How Do I Know What Type Of Arthritis I Have – If you have chronic hand pain, you may wonder if arthritis could be the cause. But what kind of arthritis in your hands could be a problem? The answer is not always obvious.
The two most common forms of arthritis, osteoarthritis (OA, or degenerative arthritis caused by wear and tear on the joints) and rheumatoid arthritis (RA, a type of arthritis caused by inflammation of the joints) share many symptoms. In addition, there are other, less common types of hand arthritis that your doctor should also consider.
How Do I Know What Type Of Arthritis I Have
Both osteoarthritis and arthritis can cause pain, stiffness (especially in the morning), swelling, and tenderness in the joints of the hands. However, people with forms of arthritis such as rheumatoid arthritis may experience additional symptoms not seen in people with OA.
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Kevin Wayne Byram, M.D., assistant professor of medicine in the Department of Rheumatology and Immunology and director of the Vanderbilt Vasculitis Clinic at Vanderbilt University Medical Center, says, “Patients with osteoarthritis have numbness and redness in their hands. Patients with rheumatoid arthritis have.” “Also, people with arthritis tend to have both hands affected, while osteoarthritis symptoms tend to be worse in the dominant hand,” he said.
He added that the time of day in the morning can help determine the type of arthritis. People with arthritis usually have persistent pain that lasts an hour or more, while people with OA often have stiffness that subsides within five to 15 minutes.
If arthritis symptoms indicate arthritis symptoms, Dr. Byram says the most common cause is rheumatoid arthritis (which often starts in the hands), but it can also be psoriatic arthritis (PsA), which also affects the hands. Other symptoms of PsA include sausage-like swelling of the fingers and toes (a condition called dactylitis), skin plaques, and calluses.
Your doctor will also need to determine whether your symptoms are caused by palindromic arthritis (PR), an episodic form of arthritis (although palindromic arthritis is rare). PR can affect any part of the body, but it most commonly affects the hands.
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It can also be caused by gout, a type of arthritis caused by too much fatty acid in the body. Although gout can affect the hands and fingers, it is more likely to affect the big toes.
Hand pain is also a symptom of Dupuytren’s contracture, a condition where the tissues of the hand and fingers become enlarged and stiff, causing the fingers to move forward. It is not understood why Dupuytren’s contracture develops, although people who smoke, drink a lot of alcohol, are ill or have diabetes are more likely to develop it.
Dr. Byram says your doctor will check to see if your wrist pain could be caused by carpal tunnel syndrome. “RA can cause carpal tunnel syndrome, so if we see someone with carpal tunnel syndrome, we want to make sure they don’t have RA.” According to the American Academy of Orthopedics, carpal tunnel syndrome is a condition that occurs when one of the main muscles in the hand — the median nerve — gets twisted as it passes through the hand.
To determine the cause of arm pain, your doctor will rely on your medical history, physical exam, imaging tests, and blood tests to diagnose and determine the type of arm pain (if any).
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Dr. “Working on the patient’s joints during the exam can help differentiate osteoarthritis from arthritis,” Byram says. “Swelling is severe in people with osteoarthritis because over time, extra bone called osteophytes builds up in the joint. “Swelling in RA and other inflammatory diseases is mild,” he said.
Imaging studies such as X-rays or MRIs can show joint erosion (seen in patients with rheumatoid arthritis) and osteophytes and cartilage loss (characteristic of osteoarthritis).
If your doctor suspects arthritis, they will also order blood tests to check for certain antibodies, such as rheumatoid arthritis or anti-CCP, which help diagnose RA and other types of arthritis.
If you have been diagnosed with inflammatory arthritis, you have more treatment options than someone with OA. Although nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain associated with both types of arthritis, the development of disease-modifying anti-inflammatory drugs (DMARDs) and biologics has greatly improved the understanding of people with arthritis by reducing inflammation and preventing further damage.. subject
How Psoriatic Arthritis Affects The Body
Dr. Byram says that cortisone injections can be helpful for people with osteoarthritis and conditions like RA, although they are often used in patients whose arthritis is limited to just one or two joints. Hyaluronic acid injections can help people with osteoarthritis (a substance that helps lubricate the joints), but they are better for treating pain in larger areas, such as the knees, rather than the hands.
Fortunately, there are many home remedies that can help relieve the symptoms of osteoarthritis, RA, and other types of arthritis.
Dr. “I recommend using heat and cold,” Byram says. “Heat therapy helps reduce inflammation in the morning, while ice therapy is better later, after a day of activity.”
He also recommends that arthritis patients work with a chiropractor. These doctors can show you how to make daily activities easier and help you avoid stress on painful joints by using assistive devices.
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Dr. Byram explains, “Many of these tools are designed to give people more awareness. For example, there are hands that can slide on furniture and eat dishes, it’s easy to open jars and put on socks and shoes,” he said.
Hand therapists can also provide simple exercises to maintain finger range and may even recommend splinting to relieve stress.
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10 Signs It’s Time to Try Psoriasis Treatment—And How to Talk to Your Doctor About It By Kelsey Close Read More Psoriatic arthritis (PsA) is a serious and debilitating form of arthritis that affects each patient differently. PsA is known to cause swelling, stiffness, redness, pain, and damage to the skin, nails, joints, and more. Although rheumatoid arthritis may seem to involve skin damage caused by psoriasis, psoriatic arthritis is actually a completely different disease with its own effects, symptoms, and specific treatment options.
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Most patients with PsA already have psoriasis when PsA is diagnosed; It usually develops five to 12 years after the diagnosis of psoriasis. Daphne D. Gladman, M.D., FRCPC, a professor of medicine at the University of Toronto and research scientist at the Krembill Research Center, explains that in about 10 to 15 percent of people, physical pain symptoms appear before they develop psoriatic lesions. appear on the skin. and Associate Director of the National Institute of Rheumatology.
When it comes to psoriatic arthritis, no two patients are alike. Some people with PsA may have only peripheral disease (where symptoms affect the arms, hands, and knees), while others may have only spinal disease. However, other people can have both, according to Brett Smith, DO, a rheumatologist at Blount Memorial Hospital in Alcoa, Tennessee.
Dr. “Sometimes it can be difficult to combine confusion and a formal diagnosis, but once diagnosed, most of these symptoms or disorders can be resolved using these techniques,” Smith says.
The best way to manage psoriatic arthritis is to work with a rheumatologist to find the right medications, and understanding the type and symptoms of psoriatic arthritis can help with this.
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There are five main types of psoriatic arthritis, classified by the type of involvement involved. People can have one type first and then develop another.
This type of PsA, also known as asymmetric psoriatic arthritis, usually affects no more than five small or large joints in the body. It is called “asymmetric” because common symptoms such as pain and redness do not appear on both sides of the body. You may feel pain in your right knee but not in your left. About 35 percent of people with rheumatoid arthritis have asymmetric nonoligoarthritis.
As the name suggests, “symmetrical” polyarthritis affects five or more joints on both sides of the body (such as the right and left elbow joints), similar to the symptoms of rheumatoid arthritis. This is the most common form of PsA, occurring in about half of people with the disease.
This type of PsA affects the tips of the fingers and toes (the interphalangeal space between the fingers and toes) and can cause changes in the nail, such as thinning, pitting, or separation of the nail bed. Fewer than 20 percent of people with PsA develop the disease
Main Types Of Arthritis—rheumatoid, Psoriatic And Osteoarthritis
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