Good Living With Rheumatoid Arthritis: Find the Tools You Need to Ease Pain, Reduce Joint Mobility, and Relieve Stress
by Arthritis Foundation-
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Summary
Table of Contents
| Foreword | p. xv |
| Acknowledgments | p. xvi |
| Introduction | p. xviii |
| Learn All You Can | |
| Understanding Arthritis: Cleaning Up Myths and Exploring Treatment Approaches | p. 4 |
| Arthritis myths | p. 4 |
| The biopsychosocial model for arthritis care | p. 7 |
| Understanding Rheumatoid Arthritis: A Chronic, Complex Disease | p. 15 |
| Rheumatoid arthritis is chronic | p. 15 |
| Rheumatoic arthritis involves inflammation | p. 16 |
| Rheumatoid arthritis involves an abnormal immune system response | p. 17 |
| Who gets rheumatoid arthritis? | p. 17 |
| What causes rheumatoid arthritis? | p. 18 |
| What is it like to have rheumatoid arthritis? | p. 20 |
| Diagnosing Rheumatoid Arthritis: Your Medical History and Physical Examination | p. 25 |
| The "low-tech" tools | p. 26 |
| Medical history | p. 26 |
| Patient questionnaires | p. 27 |
| Physical examination | p. 28 |
| Physical measures of function | p. 29 |
| Classification criteria | p. 29 |
| Summary | p. 30 |
| Diagnosing Rheumatoid Arthritis: Laboratory Tests and Imaging Studies | p. 33 |
| When tests are helpful | p. 33 |
| Laboratory tests used in diagnosis | p. 34 |
| Complete blood count | p. 34 |
| Erythrocyte sedimentation rate | p. 35 |
| C-Reactive protein | p. 35 |
| Rheumatoid factor | p. 35 |
| Antinuclear antibodies | p. 36 |
| Genetic typing | p. 37 |
| Urinalysis | p. 38 |
| Imaging studies | p. 38 |
| Radiographs (X-rays) | p. 38 |
| Bone scans | p. 38 |
| Magnetic resonance imaging (MRI) | p. 39 |
| Joint ultrasound | p. 39 |
| Bone densitometry | p. 39 |
| Diagnosis Checkpoints: What If It's Not Rheumatoid Arthritis? | p. 41 |
| Osteoarthritis | p. 41 |
| Fibromyalgia | p. 43 |
| Gout | p. 44 |
| Ankylosing spondylitis | p. 45 |
| Bursitis and tendinitis | p. 45 |
| Sjogren's syndrome | p. 46 |
| Felty's syndrome | p. 46 |
| Connective tissue diseases | p. 46 |
| Systemic Lupus Erythematosus | p. 47 |
| Scleroderma (Systemic sclerosis) | p. 47 |
| Polymyositis and dermatomyositis | p. 47 |
| Vasculitis | p. 48 |
| More Than Joints: When Other Body Parts Are Affected | p. 51 |
| Skin | p. 51 |
| Eyes | p. 52 |
| Mouth | p. 52 |
| Lungs | p. 52 |
| Heart | p. 54 |
| Kidneys | p. 54 |
| Blood-forming cells | p. 55 |
| Spleen | p. 55 |
| The Long Haul: What to Expect With Rheumatoid Arthritis Over Time | p. 57 |
| Making a prediction: Some guidelines | p. 57 |
| Another clue: Your disease type | p. 58 |
| Why it's important to see a doctor | p. 61 |
| What changes you can expect | p. 61 |
| X-ray changes | p. 62 |
| Changes in function | p. 62 |
| Work disability | p. 62 |
| Life span | p. 64 |
| Join Your Health-Care Team | |
| Your Health-Care Team: Get to Know Your Key Players | p. 69 |
| Who's on your health-care team? | p. 69 |
| Meet the players | p. 70 |
| Doctors | p. 70 |
| Other health-care professionals | p. 72 |
| Getting the most from your health-care team | p. 73 |
| Taking P.A.R.T. | p. 74 |
| Keeping Tabs: Evaluating and Monitoring Your Rheumatoid Arthritis | p. 77 |
| Joint examinations | p. 79 |
| X-rays and other imaging techniques | p. 79 |
| Laboratory tests | p. 79 |
| Physical function measures | p. 81 |
| Self-report questionnaires | p. 81 |
| Medical Management: Effective Strategies for Treatment | p. 83 |
| Acute vs. chronic disease | p. 83 |
| One drug vs. many drugs | p. 84 |
| The old approach to medical management | p. 86 |
| The new approach: a preventive strategy | p. 86 |
| Is this new approach safe? | p. 87 |
| What you can do | p. 88 |
| Stopping drug treatment | p. 88 |
| Aggressive Therapy: Drugs to Treat Rheumatoid Arthritis | p. 95 |
| Prescription vs. over-the-counter drugs | p. 95 |
| Nonsteroidal anti-inflammatory drugs (NSAIDs) | p. 97 |
| Analgesics | p. 102 |
| Corticosteroids | p. 106 |
| Disease-modifying antirheumatic drugs (DMARDs) | p. 111 |
| Biologic response modifiers | p. 116 |
| Other DMARDs | p. 121 |
| Combination therapy | p. 126 |
| Research and development: Hope for the future | p. 126 |
| Table: Drugs used in treating rheumatoid arthritis | p. 128 |
| Surgical Options: Opening New Doors | p. 137 |
| Common surgical procedures | p. 138 |
| Synovectomy | p. 138 |
| Arthroscopic surgery | p. 138 |
| Arthroplasty or joint replacement surgery | p. 139 |
| Resection | p. 140 |
| Arthrodesis (fusion) | p. 141 |
| Osteotomy | p. 141 |
| What you can expect from surgery | p. 141 |
| Deciding on surgery | p. 142 |
| Before surgery | p. 143 |
| After surgery | p. 143 |
| Alternative Therapies: Treatment's Old and New Frontier | p. 147 |
| Types of complementary and alternative therapy | p. 148 |
| Massage | p. 148 |
| Acupuncture/acupressure | p. 149 |
| Special diets or dietary changes | p. 150 |
| Herbs, supplements, "natural" remedies | p. 152 |
| Common supplements used for rheumatoid arthritis | p. 154 |
| Prayer and spirituality | p. 158 |
| Miscellaneous therapies | p. 158 |
| Talking to your doctor about your options | p. 158 |
| Making smart choices | p. 159 |
| Develop a Good Living Lifestyle | |
| Exercise: The Importance of Getting Physical | p. 163 |
| What if I don't exercise? | p. 163 |
| Making a commitment to exercise | p. 165 |
| Choosing the right moves | p. 166 |
| A note about pain | p. 171 |
| Don't go it alone | p. 172 |
| Sample exercises | p. 173 |
| Eating Well: Diet and Your Arthritis | p. 185 |
| Adopt a good diet | p. 185 |
| A note on diet "cures" | p. 185 |
| What is a good diet? | p. 186 |
| Eat a variety of foods | p. 186 |
| Ease up on fat and cholesterol | p. 186 |
| Eat vegetables, fruits and whole grains | p. 187 |
| Spare the sugar and salt | p. 188 |
| Drink alcohol in moderation | p. 188 |
| The Food Guide Pyramid | p. 189 |
| The Food Labeling Act | p. 189 |
| Nutrition resources | p. 190 |
| Assume Responsibility for What You Can Control | |
| Closing the Gates: Ways to Manage Pain | p. 195 |
| What is pain? | p. 196 |
| The "Gate" theory of pain | p. 196 |
| Why "grin and bear it" doesn't work | p. 198 |
| Managing a flare | p. 199 |
| Managing chronic pain | p. 202 |
| Avoiding joint pain and damage | p. 203 |
| Organize and simplify your life | p. 204 |
| Self-help devices | p. 204 |
| Feeling Exhausted: How to Cope With Fatigue | p. 209 |
| Pinpointing causes of your fatigue | p. 209 |
| Keeping a fatigue diary | p. 210 |
| What your doctor can do | p. 211 |
| What you can do | p. 213 |
| Understanding your body's rhythms | p. 215 |
| Getting a good night's sleep | p. 215 |
| Prioritizing your time and energy | p. 217 |
| Ask for help, even if it's difficult | p. 217 |
| Mastering Emotional Challenges | |
| Mind Power: Getting Mentally Tough | p. 223 |
| The mind-body connection | p. 223 |
| Why self-efficacy can help | p. 224 |
| Coping with stress | p. 225 |
| Losses and Gains: Getting Past Grief and Depression | p. 239 |
| What is grief? | p. 239 |
| If you experience depression | p. 239 |
| Grief's parade of emotions | p. 241 |
| Self-talk | p. 245 |
| Ten unhealthy ways to think | p. 246 |
| Changing unhealthy self-talk | p. 248 |
| Avoiding a spiral into depression | p. 249 |
| How to know if you're depressed | p. 250 |
| Seeking professional help | p. 252 |
| Good Living: Creating a Healthy Lifestyle | p. 257 |
| Setting reasonable goals | p. 257 |
| Nourishing your mind and spirit | p. 259 |
| Taking care of the basics | p. 260 |
| A final word: Making time for yourself | p. 261 |
| Glossary | p. 265 |
| Index | p. 279 |
| Resources for Good Living | p. 298 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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