Living with rheumatoid arthritis
Book - 2024
"This work is a revised edition of the classic, comprehensive, and trusted guide to rheumatoid arthritis"--
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- Subjects
- Genres
- Popular works
- Published
-
Baltimore :
Johns Hopkins University Press
2024.
- Language
- English
- Main Author
- Edition
- Fourth edition
- Physical Description
- xxi, 412 pages : illustrations ; 24 cm
- Bibliography
- Includes bibliographical references and index.
- ISBN
- 9781421449883
9781421449890
- Preface
- Acknowledgments
- Introduction: Defining Rheumatoid Arthritis
- Part I. Learning About Rheumatoid Arthritis
- Chapter 1. The Joints and Rheumatoid Arthritis
- The Joints
- Rigid joints
- Slightly mobile joints
- Freely movable joints
- What are the parts of a synovial joint?
- The Joints in RA
- What is inflammation?
- How is the inflammation of RA different from normal inflammation?
- The phases of RA: How does inflammation start and how does it affect the joints?
- Chapter 2. The Course and Prognosis of Rheumatoid Arthritis
- The Course of RA
- How does RA usually start?
- What course of arthritis can I expect?
- Can a remission be brought on with medications?
- The Prognosis of RA
- Can arthritis be cured?
- Will additional joints become involved over time?
- Will I become disabled?
- Does RA shorten a person's Life?
- Chapter 3. Diagnosing Rheumatoid Arthritis: Why So Many Tests?
- Clinical History
- Physical Examination
- Differential Diagnosis
- What makes RA so difficult to diagnose?
- Diagnostic Tests
- What tests are used to diagnose or monitor RA activity?
- What tests are used to rule out other types of arthritis?
- What tests are used to screen for complications of RA or medication side effects?
- The Future-Biomarkers
- Chapter 4. Outside the Joints: Other Signs and Symptoms of Rheumatoid Arthritis
- Blood and Blood Vessels
- How does RA affect the blood?
- What about the blood vessels?
- Eyes and Mouth
- Skin
- Nerves
- Chest and Lungs
- Vocal Cords
- The Heart and Cardiovascular System
- Sexual and Reproductive Organs
- The Bones
- Part II. Coping with Rheumatoid Arthritis
- Chapter 5. Lifestyle and Coping Strategies
- Creating a Lifestyle and Attitude Aimed at Wellness
- Kick bad habits
- Eat right
- Get fit
- Get sleep
- Think prevention
- Go simple
- Don't sweat the big stuff
- Be your own best friend
- Developing Success-Driven Methods of Problem Solving
- Define and assess the problem
- Set realistic goals and expectations
- Develop methods for problem solving and negotiating
- Use all available resources
- Modify negative thoughts and behaviors
- Be willing to reassess
- Chapter 6. Coping with Pain and Fatigue
- Pain
- What is pain?
- Pain and your emotions
- What is the pain message in RA?
- Decreasing pain
- Fatigue
- Why am I so tired?
- Controlling fatigue
- Chapter 7. Coping with Emotions-Yours and Everyone Else's
- Anger
- Managing anger
- Depression
- Managing depression
- Anxiety, Fear, and Stress
- Anxiety
- Fear
- Stress
- ReLieving the tension of anxiety, fear, and stress
- Dealing with Friends and Family
- Asking for help
- The special case of chiLdren
- Love and intimacy
- Friends and relatives
- Part III. Exercise and Rehabilitation
- Chapter 8. Protecting Your Joints
- Joint Protection Guidelines
- Respect your pain
- Balance rest with activity
- Maintain your muscle strength
- Avoid activities that cannot be interrupted for rest
- Avoid positions that promote deformity
- Use the Largest joint and the strongest muscle available to complete a task
- Avoid remaining in one position or using muscles in one stationary position for long periods
- Use splinting as needed
- Use assistive equipment as needed
- Protecting Specific Joints
- Hands and wrists
- Elbows and shoulders
- Hips and knees
- Ankles and feet
- Chapter 9. Exercise and Rheumatoid Arthritis
- Trends in Therapeutic Advice
- Types of Exercise
- Range of motion
- Strengthening
- Aerobic
- Starting an Exercise Program
- Warm-up
- Workout
- Cooldown
- Exercises That Are Right for You
- For people with very inflamed joints
- For people with moderately inflamed joints
- For people with controlled joints
- Mind-Body Exercises
- Tai chi
- Qigong
- Yoga
- Chapter 10. Specific Exercises
- Range-of-Motion and Strengthening Exercises
- Neck range-of-motion exercises
- Neck muscle-strengthening exercises
- Shoulder range-of-motion exercises
- Elbow range-of-motion exercises
- Shoulder and elbow muscle-strengthening exercises
- Wrist and finger range-of-motion exercises
- Hip range-of-motion exercises
- Knee range-of-motion exercises
- Hip and knee muscle-strengthening exercises
- Ankle range-of-motion exercises
- Aerobic, or Endurance, Exercises
- What is your target heart rate?
- Taking your pulse
- Beginning your aerobic exercise program
- Guidelines for specific aerobic exercise
- Part IV. Medications
- Chapter 11. Medications Past, Present, Future
- The Past: The Conservative Approach
- The Present: More Aggressive Approaches to Therapy
- The Future
- Current Treatments: NSAIDs, DMARDs, and Glucocorticoids
- Chapter 12. Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
- Aspirin
- NSAIDs
- Side effects of NSAIDs
- Cautionary notes
- Stomach medications frequently used with NSAIDs
- Chapter 13. Conventional Disease-Modifying Antirheumatic Drugs (cDMARDs)
- Nonimmunosuppressant cDMARDs
- Oral gold: auranofin
- Hydroxychloroquine
- Sulfasalazine
- Minocycline
- Immunosuppressant cDMARDs
- Methotrexate
- Leflunomide
- Azathioprine
- Cyclophosphamide
- Cyciosporine
- Chapter 14. Biotherapies: The Biologies, or bDMARDs
- Understanding Cytokines and Inflammation
- Using the body's secrets to tame inflammation: Balancing the cytokines
- Redirecting the message makers: Calming the B cell and T cell
- The Biologies: Practical Considerations
- Subcutaneous injections: Can I give myself the shot?
- Intravenous infusions: What to expect
- Cost issues
- Which biologic should I take?
- Risk of infection: The most serious of biologic side effects
- Biologic Agents against Tumor Necrosis Factor: The TNF Blockers
- Etanercept (Enbrel)
- Infliximab (Remicade)
- Adalimumab (Humira)
- Golimumab (Simponi, Simponi Aria)
- Certolizumab pegol (Cimzia)
- Important safety information regarding TNF blockers
- Biologic Agents against Interleukin-1: The IL-1 Blockers
- Anakinra (Kineret)
- Biologic Agents against Interleukin-6: The IL-6 Blockers
- Tocilizumab (Actemra)
- Sarilumab (Kevzara)
- Important safety information regarding IL-6 blockers
- Biologic Agents that Affect the T Cell: The T Cell Modulators
- Abatacept (Orencia)
- Biologic Agents that Affect the B Cell: The B Cell Modulators
- Rituximab (Rituxan)
- Chapter 15. Targeted Synthetic DMARDs
- A Look inside the Immune Cell
- Tofacitinib (Xeljanz)
- Baricitinib (Olumiant)
- Upadacitinib (Rinvoq)
- Important safety information regarding JAK inhibitors
- Chapter 16. Glucocorticoids
- Oral Glucocorticoids
- Side effects of oral glucocorticoids
- Cautionary notes
- Intra-articular Corticosteroid Injections
- What to do after a joint injection
- Part V. Beyond Medications: Other Treatments
- Chapter 17. Alternative and Complementary Therapies
- Aromatherapy
- Ayurveda
- Oil pulling
- Bodywork
- Energy Work
- Breathing Techniques, Breath Therapy, or Breathwork
- Chinese Medicine
- Acupuncture
- Music and Sound Therapy
- Mindfulness and Other Mind-Body Therapies
- Naturopathy
- Spa Therapy, Hydrotherapy, and Balneotherapy
- Homeopathy
- Guidelines for Evaluating Unproven Treatments
- For More information
- Chapter 18. Nutrition: Diets, Nutrients, and Nutritional Supplements
- Nutrition and RA
- The Importance of Weight Management in RA
- Specific Food Groups and RA
- Fats and oils
- Sugar
- Bread, cereals, rice, and pasta
- Fermented foods
- Vegetables
- Fruits
- Meat, poultry, fish, and eggs
- Legumes
- Nuts and seeds
- Milk, yogurt, and cheese
- Tea and coffee
- Alcohol
- Special Diets
- Elimination diets
- Fasting
- Plant-based diets
- Gluten-free diet
- Mediterranean diet
- Paleo diet and autoimmune protocol diet
- Recommendations
- A Word on Nutritional Supplements
- Guidelines for evaluating nutritional supplements
- Vitamins and Minerals
- Vitamins
- Minerals
- Herbs and Plant-Based Supplements
- Ashwagandha
- Boswellia
- Bromelain
- Cannabis and cannabis-derived products
- Cat's claw
- Curcumin
- Devil's claw
- Feverfew
- Ginger
- Yucca
- Other Supplements
- Antioxidants
- Fish oil and essential fatty acids: EPA, DHA, and ALA
- Fiber supplements, probiotics, and prebiotics
- Recommendations regarding specific supplements
- For More information
- Chapter 19. Surgery for Rheumatoid Arthritis
- Surgeons Specializing in the Treatment of RA
- Types of Surgery
- Arthroscopic surgery
- Synovectomy
- Tendon reconstruction or transfer
- Joint fusion, or arthrodesis
- Osteotomy and bone resection
- Joint replacement and joint resurfacing
- Preparing for and Recovering from Surgery
- Before surgery
- During your recovery
- Part VI. Practical Matters
- Chapter 20. Disability Benefits, Insurance, and Other Financial Matters
- Disability Benefits
- Commercial and employment disability programs
- State disability policies
- Social Security disability benefits
- Vocational rehabilitation benefits
- Health Insurance
- Private health insurance
- COBRA
- Government health insurance
- Veterans Administration Benefits
- Income Taxes
- Financial Help for RA Treatment
- For More Information
- Chapter 21. Other Concerns
- Pregnancy and Childbirth
- Can I become pregnant?
- How will pregnancy affect my RA?
- How will RA affect my pregnancy?
- How will my RA affect my unborn child?
- Can I breastfeed my infant?
- Fatherhood questions
- Will my child have RA?
- Will I be able to care for my baby?
- Immunization for the Person with RA
- Influenza
- Pneumococcal
- Shingles
- Human papilloma vaccination
- COVID-19
- Clinical Research
- What is clinical research?
- How do clinical studies operate?
- Should I participate in a clinical trial?
- Travel Tips
- Medical tips for travelers
- Driving tips
- When traveling by air
- For More information
- Closing Thoughts
- Glossary
- Bibliography
- Index