Better pain management for arthritis
December 4th, 2008    Subscribe To Our FeedHow long since you’ve seen your doctor about your arthritis? Pain management is improving.
Better Management More Important Than New Drugs For Arthritis reports:
“Isidoro González-Alvaro from the Hospital Universitario de la Princesa, Spain, led a team of researchers who studied the treatment of 789 patients over four years between 2000 and 2004. He said, ‘Our work shows that the treatment of rheumatoid arthritis at tertiary hospitals in Spain has improved from the year 2000. It is likely that better management of available drugs, mainly methotrexate, has been learned during the last decade - along with the clinical development of most biologic agents.’ “
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Coping With Ankle Arthritis
September 30th, 2007    Subscribe To Our FeedIf you have ankle arthritis, not only is the condition painful, but it can also make you unsteady on your feet.
There are a number of causes of ankle arthritis, and a case of this condition can often be attributed to a specific event or injury. This means that if you suffer an injury to your ankle in your earlier years of life, arthritis is a condition that you should be on the lookout for as you age. The good news is that there are a number of possible treatment options for this condition, and they can range from changing your footwear to a variety of surgical options. Your doctor will be the best source of information in diagnosing and treating your ankle arthritis.
There are a number of reasons why you might be diagnosed with ankle arthritis, and one of the most common is a previous injury to the area, such as a sprain or fracture. These types of injuries can lead to damaged cartilage in the ankle, and may result in accelerated arthritis in the joint as well. It is also possible to develop arthritis in your ankle if you are overweight and placing undue stress on the joints. Another possible cause of ankle arthritis is rheumatoid arthritis that can spread to any of the joints of the body, including the ankle joint.
Symptoms of ankle arthritis include pain, stiffness and swelling around the ankle joint. You may also notice that you develop bone spurs in the area, or that the joint itself becomes deformed. Another symptom of this type of arthritis is the feeling that the joint will give out, or you may feel that you are not completely stable on your feet. If you are noticing any of these symptoms, you should talk to your doctor about the possibility that you have ankle arthritis and begin weighing your treatment options.
Treatment for ankle arthritus
Treatment for ankle arthritis can range from gentle strengthening exercises like yoga, to medication and cortisone injections, and even surgery in some cases. One of the first treatments that you can try is a simple modification of your footwear. Many who suffer from ankle arthritis find relief from the pain by simply using cushioned insoles inside of their shoes.
If a simple process like this does not help to ease your discomfort, your doctor can advise you in the use of anti-inflammatory medications and may prescribe cortisone shots for particularly severe pain. In some cases, surgery will be the best treatment for ankle arthritis, and this can range from arthroscopy to fusion surgical procedures.
If you suspect that you might be suffering from ankle arthritis, talk to your doctor today about a diagnosis and your treatment options. You will be glad you did.
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Headache pain relief medication - brand name or generic?
August 9th, 2007    Subscribe To Our FeedThese days, you’ve got a choice when it comes to headache pain relief - more generic brands are available now, and are often cheaper.
Brand name medications, even simple ones, such as aspirin, acetaminophen or ibuprofen - takes many years and billions of invested dollars. Complicating the situation is the often incompetent and illogical way the FDA approves research and marketing, before the drugs can even be brought to the consumer.
But after all the expense and complexity, drugs do often find their way onto the shelves. Because of patent and trademarks laws, those pharmaceutical companies that developed the drug have the right to exclusive sale of the product they worked to produce. But only for a certain length of time.
The period varies, but eventually the active ingredients in brand name drugs become legally available for other companies to manufacture and sell. In the case of aspirin, for example, Bayer - the German company - lost exclusivity, of both the compound and the name, as a result of Germany’s loss of WWI. Acetylsalicylic, in the form they developed, then became available for others to make and sell.
Once that happens, so-called generic drugs come onto the market. In the vast majority of cases, these drugs are as good (or nearly so) as their competitors. Since those companies didn’t bear the time and expense to develop and build a market for them, they can sell them much more cheaply. Those are the major reasons generics are much less expensive.
But even within that framework, it’s not always the case that generic and brand name drugs are identical. Even though the patent may have expired, the law requires that generic drug manufacturers make some changes to the product beyond the name. They are not allowed to sell the identical material under an alternate name.
Most accommodate this requirement by modifying the inactive ingredients. In most cases, that’s a perfectly safe course of action. But, individuals differ in their sensitivity and what’s a completely inactive ingredient for some may have some effect on others. It may be something as minor as the odor or taste. In other cases, the effect may be more profound.
Altering the level of calcium in a Bufferin-like medication (composed of aspirin and buffered with calcium carbonate) can make a difference for some people. Patients taking the anti-depressant Zoloft, for example, have reported some differences in effect between it and a generic substitute. Anti-depressants are also sometimes used to treat some forms of headache.
Though quality standards and active ingredients are required by law to be the same for any manufacturer, large pharmaceutical companies are more than just efficient marketing organizations. They also have enormous resources to devote to creating and monitoring their manufacturing processes.
In some cases, this can make a difference between their product and that of a generic. This is especially true since some have components now being made in China and elsewhere, where proper practices may not be as stringently followed.
As with anything, there are risks and trade-offs. Each individual will have to explore his or her options independently and arrive at a decision.
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