Arthritis and Stress… By Jack Schetter The Nature of Arthritis Occurs within the joint (area where two bones meet) Inflammation of one or more joints Over 100 different types Cartilage Protects the joint Allows it to move smoothly Absorbs shock *Arthritis=Breakdown of Cartilage Without it, bones rub together Causes pain, swelling (inflammation), and stiffness http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002223/ What Causes Arthritis? Possible Causes include: An Auto immune disease (Body’s immune system mistakenly attacks healthy tissue) Broken Bone General Wear and Tear Infection cause by bacteria or virus Common Types of Arthritis Include: Gout Juvenile Rheumatoid Arthritis Rheumatoid Arthritis Scleroderma Signs and Symptoms include… Joint Pain Swelling Stiffness Reduced Mobility Warmth Around the Joint Redness of the Skin Around the Joint Signs and Tests Physical Exam checks for: Fluid around the joint Warm, red, tender joints Difficulty moving a joint Joint deformity (swollen/misshaped) May have joint fluid sent to a lab and evaluated Who gets arthritis? 1.3 million people in US have it Older teens can still get arthritis Nearly three times as many women affected than men 300,000 children diagnosed with inflammatory arthritis Most commonly occurs from 30-60 years of age Occurs in all ethnic groups in EVERY part of the world Occurs later in life for men http://www.arthritis.org/who-gets-rheumatoid-arthritis.php Stress in relation to Arthritis… Studies Studies in lab rats have shown a relationship to stress and the development of arthritis People have connected their involvement of arthritis with stress Chronic arthritis adds to the stress of: Pain Fatigue Depression Dependence (pain mediation) altered finances, employment social life self-esteem and selfimage. Stress and Arthritis continued… Difficulties of chronic arthritis causes more stress Stress causes muscle tension, resulting in worsening arthritic symptoms Worsening symptoms = More stress (vicious cycle continues) Arthritis symptoms Increased Stress Worsened arthritis symptoms Causes more stress Identify cause of stress Express thoughts and feelings Manage your time Avoid depending on drugs and alcohol Become mentally and physically fit Develop a sense of humor Realize you can only change yourself, not others Allow self to be Imperfect Practice Relaxation techniques Treatments for Arthritis help to… Reduce Pain Improve Function Prevent Further Joint Damage Underlying causes cannot usually be cured Main treatment = Lifestyle Changes Life style changes include… Medication Avoid staying in one position for too long o Involve Risks Get enough sleep (heal body) o May be prescribed in more serious cases Stress reducing activities (yoga) o Over the counter drugs (Aspirin, ibuprofen) help relieve pain Make things easily accessible in house Eat healthy diet (Fish oils, omega 3’s, micronutrient dense foods) Arthritis Management Exercise programs (low impact) *Range of motion exercises (help flexibility) Strength training to improve muscle tone Physical Therapy (Heat and Ice, Message) THE END! Sources Board, A.D.A.M. Editorial. "Arthritis." Arthritis. U.S. National Library of Medicine, 18 Jan. 0001. Web. 06 Mar. 2013. Eustice, Carole. "The Effect Of Stress On Arthritis." About.com Arthritis & Joint Conditions. About.com, n.d. Web. 06 Mar. 2013. Staff, Mayo Clinic. "Definition." Mayo Clinic. Mayo Foundation for Medical Education and Research, 02 Nov. 2011. Web. 06 Mar. 2013. "Who Gets Rheumatoid Arthritis?" Who Gets Rheumatoid Arthritis? Arthritis Foundation, n.d. Web. 06 Mar. 2013. "Arthritis-Related Statistics." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 01 Aug. 2011. Web. 06 Mar. 2013.