Arthritis & Joint Replacement Clinic
Time magazine reported a study published in Arthritis and Rheumatology Journal. The study included 3,026 men and women between the ages of 50-79 years. Over the course of a two and a half year study period, the researchers analyzed both leg strength and presence of symptoms for osteoarthritis. At each checkpoint, they also inquired about discomfort or stiffness in the knees. By the end of the study period they found that, strong muscles in thighs and legs protect against knee pain. The study reported that women with the strong thighs had lower levels of pain.
Osteoarthritis is thought to be the most prevalent chronic joint disease. The incidence of osteoarthritis is rising because of the ageing population and the epidemic of obesity. Pain and loss of function are the main clinical features that lead to treatment, including non-pharmacological, pharmacological, and surgical approaches. Clinicians recognise that the diagnosis of osteoarthritis is established late in the disease process, maybe too late to expect much help from disease-modifying drugs. Despite efforts over the past decades to develop markers of disease, still-imaging procedures and biochemical marker analyses need to be improved and possibly extended with more specific and sensitive methods to reliably describe disease processes, to diagnose the disease at an early stage, to classify patients according to their prognosis, and to follow the course of disease and treatment effectiveness. In the coming years, a better definition of osteoarthritis is expected by delineating different phenotypes of the disease. Treatment targeted more specifically at these phenotypes might lead to improved outcomes.
For people with severe arthritis,there is some good news - scientists have discovered two genes, which could predict a disabling form of spondylitis in later life.
Yes, researchers have identified the two genes that significantly increase the risk of ankylosing spondylitis which causes inflammation in the joints between vertebrae and can lead to bone erosion and the fusion of bones in the spine. The discovery could not only lead to early diagnosis but would also facilitate more effective treatment, The Daily Telegraph reported.
Do you have difficulty climbing stairs? A sudden stiffness or pain after sitting for a long duration? Don't ignore it. You could be having arthritis. And it's not something that affects only older people, as is the notion. Arthritis, especially osteoarthritis, is on an alarming rise with a study saying we have over 180 million patients in India, some below the age of 25! In addition, this disease is on the rise among women.
Arthritis occurs commonly in small joints of the hand, the vertebral column and the knees. Broadly, it can be divided into osteoarthritis - arthritis due to wear and tear of muscles with age - and inflammatory arthritis (Rheumatoid Arthritis).
Introduction & overview
More than 5% of India's population is aged above 65 years (UNICEF.org, India, Wikipedia.org). In the year 2014 there are 7.19 Crore people in India were above 65 years of age (www.cia.gov). Life expectancy at birth in India for males is 68 years and for females is 73 years (wikipedia.org). It is estimated that number of people above 65 will more than double in next two decades (Fransen, International Journal of Rheumatic Disease 2011). As more and more of us will continue to enjoy a longer life because of gradual economic prosperity and better health care available to us as compared to our previous generations, we will have to treat and manage more and more health problems that affect the senior citizens.
According to the data published in the Indian Journal of Community Medicine in the year 2007, more than half of all people in the age group 67- 74 years suffer from osteoarthritis (OA). In the same research, it was reported that, almost all people beyond 85 years of age suffer from some form of arthritis or other. In addition to OA, there are 3.6 Crore patients of Rheumatoid Arthritis (RA) in India (Joshi, Indian Journal of Rheumatology 2013). Permanent damage to knee and hip joints because of RA leading to secondary OA is very common. According to another survey 'TNS Arogya 2006-07' by an ISO accredited independent market research agency, conducted in 16 cities in India, including Nagpur, it was estimated that there are 7.8 crore people with osteoarthritis in India which was corroborated by WHO estimate of 7 crore patients of osteoarthritis in India. Therefore, at least 10 - 11 Crore sufferers of knee OA in India and this number will increase.
Thus OA is a slow but definite and expanding epidemic in making in our country. OA is a major cause of morbidity, activity limitation, physical disability, excessive health care utilization and reduced health related quality of life. It is now recognized that OA is not only cause of pain and physical dysfunction and disability but also associated with excess mortality (Hotchberg, Osteoarthritis Medicographia, 2013).