Arthritis - An Introduction For Patients
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Find out more at http://www.noelhenley.com. In this presentation I give you an overview of arthritis and its diagnosis and treatment. I'll share with you my quick three step guide to diagnosing arthritis and teach you the best way to think about ANY arthritis treatment. Ozark Orthopaedic: Henley C Noel MD 3317 North Wimberly Drive, Fayetteville, AR 72703 (479) 521-2752
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Arthritis - An Introduction For Patients
- 1. Preserving Your Most Valuable Asset What You Should Know About Arthritis C. Noel Henley, MD 2011
- 2. The Asset www.noelhenley.com
- 3. The Asset Your Time www.noelhenley.com
- 4. The Asset www.noelhenley.com
- 5. The Asset More specifically, www.noelhenley.com
- 6. The Asset www.noelhenley.com
- 7. The Asset Pain-free Time www.noelhenley.com
- 8. Who Am I? www.noelhenley.com
- 9. Who Am I? • Husband, Father, Board-certified orthopaedic surgeon www.noelhenley.com
- 10. Who Am I? • Husband, Father, Board-certified orthopaedic surgeon • Specializing in hand, wrist, and elbow www.noelhenley.com
- 11. Who Am I? • Husband, Father, Board-certified orthopaedic surgeon • Specializing in hand, wrist, and elbow • My goal is to restore and preserve function - with surgery or without www.noelhenley.com
- 12. Who Am I? • Husband, Father, Board-certified orthopaedic surgeon • Specializing in hand, wrist, and elbow • My goal is to restore and preserve function - with surgery or without • Orthopaedic surgeons provide surgical and non-surgical care for arthritis patients www.noelhenley.com
- 13. What Will You Learn? www.noelhenley.com
- 14. What Will You Learn? • What arthritis is www.noelhenley.com
- 15. What Will You Learn? • What arthritis is • Where it is www.noelhenley.com
- 16. What Will You Learn? • What arthritis is • Where it is • The two common types www.noelhenley.com
- 17. What Will You Learn? • What arthritis is • Where it is • The two common types • 3 steps to self-diagnosis www.noelhenley.com
- 18. What Will You Learn? • What arthritis is • Where it is • The two common types • 3 steps to self-diagnosis • An overview of treatment options www.noelhenley.com
- 19. What is Arthritis? www.noelhenley.com
- 20. What is Arthritis? • Arthr- : joint www.noelhenley.com
- 21. What is Arthritis? • Arthr- : joint • -itis : inflammation www.noelhenley.com
- 22. What is Arthritis? • Arthr- : joint • -itis : inflammation • Joint inflammation that causes pain and stiffness www.noelhenley.com
- 23. Is it a Bad Thing? www.noelhenley.com
- 24. Is it a Bad Thing? • Most of you know someone with arthritis www.noelhenley.com
- 25. Is it a Bad Thing? • Most of you know someone with arthritis • “My mom’s hands were bent and useless - I don’t want to end up that way” www.noelhenley.com
- 26. Is it a Bad Thing? • Most of you know someone with arthritis • “My mom’s hands were bent and useless - I don’t want to end up that way” • Pain, stiffness, trouble walking and using your hands or doing what you love www.noelhenley.com
- 27. Is it a Bad Thing? www.noelhenley.com
- 28. Is it a Bad Thing? • Non-joint effects www.noelhenley.com
- 29. Is it a Bad Thing? • Non-joint effects • depression www.noelhenley.com
- 30. Is it a Bad Thing? • Non-joint effects • depression • anxiety www.noelhenley.com
- 31. Is it a Bad Thing? • Non-joint effects • depression • anxiety • feelings of helplessness, dependence www.noelhenley.com
- 32. Is it a Bad Thing? • Non-joint effects • depression • anxiety • feelings of helplessness, dependence • activity limitations, job limitations www.noelhenley.com
- 33. Is it a Bad Thing? • Non-joint effects • depression • anxiety • feelings of helplessness, dependence • activity limitations, job limitations • difficulty participating in family/social activities www.noelhenley.com
- 34. Take-Home Point 1 www.noelhenley.com
- 35. Take-Home Point 1 Arthritis is a Destroyer of your pain-free time www.noelhenley.com
- 36. Where is Arthritis? www.noelhenley.com
- 37. Where is Arthritis? • In the joints www.noelhenley.com
- 38. Where is Arthritis? • In the joints • Places where two bones meet www.noelhenley.com
- 39. Where is Arthritis? • In the joints • Places where two bones meet • fingers www.noelhenley.com
- 40. Where is Arthritis? • In the joints • Places where two bones meet • fingers • elbows www.noelhenley.com
- 41. Where is Arthritis? • In the joints • Places where two bones meet • fingers • elbows • knees www.noelhenley.com
- 42. Where is Arthritis? • In the joints • Places where two bones meet • fingers • elbows • knees • hips www.noelhenley.com
- 43. Take-Home Point 2 www.noelhenley.com
- 44. Take-Home Point 2 Arthritis is a problem with the joints www.noelhenley.com
- 45. Where is Arthritis? Turkey Leg Bone
- 47. Where is Arthritis? Normal Joint
- 49. Where is Arthritis? Arthritic Joint
- 50. Where is Arthritis? Most Common Locations: fingers knees hips spine
- 53. What Types of Arthritis Are There? www.noelhenley.com
- 54. What Types of Arthritis Are There? • Osteoarthritis www.noelhenley.com
- 55. What Types of Arthritis Are There? • Osteoarthritis • Rheumatoid arthritis www.noelhenley.com
- 56. What Types of Arthritis Are There? • Osteoarthritis • Rheumatoid arthritis • Less common www.noelhenley.com
- 57. What Types of Arthritis Are There? • Osteoarthritis • Rheumatoid arthritis • Less common • gout and psoriasis www.noelhenley.com
- 58. What Types of Arthritis Are There? • Osteoarthritis • Rheumatoid arthritis • Less common • gout and psoriasis • infection-related www.noelhenley.com
- 59. What Types of Arthritis Are There? • Osteoarthritis • Rheumatoid arthritis • Less common • gout and psoriasis • infection-related • fracture/trauma-related www.noelhenley.com
- 61. Osteoarthritis
- 62. Osteoarthritis (OA) www.noelhenley.com
- 63. Osteoarthritis (OA) • “Wear and tear” arthritis www.noelhenley.com
- 64. Osteoarthritis (OA) • “Wear and tear” arthritis • usually affects fingers, knees, and hips www.noelhenley.com
- 65. Osteoarthritis (OA) • “Wear and tear” arthritis • usually affects fingers, knees, and hips • develops slowly with age www.noelhenley.com
- 66. Osteoarthritis (OA) • “Wear and tear” arthritis • usually affects fingers, knees, and hips • develops slowly with age • a problem with cartilage in the joint www.noelhenley.com
- 67. Osteoarthritis (OA) • “Wear and tear” arthritis • usually affects fingers, knees, and hips • develops slowly with age • a problem with cartilage in the joint • hard, slippery covering over the ends of bone www.noelhenley.com
- 68. Osteoarthritis (OA) www.noelhenley.com
- 69. Osteoarthritis (OA) • Who has it? www.noelhenley.com
- 70. Osteoarthritis (OA) • Who has it? • 27 million Americans (about 10% of the population) www.noelhenley.com
- 71. Osteoarthritis (OA) • Who has it? • 27 million Americans (about 10% of the population) • more common in women than men after 45 years of age www.noelhenley.com
- 72. Osteoarthritis (OA) • Who has it? • 27 million Americans (about 10% of the population) • more common in women than men after 45 years of age • more common in overweight people and in those who stress their joints more (like runners) www.noelhenley.com
- 73. Osteoarthritis (OA) www.noelhenley.com
- 74. Osteoarthritis (OA) • Problem starts in the cartilage www.noelhenley.com
- 75. Osteoarthritis (OA) • Problem starts in the cartilage • normally allows bones to glide smoothly together www.noelhenley.com
- 76. Osteoarthritis (OA) • Problem starts in the cartilage • normally allows bones to glide smoothly together • the shock absorber in the joint www.noelhenley.com
- 77. Osteoarthritis (OA) • Problem starts in the cartilage • normally allows bones to glide smoothly together • the shock absorber in the joint • wears away with OA - becomes rougher - bone eventually grinds on bone www.noelhenley.com
- 78. Take-Home Point 3 www.noelhenley.com
- 79. Take-Home Point 3 Osteoarthritis starts out as a cartilage problem www.noelhenley.com
- 80. Osteoarthritis (OA) www.noelhenley.com
- 81. Osteoarthritis (OA) • Other changes www.noelhenley.com
- 82. Osteoarthritis (OA) • Other changes • extra bone growth happens as the joint wears out (bone spurs) www.noelhenley.com
- 83. Osteoarthritis (OA) • Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid www.noelhenley.com
- 84. Osteoarthritis (OA) • Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid • swelling www.noelhenley.com
- 85. Osteoarthritis (OA) • Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid • swelling • cysts on fingers www.noelhenley.com
- 86. Osteoarthritis (OA) www.noelhenley.com
- 87. Osteoarthritis (OA) • Patterns in the hand and arm www.noelhenley.com
- 88. Osteoarthritis (OA) • Patterns in the hand and arm • some genetic (runs in families) component www.noelhenley.com
- 89. Osteoarthritis (OA) • Patterns in the hand and arm • some genetic (runs in families) component • small knots form at the end of the finger www.noelhenley.com
- 90. Osteoarthritis (OA) www.noelhenley.com
- 91. Osteoarthritis (OA) • Patterns in the hand and arm www.noelhenley.com
- 92. Osteoarthritis (OA) • Patterns in the hand and arm • bottom (or base) of the thumb gets swollen and deformed www.noelhenley.com
- 95. Rheumatoid Arthritis (RA) www.noelhenley.com
- 96. Rheumatoid Arthritis (RA) • “Inflammation” arthritis www.noelhenley.com
- 97. Rheumatoid Arthritis (RA) • “Inflammation” arthritis • The immune system attacks normal joint tissues www.noelhenley.com
- 98. Rheumatoid Arthritis (RA) • “Inflammation” arthritis • The immune system attacks normal joint tissues • Starts in the joint lining first - not in the cartilage www.noelhenley.com
- 99. Take-Home Point 4 www.noelhenley.com
- 100. Take-Home Point 4 Rheumatoid arthritis starts out as a joint lining problem www.noelhenley.com
- 101. Rheumatoid Arthritis (RA) www.noelhenley.com
- 102. Rheumatoid Arthritis (RA) • Pattern is usually symmetrical - equal in both hands www.noelhenley.com
- 103. Rheumatoid Arthritis (RA) • Pattern is usually symmetrical - equal in both hands • Patients may have fatigue, fevers, and feel ill more than OA patients www.noelhenley.com
- 104. Rheumatoid Arthritis (RA) www.noelhenley.com
- 105. Rheumatoid Arthritis (RA) • Who has it? www.noelhenley.com
- 106. Rheumatoid Arthritis (RA) • Who has it? • 1.3 million people in the US (much less common than OA) www.noelhenley.com
- 107. Rheumatoid Arthritis (RA) • Who has it? • 1.3 million people in the US (much less common than OA) • more common in women than men www.noelhenley.com
- 108. Rheumatoid Arthritis (RA) • Who has it? • 1.3 million people in the US (much less common than OA) • more common in women than men • usually begins in middle age and is more common with increasing age www.noelhenley.com
- 109. Rheumatoid Arthritis (RA) www.noelhenley.com
- 110. Rheumatoid Arthritis (RA) • Problem starts in the joint lining www.noelhenley.com
- 111. Rheumatoid Arthritis (RA) • Problem starts in the joint lining • inflamed joint lining invades and destroys the joint surface www.noelhenley.com
- 112. Rheumatoid Arthritis (RA) • Problem starts in the joint lining • inflamed joint lining invades and destroys the joint surface • erodes/weakens ligaments around joints, causing large deformities www.noelhenley.com
- 113. Rheumatoid Arthritis
- 114. Rheumatoid Arthritis
- 115. Rheumatoid Arthritis
- 116. Rheumatoid Arthritis (RA) www.noelhenley.com
- 118. Symptoms Do You Have Arthritis?
- 119. Do You Have Arthritis? www.noelhenley.com
- 120. Do You Have Arthritis? • Pain in a joint is the most common symptom www.noelhenley.com
- 121. Do You Have Arthritis? • Pain in a joint is the most common symptom • at rest www.noelhenley.com
- 122. Do You Have Arthritis? • Pain in a joint is the most common symptom • at rest • after activity www.noelhenley.com
- 123. Do You Have Arthritis? • Pain in a joint is the most common symptom • at rest • after activity • Stiffness, swelling, and crunching www.noelhenley.com
- 124. Do You Have Arthritis? • Pain in a joint is the most common symptom • at rest • after activity • Stiffness, swelling, and crunching • Weakness, deformity - may be pain-free www.noelhenley.com
- 125. Do You Have Arthritis? www.noelhenley.com
- 126. Do You Have Arthritis? • Pain usually comes on slowly; may start with a fall or sprain www.noelhenley.com
- 127. Do You Have Arthritis? • Pain usually comes on slowly; may start with a fall or sprain • Stiffness usually worse in the morning www.noelhenley.com
- 128. Do You Have Arthritis? • Pain usually comes on slowly; may start with a fall or sprain • Stiffness usually worse in the morning • Initially, pain comes on after activity; later, aching pain may be in the background all the time www.noelhenley.com
- 129. Do You Have Arthritis? Common Locations www.noelhenley.com
- 130. Do You Have Arthritis? Common Locations • Hand www.noelhenley.com
- 131. Do You Have Arthritis? Common Locations • Hand • fingertips www.noelhenley.com
- 132. Do You Have Arthritis? Common Locations • Hand • fingertips • thumb www.noelhenley.com
- 133. Do You Have Arthritis? Common Locations • Hand • fingertips • thumb • Wrist www.noelhenley.com
- 134. Do You Have Arthritis? Common Locations • Hand • fingertips • thumb • Wrist • Elbow www.noelhenley.com
- 135. Do You Have Arthritis? Painful Activities www.noelhenley.com
- 136. Do You Have Arthritis? Painful Activities • Pinching www.noelhenley.com
- 137. Do You Have Arthritis? Painful Activities • Pinching • Gripping www.noelhenley.com
- 138. Do You Have Arthritis? Painful Activities • Pinching • Gripping • Writing www.noelhenley.com
- 139. Do You Have Arthritis? Painful Activities • Pinching • Gripping • Writing • Sewing/Knitting www.noelhenley.com
- 140. Do You Have Arthritis? Painful Activities • Pinching • Twisting • Gripping • Writing • Sewing/Knitting www.noelhenley.com
- 141. Do You Have Arthritis? Painful Activities • Pinching • Twisting • Gripping • Opening jars • Writing • Sewing/Knitting www.noelhenley.com
- 142. Do You Have Arthritis? Painful Activities • Pinching • Twisting • Gripping • Opening jars • Writing • Turning the steering wheel • Sewing/Knitting www.noelhenley.com
- 143. Do You Have Arthritis? 3 Quick Steps to Diagnosis www.noelhenley.com
- 144. Do You Have Arthritis? 3 Quick Steps to Diagnosis 1.Think www.noelhenley.com
- 145. Do You Have Arthritis? 3 Quick Steps to Diagnosis 1.Think 2.Look www.noelhenley.com
- 146. Do You Have Arthritis? 3 Quick Steps to Diagnosis 1.Think 2.Look 3.Touch www.noelhenley.com
- 147. Do You Have Arthritis? Step 1: Think www.noelhenley.com
- 148. Do You Have Arthritis? Step 1: Think •Is the pain in the knuckles or joints? www.noelhenley.com
- 149. Do You Have Arthritis? Step 1: Think •Is the pain in the knuckles or joints? •Did the pain start gradually? www.noelhenley.com
- 150. Do You Have Arthritis? Step 1: Think •Is the pain in the knuckles or joints? •Did the pain start gradually? •Are your joints stiff in the mornings? www.noelhenley.com
- 151. Do You Have Arthritis? Step 2: Look www.noelhenley.com
- 152. Do You Have Arthritis? Step 2: Look •Is your thumb or finger swollen around the joint? www.noelhenley.com
- 153. Do You Have Arthritis? Step 2: Look •Is your thumb or finger swollen around the joint? •Are your joints bent or crooked? www.noelhenley.com
- 154. Do You Have Arthritis? Step 2: Look •Is your thumb or finger swollen around the joint? •Are your joints bent or crooked? •Is there redness around the joint? www.noelhenley.com
- 155. Do You Have Arthritis? Step 3: Touch www.noelhenley.com
- 156. Do You Have Arthritis? Step 3: Touch •Does pushing on the joint cause pain? www.noelhenley.com
- 157. Do You Have Arthritis? Step 3: Touch •Does pushing on the joint cause pain? •Is there pain when you bend it? www.noelhenley.com
- 158. Do You Have Arthritis? Step 3: Touch •Does pushing on the joint cause pain? •Is there pain when you bend it? •Can you feel grinding or crunching? www.noelhenley.com
- 159. What Now?
- 160. What Now? www.noelhenley.com
- 161. What Now? • Doing nothing about arthritis may be appropriate www.noelhenley.com
- 162. What Now? • Doing nothing about arthritis may be appropriate • Rarely is arthritis dangerous www.noelhenley.com
- 163. What Now? • Doing nothing about arthritis may be appropriate • Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck www.noelhenley.com
- 164. What Now? • Doing nothing about arthritis may be appropriate • Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck • Worst case if you do nothing... www.noelhenley.com
- 165. What Now? • Doing nothing about arthritis may be appropriate • Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck • Worst case if you do nothing... • slow worsening of function over years www.noelhenley.com
- 166. What Now? www.noelhenley.com
- 167. What Now? • Best case www.noelhenley.com
- 168. What Now? • Best case • a “burning out” of the arthritis pain www.noelhenley.com
- 169. What Now? • Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain www.noelhenley.com
- 170. What Now? • Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain • disease may not get much worse www.noelhenley.com
- 171. What Now? • Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain • disease may not get much worse • no one can predict this for you www.noelhenley.com
- 172. When to Get Help www.noelhenley.com
- 173. When to Get Help • When pain and stiffness are stopping you from doing what you want to do www.noelhenley.com
- 174. When to Get Help • When pain and stiffness are stopping you from doing what you want to do • When you’ve tried treatments on your own that don’t work any more www.noelhenley.com
- 175. Who Treats Arthritis? www.noelhenley.com
- 176. Who Treats Arthritis? • Primary care doctors and nurses www.noelhenley.com
- 177. Who Treats Arthritis? • Primary care doctors and nurses • Specialists www.noelhenley.com
- 178. Who Treats Arthritis? • Primary care doctors and nurses • Specialists • Rheumatologists (non-surgeon joint doctors) www.noelhenley.com
- 179. Who Treats Arthritis? • Primary care doctors and nurses • Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons www.noelhenley.com
- 180. Who Treats Arthritis? • Primary care doctors and nurses • Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons • Others www.noelhenley.com
- 181. Who Treats Arthritis? • Primary care doctors and nurses • Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons • Others • physical therapists www.noelhenley.com
- 182. How is it Treated? www.noelhenley.com
- 183. How is it Treated? • Medication (over the counter and prescription) www.noelhenley.com
- 184. How is it Treated? • Medication (over the counter and prescription) • Heat/Ice www.noelhenley.com
- 185. How is it Treated? • Medication (over the counter and prescription) • Heat/Ice • Rubs and creams www.noelhenley.com
- 186. How is it Treated? • Medication (over the counter and prescription) • Heat/Ice • Rubs and creams • Splints www.noelhenley.com
- 187. How is it Treated? • Medication (over the counter and prescription) • Heat/Ice • Rubs and creams • Splints • Exercise www.noelhenley.com
- 188. How is it Treated? www.noelhenley.com
- 189. How is it Treated? • Steroid injections www.noelhenley.com
- 190. How is it Treated? • Steroid injections • very small amounts www.noelhenley.com
- 191. How is it Treated? • Steroid injections • very small amounts • much different than steroid pills www.noelhenley.com
- 192. How is it Treated? • Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first! www.noelhenley.com
- 193. How is it Treated? • Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first! • Surgery - when is it time? www.noelhenley.com
- 194. How is it Treated? • Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first! • Surgery - when is it time? • when other things stop working www.noelhenley.com
- 195. Surgery www.noelhenley.com
- 196. Surgery • Types www.noelhenley.com
- 197. Surgery • Types • arthritis removal - take out bone/joint www.noelhenley.com
- 198. Surgery • Types • arthritis removal - take out bone/joint • joint replacement (metal or plastic) www.noelhenley.com
- 199. Surgery • Types • arthritis removal - take out bone/joint • joint replacement (metal or plastic) • “clean out” surgeries www.noelhenley.com
- 200. Surgery www.noelhenley.com
- 201. Surgery • Results www.noelhenley.com
- 202. Surgery • Results • stops pain www.noelhenley.com
- 203. Surgery • Results • stops pain • improves function www.noelhenley.com
- 204. Surgery • Results • stops pain • improves function • reliable for most patients BUT - every patient is different! www.noelhenley.com
- 205. Making a decision www.noelhenley.com
- 206. Making a decision • No treatment or disease is risk-free www.noelhenley.com
- 207. Making a decision • No treatment or disease is risk-free • Risks of doing nothing www.noelhenley.com
- 208. Making a decision • No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment www.noelhenley.com
- 209. Making a decision • No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery www.noelhenley.com
- 210. Making a decision • No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery • No one can decide for you www.noelhenley.com
- 211. Making a decision • No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery • No one can decide for you • Many tools out there (providers and treatments) www.noelhenley.com
- 212. Where Do I Start? www.noelhenley.com
- 213. Where Do I Start? • Start with the doctor or nurse you know best and trust www.noelhenley.com
- 214. Where Do I Start? • Start with the doctor or nurse you know best and trust • Ask friends for recommendations www.noelhenley.com
- 215. Where Do I Start? • Start with the doctor or nurse you know best and trust • Ask friends for recommendations • Medicare or insurance may have rules about seeing one doctor or the other www.noelhenley.com
- 216. Where Do I Start? • Start with the doctor or nurse you know best and trust • Ask friends for recommendations • Medicare or insurance may have rules about seeing one doctor or the other • They can help you decide if going to a specialist is necessary or wise www.noelhenley.com
- 217. Summary www.noelhenley.com
- 218. Summary • You know what arthritis is www.noelhenley.com
- 219. Summary • You know what arthritis is • You know where it is www.noelhenley.com
- 220. Summary • You know what arthritis is • You know where it is • Osteoarthritis and Rheumatoid Arthritis www.noelhenley.com
- 221. Summary • You know what arthritis is • You know where it is • Osteoarthritis and Rheumatoid Arthritis • 3 steps to self-diagnosis www.noelhenley.com
- 222. Summary • You know what arthritis is • You know where it is • Osteoarthritis and Rheumatoid Arthritis • 3 steps to self-diagnosis • You have heard an overview of treatment options and whom to call next www.noelhenley.com
- 223. Final Questions About Treatments www.noelhenley.com
- 224. Final Questions About Treatments • Is it wasting your most valuable asset (time)? www.noelhenley.com
- 225. Final Questions About Treatments • Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment? www.noelhenley.com
- 226. Final Questions About Treatments • Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment? • Does it preserve the pain-free, functional time you have? www.noelhenley.com
- 227. Final Questions About Treatments • Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment? • Does it preserve the pain-free, functional time you have? • Does the treatment have a lasting benefit? www.noelhenley.com
- 228. Final Questions About Treatments • Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment? • Does it preserve the pain-free, functional time you have? • Does the treatment have a lasting benefit? • A doctor cannot answer these questions www.noelhenley.com
- 229. www.noelhenley.com
- 230. Learn more about your hand and arm problems at www.noelhenley.com www.noelhenley.com
- 231. References • Lawrence RC, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheum. 2008 Jan;58(1):26-35. • Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis Rheum. 2006 Jan;54(1):226-29. • Simon L, Lipman SL, et al. Guideline for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and Juvenile Chronic Arthritis. 2nd ed. American Pain Society. Glenview, IL; 2002. www.noelhenley.com
Notas do Editor
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- What is your most valuable asset? (REPEAT) It’s not your bones or your joints or even health, necessarily. It’s YOUR TIME - Do you agree or disagree? It’s the one thing you can’t get more of, right?\n
- more specifically as it relates to today’s topic... the asset I’m trying to preserve is...\n
- your PAIN FREE TIME\nStopping arthritis is ultimately about giving yourself more of this asset. You can’t get more time, but you can get more pain-free time. A good first step in that process is learning about the problem of arthritis. This talk is a good introduction.\n
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- Is it a bad thing? \nSeems like a silly question, but a diagnosis of arthritis is not a reason to panic.\nMost of us know someone with arthritis\nPatients often tell me their mom or grandmother’s hands were bent...\nArthritis can cause significant problems...\n
- Is it a bad thing? \nSeems like a silly question, but a diagnosis of arthritis is not a reason to panic.\nMost of us know someone with arthritis\nPatients often tell me their mom or grandmother’s hands were bent...\nArthritis can cause significant problems...\n
- Is it a bad thing? \nSeems like a silly question, but a diagnosis of arthritis is not a reason to panic.\nMost of us know someone with arthritis\nPatients often tell me their mom or grandmother’s hands were bent...\nArthritis can cause significant problems...\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
- Arthritis is a joint problem, but it can hurt your overall well-being and state of mind. These are non-joint effects.\nMost importantly, however... arthritis is an asset destroyer - remember the asset I mentioned earlier? arthritis is a destroyer of your pain-free time.\n
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- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
- In the joints\nWhich is where two bones meet together in the body\nSome examples of joints include...\n
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- Here’s a common example showing you where joints can be found.\n\nAlmost all of you have seen this at Thanksgiving. The shiny, glistening end of the bone is joint cartilage - the shock absorber for this turkey’s knee joint.\n
- Here is a drawing of two bones coming together to form a joint. Joints are surrounded by a sac of fluid called the joint capsule.\n
- Arthritis is a wearing away of the smooth cartilage surfaces in the joint. Patients often have bone spurs and loose pieces of cartilage in the joint at the same time. \n
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- I’ve heard some people confuse the two terms osteoarthritis and osteoporosis. You can have both, but osteoporosis is a thinning of the bones, which is not a form of arthritis.\n
- remember the turkey leg? - that smooth glistening surface is the problem in OA\n
- remember the turkey leg? - that smooth glistening surface is the problem in OA\n
- remember the turkey leg? - that smooth glistening surface is the problem in OA\n
- remember the turkey leg? - that smooth glistening surface is the problem in OA\n
- remember the turkey leg? - that smooth glistening surface is the problem in OA\n
- So if you remember a family member who had arthritis or know someone who has it now, statistically, it’s more likely to be this kind - osteoarthritis\n
- So if you remember a family member who had arthritis or know someone who has it now, statistically, it’s more likely to be this kind - osteoarthritis\n
- So if you remember a family member who had arthritis or know someone who has it now, statistically, it’s more likely to be this kind - osteoarthritis\n
- So if you remember a family member who had arthritis or know someone who has it now, statistically, it’s more likely to be this kind - osteoarthritis\n
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- This is a much different kind of arthritis than OA. It’s treated differently and acts differently in many ways. \n
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- In this picture I want you to notice this smooth synovium, or joint lining on the LEFT. The one on the RIGHT with rheumatoid arthritis is jagged and inflamed.\n
- In this picture I want you to notice this smooth synovium, or joint lining on the LEFT. The one on the RIGHT with rheumatoid arthritis is jagged and inflamed.\n
- In severe deformity, the fingers point toward the pinkie fingers, the knuckles are very swollen and deformed.\n
- The first step in diagnosing arthritis is to think about symptoms you have.\n
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- I frequently see patients with thumb pain who had no pain until they fell or jammed the thumb. The trauma of the fall seems to start the pain of arthritis in these patients.\n
- I frequently see patients with thumb pain who had no pain until they fell or jammed the thumb. The trauma of the fall seems to start the pain of arthritis in these patients.\n
- I frequently see patients with thumb pain who had no pain until they fell or jammed the thumb. The trauma of the fall seems to start the pain of arthritis in these patients.\n
- I am an orthopaedic surgeon, but I specialize in treating hands and arms. These are the most common locations for arthritis in the hands and arms (repeat).\n
- I am an orthopaedic surgeon, but I specialize in treating hands and arms. These are the most common locations for arthritis in the hands and arms (repeat).\n
- I am an orthopaedic surgeon, but I specialize in treating hands and arms. These are the most common locations for arthritis in the hands and arms (repeat).\n
- I am an orthopaedic surgeon, but I specialize in treating hands and arms. These are the most common locations for arthritis in the hands and arms (repeat).\n
- I am an orthopaedic surgeon, but I specialize in treating hands and arms. These are the most common locations for arthritis in the hands and arms (repeat).\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- When I ask patients what makes their pain worse, these are the most common answers.\n\nBe thinking about whether you have any of these symptoms...\n
- These are the same steps any conscientious physician will take to make a diagnosis of arthritis. \n\nLet’s go through each of these steps in detail.\n
- These are the same steps any conscientious physician will take to make a diagnosis of arthritis. \n\nLet’s go through each of these steps in detail.\n
- These are the same steps any conscientious physician will take to make a diagnosis of arthritis. \n\nLet’s go through each of these steps in detail.\n
- Thinking about the patter of pain and symptoms is the first step. \n
- Thinking about the patter of pain and symptoms is the first step. \n
- Thinking about the patter of pain and symptoms is the first step. \n
- Take a careful look at your hand or other joints. Sometimes I can tell someone has arthritis just by looking at their hands.\n
- Take a careful look at your hand or other joints. Sometimes I can tell someone has arthritis just by looking at their hands.\n
- Take a careful look at your hand or other joints. Sometimes I can tell someone has arthritis just by looking at their hands.\n
- Press on, move, and feel your joints - you may notice some things for the first time. \n
- Press on, move, and feel your joints - you may notice some things for the first time. \n
- Press on, move, and feel your joints - you may notice some things for the first time. \n
- What if you think you have arthritis, or you’ve been diagnosed with arthritis?\n
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- In many situations, arthritis pain and symptoms may get better over time. \n
- In many situations, arthritis pain and symptoms may get better over time. \n
- In many situations, arthritis pain and symptoms may get better over time. \n
- In many situations, arthritis pain and symptoms may get better over time. \n
- In many situations, arthritis pain and symptoms may get better over time. \n
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- Who treats arthritis? \n
- Who treats arthritis? \n
- Who treats arthritis? \n
- Who treats arthritis? \n
- Who treats arthritis? \n
- Who treats arthritis? \n
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- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
- - Steroid injections can shut down inflammation and provide pain relief\n\n- Surgery: consider it when other treatments are eating away at that valuable asset we talked about (yes, even treatments can destroy it).\n
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- - you know what it is\n- you know where it is\n- you know what the two main types are\n- I’ve reviewed a quick three step guide to diagnosing arthritis\n- you have heard an overview of treatment options and know whom to call\n
- - you know what it is\n- you know where it is\n- you know what the two main types are\n- I’ve reviewed a quick three step guide to diagnosing arthritis\n- you have heard an overview of treatment options and know whom to call\n
- - you know what it is\n- you know where it is\n- you know what the two main types are\n- I’ve reviewed a quick three step guide to diagnosing arthritis\n- you have heard an overview of treatment options and know whom to call\n
- - you know what it is\n- you know where it is\n- you know what the two main types are\n- I’ve reviewed a quick three step guide to diagnosing arthritis\n- you have heard an overview of treatment options and know whom to call\n
- - you know what it is\n- you know where it is\n- you know what the two main types are\n- I’ve reviewed a quick three step guide to diagnosing arthritis\n- you have heard an overview of treatment options and know whom to call\n
- One last comment about treatments for arthritis. You’ll find dozens of treatments recommended by doctors, friends, relatives, and others, ranging from the ones I’ve mentioned here to other more bizarre methods.\n- Here are two questions to ask yourself about any treatment or program\n- the short version of these questions is: is the treatment having an effect, and are its benefits long-lasting?\n- no one can answer these personal questions for you\n
- One last comment about treatments for arthritis. You’ll find dozens of treatments recommended by doctors, friends, relatives, and others, ranging from the ones I’ve mentioned here to other more bizarre methods.\n- Here are two questions to ask yourself about any treatment or program\n- the short version of these questions is: is the treatment having an effect, and are its benefits long-lasting?\n- no one can answer these personal questions for you\n
- One last comment about treatments for arthritis. You’ll find dozens of treatments recommended by doctors, friends, relatives, and others, ranging from the ones I’ve mentioned here to other more bizarre methods.\n- Here are two questions to ask yourself about any treatment or program\n- the short version of these questions is: is the treatment having an effect, and are its benefits long-lasting?\n- no one can answer these personal questions for you\n
- One last comment about treatments for arthritis. You’ll find dozens of treatments recommended by doctors, friends, relatives, and others, ranging from the ones I’ve mentioned here to other more bizarre methods.\n- Here are two questions to ask yourself about any treatment or program\n- the short version of these questions is: is the treatment having an effect, and are its benefits long-lasting?\n- no one can answer these personal questions for you\n
- One last comment about treatments for arthritis. You’ll find dozens of treatments recommended by doctors, friends, relatives, and others, ranging from the ones I’ve mentioned here to other more bizarre methods.\n- Here are two questions to ask yourself about any treatment or program\n- the short version of these questions is: is the treatment having an effect, and are its benefits long-lasting?\n- no one can answer these personal questions for you\n
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