Can botox injections help my arthritic pain?

Botox mania has really caught on in America. While the drug is useful for some headaches and wrinkles, there are some people who claim that it may also work by relieving arthritis pain. So far, only a few anecdotal reports exists about botox and arthritis.

However, the amount of botox injected is significant and the pain relief obtained is only of short duration. Moreover, the pain relief is not observed by all people with arthritis. In addition, you also have to consider the cost of Botox- the more you get injected, the bigger the bill. Botox works by blocking the ability of muscles to contract and so how it relieves pain in the joints is unknown. 

Botox is not a cure for any type of arthritis nor is it a replacement for the traditional arthritic medication. Right now, I would not recommend botox because it appears that the only people who are promoting it are those who sell the therapy and some of these are unscrupulous doctors. 

What I would recommend though, is exercise on a regular basis, reduce your weight and continue with whatever medication you have been prescribed.

What are risk factors for arthritis?

There are several risk factors for arthritis. These include the following:

Family history is not important for osteoarthritis but appears to play a role in rheumatoid arthritis. If your parents had rheumatoid arthritis, then it is likely that you may also develop the same disorder. Not everyone, though, in the family develop rheumatoid arthritis.

For osteoarthritis, age is a risk factor. As you age, the general wear and tear of the joints is progressive. Women generally are more likely to develop rheumatoid arthritis.

Anyone who has had a prior joint injury while playing sports or from a fall is more at risk for developing osteoarthritis later in life. This is commonly seen in athletes who often have severe arthritis of the wrist, ankles and knee later in life.

Obesity is a big risk factor for many medical disorders and also for arthritis. The excess weight puts a lot of stress on the weight bearing joints. Most obese people tend to develop osteoarthritis early in life.

What is the difference between osteoarthritis and rheumatoid arthritis?

Osteoarthritis is due to the general wear and tear of the joint from daily living activities. The bones grind against each other and lead to destruction of the cartilage. This wear and tear happens in everyone but can be hastened by joint injury, obesity or infection. Osteoarthritis usually affects the large joints of the body like the knee, hip or spine.

Rheumatoid arthritis occurs because of some problem with the immune system. For some unknown reason, the body’s defense mechanism starts to attack the joint structures causing inflammation, redness and swelling. Rheumatoid arthritis is also a progressive disease and can be very deforming. It tends to affect small joints and is usually bilateral and symmetrical. For example, fingers on both hands may be affected at the same time.

Neither condition is curable and all treatments only deal with the symptoms.

My doctor has given me an antibitoic for my rheumatoid arthritis? Will it help?

Well, the first thing you need to do is change your doctor. There was a time when it was believed that rheumatoid arthritis was due to an infection. 

Many doctors used to prescribe tetracyclines for rheumatoid arthritis. This was based on pure speculation and today we know different. There is not one piece of evidence linking rheumatoid arthritis to any bacterial or viral organism. However, some old fashioned doctors continue this antibiotic therapy, more out of ignorance rather than anything else. 

There is no proof that rheumatoid arthritis is due to an infection and no one has ever been cured of his or her disease with an antibiotic. Today, there are far better and more effective therapies for rheumatoid arthritis than tetracyclines. So get yourself a new doctor or search online for a reputable rheumatologist.

Can I use apple cider vinegar for my arthritis?

Sure you can use anything you want, but the question is does it work? 

While some people report that apple cider vinegar is good for arthritis, these are unconfirmed reports. There are no clinical studies which show that apple cider vinegar actually works for arthritis or for that matter any other disease. 

We live in a society where charlatans continually make up fictitious claims to make money from desperately ill patients. So far there is no dietary healthy supplement that helps relieve pain or swelling in arthritis. Even glucosamine has been proven to be junk. 

Therefore, for the moment all apple cider vinegar will do for you is quench your thirst. If you want your arthritis to get better, go and see a real doctor.

How does one treat plantar fasciitis?

In the majority of cases, conservative treatment is adequate to cure the condition. Non-surgical treatments include night splints, crutches, specially designed arch supports and physical therapy. Most individuals do require some type of pain medication. If this fails, injection of corticosteroids may help. Recently extracorporeal shock wave therapy has also been found to be helpful in some individuals.

What is role of surgery?

Surgery is extremely rare and never the first choice. If your doctor recommends surgery then you need to get a new doctor. There is no surgical procedure that can help relieve the pain from plantar fasciitis, but you can rest assured, surgery can make your foot worse. The best way to avoid plantar fasciitis is to maintain a healthy weight, wear decent shoes and warm up slowly prior to starting a new exercise program.

What causes plantar fasciitis?

The causes of plantar fasciitis are many. Normally the plantar fascia acts like a shock absorber but if it is exposed to too much tension, the fascia develops small tears. The most common causes include:

Intense Physical activity: Plantar fasciitis is common in athletes such as joggers or long distance runners. Even standing all day or lifting weights can cause stress on the heel.

Arthritis: In some individuals, it is believed that arthritis along the tendon may lead to plantar fasciitis.

Diabetes: For some unknown reason plantar fasciitis is quite common in diabetics

Anatomy: Some individuals with flat foot or a high arch are also prone to developing plantar fasciitis

Poor shoe wear: Shoes that are thin soled or lack arch support increase the chance of developing plantar fasciitis.

Female sex: Females are more likely to have this disorder and it is most likely related to their elegant but uncomfortable shoes or sandals.

The diagnosis of plantar fasciitis involves a physical exam and a radiological test to ensure that one does not have a one spur.