1. INFLAMMATION & DEGENERATION ARTHRITIS

2. DEFINITIONS
INFLAMMATORY JOINT DISEASE IS SYSTEMIC, CAUSES STIFFNESS ALL OVER, SWELLING IN JOINTS, PAIN AND FATIGUE
DEGENERATIVE JOINT DISEASE CAUSES PAIN WITH MINIMAL STIFFNESS AND SWELLING AND NO FATIGUE

3. DIFFERENCE
STIFFNESS IS FAR GREATER IN INFLAMMATORY ARTHRITIS THAN DEGENERATIVE AND SO IS THE FATIGUE/WEAKNESS

4. ETIOLOGY
INFLAMMATORY IS AUTOIMMUNE (RA, LUPUS), CRYSTAL INDUCED (GOUT), INFECTIOUS, METABOLIC (THYROID,PARATHYROID)
DEGENERATIVE IS GENETIC, END RESULT OF INFLAMMATORY, TRAUMA, AGE...

5. CASE - 1
80 YEAR OLD WITH MODERATELY SEVERE BACK PAIN AFTER WALKING LESS THAN A MILE, SHE ALSO IS STIFF IN HANDS FOR 45 MIN IN AM

6. CASE - 2
45 YO WITH GENERALIZED SEVERE PAIN, IN ALL JOINTS AND STIFFNESS THAT LASTS FOR HRS. AFTER TREATMENT HER DEVELOPED INCREASING LEFT HIP PAIN THAT IS PROGRESSIVELY GETTING WORSE.

7. TREATMENT
HISTORY AND PHYSICAL
LAB
X-RAY/MRI

8. TREATMENT PHYSICAL THERAPY AQUA-THERAPY FISH OIL/GLUCOSAMINE EXERCISE
TOPICAL APPLICATIONS

9. TREATMENT GLUTEN FREE MSG, ALFALFA SPROUTS MEAT, SEA FOOD, BBQ,
COOKED TOMATOES AND EGGPLANTS
ALCOHOL- BEER VERSUS OTHERS

10. TREATMENT NSAIDs DISEASE MODIFYING DRUGS-NON BIOLOGICS
DISEASE MODIFYING DRUGS-BIOLOGICS
RESEARCH

11. TREATMENT
NON BIOLOGICS EXAMPLES: MTX, SULFA, LEFLUNOMIDE, PLAQUENIL (HCQ), AZATHIOPRINE, CELLCEPT...

12. TREATMENT
TNF BIOLOGICS: ENBREL, HUMIRA, REMICADE, CIMZIA, SIMPONI, ARIA

13. TREATMENT
NON-TNF: ORENCIA, RITUXAN, ACTEMRA, BENLYSTA, XELJANZ,

14. TREATMENT
HIGH RISK MEDS: EDUCATE, SCREEN, VACCINE, HYGENE