthritis Foundation magazine, written by the magazine’s medical editor. Although new posts are irregular, they tend to be long and deal with current or pressing topics in arthritis.
MyRACentral.com
offers three regularly updated blogs dealing with rheumatoid arthritis. The blogs are written by authors who have varied experience with the disease (from a lifelong sufferer to a doctor), and bring different perspectives on living with the disease, coping with its effects, getting help, and treating it.
For statistics ...
The Centers for Disease Control and Prevention
is really the only place you need to go for statistics. Most other sites that bring you stats on arthritis pull directly from CDC reports, which you can access on this page. In addition to the national statistics listed, there are more resources found in the links box at the top right.
Other people living with arthritis can be invaluable sources of support, advice, and encouragement. The Internet is a great place to meet such people. Through its message boards, blogs, and chat rooms, you or the one you love will learn you're not alone in your situation.
- Support sites, forums, message boards, and chat rooms can all be used as support outlets. Some support groups and boards are moderated, while others are not. Moderated Web sites are usually run by volunteers who are familiar with the particular issue and can ensure that the board doesn’t go off track. Un-moderated boards can be very useful but beware that there may be people with an agenda different from yours. Always use caution when chatting on the Web.
- If you're looking for support, the Arthritis Foundation suggests contacting your local branch. Just enter your zip code in the search box located in the center of the homepage.
The Arthritis Foundation
has advice on getting support, both online and off. For online resources, there are a number of free public
message boards. For offline resources, the Foundation recommends locating support groups in your area.
ArthritisSupport.com
is an online support community based around chat rooms and discussion forums. With these tools, users can interact with others suffering from the same disorders and share stories, support, and advice. Access to the boards requires a free account, which you'll be prompted to create when you try to view a message.
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