Rheumatoid Arthritis Archives

What Treatments Are Available For Rheumatoid Arthritis?

Posted on August 30, 2023 by Jacob Lobosco

Rheumatoid arthritis (RA) can cause a variety of debilitating symptoms, such as joint pain, stiffness, and fatigue, that can significantly interfere in your daily life. It can also cause lasting damage to multiple parts of your body, such as your nerves, skin, and heart. However, several approaches to treatment can help relieve your symptoms and reduce the severity of these long-term effects.

Medication is a common element of treatment for people who are diagnosed with rheumatoid arthritis, though which ones are prescribed by your doctor will depend on the nature and severity of your symptoms.

Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation
Disease-modifying antirheumatic drugs (DMARDs) are typically among the first medications prescribed to slow the progression of rheumatoid arthritis
Biologics are used to reduce inflammation by targeting certain parts of the immune system that contribute to it
Janus kinase (JAK) inhibitors block enzymes that signal inflammatory and immune responses in cells
Analgesics reduce pain in people who cannot take NSAIDs, but do not reduce inflammation
Corticosteroids are strong anti-inflammatory drugs that may be given while slow-acting medications begin to take effect

Exercise is also often beneficial for people living with rheumatoid arthritis. Many people diagnosed with this condition work with a physical therapist, who can create an effective exercise program that improves your strength and mobility. A physical therapist can also teach you techniques for relieving pain, ways of moving that prevent further physical damage, and exercises that you can perform on your own outside of scheduled sessions.

If other treatments are not providing adequate relief or offering significant improvement, your doctor may recommend joint replacement surgery. This most often involves hip and knee replacements, which can be effective for people with rheumatoid arthritis, but other affected joints may also be replaced for improved mobility and pain relief. Joint replacement surgery may also be followed up by physical therapy, which can help you learn how to stay mobile without causing damage to your joint replacements or surrounding parts of your body.

You can receive treatment for rheumatoid arthritis at Jamaica Hospital Medical Center’s Division of Rheumatology. To schedule an appointment, please call (718) 206-6742.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What Are the Symptoms Of A Pinched Nerve?

Posted on August 1, 2019 by Michael Hinck

Our nerves are specialized cells that carry important messages throughout our bodies in the form of tiny electrical signals. When too much pressure is applied to our nerves by surrounding tissues, ligaments or bones, it can result in a pinched – or compressed nerve.

A pinched nerve can occur in various parts of our bodies and they can cause radiating pain, tingling, numbness or weakness. Damage from a pinched nerve may be minor or severe. It may cause temporary or long-lasting problems.

Pinched nerve signs and symptoms include:

Numbness or decreased sensation in the area supplied by the nerve
Sharp, aching or burning pain, which may radiate outward
Tingling, pins and needles sensations
Muscle weakness in the affected area
Frequent feeling that a foot or hand has “fallen asleep”

Symptoms may worsen when attempting certain movements, such as turning your head or straining your neck. Problems may also become worse while sleeping.

Certain medical conditions can contribute to the development of a pinched nerve. These include:

Rheumatoid arthritis
Diabetes
Obesity
Thyroid disease
Pregnancy

A pinched nerve can also occur as the result of an injury or from repetitive activities. Conversely, long periods of inactivity or lying down can also cause the problem.

Maintaining a healthy weight, stretching regularly, avoiding repetitive motions and practicing good posture are some tips to avoid developing a pinched nerve.

With rest and other conservative treatments, such as taking over-the-counter medications, most people recover from a pinched nerve within a few days or weeks

See your doctor if the signs and symptoms of a pinched nerve last longer or don’t respond to self-care measures. Your doctor can provide treatment options to shrink swollen tissue around the nerve. Treatment options may include anti-inflammatory medications, steroid injections, physical therapy, or surgery.

To make an appointment to see a doctor at Jamaica Hospital to treat a pinched nerve, please call 718-206-7001.

Psoriatic Arthritis

Posted on February 12, 2019 by Joann Ariola

According to the American College of Rheumatology, psoriatic arthritis is a type of inflammatory arthritis that occurs in some patients with psoriasis (is a chronic skin condition caused by an overactive immune system) and can affect the joints in the body.

It is a chronic disease that may present as mild with occasional flair ups or, in more severe cases, can cause joint damage in fingers and toes, as well as larger joints in the lower extremities, such as knees, back and sacroiliac joints in the pelvis.

The Mayo Clinic describes the symptoms of psoriatic arthritis as:

Swollen fingers and toes – Psoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes. You may also develop swelling and deformities in your hands and feet before having significant joint symptoms.
Foot pain -Psoriatic arthritis can also cause pain at the points where tendons and ligaments attach to your bones — especially at the back of your heel (Achilles tendinitis) or in the sole of your foot (plantar fasciitis).
Lower back pain -Some people develop a condition called spondylitis as a result of psoriatic arthritis. Spondylitis mainly causes inflammation of the joints between the vertebrae of your spine and in the joints between your spine and pelvis (sacroiliitis).

Psoriatic arthritis can go into remission. When in remission, the symptoms may alternate causing them to subside for a time and then reappearing in the form of painful, swollen joints.

Many people with psoriatic arthritis may first think they have rheumatoid arthritis since both diseases have similar symptoms. The only difference is that psoriatic arthritis is prevalent in patients who have psoriasis of the skin as well.

When seeing your doctor to determine whether or not you may have psoriatic arthritis your doctor may examine your joints for swelling or tenderness, check your fingernails, hands, feet and toes for pitting, flaking or other abnormalities.

Psoriatic arthritis is diagnosed by X-rays, Magnetic Resonance Imaging (MRI), testing the rheumatoid factor (RF) antibody in your blood or a joint fluid test to see if you have uric acid crystals in your joint fluid.

Since there isn’t a cure for psoriatic arthritis, healthcare professionals are focused on controlling the symptoms and thwarting permanent damage to the joints.

Some medications prescribed to treat psoriatic arthritis include:

NSAIDs – Non-steroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. Over-the-counter NSAIDs include ibuprofen (Advil, Motrin IB, and others) and naproxen sodium (Aleve).
Disease-modifying ant rheumatic drugs (DMARDs) -These drugs can slow the progression of psoriatic arthritis and save the joints and other tissues from permanent damage.
Immunosuppressants -These medications act to tame your immune system, which is out of control in psoriatic arthritis.
TNF-alpha inhibitors – Tumor necrosis factor-alpha (TNF-alpha) is an inflammatory substance produced by your body. TNF-alpha inhibitors can help reduce pain, morning stiffness, and tender or swollen joints.

Other procedures that have been effective are steroid injections or joint replacement surgery. Steroid injections reduce inflammation rapidly and joint replacement surgery replaces the severely damaged joint with an artificial prosthesis made of metal and/or plastic.

If you are experiencing any of the symptoms of psoriatic arthritis and would like to speak with a doctor at Jamaica Hospital, call 718-206-7001 to schedule an appointment with a Rheumatology specialist.

Why Patients With RA Should Be Concerned About Osteoporosis

Posted on November 29, 2016 by Xavia Malcolm

Rheumatoid arthritis (RA) not only affects the joints but it can also lead to long-term problems in bone health, such as osteoporosis.

Osteoporosis is a disease which causes bones to become brittle, porous (less dense) and weakened, leaving them susceptible to fractures. Studies have found that people diagnosed with rheumatoid arthritis are at an increased risk of developing osteoporosis.

The reasons why the two are linked are numerous. Complications of RA, including systemic inflammation, the use of glucocorticoids or corticosteroids and loss of mobility can all further the development of osteoporosis.

People with RA who have developed osteoporosis may not know they have the disease because it often goes undetected until the bones fracture. However, there are several lifestyle changes they can apply to reduce their risk, such as:

Eating a diet rich in calcium and vitamin D
Taking calcium and vitamin D supplements
Getting adequate sunlight to receive vitamin D
Exercise (weight bearing exercise)
Reducing alcohol consumption
Quit smoking
Taking recommended bone density tests

It is recommended that you speak with a doctor before making changes as each person’s case is unique. Your doctor may also prescribe medications to treat osteoporosis.

To schedule an appointment with a rheumatologist at Jamaica Hospital Medical Center, please call 718- 206

-6742 or 718-206-7001. The Division of Rheumatology at Jamaica Hospital provides consultations for patients who develop rheumatological disorders, such as osteoarthritis and osteoporosis. There is a twice-monthly arthritis clinic and bone mineral density testing for diagnosing osteoporosis.