Treatment Options for Rheumatoid Arthritis (RA)

In the treatment of rheumatoid arthritis, doctors typically recommend a combination of medication, lifestyle changes, dietary goals, exercise, and physical therapy aimed to address the following:

– Relieve painful RA symptoms to put the disease in remission.

– Prevent any further joint damage and disability.

– Improve joint function and overall well-being.

To attain these goals, medical professionals will often recommend these strategies to treat rheumatoid arthritis:

Physical therapy

Physical therapy is a tool often recommended to improve joint function and overall range of movement for RA patients. Therapeutic exercises will often be used to help make movement in the hands and feet pain free. Therapists will often also introduce assistive tools—such as emergency alarms, reaching sticks, buttons to open doors, walking assists (i.e., canes), buttonhooks for dressing, and cooking and food preparation aids (i.e., grasping aids to help open jars and protective knife handles to protect the wrist and fingers).

Dietary changes

Diet can impact the lives of rheumatoid arthritis patients in a positive or negative manner. With the primary goal of managing pain and encouraging improved joint function, doctors will often prescribe patients consume a well-balanced diet consisting of lean protein, fresh fruits and vegetables, and whole grains while avoiding inflammatory foods such as red meat, refined sugar, processed foods, and fatty fried foods. Health professionals may also introduce supplementing with fish oil and/or plant oils (i.e., evening primrose oils) known for their natural pain-relieving benefits.

Physical activity

Daily, low-impact exercise is important for RA patients in order to promote regular movement and improved range of motion. Good examples of RA-approved exercise includes swimming, Tai Chi, yoga, and walking, which is gentle on swollen joints.

Medication

Medications prescribed to treat RA focus on relieving symptoms while slowing the progression of the disease. However, many medications used to treat RA often carry serious side effects (i.e., mood swings, weight gain, and bone loss), which is why patients should be closely monitored by a doctor and adhere to drug frequency and dosage to prevent an overdose. To treat painful RA symptoms, doctors often prescribe non-steroidal anti-inflammatory drugs (or NSAIDS) such as over-the-counter ibuprofen (i.e., Advil) or naproxen sodium (ie., Aleve). To reduce inflammation, prednisone (a corticosteroid) is often prescribed either via oral pill or injection. Lastly, doctors aim to prevent the progression of RA with disease-modifying antirheumatic drugs (or DMARDS) paired with a “biologic agent” (i.e., etanercept, batacept, adalimumab, certolizumab, etc.).

Surgery

Surgical intervention is considered only for RA patients with severely damaged mobility in instances where a joint or tendon can be saved or replaced entirely. For instance, joints may be fused or removed via a synovectomy (removal of inflamed joint lining) performed on a knee, hip, finger, wrist, or elbow. Joints can also be surgically replaced with prosthetics created from metal or plastic.

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Early Warning Signs of Kidney Disease

Your kidneys are essential for filtering excess waste and liquids from your bloodstream that are then excreted from the body through urine. Chronic kidney disease (CKD) involves a gradual loss of kidney function that can lead to a dangerous build up of fluid, waste, and electrolytes. Many individuals do not receive a diagnosis until the disease is advanced, as the symptoms are minor and hard to notice—once you receive a diagnosis and as the symptoms progress, you can be treated with medications like Kerendia. To catch kidney disease early on, be aware of the following early warning signs:

1. Loss of appetite

Although a very general symptom, it can occur as a result of kidney failure. Due to the toxins being trapped in your body and not filtered out properly, it can kill your appetite. With kidney disease, even if you’re not hungry, it’s extremely important to eat so you can get all of the nutrients you need and keep your body energized to fight the disease.

2. Changes in urination

If you notice any abnormal changes in your urination, it may be a sign of kidney failure. When the kidney filters are damaged, it can cause an increase in urination frequency. Healthy kidneys keep blood cells within, but if they are damaged at all, they can leak out into the urine and result in blood in your urine. Lastly, foamy urine indicates protein in the urine, suggesting issues within the kidney. Keep an eye out for any changes in your urine and see a doctor if anything strange occurs.

3. Swelling and puffiness

Kidney disease may show up in swelling of the feet and ankles or even puffiness in the under eyes. As a result of decreased function of the kidneys, sodium retention occurs—the cause of swelling at the feet or ankles. Puffiness in the eyes is a result of leaking protein into the urine, as it’s meant to stay within the body.

4. Weakness and fatigue

The buildup of toxins in the blood can result in significant feelings of weakness and fatigue. This can also cause individuals with kidney failure to struggle with focus and concentration. If you find yourself feeling weak and tired more often than usual, and especially if it’s impacting your daily life, you should see your doctor.

5. Itchy skin

Healthy kidneys not only filter out waste, but they also help make red blood cells, maintain strong bones, and maintain the proper amount of minerals within the body. If you’re experiencing dry and itchy skin, it could be a result of mineral and bone disease—a disease that often accompanies more advanced kidney disease. Due to the loss of kidney function, your body will struggle to regulate and balance your vitamins and minerals.

6. Cramping

Since kidneys also regulate electrolytes in the body, if you begin to lose kidney function your electrolytes will be imbalanced, thus resulting in cramping muscles.

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fashion

5 Dress Types to Suit Women of All Ages

Fashion is such an individualized thing. Everyone is different and therefore everyone has personal preferences when it comes to different types of dresses. One thing is true though; it’s important to have at least one versatile and flattering dress in your wardrobe. When determining what type to choose, there are several styles to consider that can be appropriate for different types of events and different figures.

Women today attend many events that require dressing up for the occasion. These may include weddings, dates, parties, work events, and brunch. When looking to buy a dress to suit a wide range of occasions, here are some flattering options for all ages and body types:

1. Wrap dresses

Wrap dresses are exactly what they sound like. These dresses are pulled together with a front closure. One side of the dress is wrapped across the front and then either goes behind the back part of the waist to either be attached by buttons or tied. The construction of this dress creates a v-neck front. It also accentuates the curves of the wearer in the chest area.

2. Maxi dresses

Maxi dresses are a great option for many occasions. They are long and go to the floor. Generally, they are designed to fit the body on the top, and then be flowy and long on the bottom. The fun thing about them is they can feature many different necklines and come in various patterns and colors. This makes them very individualized to the person.

3. A-Line dresses

A-line dresses are named after the shape they take on the body, which is an “A”. They fit to the top part of the body and begin to flare gradually out at the waist and hips, becoming wider as the hem progresses. A-line clothing can be found not just in dresses, but also in coats and skirts.

4. Little black dresses

Everyone has heard of the little black dress. This is such a versatile option that can be found in your closet. It can be dressed up or down for numerous types of events. As a general design, it is usually a simple dress that tends to be quite short. The elegance and simplicity create a fairly blank canvas that allows you to create the exact type of look that you want. Many designers provide limitless options for this much-needed wardrobe essential. Victoria Beckham cocktail dresses are one good brand to consider.

5. Mini dresses

A mini, or short dress that hangs just above the knees is a common style. This design became popular in the 1920’s. It was later revitalized in the 1960s, and has remained an integral part of many wardrobes ever since. A mini shift style dress is a loose-fitting dress that is very comfortable and does not fit tightly around the waist or any part of the body. It is loose at both the hips and the waist so the dress falls loosely down from the shoulders all the way down to the bottom of the dress. Darts are generally located in the bust area. It is a straight silhouette that can be flattering for those that have bodies that are shaped more like a column and it also elongates petite figures as it shows off the legs.

When shopping for dresses, every designer has his or her own individual interpretation. It is fun, and a great idea to look at the individual designers and fashion forward celebrities to find the one that fits your aesthetic most closely. Also, remember that designers also have many other clothing options. As an example, when looking at what stars wear, like Kourtney Kardashian or Victoria Beckham (blouses, skirts, dresses and pants), you might find a designer that the star tends to wear a lot that you can draw inspiration from.