Arthritis

What is the best way to treat ankylosing spondylitis?

DEAR DOCTOR K: I have ankylosing spondylitis. Can you discuss this condition and the best way to treat it?

DEAR READER: Ankylosing spondylitis is a form of arthritis in which the spine and other joints become inflamed and stiff. A person with this condition usually feels pain or stiffness in the lower back, especially in the morning or after inactivity. Pain tends to begin in the two joints between the spine and the pelvis (the sacroiliac joints) and be felt in the buttocks. It then works its way up the lower spine.

What are alternative therapies for rheumatoid arthritis pain?

DEAR DOCTOR K: I have rheumatoid arthritis. Medications have helped, but only up to a point. Can you discuss alternative therapies that might help to further relieve my discomfort?

DEAR READER: Rheumatoid arthritis (RA) is a long-term disease in which the body's immune system attacks healthy tissue lining the joints. This causes swelling, pain, redness and stiffness in joints throughout the body. Drug treatments slow the effects of the disease, but alternative approaches can also help to reduce inflammation and relieve pain.

Will running wear my knees out faster?

DEAR DOCTOR K: I'm 68. I've jogged regularly for decades, but I've recently developed a touch of arthritis in my knees. Will continuing to run make my knees wear out faster?

DEAR READER: Having mild arthritis in the knees should not stop you from running. And, in case you were wondering, running probably did not create the problem in the first place.

My doctor thinks I have rheumatoid arthritis — so why is she testing me for lupus and gout?

DEAR DOCTOR K: My doctor suspects I have rheumatoid arthritis, but she wants to test me for several other disorders, including lupus and gout. Why?

DEAR READER: Several other diseases can cause symptoms and joint changes that are similar to rheumatoid arthritis (RA), including lupus and gout. That's probably why your doctor is ordering the tests. She suspects you have RA, but she won't know for sure unless she rules out these other diseases.

What are drug-free treatments to relieve osteoarthritis hand pain?

DEAR DOCTOR K: I have osteoarthritis in my hand. Could you recommend some drug-free treatments to relieve the pain?

DEAR READER: Osteoarthritis causes stiffness and pain in the joints. It develops when cartilage -- the connective tissue that covers the ends of bones -- deteriorates. In a joint, the ends of two or more bones come together. The softer and more flexible cartilage that covers the ends of the bones acts as a cushion. If the cartilage were not there, the hard bones would grind against each other.

Should I take a joint support supplement if I have osteoarthritis?

DEAR DOCTOR K: I have osteoarthritis. It's improved some with physical therapy and weight loss, but not entirely. Should I give "joint support" supplements a try? Which ones?

DEAR READER: Your question reminds me of two of my patients. "John" was a man in his 50s whose pain from arthritis in his knees made it hard for him to play pickup basketball. Physical therapy and pain medicines helped, but not completely.

What is happening in my body that causes rheumatoid arthritis pain?

DEAR DOCTOR K: I have rheumatoid arthritis. Can you explain what is happening in my body to cause such uncomfortable symptoms?

DEAR READER: Rheumatoid arthritis (RA) is a chronic (long-term) disease. It causes painful and sometimes disabling inflammation of the joints. RA can also affect other tissues in the body, such as the skin, eyes, lungs and blood vessels. RA is an autoimmune disease.

Is psoriasis linked to arthritis and heart disease?

DEAR DOCTOR K: My doctor thinks my arthritis and heart disease are connected to my psoriasis. Is this possible? I thought psoriasis was a skin condition.

DEAR READER: Psoriasis (pronounced so-RYE-uh-sis) is named for an ancient Greek word meaning an itchy or scaly condition. It is classified as a skin disease, but psoriasis is the result of an immune system abnormality that can cause problems throughout the body. With psoriasis, white blood cells of the immune system become overactive.

How can I manage my arthritis pain while traveling?

DEAR DOCTOR K: Can you give me advice for managing arthritis pain while traveling?

DEAR READER: Vacations often involve being more physically active than normal, which can worsen arthritis pain. But arthritis doesn't have to spoil your vacation. I spoke to my colleague Dr. Susan Ritter, associate physician in the Division of Rheumatology, Immunology and Allergy at Harvard-affiliated Brigham and Women's Hospital. She made the following suggestions to help make travel relatively pain- and hassle-free:

Why take NSAIDs for osteoarthritis pain?

DEAR DOCTOR K: I have osteoarthritis. My doctor recommends NSAIDs over acetaminophen for pain relief. Why? What is the advantage?

DEAR READER: The answer to your question lies in the type of damage osteoarthritis inflicts. Osteoarthritis results from the deterioration of cartilage, the tough, flexible tissue that covers the ends of your bones at every joint in your body. The cartilage is a cushion that keeps one bone from grinding against another bone.