Rheumatoid arthritis early xray changes ra
What does this xray say about the need forsurgeryâ€¦ the answer could be very important to you! Early XRay Changes Signal Later Joint Surgery Nancy Walsh writing for Medpage Today reportedon a study which showed that rapid xray progression during the first year of rheumatoid arthritisstrongly predicts the need for orthopedic surgery later in the course of disease, aresearcher said here. A ally significant change in Larsenradiographic score of 4 units during the first 12 months of disease was associated with an80% increased risk of subsequently having
surgery on the small joints of the hands andfeet and a 50% greater chance of needing major surgery on the knee or hip, reported LewisCarpenter BsC of the University of Hertfordshire in Hatfield.quot;This helps build the case for early treatment in rheumatoid arthritis and adds to the argumentfor a therapeutic window of opportunity,quot; he said at the annual meeting of the BritishSociety for Rheumatology. Comment: Sobering news and a clarion callfor aggressive management.
Rheumatoid Arthritis mood and rheumatoid arthritis
Can your mood affect arthritis symptomsé Theanswer nextâ€¦ Can depression worsen RA symptomsé Bonnie Bermas writing in the Harvard health blog reported roughly one in six people withrheumatoid arthritis (RA) suffers from depression. Common symptoms of depression, such as fatigue,achiness, and difficulty completing activities of daily life (for example, dressing, cooking,cleaning), can mimic the symptoms of an arthritis flare. It is also possible that depressioncan contribute to a flare. A team of researchers studied 379 people withRA who were already enrolled in a trial to compare different medications for the treatmentof their arthritis. Participants were asked
to describe their feelings using one of thefollowing sentences: â€œI am not anxious or depressed,â€� â€œI am moderately anxious ordepressed,â€� or â€œI am extremely anxious or depressed.â€� This assessment was administeredalongside standard scales used to measure whether RA symptoms are getting better orworse, or remaining stable (what s call disease activity).The researchers found that the participants reporting more anxiety and depression hadhigher disease activity scores. They also reported more tender joints and, when askedabout their symptoms, they themselves rated their disease activity as higher. At the sametime, depression and anxiety seemed to have
no effect on the number of swollen jointsfound during physical exams or the level of inflammation in the body as measured by ablood test called ESR (also known as the sedimentation rate).Comment: You were expecting something differenté.