structure of pyrimidines and purines - Arthritis - Herbs and Ayurvedic Remedies, Arthritis Symptom and other Treatments
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Arthritis - Herbs and Ayurvedic Remedies, Arthritis Symptom and other Treatments

What is Arthritis? Arthritis is inflammation of the joints. It can occur anywhere in the body and, based on that, there are several types of arthritis. The most common type of arthritis is osteoarthritis which is the common ailment of pain in the joints observed in elderly people. Other common types of arthritic ailments are rheumatoid arthritis and gout.


What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone.


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 If you don't wish to download it, the database can also be viewed online HOW EXACTLY CAN A GOUT SUFFERER USE IT? Apart from the obvious benefit of quickly learning the nutrient values of foods to construct a free gout diet. Here are a few ways.

Read More on Arthritis treatment by Ayurveda and Arthritis Home Remedies.

The carbohydrate, protein and fats amount in foods can be easily found in the National Nutrient database. For this diet you also need to distinguish between mono and poly unsaturated fats and saturated fats. The amounts of these in foods are easily discovered in the database

(2) Rheumatoid Arthritis - Rheumatoid arthritis is a more serious problem than osteoarthritis because it can occur at any age. In people with rheumatoid arthritis, the ligaments and tendons between the joints undergo degeneration. This causes severe pain where the degeneration has taken place. Common rheumatoid arthritis pains are felt in the fingers; but other places like the wrists, hip and knees are also affected. Rheumatoid arthritis is responsible for deformation of the fingers.

Which foods are acidic and which are alkaline? Visit http://www.home.bluegrass.net/~jclark/alkaline_foods.htm to download pH potential of foods tables.

PURINE TABLES Over-producers of uric acid (as opposed to under-excretors) may benefit from a low purine gout diet since restricting purines in foods probably means less available to be converted into uric acid. Do you want the purines contents of foods and drinks? Visit http://www.acumedico.com/purine.htm

If you have recurrent pains in the joints, then do not keep the joint covered. As far as possible, keep the joint exposed to the air. For example, if you have pain in the knee joints, then do not wear tight denim clothing; shorts would be a good idea. This will provide freer circulation of blood in the joint and reduce the pains.

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?? Tomatoes ?? Peppers ?? Salt Simple yogic asanas and light exercise helps proper digestion of the body and also protects it from autoimmune problems. Hence, these are beneficial in arthritis.

?? Applying a paste of limestone and honey on the affected joints externally provides relief. ?? Mash some mustard in warm water and apply this solution on the joints. This must be done repeatedly to get results.

Gotcha! Three very useful free gout resources to use as part of natural gout treatment.

John Mepham has spent much time researching gout. His best tip for curing gout naturally? Get to your ideal weight whatever the sacrifices may be. Learn more about natural gout treatment and natural remedies for gout at www.gout-smashers-guide.com It's an e-book with a emphasis on natural gout treatment.

(3) Septic Arthritis - Septic arthritis is a special type of arthritis which is caused when the joints get infected. (4) Gout - Gout is common old-age arthritis. It is caused when crystals of uric acid are deposited in the spaces between the joints. This type of arthritis is linked with faulty digestion.

Colchicine is typically used if the first line medications like NSAID's do not help but most people have relief of pain ultimately. Even if no medicines are taken the attack will subside in a few days. However if repeated attacks occur there can be lasting damage.

This can also be done for alkalizing minerals such as calcium, magnesium, potassium and zinc. And for important antioxidants that gout sufferers need such as Vitamin C, Vitamin E, Selenium and Beta Carotene.

?? Mix some cardamom in milk. Put a pinch of turmeric in this milk. This is to be drunk every night while going to sleep. This makes the person sleep peacefully in the morning.

What are the Symptoms of Arthritis? In all types of arthritis, the following symptoms are observed:- ?? The initial pains are felt as fleeting pains in the joints, which seem to be no more than a twitching pain.

References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001

Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement.

?? The pains could increase in the winter season or in cold nights. How can Arthritis be avoided? Arthritis cannot be avoided effectively as it is a common ailment that occurs with advancing age. One must learn to live with the problem. But there are various things which can be avoided in order to keep arthritis at bay.

The word arthritis is derived from two root Greek words - arthros meaning 'joint' and it is meaning 'inflammation'. Hence, arthritis literally translates as inflammation of the joints.

As with all medications make sure you do not have an allergy to them and sometimes taking the medicine with food may decrease stomach upset or gastric distress, especially medicines like steroids.

The following foods must be avoided if you have continuous arthritic pains:- ?? Animal fats ?? Fried foods ?? Foods rich in carbohydrates like potatoes

In some situations steroid medications like prednisone may be needed. The steroids will decrease the inflammation and decrease the chemical responses that cause pain. It is important to know that there are many side effects from all of the medications and you must discuss these with your healthcare provider.

Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000

Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

If a person is on many medications, which can cause gout, changing these may help. One common cause is diuretic medications, which decrease leg swelling or edema. Many older individuals are on these medicines and if they get a gout attack they must remember this fact.

Turf toe gets no respect. Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:

?? Put two teaspoons of cumin into a glass of water. Bring this to a boil. When the water is still hot, soak a towel in it and foment the affected region with this towel. This will provide relief from the pain within a few hours.

You can even discover how cooking, canning and freezing various foods affects the Vitamin C content of them. (It usually falls). Not only can you look up each food you are interested via the database but you can also at this site look up lists (called reports) sorted from highest to lowest and download those lists to your home or office computer. For some investigations, it's a great time saver. These reports require Adobe Reader.

To download visit http://www.ars.usda.gov/Services/docs.htm?docid=8964 Scroll down to where the text says "download the database for use on your computer with various software packages." Click on this. On the next page that arrives click on pcs20 exe to download it. There is also an 11 page downloadable guide in Adobe Reader which explains how to download, and how to use the database. Click on "user's guide."

 
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Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe

Functional hallux limitus - biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.

?? Asafetida mixed with egg yolk can be applied on the affected joints to seek immediate relief. ?? Prepare a pancake from wheat flour. Roast it on one side, but leave it uncooked on the other. Then put some heated mustard oil on the uncooked side. When it is hot, tie it like a tourniquet on the affected joint, or provide fomentation with it. This provides quick relief.

Not in this case. The USDA National Nutrient database for Windows, Standard Reference, Release SR20 is free and it's easily downloaded. It comes courtesy of the U.S. Dept. of Agriculture and HeatheTech Inc.

When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint.


Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.

So much of natural gout treatment requires diet and every gout sufferer has to pay very close attention to what they eat and drink. Imagine how useful a nutrition database on your home computer is; one that you can quickly access, without going to the Internet or 500 page reference books, to look up the nutrients in foods and beverages. And suppose that this comprehensive database is free and easily downloaded? Too good to be true?

Vitamin C has been pretty well researched as a natural gout remedy. It has been found to lower uric acid levels somewhat. In the last study about it in 2005, with 500 mg of Vitamin C daily. Vitamin C is best taken in foods. Use the National Nutrient database to find the natural Vitamin C content of foods

The relief of pain is remarkable with some of the anti-inflammatory medicines also called NSAIDS or non-steroidal anti-inflammatory medications. The typical example is indomethacin or ibuprofen. Applying local ice or heat may sometimes help as well as keeping the joint without moving or bumping into objects.

Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint.

?? Pains alternate between various joints quickly. ?? If the arthritis becomes acute, then on a particular day there is very sharp pain in a joint, and it becomes absolutely normal the next day. The next day another joint could be affected in a similar fashion.

But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.

How can Arthritis be controlled with Simple Home Remedies? Some household remedies are known to provide relief from arthritic pains. The following are some of the more benefiting ones:-


Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

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Is the onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step.

Gout is caused by the increase in the amount of uric acid in the blood. Uric acid is normally removed from the body through the urine, however if it is not excreted it can form crystals, which irritate body tissues like the lining of joints. This will in turn cause inflammation and pain, which is often quite severe.

Why is Arthritis caused? Different types of arthritis are caused due to different reasons. (1) Osteoarthritis - Osteoarthritis is a common old-age problem, which affects several people who have crossed the age of 40 years. In people with osteoarthritis, the bones may increase in size at their articulating points. As a result the spaces between them in the joints become less. When moving about, there is a high probability that different bones will rub against each other. This is the cause of osteoarthritis.

Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.

In earlier articles I have written about the success a South African study of the use of three Zone diet rules had in lowering uric acid and against gout attacks in 13 male gout patients. Essentially, at the practical, do-it-yourself level, the Zone diet involves discovering your ideal amount of carbohydrates, protein and fats, and then implementing these amounts in your diet. How to discover and implement them are in the book "Entering the Zone" (aka the Zone diet) with additional tips and techniques in follow-up book "Mastering the Zone," both written by Barry Sears PhD. So too are many of the necessary values in foods. But the values tables in the books do not cover as many foods and beverages as does this "Titanic of nutrition" database.

Its site says that there are Mac and handheld versions too. So if you use a handheld computer it can be used outside your home. It can be searched online for the vitamin, mineral, water, ash, protein, calorie, carbohydrate, fats, fibre (fiber), sugars, caffeine and others, of foods and beverages.

Arthritis is an auto-immune disease, which means, it is a disease in which the human body attacks itself. It begins in one or two joints where an acute pain is felt. This is the most miserable phase of arthritis. Over time, this pain may disappear, but it could cause permanent deformities in the bones and joints.

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.


 
 
     
 
 





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