Doctor insights on:
Arthritis What Is Considered Moderate And Severe
I have moderate/severe arthritis in both knees. I'm already on a signifigant amount of pain rx's. Im looking for ways to ease morning pain/stiffness.?
Try alternative med.: I'm an internist, and also practice functional medicine, so my answer will reflect both practices. "moderate/severe arthritis, " and "significant amount of pain rx's" means smthn is not working. Correct diagnosis? Osteo vs rheumatoid arth? If you have correct diagnosis and still not working, explore treatments like magnesium, fish oil, avoid processed foods salt and sugar, water, green tea. ...Read more
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Barely any cartridge in either shoulder. Moderate to severe neck & lower-back arthritis. Any yoga positions to eschew?
Everyone's different: One should not over-flex, over-extend, nor over-rotate joints that have damage, so it's a good idea to avoid the yoga positions that do those undesired things to the damaged joints. How far to flex, extend, or rotate? The general rule is that one should try not to have pain during the stretch or exercise, and should not have pain afterwards (or the person may have over-done it). ...Read more
I get neck massages for moderate to severe neck arthritis, often the pain seems to emanate in the muscles of my upper-back. Which should be main focus?
Multi focus: Moderate to severe neck arthritis can cause referred pain and spasms to the upper back muscles. Massage therapy can be helpful in reducing pain. In order to decrease the pain a multi disciplinary approach will likely be more successful including being mindful of posture/ergonomics, stretching and strengthening program, stress reduction and others. Discuss with your md. ...Read more
I have moderate to severe shoulder pain that at times radiates down my arm and into my hand. I've got arthritis and have had injections a few times. What should I do?
Find diagnosis: So you got to see an orthopaedic surgeon. You have to get the correct diagnosis first to be able to have successful treatment outcome. Shoulder arthritis should not cause pain down into your arms. So it might be a cervical spine problem. That needs to be evaluated. It could be peripheral nerve issues, unrelated to the shoulder, or brachial plexopathy, or thoracic outlet syndrome, etc. ...Read more
Is plaquenil (hydroxychloroquine) with methotrexate without prednisone an effective treatment for moderate to severe rheumatoid arthritis ?
Yes: The combination is often a very effective treatment. ...Read more
My wife has moderate to severe Rheumatoid Arthritis.on few medications for RA. but can't take any NSAIDS at all. She is allergic to all Nsaids(rash n swell) all including the new nsaids celebrex. I hate 4 her to be on Norco for life.Any suggestions?
Diet: I know this might not fall under the realm of traditional medicine, but I have seen rather dramatic changes in patients who undergo a change to a vegan diet. There are some that believe that dairy products in particular can cause chronic inflammation that can worsen arthritis. Two good resources are- the china study and forks over knives. ...Read more
Xray=3 mm Anteriolisthesis @ C3-4 facet arthritis, Mild DDD @ C4-5 & C5-6, Grade 1 Anteriolisthesis @ L4-5, Moderate-severe DDD at L5-S1. Doc says no treatment. In lots of pain. Numb feet & hands. Low back feels unstable walk w/ cane. Butt pain too?
Further work up : May want to consider further work up including an mri of the cervical and lumbar spine and a nerve conduction test if your extremities. Xrays don't tell the whole story and there may be a simple solution to your symptoms. If you are not being taken seriously, consider a second opinion. ...Read more
Chronic back pain in a 59 yr-old, whose back popped while grabbing a person from falling, 2 years ago, looking for a diagnosis and treatment.....?
See a rheumatologist: Rheumatologist can give you the best advice and treatment plan for ra. ...Read more
(depending on the type of arthritis)
1) Acetaminophen (for osteoarthritis), nsaids only for a short duration, for rheumatoid arthritis potential steroids, Methotrexate and other meds.
2) moderate exercise. Depends on the joint involved.
3) modalities, including heat/ice, ultrasound and estim, paraffin baths help for RA involving the hands
4) equipment to help with activities of daily living. ...Read more
Nerve pain: Radiating pain from a degenerative spine travels in the direction of the nere that is being irritated or compressed. If T11 or T12, this would radiate into the flank and to the front near the belly button (may feel like painful rib). If the spinal canal is very narrowed, legs can be affected as well. ...Read more
If i take a 800mg. Iburphofin at 5:00 how soon could i take another one pain is very severe arthritis?
If you need...: That much, there are better medications to take. Ask you treating doctor for a recommendation. ...Read more
So I have arthritis and am used to the usual pain that comes with it, but when the temp is either severely hot or cold the pain intensifies.Why?
Depends: Depends. Any use requires protective measures also be taken for side effects, including bone loss. The real issue is if steroids are needed. There are many other treatments available for arthritis, so there is usually no need, especially at that dose. Rheumatologist should clarify. ...Read more
Can severe osteoporosis and arthritis come from the same root cause or are they both independent of each other?
I have severe arthritis in my lower back and I was wondering what I can take or do to relieve the pain; therefore, it will not affect my work ethics.
Psoriatic arthritis: Your doctor may recommend tumor necrosis factor-alpha (tnf-alpha) inhibitors if you have severe psoriatic arthritis. These drugs block the protein that causes inflammation in some types of arthritis and can improve signs and symptoms of psoriasis, as well. This group of drugs is the best to treat arthritis caused by psoriasis. ...Read more
Impossible to answer:
It is impossible to answer this without knowing what type of arthritis we are talking about and how severe it is etc. there are vast differences in therapy depending on whether you have inflammatory arthritis like rheumatoid disease or non inflammatory disease
You need to have professional help to prerly diagnose see a rheumatologist ...Read more
Stay active: Arthritis is like rust in the joint. Activity and flexibility can help keep the joint mobile and lubricated. Unless contraindicated, tylenol (acetaminophen) or Motrin can be very helpful. Some people get good relief from glucosamine chondrointin, but evidence is conflicting. Talk to your doctor, an injection of cortisone or a series of injections with medications like synvisc may also be helpful. ...Read more
Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more
I have severe arthritis of my hiip, I was doing exercises yesterday and today I can hardly walk, why?
- Talk to a doctor online
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