Muscle Joint Pain? Just Gymnastics Rheumatism

DO you often feel pain or stiffness in the joints or spine? Frequent joint pain walking, climbing stairs, getting out of bed, or often kesulitas when dressed? Could be what you experience is one of the symptoms of rheumatic disease.

Joint pain due to arthritis is still considered to be trivial to most people. Though the pain that arises can be very annoying and limiting your daily activities. In Indonesia, the prevalence of rheumatic diseases according to research results Zeng QYet al 2008 reached 23.6 percent to 31.3 percent. However, low awareness and knowledge society and still growing myths about arthritis is still a problem.

To overcome the pain caused by arthritis, patients should consult with a physician is to receive appropriate treatment. But now, there are easy ways to relieve pain and prevent the occurrence of rheumatic diseases with a method of body movement exercises known as rheumatism.

Gymnastics rheumatic formally introduced to society at Manggala Wanabakti, Jakarta Sunday (25 / 5) coincides with the celebration of eight years eksitensi Celecoxib, Pfizer arthritis drug, in Indonesia. In the event, as many as 700 participants aged 30-70 years - most of whom suffer from arthritis - took part.

Gymnastics rheumatic introduced are the result of Pfizer's creation along with two medical rehabilitation experts from the Faculty of medicine RSCM DR. Dr. Angela B.M Tulaar SpRM and Dr. Siti Annisa Nuhonni SpRM. Two specialists were collecting references from various sources and then translate it into the body movements with the help of a professional gymnastics instructor.

"Movements in gymnastics is also created thanks to the help of Namarina ballet school. People will be able to follow and do it with DVDs that will guide distributed free of charge. This DVD is not for sale commercially. Patients will get it after the consultation and recommendations from doctors, "said Marketing Manager of PT Pfizer Indonesia Dr. Dean Martin.

Is not a medicine or therapy
Meanwhile, Dr. Siti Annisa rheumatism reminded that gymnastics is just an effort to prevent and alleviate symptoms of rheumatism gajala and serves as an adjunct therapy to patients with rheumatoid arthritis in phase neighbor. Gymnastics is one of the capital to guide and provide therapy to prevent rheumatic symptoms or symptoms of osteoarthritis.

"So this is not a substitute for medication or therapeutic action by physicians. In patients with rheumatoid arthritis, exercises should be under the supervision of physicians, therapists, instructors or the patients themselves. Notice of each joint and watch out if there are signs of inflammation. The timing and type of exercise also differentiated depending on the stage of disease and the presence or absence of inflammation, "he explained.

In general, continued Dr Siti, rheumatism gymnastics movements intended to improve mobility, function, strength and muscular endurance, aerobic capacity, balance, biomechanics of joints and joint position sense. "Gymnastics is concentrated on the movements of the joints while flexing his muscles and strengthen the bib, because muscle is what helps the joints to sustain the body," said Siti.

Gymnastics rheumatic lasts about 20 to 30 minutes and consists of four stages namely heating, aerobic exercise core I, core exercises and aerobic II cooling. Aerobic exercise I core movements are low impact and more intended to strengthen the heart and lungs. Aerobic exercises II is the basic training that emphasized movement and as a therapy to prevent symptoms or effects of arthritis.

"To achieve maximum results, aerobics can be done 3 to 5 times a week. But if there are signs of inflammation such as pain, swelling, red or movement disorders, stop exercising. Patients should also ask the doctor when may and should exercise," he explained.

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Leg Pain Due to Uric Acid

A 48-year-old father often complained of pain in his legs since the last 3 years. The pain is intermittent. When he was taking medications or herbal arthritis, the pain disappeared. However, after 1-2 months, another recurrence.

Since last month, he complained of pain and swelling at the base of the big toe. It felt great pain, especially at night and when morning walk. At first the left foot, then pain and swelling in the right thumb. These complaints began to be felt after a family party. At that time he ate meat and drank lots of beer.

He tried to drink herbal arthritis, but only slightly reduced. In fact, the pain is now radiating to the ankle and below the knee. This made him afraid, so that eventually went to the doctor. By a physician, he ought to check into the lab, it turns out high uric acid (9mg%).

He recommended rest, should not exercise for a week, given the drug antinyeri / antirheumatic and colchicin. He was advised to eat less meat, seafood, organ meats, yeast-ragian, spinach, cauliflower, beer, and lose weight. Seinggu later he returned to the doctor, his complaint has been greatly reduced and by the doctor added the drug allopurinol to reduce uric acid.

Currently he has been able to exercise morning walk without a complaint and his weight was much reduced. He was conscious of not overeating and leading a healthy lifestyle. Gout disease mainly attacks the joints, usually starting in one joint. The most common is the base of the big toe (metatarsophalangeal joint). Leg became swollen due to accumulated uric acid crystals in joint fluid, thus forming lumps called tophi.

The disease is chronic with periods tend to be asymptomatic and recurrence periods of sudden (acute exacerbations). The pain begins suddenly, especially at night or when exercising in the morning. More common in obese people after eating lots of high purine such as meat, organ meats, yeast, or beer.

In the laboratory examination of blood, patients often experience increased blood uric acid levels. This is due to overproduction of uric acid or uric acid excretion in urine decreased. This could be due to hereditary factors (genetic), but can also by the use of certain drugs (thiazide, aspirin), chronic kidney disease, multiple myeloma, psoriasis, and hypothyroidism.

This disease often relapses and originators of factors is often unclear. Perhaps the factor of high-purine foods, may also be due to chronic inflammation of other organs. Keep in mind, a powerful antioxidant, uric acid produced by the human body when there is inflammation. Therefore, if a relapse of rheumatic gout, do not immediately lower the uric acid with allopurinol. This can result in pain intensified.

To treat arthritis is the pain of gout can be treated with anti-inflammatory analgesic drugs plus colchicin. When the pain had subsided and high uric acid levels can be given allopurinol. Further important attempted prevention (prevention tips) in the form of reducing weight if overweight, low-purine diet, moderate exercise, drink enough water, treat when there is inflammation in the body such as dental caries, sinusitis, sore throat, gastritis, and kidney inflammation. Maintain levels of triglycerides, cholesterol, and uric acid remained normal.

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Myths and Facts About Arthritis

Rheumatism is a disease common in Indonesia suffered the community both young and old. This disease attacks the joints and supporting tissue structures around the joint so that it can cause pain. In severe levels, rheumatoid arthritis can even lead to permanent disability, disability and decreased quality of life.

In society, is still growing myths and false assumptions about the disease. Yet these myths are misleading when examined from the medical side and could harm the patient.

Internist and rheumatologist of Rheumatology Division Faculty of Medicine, University of Indonesia (Faculty of medicine), Dr. Bambang Setyohadi, explaining motis and facts about rheumatic diseases. The following bullet point:

1. Frequent bathing the night at a young age lead to arthritis in old age. In fact, so far there has been no corroboration of that evening bath will cause rheumatic diseases. In principle, a night shower or a bath of cold water does not cause arthritis. "In patients with rheumatoid arthritis, a cold shower can make the muscle stiffness or spasms. These conditions usually make the joints, causing pain depressed," says Dr. Gymnastics at the launch Bambang Rematik.di Jakarta, Miinggu (25 / 5) yesterday.

2. Eat spinach kankung or caused arthritis. There is no research that links between spinach or kale with riisko rheumatism. "Even if that should be avoided, if you are destined to suffer from arthritis are foods that can trigger a purine or material will be converted into uric acid such as organ meats, seafood or alcoholic beverages," said Bambang.

3. All rheumatic diseases caused by uric acid. "In fact, only about 10 percent of people with high uric acid arthritis. Many patients with high uric acid just does not have arthritis," said Bambang. According to him, uric acid in the blood are high will not necessarily lead to arthritis. "Rheumatic Disease occurs when uric acid accumulate in the joints and forming deposits of monosodium urate crystals. Disease," he explained.

3. Rheumatic diseases is a bone disease. In fact arthritis is a disease that attacks the joints and consists of various types include osteoarthritis and rheumatoid arthritis. Osteoarthritis most commonly affects large joints that support weight, such as knee joints, pelvis, spine, back and neck even though it was likely to attack other areas while rheumatoid artiritis due to immune system attacks the joint lining or synovial membrane of a clan involved all organs body, can cause disability.

4. Rheumatic disease is only targeting the elderly. In fact, rheumatism attacking everyone, young and old, men and women depending on the type of rheumatic disease. In the rheumatic type osteoarthritis primarily affects people aged over 45 years while the type of Lupus Erythematosus attacked a young woman of childbearing age but can also be about each person. Men are more susceptible to gout.

5. Rheumatic diseases are hereditary. In fact, arthritis is not always passed directly from parent to child. "However, there is a tendency to family factors such as risk factor for rheumatoid arthritis in Rheumatoid Arthritis, Systemic Lupus Erythematosus and Gout," said Dr. Bambang.

6. Pain in the bones at night is a sign of arthritis symptoms. In fact, the symptoms that commonly occur in patients with rheumatoid arthritis are stiffness and inflammation of the joints (red, swollen, painful, hot and generally hard-driven). This phenomenon is not confined at night. Can strike at any time.

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Lack of Vitamin D Trigger Arthritis

Vitamin D has been widely recognized as essential elements for bone health. If deficiencies are, you risk suffering from various illnesses ranging from bone loss, colon cancer and immune problems.
   
In addition to these diseases, the experts also indicated that vitamin D was associated with rheumatic diseases. Indications are visible with high rates of vitamin D deficiency in patients treated at rheumatology clinics.

Like the Irish researchers reported on Friday (13 / 6), nearly three-quarters of patients treated at rheumatology clinics, with varied complaints such as sore muscles, joints, bones and tendons, was deficient intake of vitamin D.

Dr. Muhammad Haroon and associates at the South Infirmary-Victoria University Hospital, Cork, made this conclusion after examining the case of deficiency of vitamin D on new patients at their clinic between January and June 2007. The results are also presented their research in the European Union League Against rheumatic 2008 in Paris.

Of the 264 patients recorded in this period, 231 patients of whom agreed to serve as respondents and undergo a variety of methods of measurement of vitamin D. Overall, Dr Haroon menemukan162 patients (70 percent) who have low vitamin D levels and 26 percent of them in severe condition. Little difference was seen in hasl percentage of young patients and elderly patients who have deficiencies.

Severe deficiency have a significant effect on the percentage of patients experiencing a variety of complaints such as senndi inflammatory disease, rheumatoid, arthritis, backache, and osteoporosis. According to Haroon, a severe vitamin D deficiency increases the risk of osteoporosis and bone loss or bone softening (osteomalacia). Meanwhile, a deficiency that will cause mild to moderate rheumatic complaints are not specifics.

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myth Rheumatism

A lot of myths circulating among the public about arthritis. This false knowledge which could then lead to mistakes in respond. This is the myths.

1. Myth: Arthritis is caused by cold weather, frequent bathing of the night, bathing too frequently and often are in a cold room or air-conditioned. This myth is very popular. However, not truth, as pathologically there is no relation between the myth and the onset of rheumatic disease.

Fact: Water or cold air will cause the joint capsule contract. This of course can increase pain of rheumatic joints are already sick. Instead, patients with rheumatoid arthritis is a warm water bath to reduce the pain in her joints.


2. Myth: Arthritis is caused by foods such as offal. This myth is also widely believed by most people.

Fact: Of the more than 100 kinds of arthritis, only one relating to food (offal), the Arthritis Gout / Gout.


3. Myth: Arthritis is caused by hereditary factors.

Fact: While this myth is not entirely wrong, but it still remains to be straightened. Not all arthritis is derived. Indeed there is some type of arthritis due to genetic factors.


4. Myth: Rheumatism require antibiotics to overcome the swollen joints.

Fact: Antibiotics are only used in arthritis caused by infection (Septic Arthritis). If no infection, antibiotics are not needed. Antibiotics are also not given routinely, although the joint looks swollen and red.


5. Myth: Pregnant women and lactating women prone to arthritis.

Fact: Recent studies of the American College of Rheumatology in New Orleans, Louisiana, states that women who breastfeed their babies for two years or more, less likely to get rheumatoid arthritis than women who only breast-feeding infants less than three months.

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Herbal Therapy in Patients with Osteoarthritis

Osteoarthritis (OA) is a chronic disease that most often occurs in older people. Damage occurs in OA cartilage (cartilage) joints characterized by deterioration of cartilage in the joints and nearby bones, which can cause pain and joint stiffness. Pain is usually felt at the time of the move, but in a more severe degree of pain can be felt constantly despite not doing any activity.

Prof. Dr. Dr. Harry Isbagio, SpPD-KR, KGer of the Division of Rheumatology Department of Medicine Faculty of Medicine University of Indonesia, in one occasion stated, osteoarthritis prevention should begin early by recognizing risk factors for the disease, weight control, regular physical exercise, and avoid excessive use of joints. If you have been hit by osteoarthritis, patients should be treated with regular physiotherapy.

Prevention of osteoarthritis can also be done by eating nutritious food. Some dietary supplements can prevent the disease is suspected, including glucosamine and chondroitin although there are many who still doubt the effectiveness of research. In addition, some experts in Europe also began trying to provide supplements in the form of Rosa canina plant extracts that are proven to reduce the complaints of patients with osteoarthritis.

Osteoarthritis therapy
Until now still have not found a drug that can cure OA to its conclusion. Treatment given physicians in the management of OA is generally directed against two things, namely dealing with the symptoms and improve daily activities (symptom-modifying effect) as well as prevention and repair damage to cartilage structure (structure-modifying effect). Finally emerging treatment using stem cell therapy and cell with quite promising results.

The recommendations given by experts in the handling of OA include pharmacological therapy and non-pharmacological therapies (such as: weight loss, exercise, education). Nonsteroidal anti-inflammatory drugs (NSAIDs) is one of the most common pharmacological therapies used to treat pain and inflammation that occurs in patients with osteoarthritis. However, the use of these drugs often provide a fairly serious side effects, such as gastrointestinal bleeding, gastric erosion, damage to liver and kidney. Severity of side effects caused by prolonged use of NSAIDs is to make the experts continue to seek alternative therapies are effective and safe OA.

One alternative therapy and prevention of OA is a good nutritional intake. Today began developing the idea that in addition to fulfilling the basic needs of the body, nutrition also plays an important role in the occurrence of various diseases, especially degenerative diseases. OA is a degenerative disease that is believed to be prevented and overcome by the provision of adequate intake of certain nutrients. One nutrient that started a lot to try to OA therapy are plant extracts.

Extracts of these herbs are widely used by experts in European countries because the content of active substances which are quite complex so it can work on different pathways osteoarthritis mechanisms. This is in contrast with conventional pharmacological medicine where as largely monomodal (only works on one line only mechanism) so that sometimes only limited clinical benefit. Some plants that have been tried as an alternative in the treatment of osteoarthritis (OA), among others: pineapple (contains bromelain, a proteolytic enzyme that is thought to have anti-inflammatory and analgesic effects), ginger, plant Harpagophytum procumbens, Uncaria tomentosa and Rosa canina.

Rosa canina is a medicinal plant that grows in the plains of Europe and has long been believed to be able to help address the complaints experienced by patients with osteoarthritis. Along with the many studies that prove the effectiveness of these herbs, some experts in Japan and many European countries began to try to use Rosa canina plant extracts in the treatment of osteoarthritis.

Galaktolipid contained in extracts of Rosa canina was shown to inhibit migration of white blood cells into the joint so that it can reduce the occurrence of the process of inflammation and joint damage. From various studies that have dilakukukan, long-term use of Rosa canina extract shown to reduce pain and improve quality of life of patients with osteoarthritis.

Indeed, when compared to NSAIDs, anti-pain effects of Rosa canina extract was slower, the effect is only visible after using for 3 weeks. However, unlike NSAIDs, treatment with extracts of Rosa canina are no side effects or damage to gastric bleeding kidney / liver, even after 4 weeks the dose can be reduced the required OA patients.

Indonesia is rich in medicinal plants that may have the same efficacy, even better than Rosa canina, but unfortunately not supported by sufficient scientific evidence that its use is limited and is empirical only.

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