Many
misconceptions exist about arthritis. Most often, false
perceptions mislead patients when managing their condition.
The lack of knowledge regarding arthritis and the reliance
on hearsay when managing symptoms can lead a patient to jump
from one alternative remedy to another without achieving
significant results. I have seen many patients get easily
attracted to "quick fixes" and false advertising because of
their lack of understanding of the disease. Setting false
expectations based on unfounded remedies can be a very
frustrating experience. Most patients eventually surrender
to their symptoms without really trying medications and
treatment approaches that are clinically proven to be
effective. The first step in effectively overcoming your
symptoms is to learn about the truth on arthritis so you can
make informed decisions in the management of your condition. |
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Following is a list of common
beliefs on arthritis that you may have heard from your
friends and family. What do you think, are they fact or
fiction? |
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Only old people get arthritis.
Arthritis is a natural consequence of aging.
Arthritis is viral and contagious.
Arthritis is just a joint problem.
There is a miracle cure for arthritis.
Herbal supplements can cure arthritis.
Medications can correct the hand deformities associated with
arthritis.
Topical creams can cure my arthritis and hand deformities.
Arthritis is temporary, its symptoms will go away in time.
I acquired my arthritis because I frequently expose my hands
alternately to heat and cold.
Arthritis is caused by living in areas of cold, humid
climate.
Arthritis is caused by poor nutrition or diet.
Vigorous, highly resistive exercises are good for arthritis.
If you have the habit of knuckle cracking, you will
eventually have arthritis.
There is nothing I can do to stop my pain and hand
deformities from getting worse.
The adage "No Pain No Gain" during exercise is true for
arthritis. |
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Myth 1:
Only old people get Arthritis.
Fact: Arthritis has affected people of all ages including
children. There are different types of arthritis and some
are more commonly found in particular age groups. Rheumatoid
Arthritis is more common in women than in men. Likewise,
gouty arthritis is more common in men than in women.
Osteoarthritis which is linked to wear and tear of joints is
more common among the elderly. Juvenile arthritis is named
as such because it affects children. There is no question
that the incidence of arthritis increases with age but
nearly three of every five sufferers are under age 65. |
Myth 2:
Arthritis is a natural consequence of aging.
Fact: Arthritis is a
disease and should not be considered as a normal by product
of aging. |
Myth 3:
Arthritis is viral and contagious.
Fact: Arthritis is
definitely not a contagious, viral disease. You will not
contract the disease by getting in contact with somebody who
has arthritis. |
Myth 4: Arthritis is just a joint
problem.
Fact: Since the symptoms
of arthritis are highly visible in the joints of the hands,
many people think that it is "just a joint disease". This is
not necessarily true for all types. Some conditions, like
Rheumatoid Arthritis, are systemic in nature which means
that other organ systems are affected as well. As such, it
is not uncommon for a patient to tire easily and experience
low energy levels at times. The balance of rest and work
play an important role for long term control of symptoms. |
Myth 5: There is a miracle cure for
arthritis.
Fact: There are
presently no medications that can cure or completely
eliminate arthritis. Medications currently available are
used to treat or minimize the symptoms associated with
arthritis, such as pain and joint swelling. Advertisements
claiming a miracle cure for arthritis should be viewed with
suspicion. |
Myth 6: Herbal supplements can cure
arthritis.
Fact: Patients who have
arthritis are are often frustrated by persistent symptoms
even if they are taking prescribed medications regularly.
Most of them are willing to try any alternative remedies in
search for a cure. Unfortunately there are presently no
known herbal supplements that are clinically proven to cure
arthritis. Rheumatoid arthritis, for example, is
characterized by a cycle of alternating periods of flare-ups
and relief of symptoms. Oftentimes, what is perceived as a
positive result of a remedy may just coincide with periods
of natural remission (decreased or no symptoms). This can
give patients a false impression that the supplements they
taking are effective. Since most of these alternative
remedies have no scientific backing one should be concerned
of their efficacy and potential side effects. |
Myth 7: Medications can correct the
hand deformities associated with arthritis.
Fact: Medications cannot
correct long term arthritic deformities. These deformities
are caused by permanent joint damage. However, medications
are important for control of symptoms such as joint pain and
swelling. The earlier these symptoms are controlled the less
deformities will set in. The instability and weakness of
joints caused by prolonged swelling combined with the
deforming forces of daily resistive hand use is often the
cause of increased deformities. The good news is that one
can control the progression of the deformities by employing
joint protection techniques and using appropriate assistive
devices consistently to everyday tasks. |
Myth 8: Topical creams can cure
arthritis and hand deformities.
Fact: Topical creams may
offer a soothing relief of pain symptoms by providing heat
sensation. Some of them may contain an analgesic that can
minimize pain levels. However, topical creams will not cure
you of arthritis or correct any hand deformities. |
Myth 9: Arthritis is temporary, its
symptoms will go away in time.
Fact: Arthritis is
classified as a progressive joint disease which means that
it has a natural tendency to advance. Rheumatoid arthritis
is characterized by acute exacerbations and remissions
meaning its symptoms are "on and off". There will be times
when the you will be suffering from red, hot, swollen joints
(exacerbation) and other times when the pain seem to have
miraculously disappeared (remission). This is probably one
of the reasons why having arthritis can be very frustrating.
Period of remissions may give you the false impression that
your arthritis is gone. Arthritis is permanent and can
present its symptoms this way. The earlier you know and
accept this truth, the more you can be in control of your
symptoms. Symptom management techniques should be applied as
part of a lifestyle change, having the goal of maintaining a
long remission period as possible. |
Myth 10: Arthritis can be acquired
through frequent exposure of the hands alternately to heat
and cold.
Fact: I hear this
comment a lot from my patients. This is however an "old
wives tale" that has no scientific basis. The exact cause of
arthritis is still unknown. We understand the disease
process but science has yet to find out what triggers it
exactly. |
Myth 11: Arthritis is caused by living
in areas of cold, humid climate.
Fact: Now this is a
harder myth to dispel since a lot of patients would swear
that their joint pain gets worse on cold and humid
conditions. As one of my patients would say, " I can even
predict when it is going to rain because my joints would
start hurting". This seems to be a consistent observation
among arthritic patients. There are studies that show that
low temperature and humid wet conditions have been found to
make the pain worse. One possible way of explaining this is
that cold weather may cause vasoconstriction, or tightening
of blood vessels on the hand and fingers. This results in
diminished blood flow which may then cause stiffness,
discomfort, and increased pain levels in the joints. The
overall decrease in a person's activity level in cold
weather conditions may also be contributory to increased
stiffness and pain sensitivity in the affected joints.
However, having said all of these, while cold weather can
increase joint pain, it does not by itself cause arthritis.
Before you decide to move out of state to California or
Florida, understand that climate itself is neither the cause
nor the cure for arthritis. |
Myth 12: Arthritis is caused by poor
nutrition or diet.
Fact: There is no
scientific evidence that supports this belief. There is no
clinical proof that certain food sources may directly cause
or prevent arthritis. There is however a direct correlation
between high uric acid levels and the presence of gouty
arthritis. Having a well balanced diet is important to
prevent obesity which can add stress on weight bearing
joints. This is particularly true for those who have
Osteoarthritis, where the cartilage in between the joints
are already thin or worn out. Diet may help alleviate your
symptoms but poor nutrition alone is not the cause of
arthritis. |
Myth 13: Vigorous, highly resistive
exercises are good for arthritis.
Fact: I have met many
patients with arthritis who go to the opposite extremes of
over exercising to over protecting their hands. Of course
both mindset are not helpful to their condition. Vigorous,
heavy resistive exercises should be avoided as this may
cause further damage to unstable and inflamed joints.
Over-protection (i.e., refraining from using the hand) does
not help either as joints need to be moved to maintain their
flexibility. Movement also facilitates blood flow or
circulation which is necessary for joint and soft tissue
nutrition. Exercises that emphasize gentle, pain-free
movements are the best for arthritic hands. Isometric
exercises, which makes use of muscles by tensing them
without creating much joint movement, help increase muscle
strength and stabilize weak joints without aggravating joint
pain and inflammation. Pool therapy is highly recommended as
the buoyancy of water decreases stress on weight bearing
joints. The patient can then concentrate on range of motion
exercises with light resistance provided by water. Heated
pools can also provide pain relief. A skilled physician
working closely with an occupational or physical therapist
can design the right exercise plan for you. |
Myth 14: If you have the habit of
knuckle cracking, you will eventually have arthritis.
Fact: There is no
clinical evidence that confirms knuckle cracking as a cause
of arthritis on the fingers. The cracking sound is not due
to damaging friction contact between joint surfaces but by
the bursting of carbon dioxide bubbles inside the joint
cavity. In other words, what you hear is the sound of
popping air and not cracking joints. |
Myth 15: There is nothing I can do to
stop my pain and hand deformities from getting worse.
Fact: Early diagnosis
and treatment is vital to prevent symptoms from getting
worse. The earlier a doctor is able to give you medications
that can effectively control the symptoms of joint
inflammation, the less deformities will develop. Joint
protection techniques and the use of appropriate assistive
devices when applied early, and on a consistent basis, can
prevent the progression of joint pain and arthritic
deformities. These deformities follow a certain pattern and
are often aggravated by the deforming forces of daily
resistive hand use. Arthritic joints are weak and unstable
and respond easily to these deforming forces. Learning to
use your hands properly in protective ways for tasks
requiring heavy grasping, pinching, lifting or carrying can
minimize the deforming forces placed on these joints and
prevent your deformities from getting worse. |
Myth 16: The adage "No Pain No Gain"
during exercise is true for arthritis.
Fact: On the contrary,
exercises that require heavy resistance are not good for
arthritis particularly for the more delicate joints of the
wrist and fingers. Avoid heavy grasping and pinching
movements that cause pain on the finger joints such as
holding a heavy dumbell or squeezing a hard ball. These can
cause a symptom flare-up and accentuate deformity patterns
on the hands. Remember, with arthritis you should respect
pain. Exercises that are good for the wrist and finger
joints use gentle movements that are pain-free. Isometric
exercises, that is tensing the muscles of the forearm and
hand without joint movement, is beneficial and strengthens
the muscles without causing stress on arthritic joints. The
"no pain no gain " attitude on exercising is simply not
applicable to arthritis. |
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4Back
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Dispelling common myths on
arthritis is the first step to effective management of
symptoms. Understanding arthritis, its occurrence, most
common types, its signs and symptoms, and clinically proven
treatment approaches that are currently available, helps you
make informed decisions on how to minimize the debilitating
effects of the condition.>>next page |
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