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Living with Rheumatoid Arthritis
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PrefaceAcknowledgmentsIntroduction: Defining Rheumatoid ArthritisPart I: Learning About Rheumatoid Arthritis1. The Joints and Rheumatoid ArthritisThe JointsRigid jointsSlightly mobile jointsFreely movable jointsWhat are the parts of a synovial joint?The Joints in RAWhat is inflammation?How is the inflammation of RA different from normal inflammation?The stages of RA: How does inflammation affect the joints?Summary2. The Course and Prognosis of Rheumatoid ArthritisThe Course of RAHow does RA usually start?What course of arthritis can I expect?Can a remission be brought on with medications?The Prognosis of RACan arthritis be cured?Will additional joints become involved over time?Will I become disabled?Does RA shorten a person's life?Summary3. Diagnosing Rheumatoid Arthritis: Why So Many Tests?Clinical HistoryPhysical ExaminationDifferential DiagnosisWhat makes RA so difficult to diagnose?Diagnostic TestsWhat tests are used to diagnose or monitor activity of RA?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?Summary4. Outside the Joints: Other Symptoms of Rheumatoid ArthritisBlood and Blood VesselsHow does RA affect the blood?What about the blood vessels?Eyes and MouthNodules under the SkinNervesChest and LungsVocal CordsThe Heart and Cardiovascular SystemThe BonesSummaryPart II: Coping with Rheumatoid Arthritis5. Lifestyle and Coping StrategiesCreating a Lifestyle and Attitude Aimed at WellnessKick bad habitsEat rightGet fitGet sleepThink preventionGo simpleDon't sweat the big stuffBe your own best friendDeveloping Success-Driven Methods of Problem SolvingDefine and assess the problemSet realistic goals and expectationsDevelop methods for problem solving and negotiatingUse all available resourcesModify negative thoughts and behaviorsBe willing to reassess6. Coping with Pain and FatiguePainWhat is pain?Pain and your emotionsWhat is the pain message in RA?Decreasing painFatigueWhy am I so tired?Controlling fatigueFor More Information7. Coping with Emotions- Yours and Everyone Else'sAngerManaging angerDepressionManaging depressionAnxiety, Fear, and StressAnxietyFearStressRelieving the tension of anxiety, fear, and stressDealing with Friends and FamilyAsking for helpThe special case of childrenLove and intimacyFriends and relativesFor More InformationPart III: Exercise and Rehabilitation8. Protecting Your JointsJoint Protection GuidelinesProtecting Specific JointsHands and wristsElbows and shouldersHips and kneesAnkles and feetFor More Information9. Exercise and Rheumatoid ArthritisTrends in Therapeutic AdviceTypes of ExerciseRange of motionStrengtheningAerobicStarting an Exercise ProgramWarm-upWorkoutCool-downExercises That Are Right for YouFor people with very inflamed jointsFor people with moderately inflamed jointsFor people with controlled jointsMind-Body ExercisesTai chiQi-gongYogaFor More Information10. Specific ExercisesRange-of-Motion and Strengthening ExercisesNeck range-of-motion exercisesNeck muscle-strengthening exercisesShoulder range-of-motion exercisesElbow range-of-motion exercisesShoulder and elbow muscle-strengthening exercisesWrist and finger range-of-motion exercisesHip range-of-motion exercisesKnee range-of-motion exercisesHip and knee muscle-strengthening exercisesAnkle range-of-motion exercisesAerobic or Endurance ExercisesWhat is your target heart rate?Taking your pulseBeginning your aerobic exercise programGuidelines for specific aerobic exerciseFor More InformationPart IV: Medications11. Medications Past, Present, FutureThe Past: The Conservative ApproachThe Present: More Aggressive Approaches to TherapyThe FutureCurrent Treatments: NSAIDs, DMARDs, Biologics, Kinase Inhibitors and CorticosteroidsFor More Information12. Aspirin, Nonsteroidal Anti-inflammatory Drugs (NSAIDs), and COX-2 InhibitorsAspirinSide effects of aspirin therapyCautionary notesTraditional NSAIDsSide effects of traditional NSAIDsCautionary notesCOX-2 InhibitorsSide effects of COX-2 inhibitorsCautionary notesStomach Medications Frequently Used with NSAIDs13. Disease-Modifying Antirheumatic Drugs (DMARDs)Nonimmunosuppressant DMARDsImmunosuppressants14. Biotherapies: Biologics, Kinase Inhibitors, and a Biologic Medical DeviceUnderstanding Cytokines and InflammationUsing the body's secrets to tame inflammation: Balancing the cytokinesRedirecting the message makers: Calming the B cell and T cellThe Biologics: Practical ConsiderationsSubcutaneous injections: Can I give myself the shot?Intravenous infusions: What to expectCost issuesWhich biologic should I take?Risk of infection: The most serious of biologic side effectsBiologic Agents against Tumor Necrosis Factor: The TNF BlockersImportant safety information regarding TNF blockersBiologic Agents against Interleukin-1: The IL-1 BlockersBiologic Agents against Interleukin-6: The IL-6 BlockersBiologic Agents that Affect the T Cell: The T Cell ModulatorsBiologic Agents that Affect the B Cell: The B Cell ModulatorsThe Oral Biotherapies-A Look inside the Immune CellThe Kinase InhibitorsA Biologic Medical Device for Protein A ImmunoadsorptionFor More Information15. CorticosteroidsOral CorticosteroidsSide effects of oral corticosteroidsCautionary notesIntra-articular Corticosteroid InjectionsWhat to do after a joint injection16. Osteoporosis TreatmentsDietary and Life-Style TreatmentsMedicinal TreatmentsFor More InformationPart V: Beyond Medications: Other Treatments17. Alternative and Complementary TherapiesAromatherapyAyurvedaOil pullingBodyworkEnergy WorkBreathing Techniques, Breath Therapy, or BreathworkChinese MedicineAcupunctureMusic and Sound TherapyOther Mind-Body Therapies: Mindfulness and OthersNaturopathySpa Therapy, Hydrotherapy, and BalneotherapyHomeopathyGuidelines for Evaluating Unproven TreatmentsFor More Information18. Nutrition: Diets, Nutrients, and Nutritional SupplementsNutrition and RAThe Importance of Weight Management in RASpecific Food Groups and RAFats and oilsSugarBread, cereals, rice, and pastaFermented foodsVegetablesFruitsMeat, poultry, fish, and eggsLegumesNuts and seedsMilk, yogurt, and cheeseSpecial DietsElimination dietsFastingVegetarians dietsGluten-free dietsRecommendationsA Word on Nutritional SupplementsGuidelines for evaluating nutritional supplementsVitamins and MineralsVitaminsMineralsHerbs and Plant-Based MedicineOther SupplementsAntioxidantsGlucosamine sulfate and chondroitin sulfateFish oil and essential fatty acids: EPA, DHA, ALA, and GLAProbiotics, prebiotics, and fiber supplementsRecommendations regarding specific supplementsFor More Information19. Surgery for Rheumatoid ArthritisSurgeons Specializing in the Treatment of RATypes of SurgeryArthroscopic surgerySynovectomyTendon reconstruction or transferJoint fusionOsteotomy and bone resectionJoint replacementPreparing for and Recovering from SurgeryBefore surgeryDuring your recoveryFor More InformationPart VI: Practical Matters20. Disability Benefits, Insurance, and Other Financial MattersDisability BenefitsCommercial and employment disability programsState disability policiesSocial Security disability benefitsVocational rehabilitation benefitsHealth InsurancePrivate health insuranceCOBRAGovernment health insuranceVeterans Administration BenefitsIncome TaxesFinancial Help for RA TreatmentFor More Information21. Other IssuesSurfing the Net: Empowerment or Deception?Clinical ResearchWhat is clinical research?How do clinical studies operate?Should I participate in a clinical trial?Travel TipsMedical tips for travelersDriving tipsWhen traveling by airPregnancy and ChildbirthCan I become pregnant?How will pregnancy affect my RA?How will my RA affect my unborn child?Can I breastfeed my infant?Will my child have RA?Will I be able to care for my baby?Immunization for the Person with RAShould I get a yearly flu shot?Are there other vaccinations that I may need to get?For More InformationClosing ThoughtsGlossaryBibliographyIndex

About the Author

Tammi L. Shlotzhauer, M.D., is a practicing rheumatologist at Rheumatology Associates of Rochester and associate medical director at Rochester Clinical Research, where she directs clinical research trials involving arthritis.

Reviews

An indispensable book for sufferers of rheumatoid arthritis and their families... In addition to explaining the causes, symptoms, and treatment options for people who have rheumatoid arthritis, Dr. Shlotzhauer offers practical approaches for managing the pain, fatigue, and emotional toll of a chronic illness. She provides new information on associated diseases such as osteoporosis, tips for finding safe and reliable information online, and information on how to get an accurate diagnosis. -- Robin Wulffson * Examiner.com *
Any who have rheumatoid arthritis... will find this a powerful guide. * California Bookwatch *

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