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Arthritis For Dummies - Barry Fox, Nadine Taylor, Jinoos Yazdany

Arthritis For Dummies

Buch | Softcover
384 Seiten
2004 | 2nd edition
For Dummies (Verlag)
978-0-7645-7074-2 (ISBN)
CHF 25,60 inkl. MwSt
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Whether it appears as a little bit of creaky stiffness in the hip or knee or as a major case of inflammation that settles in several joints, arthritis is an unwelcome visitor that knocks on just about everybody's door sooner or later.
A must-have reference for arthrits patients and their loved ones

Whether it appears as a little bit of creaky stiffness in the hip or knee or as a major case of inflammation that settles in several joints, arthritis is an unwelcome visitor that knocks on just about everybody’s door sooner or later. Although there is currently no out-and-out cure for arthritis, there are many techniques for managing this disease—that is, controlling its symptoms so that you can get on with your life! Arthritis For Dummies is a book for both the millions who suffer from chronic joint conditions classified under arthritis, as well as family members and friends of arthritis sufferers who want to offer support and help. The bestselling author of The Arthritis Cure, Dr. Barry Fox, along with healthcare professionals Nadine Taylor and Jinoos Yazdany, have updated this friendly, hands-on guide to give you the latest information available on:



The different types of arthritis
Diagnosing the condition
Alleviating your symptoms and minimizing pain
The latest treatments and therapies
Living day-to-day with arthritis and improving your lifestyle

This friendly guide features expert advice on finding a doctor that’s right for you and walks you through the latest medications, diagnostic procedures, surgical advances, and dietary findings to help you manage arthritis, slow down its progression, and enjoy life to the fullest. You get diet, exercise, and self-care regimens designed to protect and soothe your joints, as well as the latest on:



Keeping your joints in shape
Spotting warning signs
Evaluating conventional and alternative treatments
Making positive lifestyle changes
Dealing with chronic pain
Exercising away your stiffness
Coping with stress, anger, and depression

Complete with tips on traveling with arthritis, saving money on prescriptions, and managing your weight safely, Arthritis For Dummies is your must-have guide to controlling your symptoms, finding lasting relief, and enjoying life to the fullest!

Barry Fox and Nadine Taylor are a husband-and-wife writing team living in Los Angeles, California. Barry Fox, PhD, is the author, coauthor, or ghostwriter of numerous books, including the New York Times number-one bestseller, The Arthritis Cure (St. Martin’s, 1997). He also wrote its sequel, Maximizing The Arthritis Cure (St. Martin’s, 1998), as well as The Side Effects Solution (to be published by Broadway Books in 2005), What Your Doctor May Not Tell You About Hypertension (Warner Books, 2003), What Your Doctor May Not Tell You About Migraines (Warner Books, 2001), Syndrome X (Simon & Schuster, 2000), The 20/30 Fat and Fiber Diet Plan (HarperCollins, 1999), and Cancer Talk (Broadway Books, 1999). His books and over 160 articles covering various aspects of health, business, biography, law, and other topics have been translated into 20 languages. Nadine Taylor, MS, RD, is the author of Natural Menopause Remedies (Signet, 2004), 25 Natural Ways To Relieve PMS (Contemporary Books, 2002) and Green Tea (Kensington Press, 1998), as well as co-author of Runaway Eating (to be published by Rodale in 2005), What Your Doctor May Not Tell You About Hypertension (Warner Books, 2003), and If You Think You Have An Eating Disorder (Dell, 1998). After a brief stint as head dietitian at the Eating Disorders Unit at Glendale Adventist Medical Center, Ms. Taylor lectured on women’s health issues to groups of health professionals throughout the country. She has also written numerous articles on health and nutrition for the popular press. Jinoos Yazdany, MD, MPH, is a board-certified internist and a Rheumatology Fellow at the University of California, San Francisco. She completed her undergraduate education at Stanford University, where she received the Deans’ Award for Academic Achievement and graduated with Honors and Distinction. She completed medical school at the University of California, Los Angeles, where she received a Humanism in Medicine award from the Health Care Foundation of New Jersey and graduated Alpha Omega Alpha. Dr. Yazdany also studied public health at Harvard University. Her research involves examining health disparities in the care of patients with chronic diseases. This is her first book.

Introduction 1

About This Book 1

Foolish Assumptions 2

How This Book Is Organized 2

Part I: Getting a Grip on Types of Arthritis 3

Part II: Tests and Treatments: What to Expect from Your Doctor 3

Part III: The Arthritis Lifestyle Strategy 3

Part IV: Is Alternative Medicine for You? 3

Part V: The Part of Tens 4

Part VI: Appendixes 4

Icons Used in This Book 4

Where to Go from Here 5

Part I: Getting a Grip on Types of Arthritis 7

Chapter 1: What Is Arthritis? 9

Understanding How Arthritis Affects Your Joints 10

Saying hello to your joints 10

Looking at the types of synovial joints 13

Distinguishing Between Arthritis and Arthritis-Related Conditions 15

Defining “true” arthritis 16

Classifying arthritis as a “major player” 17

Describing arthritis as a “minor player” 17

Experiencing arthritis as a “companion condition” 19

Deciding Whether It’s Really Arthritis: Signs and Symptoms 19

Considering the Causes of Arthritis 20

Understanding Who Gets Arthritis 22

Assessing Your Treatment Options 23

Looking into medications 23

Considering surgery 24

Making lifestyle changes 24

Looking at alternative approaches 26

Chapter 2: Osteoarthritis: The Most Common Form 27

Considering Cartilage 27

Identifying the Signs and Symptoms of Osteoarthritis 29

Discovering What Causes Cartilage Breakdown 30

Considering causes of primary osteoarthritis 31

Sorting out the sources of secondary osteoarthritis 31

Regarding the repair problem 32

Recognizing Risk Factors for Osteoarthritis 32

Determining Whether It Really Is Osteoarthritis 34

Treating Osteoarthritis 34

Muting the pain with medication 35

Lubricating your joints with exercise 35

Protecting your joints through good alignment 36

Heating and cooling the pain away 36

Taking a load off with weight control 36

Knowing how to help yourself 37

Considering surgery 38

Chapter 3: A War Within: Rheumatoid Arthritis 39

Turning on Itself: The Body Becomes Its Own Worst Enemy 40

Recognizing the signs and symptoms of RA 42

Understanding the causes of RA 44

Describing the most likely victim of RA 45

Diagnosing Rheumatoid Arthritis 45

Searching for clues: The medical history and physical exam 45

Taking tests 45

Treating Rheumatoid Arthritis 46

Relying on rest 46

Delving into your diet 47

Easing into exercise and physical therapy 47

Protecting your joints 47

Applying hot or cold compresses 48

Taking medication 48

Saving your joints via surgery 50

Modifying risk factors for heart disease 50

Predicting the outcome 50

Looking to the future 51

Understanding the Difference between Osteoarthritis and Rheumatoid Arthritis 51

Chapter 4: Investigating Other Forms of Arthritis 53

Gaining Insight into Gout: It’s Not Just for Royalty 53

Summarizing the symptoms 54

Diagnosing and treating gout 55

Helping yourself heal 56

Studying Pseudogout: The Royal Pretender 56

Summarizing the symptoms 57

Diagnosing and treating pseudogout 57

Understanding Juvenile Rheumatoid Arthritis 57

Summarizing the symptoms 58

Diagnosing and treating JRA 59

Figuring Out Infectious Arthritis 59

Summarizing the symptoms 59

Diagnosing and treating infectious arthritis 60

Getting a Grip On Gonococcal Arthritis 60

Summarizing the symptoms 60

Diagnosing and treating gonococcal arthritis 60

Surveying Psoriatic Arthritis 61

Summarizing the symptoms 61

Diagnosing and treating psoriatic arthritis 61

Considering Ankylosing Spondylitis 62

Summarizing the symptoms 62

Diagnosing and treating ankylosing spondylitis 63

Chapter 5: Exploring Other Conditions Linked to Arthritis 65

Experiencing Arthritis as a Major Player 65

Systemic lupus erythematosus: The wolf disease 66

Discoid lupus erythematosus: A less dangerous form 67

Scleroderma: When the skin hardens 68

Reactive arthritis: From a stomachache to arthritis 70

Lyme disease: When you’re the bull’s-eye 72

Experiencing Arthritis as a Minor Player 74

Bursitis: When the bursae become swollen 74

Tendonitis and tenosynovitis: Inflammation of the bone–muscle link 75

Raynaud’s: A chilling problem 76

Sjögren’s syndrome: Dry mouth, eyes, and maybe more 77

Polymyalgia rheumatica: The pain of many muscles 78

Paget’s disease: Becoming too bony 80

Experiencing Arthritis as a Companion Condition 80

Carpal tunnel syndrome: Nerve compression 81

Fibromyalgia: The pain no one can find 81

Polymyositis: A rare sapping of strength 83

Dermatomyositis: Polymyositis plus 84

Part II: Tests and Treatments: What to Expect from Your Doctor 85

Chapter 6: Your Doctor and You: Allies Against Arthritis 87

Positioning Yourself for Treatment Success 87

Choosing a Good Doctor 88

Determining whether the doctor is knowledgeable 88

Sharing the same treatment philosophy 89

Interviewing a prospective doctor 90

Considering compatibility 91

Working with Your Doctor 91

Speaking Your Doctor’s Language 93

Figuring Out When You Should Find a New Doctor 94

Chapter 7: Judging Joint Health with Low- and High-Tech Tests 97

Checking In for a Check-Up 97

Presenting the past: Your medical history 97

From head to toe: The physical exam 99

Explaining X-Rays and Scans 100

Exposing the benefits of an X-ray 101

Seeing more with a scan 101

Backing Up a Diagnosis with Biopsies and Blood Tests 102

Taking tissue for a biopsy 102

Testing the blood 102

Taking Other Tests on the Road to Diagnosis 104

Joint aspiration 104

Arthroscopy 105

Genetic testing 105

Urine testing 105

Chapter 8: From Aspirin to Steroids: Medicines for Arthritis 107

Talking to Your Doctor 107

Exploring the Five Classes of Drugs for Arthritis 109

Nonsteroidal anti-inflammatory drugs (NSAIDs) 109

Analgesics 110

Corticosteroids 110

Disease-modifying antirheumatic drugs (DMARDs) 111

Biologic response modifiers (BRMs) 111

Uncovering Specific Medicines for Specific Types of Arthritis 112

Actonel 112

Amoxil 112

Anaprox 113

Ansaid 113

Arava 114

Arthrotec 114

Aspirin 114

Azulfidine 115

Bextra 115

Celebrex 115

Clinoril 116

ColBenemid 116

Cytoxan 116

Daypro 116

Decadron 117

Deltasone 117

Didronel 117

Disalcid 117

Doryx 118

Enbrel 118

Feldene 118

Fentanyl 119

Fosamax 119

Humira 119

Ibuprofen 120

Imuran 120

Indocin 120

Keflex 120

Kineret 121

Lodine 121

Medrol 121

Miacalcin 122

Naprosyn 122

Orudis 122

Pediapred 123

Penicillamine 123

Penicillin 123

Plaquenil 123

Prosorba 124

Relafen 124

Remicade 125

Rheumatrex 125

Sandimmune 125

Sulfinpyrazone 126

Tetracycline 126

Tolectin 126

Trilisate 126

Tylenol 127

Vioxx 127

Voltaren 127

Zyloprim 128

Chapter 9: Cuts That Cure: Surgeries for Arthritis 129

Knowing What to Ask Your Doctor Before Undergoing Surgery 130

Looking At Different Kinds of Joint Surgery 132

Synovectomy: Removing a diseased joint lining 132

Osteotomy: Cutting and resetting the bone 132

Arthrodesis: Fusing the bone 134

Arthroplasty: Replacing the joint 134

Autologous chondrocyte implantation:

Transplanting cartilage 138

Getting Ready for Surgery 138

Getting yourself into the best possible physical shape 139

Arranging adequate postoperative care 139

Finding someone who can handle your responsibilities 139

Resolving financial and insurance matters 140

Making a recovery plan with your doctor 140

Chapter 10: Overcoming the Ouch: Strategies for Pain Management 141

Understanding Arthritis Pain 141

Differentiating Between Acute Pain and Chronic Pain 142

Breaking the pain cycle 143

Dealing with chronic pain 143

Assembling your treatment team 144

Relieving Pain with Noninvasive Therapies 145

Applying heat 146

Applying cold 147

Washing away pain with water therapy 148

Trying topical pain relievers 148

Manipulating the joints 149

Helping the joints with splints and supports 149

Magnetizing the pain 150

Transmitting a tingle with TENS 151

Taking Pain Relief to the Next Level 152

Medicating the pain away 152

Undergoing surgery 152

Part III: The Arthritis Lifestyle Strategy 153

Chapter 11: Fighting the Pain with Foods and Supplements 155

Finding Foods That Heal 156

Managing RA Mediterranean-style 158

Using omega-3s and omega-6s to fight arthritis pain and inflammation 160

Getting a grip on arthritis with green tea 162

Avoiding Foods That May Be Trouble 162

Saving Your Joints with Supplements 164

What you need to know before taking supplements 164

Fighting damaging oxidants and free radicals 166

Warding off OA with boron 167

Lowering homocysteine with vitamin B6 and folic acid 167

Fighting OA and RA with vitamin D 168

Pumping up cartilage with collagen hydrolysate 168

Combating Raynaud’s with niacin 169

Zapping RA and psoriatic arthritis with zinc 169

Relieving Arthritis Symptoms with Other Nutritional Substances 170

Alleviating inflammation with aloe vera 170

Supporting your joints with SAMe 170

Battling inflammation with bromelain 171

Curtailing the pain with capsaicin 171

Guarding your joints with grapeseed extract 172

Fighting disease with flaxseed oil 172

Giving OA pain the boot with ginger 173

Glucosamine sulfate and chondroitin sulfate: Cures for osteoarthritis? 173

Looking at a Possible Link between Lupus and Food 175

Chapter 12: Oiling Your Joints with Exercise 177

Reaching Different Goals with Different Exercises 177

Building cardiovascular endurance 178

Strength training 180

Increasing flexibility 181

Easing Joint Pain with Exercise 182

Stretching your neck 182

Stretching your hand and wrist 182

Extending the shoulder and arm 183

Stretching your side 184

Lifting your lower back and pelvis 184

Stretching your hamstring 185

Doing mini-sit-ups 186

Extending your hip and back leg 187

Rotating your ankle 188

Using Yoga to Ease Arthritis Pain 188

The snake 189

The cat 190

The pretzel 191

Knee-to-chest stretch 191

The spinal twist 192

The child’s pose 192

Doing Chair Exercises to Save Your Joints 193

Chair marching 193

Chair running 193

Chair dancing 194

Chair fencing 195

Maximizing the Healing Effects of Exercise 196

Designing Your Workout Program 197

Considering the basic game plan 198

Figuring out if you’re working hard enough 199

Taking it easy! 200

Finding a good class 200

Chapter 13: The Right Stride and Other Ways to Protect Your Joints 201

Believing in Biomechanics 202

Waxing Ergonomic at Your Workstation 203

Standing Tall: Body Alignment 204

Focusing on feet 205

Bending your knees — just a bit! 206

“Unswaying” your lower back 207

Relaxing your shoulders 207

Holding your head high 208

Putting the posture points together 208

Reducing Joint Stress with the Right Stride 209

Saving Your Joints When Hitting the Hay 211

Lifting Without Losing It 211

Chapter 14: Controlling Your Stress, Aggression, and Depression 213

Understanding Why We Hurt More Than We Have To 214

Ratcheting up the pain with stress 214

Increasing pain the “A” way 215

Heightening pain when you’re feeling low 216

Discovering the Healing Power of Positive Thinking 219

Relaxing the pain away through biofeedback 220

Quieting your mind with meditation and programmed relaxation 220

Moving to a stress-free place through guided imagery and hypnosis 221

Controlling your breathing 222

Using cognitive behavioral therapy 222

Laughing your way to relaxation 222

Forgetting all about it 223

Easing Depression and Anxiety with Prayer and Spirituality 223

Chapter 15: Day-to-Day Living with Arthritis 225

Taking Care of You 225

Working with an occupational therapist 226

Conserving your energy 227

Getting a good night’s sleep 227

Holding on to your sex life 228

Finding an Easier Way to Get Through the Day 229

Simplifying your household 229

Making household cleaning easier 230

Using assistive devices 231

Getting help from other people 232

Joining an Arthritis Support Group 233

Finding help and hope through the group 234

Locating a support or self-help group 234

Dealing with Arthritis in the Workplace 234

Easing the pain when you work 235

Applying for disability benefits 235

Part IV: Is Alternative Medicine for You? 237

Chapter 16: Exploring Alternative Medicine 239

Understanding the Many Faces of Alternative Medicine 239

Easing Arthritis Through Alternative Approaches 241

Finding a Reputable CAM Practitioner 242

Checking credentials and certifications 243

Identifying false claims 243

Working with Your Doctor 245

Figuring Out Whether Alternative Medicine Is for You 246

Chapter 17: Discovering Herbs and Homeopathy 247

Digging Into Medicinal Herbs 247

Getting the Lowdown on Herbs for Arthritis 249

Anti-inflammatories 251

Antirheumatics 253

Sedatives and muscle relaxants 254

Pain relievers 255

Stimulating the Body to Heal Itself with Homeopathy 257

Determining remedies according to your symptoms 258

Discovering recipes for remedies 259

Homing in on homeopathic remedies for arthritis 260

Finding homeopathic help 261

Chapter 18: Hands-On Healing Methods 263

Unblocking the Energy Flow: Eastern Hands-On Healing Methods 263

Pinpointing the pain with acupuncture 264

Pressing your buttons with acupressure (shiatsu) 266

Restoring healing energy with Reiki 267

Realigning and Releasing Tension: Western

Hands-On Healing Methods 268

Realigning the spine with chiropractic 268

Rubbing away muscle tension with massage 270

Promoting energy balance with polarity therapy 273

Relieving pain and encouraging healing with reflexology 274

Transmitting healing energy through touch therapy 275

Chapter 19: Other Alternative Approaches 277

Breathing In the Healing: Aromatherapy 277

Understanding how it works 278

Discovering what aromatherapy can do for you 278

Finding out where to get aromatherapy 279

Fighting Pain with Bee Venom Therapy 279

Understanding how it works 279

Discovering what bee venom therapy can do for you 279

Finding out where to get bee venom therapy 280

Replacing the Hormone DHEA 280

Understanding how it works 280

Discovering what DHEA can do for you 281

Finding out where to get DHEA 281

Easing Inflammation with DMSO 282

Understanding how to use DMSO 282

Discovering what DMSO can do for you 282

Finding out how to get DMSO 283

Fighting the Pain and Disability of RA with MSM 283

Understanding how MSM is used to treat arthritis 283

Discovering what MSM can do for you 284

Finding out how to get MSM 284

Whirling the Pain Away with Hydrotherapy 284

Understanding how hydrotherapy is used to treat arthritis 284

Discovering what it can do for you 285

Finding a good hydrotherapist 285

Peering into the Possibilities of Prolotherapy 285

Understanding how it works 285

Discovering what prolotherapy can do for you 286

Finding out where to get prolotherapy 286

Part V: The Part of Tens 287

Chapter 20: Ten Tips for Traveling with Arthritis 289

Talking to Your Doctor 289

Reviewing Your Medications and Supplements 290

Preplanning to Reduce Stress 290

Eating Wisely and Well 291

Exercising, Even Though You’re on Vacation! 292

Using Joint-Protection Techniques 292

Using Assistive Devices 293

Renting an Arthritis-Friendly Car 293

Flying with Finesse 294

Taking a Test Run 294

Chapter 21: Ten Ways to Save on Prescriptions 295

Review Your Medications 295

Ask Your Doctor for Free Samples 296

Check Out Medicare’s Drug Discount Program 296

Find Out Whether You Qualify for a Drug Assistance Program 297

Get a Pharmacy Discount Card 297

Buy the Generic Version 297

Buy in Bulk 298

Double the Strength and Split the Pills 298

Compare Prices at Different Pharmacies 298

Consider Online or Mail-Order Pharmacies 299

Chapter 22: Ten Professionals Who Can Help You Fight Arthritis 301

Rheumatologist 301

Primary Care Physician 302

Pharmacist 303

Physical Therapist or Exercise Physiologist 303

Occupational Therapist 304

Registered Dietitian 304

Social Worker 304

Chiropractor 305

Mental Health Professional 305

Massage Therapist 306

Chapter 23: Ten Crackerjack New Treatments 307

Anti-TNF Drugs for Rheumatoid Arthritis 307

Rituximab for Rheumatoid Arthritis 309

The “Mini-Open” Surgical Technique for Carpal Tunnel Syndrome 309

Etoricoxib for RA, OA, and Gout 310

Bosentan for Scleroderma 311

MMF for Lupus-Related Kidney Problems 312

Cartilage Self-Transplants and Tissue Engineering 312

Glass Therapy to Repair Bone and Treat RA 313

Therapeutic Tape for Osteoarthritis Pain 314

Improvements in Hip Replacement Materials and Techniques 314

Part VI: Appendixes 317

Appendix A: Glossary 319

Appendix B: Resources 327

Organizations 327

Acupuncture/Acupressure 327

Alexander Technique 327

Alternative Medicine 327

Aromatherapy 327

Arthritis Information and Management 328

Bee Venom Therapy 328

Biofeedback 329

Biomechanics Experts 329

Chiropractors 329

DMSO/MSM 329

Feldenkrais Method 329

Help for Caregivers 329

Homeopathic Medicine 330

Hypnotherapists 330

Massage Therapists 330

Medical Societies 330

The Mind/Body Connection 331

Naturopathic Medicine 331

Nutritional Counseling 332

Pain Management 332

Polarity Therapy 332

Psychotherapy 332

Reiki 332

Reflexology 333

Social Workers 333

Support Groups Online 333

Therapeutic Touch 333

The Trager Approach 333

Assistive Devices — Mail-Order Catalogs 333

Books 334

Books from the Arthritis Foundation 335

Audio Tapes 335

Videos 336

Appendix C: Weight Loss and Management Guide 337

Figuring Out Whether You’re Too Heavy 337

Losing Weight the Safe and Healthy Way 339

Aiming for long-term benefits 340

Eating fruits and vegetables 340

Limiting your intake of certain foods 340

Using psychological strategies to get through 340

Understanding that it’s not just what you eat 341

Eyeballing those portions 341

Index 343

Erscheint lt. Verlag 1.10.2004
Sprache englisch
Maße 188 x 231 mm
Gewicht 522 g
Themenwelt Sachbuch/Ratgeber Gesundheit / Leben / Psychologie Lebenshilfe / Lebensführung
ISBN-10 0-7645-7074-9 / 0764570749
ISBN-13 978-0-7645-7074-2 / 9780764570742
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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