Living With Arthritis Part II

Consult with your physician to determine a treatment plan for you

 How is Arthritis Diagnosed?

Proper diagnosis, early detection, and treatment are important in successfully managing arthritis. Diagnosis is usually made following an evaluation of medical history and a physical exam.

X-rays may be used to help confirm a diagnosis or determine how much bone damage and cartilage loss exists.

A family doctor or primary care physician may be able to diagnose and treat common types of arthritis. You may eventually be referred to a rheumatologist, or arthritis specialist, for further treatment.

Consult your physician to determine a treatment plan that best suits your needs.

Can Arthritis be Treated?

    While there is no cure, arthritis is manageable and symptoms can be minimized. Early treatment results in less joint damage and pain.
  • Each individual may respond differently to various treatment options, but starting a combination of therapies as soon as possible seems to have the best effect.
  • A good treatment plan considers the severity of the condition, the joints affected, your age, activity level, and other medical conditions.
  • You and your physician should determine a treatment plan that best suits your individual needs.
  • By taking an active role in the treatment of arthritis, you can alleviate symptoms, prevent progression and improve the function of your joints.

    Arthritis Therapy Options

    Weight Control and ExerciseWeight Control and Exercise Help to Control Arthritis

    Perhaps the best thing you can do! Control your weight to reduce strain on joints. Every pound gained means added pressure on the knees and hips (and more pain!). Exercise strengthens muscles and keeps the joints flexible to increase range-of-motion. Stretching also increases flexibility. Strong muscles help support joints. Range-of-Motion exercises, muscle-strengthening exercises and low-impact activities such as walking, bicycling or swimming are ideal.

    Rest during periods of pain and support joints with braces and supports

    Rest and Joint Care

    During periods of pain or inflammation, joints are unstable and more prone to injury. Rest and limited activity will help prevent further damage to affected joints. Avoid repetitive motions when possible. Support and protect your joints with the use of over-the-counter braces. Assistive devices make work easier and prevent strain and stress on the joints.

    Protect your joints with supports and braces

    Arthritis Therapy Options

    Pain Relievers

      Drug therapy* may ease symptoms. Some drugs aim to reduce pain while others target
      symptoms and slow progression.

    • Analgesics relieve mild-to-moderate pain but do not relieve swelling or inflammation. 
      Topical Analgesics help relieve pain of arthritis and other symptoms

      Topical Analgesics help relieve pain of arthritis and other symptoms

       

    • Topical analgesics are creams or rubs applied to the affected area to help
      relieve pain and other arthritis symptoms.

        There are three main types of topical analgesics:

      • Counter-Irritants – These topicals contain ingredients such as menthol, eucalyptus oil, or camphor that mask the pain by producing a warm or cool sensation to the skin. Some of these products may be combined with the other two types:
        salicylates or capsaicin.
      • Salicylates – Topical salicylates reduce inflammation and pain by blocking the release of a certain fatty acid that causes swelling. Since they work in the same way as aspirin, people who are sensitive to aspirin should consult a physician before use.
      • Capsaicin - Capsaicin is a natural substance found in hot chili peppers. In topical creams it gives warmth to the skin and surrounding area However, the real benefit is that Capsaicin works past surface pain to the molecular level. Capsaicin relieves pain by blocking the transmission of a pain-relaying substance called Substance P to the brain. Best results typically occur with 2 to 4 weeks of continuous use. Capsaicin is the most recommended topical for arthritis sufferers.
    • Non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen, help reduce swelling, inflammation and moderate to severe pain.
    • Prescription medications may be incorporated into a treatment plan to treat a wide variety of symptoms.
    • Local steroid injections such as injectable glucocorticoids are injected directly into the affected joint for immediate and targeted pain relief.

    Note:Medication should be taken as directed by a physician.

    Thermal TherapyHeat or use of hot packs relax muscle around stiff muscles and helps relieve arthritis pain.

    Heat, or the use of hotpacks, relaxes muscles around stiff joints and helps relieve deep, aching pain. A warm bath may help loosen joints and ease pain and stiffness.

    Arthritis Therapy Options

    lwa-braces-and-therapeutic-heatCertain supports and splints provide therapeutic heat directly to the tender, aching joint. Cold packs applied for no longer than 20 minutes will help reduce any inflammation and swelling.

    Reduce Stress

    Stress leads to fatigue, muscle tension and increased pain
    that can intensify arthritis symptoms. Relaxation techniques
    such as meditation or activities like yoga may help
    relax muscles and release tension and stress.

    Alternative Therapies

    Vitamin C and other antioxidants may possibly help prevent
    progression of osteoarthritis. A massage can decrease pain
    and increase circulation. Other options may include yoga or
    acupuncture.

    Surgery

    Surgery may be considered when other treatment options are not successful.

    Remember, a treatment plan may need to change over time with any changes in the condition (such as progression or an improvement in the condition).


    Therall™ premium arthritis products help relieve arthritis symptoms, such as pain and inflammation, while maintaining an active lifestyle.

    A Support Hose Story

    One of our very good customers sent us a letter the other day that we would like to share with you.  She expressed what we have been telling our clients for a very long time.  What a difference support hose can make in a person’s life!  ….. Vanda

    Untreated Stasis Dermatitis can lead to venous ulcerations

    Untreated Stasis Dermatitis can lead to venous ulcerations (from Support Hose Store)

    If I had just one piece of advice to give those who have extreme swelling in the lower limbs, it would be this - wear compression stockings and keep yourself and your loved ones out of wound care!

    We always thought my husband had big legs.  Little did we know that his legs were simply swollen from lack of proper circulation.  It took 4 different doctors until we finally found one who took one look at his legs and diagnosed Venous Stasis Dermatitis as the cause for his dryness and swelling.  We didn’t know what this meant.  That doctor suggested my husband wear compression socks to rid his legs of the excess fluids, which, she said, would rid him of his Stasis Dermatitis.  So, to the Internet I went.

    What I learned was this - whatever the cause, and there are many - if we did not get the swelling down quickly, we were looking at months of wound debridement and possible infections that would not be easily treated.  We searched and searched for the right compression socks, pharmacies, local health care dealers.  The first socks we bought were a diabetic sock, which is a great sock, but we soon found these did not have the proper compression to help my husband.  Within a few weeks, we noticed a wound that would not heal, just a few inches above his ankle on his left leg.  We were referred to the wound care center.

    What followed were several months of compression wrapping and debridement (scraping) of his wound.  Nightly wound dressing and morning re-dressing is what we had in store for us for the next few months.

    When we finally found the correct compression hose, 30-40mmHg, and found someone who would properly explain to us how to put them on, we were absolutely shocked to find that after wearing them daily for three weeks, my husband’s legs were not only NOT big, but were almost svelte.

    I am a firm believer in these garments!  Almost a year later he has graduated into a lower compression garment, 20-30mmHg, and does not go one day without wearing them.  His overall health has gotten so much better as well.

    Wear your stockings!  Don’t just think a water pill will be the only answer!  Compression is necessary because of the way we were all made.  Our valves in our veins are one-way only, and when they do not work properly, we must force them.

    Do yourselves a favor - size your stockings correctly, wear the right compression, and do not go a day without them.  You will be surprised at how quickly and effectively compression socks work!

    We are so very thankful to the good people at Support Hose Store!  Without them, I shudder to think what would have happened to my husband’s legs!  Thank you Rod and Vanda.

    Secrets of the Best Fitters

    Your day does not have to start with struggling to put on your support stockings

    Your morning should not have to start like this

    Support Hose tricks we want you to know

    We all know how much better our legs feel when we wear our support hose and how our quality of life is improved.  Your day does not have to start with struggling to put on your support stockings.

    However, many of our customers confess:  “I hate to put on my support stockings because it takes so long” or “I am so tired when I finish putting on my support socks”.  Putting on your compression stockings really does not have to be such a an ordeal as our stocking donning lady appears to be experiencing.

    Be sure to put your stockings on first thing in the morning before your legs and feet have a chance to swell.  If necessary, take your bath or shower the night before.  The important trick here is to make sure your legs are dry when you put your stockings on.  This means you may have to put lotion on your legs the night before also.  Let’s make this as easy a possible.

    There is a saying “a picture is worth a thousand words”, our good friends at Jobst have gone a step further.
    They have created a video which shows proper techniques of putting on your compression stockings without using any type of donning aid and how to use the Jobst Donner.  We hope this video brought to you by Support Hose Store and Jobst will make your morning more pleasant.

    Our Amazing Circulatory System

    Our amazing circulatory system - interaction with symptoms of vascular disease

    Our amazing circulatory system - interaction with symptoms of vascular disease

    Compression Therapy Successfully Used to Manage

    Symptoms of Vascular Disease

    Brought to you by Sigvaris

    Let’s start with some facts to show the remarkable achievements that our cardiovascular system performs:

    Our Heart

    • Approximately 70 beats per minute
    • 2.5 billion heartbeats per lifetime
    • 5000 - 6000 quarts of blood are pumped through the body each day
    • An adult heart weighs approximately 10.5 ounces
    • The strongest muscle in the body

    Our Blood Vessels

    • An adult has about 100,000 miles of vessels in his/her body
    • 60 - 70% of blood volume in the entire body is located in the veins
    • Veins have 200 times greater elasticity than arteries
    • Total surface of vessels in the body is near 93,000 square inches

    The circulatory system transports nutrients, water and oxygen via blood throughout your entire body including the organs and muscles. Oxygen-rich blood is pumped from the lungs to the heart, through the arteries and smaller vessels (arterioles) and then to tiny capillaries throughout your body.

    It is in the venules and arterioles where oxygen is exchanged

    It is in the venules and arterioles where oxygen is exchanged

    It is in the capillaries where the arteries and veins connect and oxygen is exchanged. Then, the deoxygenated blood (CO2) is carried back to the heart and lungs through the venous system.

    Venous:

    • Blood returns to the heart
    • contains waste and metabolic residue

    Arterial:

    • Blood flows from the heart
    • rich with oxygen and nutrients

    Circulating blood through the veins toward the heart can be a challenge. Gravity forces veins to work harder to return blood to the heart.

    Contraction of the calf muscle

    Relaxation of the calf muscle

    Relaxation of the calf muscle

    The calf muscle (or “second heart”) aids the movement by contracting and relaxing as a person walks by providing pressure on the veins which forces valves to open and close, thus moving blood upward.

    In a normal vein, one way valves are located ever 2 - 5 cm to aid in the proximal flow toward the heart. When calf muscles relax, the valves close to prevent blood from flowing backward into the lower part of the veins. These valves are fragile and can be easily damaged.

    Poor circulation or compromised veins can cause blood to back up or “pool” and collect in the veins. This irregularity (also known as incompetency) in blood flow can lead to swelling, varicose veins or, if left untreated, more serious vascular disorders.

    Venous Disease is progressive and left unchecked may result in a more serious condition.

    Venous Disease is progressive and left unchecked may result in a more serious condition.

    Let’s take a closer look at the venous system of the legs. The venous system contains most of the blood as it moves through the circulatory system. The venous system is comprised of the deep venous system, superficial veins and perforator veins. The deep venous system carries 90% of the venous blood volume and is the high pressure system of the venous circulation in the legs. The deep venous system is protected by muscle and fascia (strong connective tissue providing structural support and protection). The superficial system carries the balance of the blood volume (10%) and is the low pressure system.

    The superficial veins are more prone to damage because they are not protected by a strong muscle sheath. Perforators penetrate the muscles throughout various parts of the body, connection the superficial veins with deep venous system veins.

    Venous Disease is progressive, if left undiagnosed and untreated, minimal symptoms may result in a more serious condition. Symptoms range from an achy, heavy feeling and pain in the leg to edema (swelling), discoloration, skin changes and ultimately to a skin ulcer.

    4-12 mmHg (20-40%)
    Compression Therapy is often used in therapeutic management and is defined as the application of controlled, graduated external pressure to the limb to reduce venous pressure within the limb. It is important that the compression be graduated and that the strongest compression is at the ankle, decreasing in the proximal (toward the heart) direction.
    10-24 mmHg (50-80%)

    20-30 mmHg (100%)

    Approximately 24 million Americans have varicose veins

    Approximately 24 million Americans have varicose veins

    Chronic Venous Insufficiency

    Chronic Venous Insufficiency (CVI) is a collective term used to describe a long-standing condition involving impaired venous return in varying degrees of severity.

    Symptoms include:

    • Edema (swelling)
    • Feeling of heaviness in the legs
    • Pain or cramps in the calves
    • Skin discolorations
    • Dermatitis (skin problems)
    • Dry or weeping eczema
    • Venous leg ulcer

    A venous leg ulcer is an open wound that usually forms near the ankle and is caused by chronic poor circulation. The ulcer has a weeping, raw appearance and the skin surrounding the ulcer is dry, itchy and reddish-brownish in color. Venous leg ulcers are usually slow to heal.

    Compression therapy is the treatment of choice for chronic venous insufficiency by many physicians.

    Deep Vein Thrombosis

    A Deep Vein Thrombosis (DVT) is a blood clot in one of the deep veins. A DVT can cause damage to valves, cause blood to reflux, increase venous pressure and cause edema.

    DVTs can be quite painful, but with treatment the majority of DVT’s are not life-threatening and the blood clots often gradually dissolve.

    Symptoms include:

    • Pain and tenderness in one leg
    • Swelling in one leg
    • Increased warmth and redness in one leg
    • Shortness of breath and fainting
    • Pain in chest

    DVTs can also occur with NO SYMPTOMS. DVT treatment includes a prescription for anti coagulation medications, daily walking and daily use of compression stockings.

    Conclusion

    Many factors contribute to the development of venous insufficiency and disease. According to the Society of Interventional Radiology (SIR), roughly half of the U.S. population suffers from chronic venous disease.

    Risk factors include:

    • Heredity
    • Pregnancy
    • Professions that require long periods of standing/sitting in one place
    • Age
    • Obesity
    • Surgery, trauma, disease

    Compression therapy is successfully used to manage mild, moderate and servere symptoms of vascular disease.

    Support Hose Store carries a complete line of medical legwear from Sigvaris and other top manufacturers. Our courteous staff of trained compression garment specialist are always here to help you with your leg health needs. Check out our massive selection online or call us at 1-800-515-4271 today !

    Understanding Venous Disease - Video

    Living with Arthritis (Part 1)

    Cartilage deteriorationThere are currently 46 million arthritis patients in the U.S. today. This will grow to 67 million by the year 2030!! One in every 3 American adults has either been diagnosed with arthritis or has chronic joint pain and stiffness. As we get older arthritis becomes more prevalent.

    So, what is arthritis and how does it affect us?

    A healthy joint has cartilage surrounding the ends of the bones.
    A joint is where two or more movable bones meet. Each joint is a complex structure made up of ligaments, cartilage, fluid and the synovium. The synovium is the thin layer of tissue that lines the joint and lubricates the tendons.

    Cartilage is the spongy material that covers and cushions the bones and acts as a shock absorber for easy joint movement.

    Arthritis slowly destroys the cushioning cartilage around a joint. The cartilage begins to break down, causing the bones in the joint to come into contact with one another. This causes inflammation, pain and stiffening as bones rub against one another.

      • Rheumatoid Arthritis is an autoimmune disease in which the immune system attacks healthy joints causing inflammation and damage.

      • Hands and feet are most commonly affected, though the wrists, ankles, knees and shoulders may be affected as well.
      • More common in women
      • Typically develops between the ages of 30 and 50
      • Approximately 1-2% of the population is affected by Rheumatoid arthritis.
        Osteoarthritis is a chronic, degenerative form of arthritis where cartilage between the bones in a joint breaks down, causing friction (bone rubbing on bone) and pain. It is the most common form of arthritis.

      • Osteoarthritis typically affects more than one joint and is most often in the weight bearing joints such as the hips, knees and lower back. The neck, fingers, thumb joints, feet and the big toe can also be affected. Wrists, elbows, shoulders and ankles are usually affected only in cases of injury or overuse. Read more »

    Measuring and Fitting Instructions - Video

    Support Stocking Measuring and Fitting Instructions from Mediven and SupportHoseStore.com

    Google invites Amarillo based e-commerce business, SupportHoseStore.com, to their campus to meet with Key staff members

    FOR IMMEDIATE RELEASE:
    Contacts:
    Vanda Lancour, Owner
    vanda@supporthosestore.com
    SupportHoseStore.com
    2300 Bell, Suite 2
    Amarillo, Texas 79106
    806-331-1618
    www.supporthosestore.com

    Rod and Vanda at the Googleplex

    Rod and Vanda at the Googleplex

    Amarillo, Texas- June 16, 2008
    SupportHoseStore.Com, an Amarillo Based e-commerce web site received an invitation from Google, the leading web search engine, to visit their campus in Mountain View, California. Vanda and Rod Lancour, owners of SupportHoseStore.com received a questionnaire about services offered by Google. Mr. Lancour returned the questionnaire. Google then contacted Mr. Lancour and invited him and Mrs. Lancour to visit their campus on June 5-6, 2008, where they met with key staff and personnel to discuss future promotional opportunities. This visit comes at a time of substantial local, national and international growth for SupportHoseStore.Com. Google assists SupportHoseStore.Com through their world-wide search engine network, through key word updates, optimizing advertising programs, and updated beta programs, which gives SupportHoseStore.com the leading web resources available to maintain contact with their prospective customers and optimize their web site. Read more »

    Venous Leg Ulcers - Video

    Venous Leg Ulcer information brought to you by Sigvaris and SupportHoseStore.com

    Differences Between Edema And Lymphedema

    In this day and age, everyone is more concerned with their health. They want to understand what their doctor is telling them and want to be informed enough to make good decisions concerning their health care.

    When we have swelling in an extremity, it is important to understand the difference in edema and lymphedema. They have very different causes and the treatments; while similar in some circumstances they are entirely different. Read more »