Month: July 2016

Treatment of Arthritis

Difficulty while going down stairs

I attend daily online queriesthat I have pain in knees when going down stairs. Almost above 50s mostly people especially ladies has this problem.

What is this problem?
What should I do now?
What tests are required to rule out disease?
Will I be able walk and go upstairs and downstairs easily?

First let’s talk about Arthritis. Arthritis means inflammation in joints. There are many types of arthritis. Pain is common symptoms in all arthritis.

In Rheumatoid Arthritis, pain may be in any small to large joint of body. There is morning stiffness in greater than hour or stiffness in joints after rest more than half hour. Ladies face difficulty making dough or rolling chapattis. But after some warming exercises, stiffness is reduced.In these type mostly young ladies are affected, especially after delivery.

In Gouty Arthritis, pain if felt only one joint at a time. Mostly young male adults are affected. Pain is aggravated after consuming alcohol, non vegetarian food, and proteins diets. Pain is mostly aggravated in night.

In Osteoarthrits, we can see people above 50 are most suffering from this type of arthritis. Weight wearing joints like knee, hip and spine are most affected parts. It occurs when the protective cartilage on the ends of bones wears down over time.One may hear or feel crackling sound while moving the joint.

Psoriatic Arthritis, psoriasis (silver scaly skin) is an autoimmune disease. Mostly above 30 year are affected.

What tests are required to rule out disease?

For Rheumatoid Arthritis following blood tests are to be done
• Rheumatoid Factor ( Qualitative and Quantitative)
• ESR
• CRP
• Complete CBC

For Gouty Arthritis following blood tests are to be done
• Serum Uric Acid
• Creatinine
• ESR

For OsteoArthritis following tests is to be done
X-ray of both knee and spine
MRI