Medical News

Rheumatoid Arthritis-Causes,Symptoms And Treatment


Overview-Rheumatoid Arthritis

Rheumatoid arthritis is a chronic disease that leads to inflammation and deformity of your joints. It is characterized by swelling, stiffness, pain, warmth and redness in the joints. As it progresses, the joints may become misaligned, misshapen and damaged. The tissues that line the joint can also thicken and wear away the surrounding cartilage, bones and ligaments. Rheumatoid arthritis normally occurs symmetrically, which means that if one hand or knee has it, the other one will also have it.

The condition affects approximately one percent of the population, and women are three times more likely to get it than men. Even though it can occur to people of all ages, it is more common to those between 25 and 50 years of age. Rheumatoid arthritis (or RA) is a severe, mostly progressive disease than can result in serious disability, lower the quality of your life and reduce your lifespan. Luckily, there have been significant advances in the management and treatment strategies of the disease, and this has led to improvement in the lives of many people who suffer from the condition. However, there is no cure for rheumatoid arthritis.

Causes and risk factors

The exact cause of rheumatoid arthritis remains unknown, though it seems to be an autoimmune disease. This means that it occurs when the white blood cells, which are an integral part of our body’s immune system, mistakenly attack the joint tissue ( or synovium). As the thin layer of cells that line the joint( known as the synovial membrane)become inflamed, enzymes are produced. With time, these enzymes and specific immune cells damage the bones, cartilage, ligaments and tendons around the joint

Some research studies suggest that this faulty immune response is triggered by a virus. However, there is no conclusive evidence that proves this. Meanwhile, it seems that some individuals are more likely to suffer from the disease because of their genetic makeup. Environmental factors are also thought to play a big part. For instance if you are a smoker, you have higher chances of developing rheumatoid arthritis.


The disease equally affects the joints on both sides .The most commonly affected areas include the fingers wrists, knees, ankles and feet. Rheumatoid arthritis often starts slowly, with only minor stiffness, fatigue and joint pain.

The joint symptoms include a morning stiffness which may last for one hour. The joints may feel tender warm and stiff if one is inactive for some time. The joint pains are often experienced on the same joint on each side of the body. As time goes by, the joint can lose its range of motion, leading to deformity.

Other symptoms include chest pain during breathing, dry eyes and mouth, burning itching or discharge in the eyes, nodules beneath the skin(normally a sign of a more serious condition),sleeping difficulties and numbness, burning or tingling sensation in the feet and hands.


If you notice the symptoms of rheumatoid arthritis, consult your doctor as soon as possible. Early diagnosis ensures faster treatment and prevents further damage to your joints. The doctor will perform a physical examination and inquire about your medical history. Symptoms such as morning stiffness are tell-tale signs of the disease. The doctor may also do a blood test to determine if you have the rheumatoid factor antibody, which is present in 80% of people suffering from the disease.

The doctor may perform the erythrocyte sedimentation rate test to identify whether you are inflamed. This test also distinguishes between RA and osteoarthritis, and this is vital for proper treatment of your condition. Unlike rheumatoid arthritis, osteoarthritis affects only joints in one side of the body. An x-ray can be done to show the extent of damage to the joints.


Treatment of the disease focuses on treating the symptoms. It aims at reducing pain and inflammation, minimizing and preventing joint damage and maximizing joint movement. To attain these goals, a combination of treatment is normally recommended. Such treatments include:



There are a number of medications that are used to treat the condition. NSAIDS ( or Non-steroidal anti-inflammatory drugs) work by treating inflammation and pain. Corticosteroids such as prednisone work by reducing inflammation. DMARDs (or disease-modifying anti-rheumatic drugs) are medications that are commonly used in the treatment of moderate and severe rheumatoid arthritis. These medications include those that suppress the immune system, anti-malarial medicines and those that treat cancer. One such drug, methotrexate, has proved to work particularly well in managing severe rheumatoid arthritis.

Tumor Necrosis Factor–alpha (also called TNF-a) are a group of medications that work by inhibiting the tumor necrosis factor, an inflammatory protein in the body. The medication used will depend on how severe the disease is. If it is found to be effective, the treatment regime may be continued for several years.


There are a number of physiotherapy treatments that can be used to minimize pain, strengthen muscles, improve movement and promote independence.

Rest and exercise

There should be a balance between rest and exercise. If the disease is active, it is better to get rest. But you need exercise to enhance muscle strength, reduce joint stiffness and deformity and sustain mobility. A physiotherapist can prescribe the right exercise regime for you.

Joint care

Protecting your joints and simplifying work are effective ways of minimizing fatigue and joint pain. A physiotherapist or occupational therapist can guide you on these. They may suggest that you use splints or devices that can lessen the pressure on the joints such as long-handled shoehorns or zipper pullers.


If you are suffering from severe pain or serious deformities, surgery may be recommended. This often includes knee or hip joint replacement or other kinds of joint replacements. Your nerves, tendons or joint structures like the synovial membrane can also repaired.

Alternative therapies

There are people who find alternative therapies like meditation, acupuncture, homeopathy and relaxation techniques beneficial in managing symptoms of rheumatoid arthritis. Taking dietary supplements like fish oils can also help.

Consumer Education

Warts Can Be Problematic

deep_plantar_wartThough information about warts are not scarce, there are still a lot who fall for misconceptions or myth. Perhaps it could be because they are just too paranoid about this skin issue. Our friend, William Jahiry is an Irvine dermatologist from Orange County CA that has helped shed light on this issue.

If you know anyone who has the skin disease or you yourself have one, it is best to surround yourself with people who are knowledgeable about warts; you should also know where to get the right information. Knowing about warts will not only help you understand the real problem but will also lead you to the proper treatment.
Here are the most important things you need to know about warts:

Warts are caused by a virus.

The main culprit is the HPV or human papilloma virus. The various strains of the virus cause the different warts infecting most persons today.

What you have in your hands and knees are simply called common warts; the flat warts are the leveled ones that appear in the face and the neck. Filiform warts are the extended ones that grow near the eyelids. Plantar warts are the painful tumor-like lumps that appear at the soles of the feet. Last are the genital warts, appearing on the genitalia of an individual.

Warts could be an indication of cancer.

If you know a woman that has genital warts, it is possible that she has cervical cancer too. This is because the type of human papilloma virus that causes the cancer is also the leading cause of genital warts. This becomes more alarming when you add the fact that genital warts are highly contagious, and it is a sexually transmitted disease.

Fortunately, the vaccine against cervical cancer mainly targets HPV, so it will also prevent genital warts in the process.

Different types don’t infect one another.

This may become very trivial, but it basically means that one does not have to be afraid of touching the affected feet in fear of getting warts in your hand. At the same time, common warts on your finger won’t cause filliform warts. However, if you have common warts, make sure you do not share towels with other people, especially those with cuts. The virus may easily enter these areas, and they can develop into warts too.

There are various treatments available.

Home kits include salicylic acids and liquid nitrogen. Both kill the warts and the surrounding skin in different ways. They can be a little painful, though, but they do the job after repeated treatments. You can also go to a dermatologist who can perform a small surgery, literally cutting the affected surface of the skin. Or the doctor can focus a laser into the wart area to burn it. There is still pain involved, but the results are guaranteed to be permanent.

Warts can be prevented.

There are a lot of simple ways to avoid the virus from infecting you. You can always practice the correct washing of hands and the use of your own toiletries. Protected sex helps prevent genital warts and all sexually transmitted diseases for that matter. You can also increase you resistance to the virus by eating right and maintaining a healthy lifestyle. The vaccine for cervical cancer called Gardasil may also prevent genital warts.

If you have any further questions or concerns that you need answered, it is advised to consult with a qualified Irvine dermatologist like William Jahiry or other local professionals. They will help you find the right direction to solving your warts problems.

Consumer Education

Those Mysterious Bumps Could Be Sebaceous Cysts

What Are Sebaceous Cysts?

A sebaceous cyst is a small lump or bump that forms just under the skin. Also known as epidermoid cysts or keratin cysts, they usually develop and disappear by themselves after a few days. Sebaceous cysts are a result of the blockage of the sebaceous gland by keratin.

Sebaceous cysts often release an unpleasant smell because they contain oily fluid. They may develop all over the body, except the feet and palms. Sebaceous cysts mainly occur on the face, breast, back and head. They vary in size and are mainly painless and non-cancerous. There are many methods of treating sebaceous cysts. However, it is important to understand what causes sebaceous cysts.

sebaceous cyst
Image brought to by Wikipedia

Causes of Sebaceous Cysts

Cysts are caused by a number of abnormalities in the human body. Some of the most common causes of cysts include:

• Block fluid or sebaceous glands

• Production of excessive testosterone

• Swollen hair follicles

• Excessive production of sebum on the surface of your skin

• Skin trauma

• Overexposure the harmful UV rays of the sun

• An individual with a history of a skin condition or acne is most likely to experience sebaceous cysts.

• Repetitive shaving and waxing

Signs and Symptoms of Infection

Sebaceous cysts are mostly harmless lumps or bumps that form and move freely under the surface of the skin. It is extremely important to avoid touching or squeezing the substance inside to avoid swelling, pain and infection. Sometimes, infection can occur. Some of the signs and symptoms of an infection include:

• Redness

• Tenderness

• Warmth of the skin over the lumps or bumps

• A waxy or oily substance draining from the lump or bump.

Sebaceous Cysts Diagnosis

To a professional dermatologist, sebaceous cysts can be diagnosed easily by their overall appearance. In some cases, a skin culture or biopsy might be required to rule out any other skin condition. You should see your health care provider to get an official diagnosis if you think you have developed sebaceous cysts.

Treatment for Sebaceous Cysts

When they develop on the skin, sebaceous cysts can look very unattractive. They sometimes drain out foul smelling fluid. However, it is extremely important to seek treatment instead of touching or squeezing a sebaceous cyst on your head, back or face. Squeezing a cyst can elevate the risk of inflammation and infection. If the cysts are painful or do not rupture, then make sure you see a dermatologist.

Some of the most common treatments for cysts include:

Incision & Drainage

The dermatologist makes a small cut in the area and then removes the fluid from the cysts. This is one of the fastest ways of treating cysts.


This treatment involves injecting the lump with a medication that will ease swelling and discomfort.

Laser treatment

This treatment involves carbon dioxide laser vaporization of the cyst. This can cause minimal scaring.


If the bump gets enlarged, then minor surgery may be necessary. You might need to see your physician to determine whether surgery is the best option for you. Minor surgery is preferred in many cases because it reduces the risk of cyst reappearance.

Medical News

Thermage Body: Alternatives To Surgical Face Lift?

Going under the knife seems to be a little daunting when you want to get that rejuvenated look. Good thing that it is not the only option. There are other non-invasive alternatives to surgical face lift, which is easier for others to go through with. Aside from that, it also lessens your chances from infection and other serious complications involved in a surgical face lift.

One of the easiest alternatives to surgical facelift is by adapting a healthier lifestyle. You can start it off by getting at least 6 hours of sleep in a day, or by hydrating yourself properly. You must also learn to discipline yourself in washing your face before you go to bed. These practices can nourish and cleanse your skin adequately giving you that rejuvenated look.

Along with the certain practices that you have to keep, you also have to avoid certain things such as smoking, alcoholic beverages and junk foods. These will give your body the toxins that can hasten the aging process of each single cell. Smoking in particular dehydrates the skin making you prone to develop wrinkles and fine lines. So keep the bad habits at bay if you want to maintain that youthful look the cheapest and simplest way!

One of the non-invasive face lift that is gracing the cosmetic industry nowadays is Thermage body CPT (Comfort Pulse Technology). This is a new technology which is an improved version of its predecessor which is Thermage. This skin rejuvenating technology is FDA approved for removing fine lines, wrinkles and facial sagging. Compared to the traditional Thermage where you can feel the laser working like hot elastic bands snapping on your skin, Thermage body CPT on the other hand provides better comfort for the patient because it is totally painless. Aside from that, the procedure is also scar less, so you simply get that rejuvenated look without risking the integrity of your skin.

However, you must also know that the results of Thermage body CPT may not be as dramatic as your face lift procedure. That is why it is most fitting for those who do not have that much skin issues.

Another non-invasive alternative to surgical face lift are anti-aging creams and serums. You can see these products in the market infused with various mixes of ingredients. When choosing the right cream, make sure that it has mild concoction of ingredients and that it is non-comedogenic. You don’t want to end up burning your skin or dotted up with pimples right. So choose carefully. With repeated use applied after thorough skin cleansing, you will be able to see the lifting and tightening results over time.

Another technology that is a safe alternative to surgical face lift is the Mosaic Fractional Laser Treatment. It is a machine developed by a company named Lutronic and is FDA approved to remove acne scars, sun spots, and wrinkles and improves skin tone and elasticity. It is equipped with CCT or Controlled Chaos Technology which delivers the laser treatment in a strategic manner which gives the rest of the skin enough space to recover.

So don’t go right ahead into cutting yourself up unless you have read through or considered other alternatives to surgical face lift. Cosmetic surgery should be your last option, and should be most considered especially when your skin problems is a bit serious than just fine lines and superficial wrinkles. Before taking step about body thermage make sure you contact a specilaist on it.

Consumer Education

Gluten Intolerance Is Not Same As Sensitivity

wheat gluten

People confuse gluten intolerance with gluten sensitivity or celiac disease, which makes sense seeing as medical experts like using the term gluten intolerance to encompass all illnesses related to gluten.

But in truth, gluten sensitivity and intolerance are not the same things. Celiac disease is a food allergy. The body’s immune system overreacts to the presence of gluten, manifesting serious symptoms.

What is Food Intolerance?

Food intolerance is actually similar to celiac disease. In both situations, the body initiates an unnecessarily aggressive reaction to the presence of gluten. Major differences arise when it comes to the amount of damage that food intolerance causes.

What is Gluten?

Gluten is a protein sourced from the endosperm of cereal grain. It not only nourishes the plant embryos of cereal grains during germination but it later impacts the elasticity of the dough.

What Causes Gluten Intolerance?

Unlike gluten sensitivity where the immune system erroneously reacts to the presence of gluten, gluten intolerance manifests as a result of the digestive system’s failure to break down gluten.
As a result, the gluten sits in the digestive system. It causes irritation but there is no real damage done.

Of the two, celiac disease is more dangerous because it damages the lining of the gut.

Symptoms of Gluten Intolerance

The symptoms of gluten intolerance are similar to those of celiac disease, the most common of which will include the following:

1). The most common symptom of gluten intolerance is digestive problems, this including bloating, diarrhea and gas to mention but a few.
2). Keratosis Pilaris is also a relatively common symptom of gluten intolerance. Also called chicken skin on the back of one’s arms, the symptom develops as a result of fatty acid and vitamin A deficiencies.
3. People with this ailment have reported experiencing fatigue after a meal, this along with a foggy mind.
4). Some people not only feel exhausted after a meal constituting gluten but they also experience dizziness and a lack of balance.
5). The joints, knees and fingers can sometimes swell as a result of inflammation, this leading to very irritating aches.
Along with mood swings, issues of anxiety, depression and migraine headaches, gluten intolerance might not be as dangerous as celiac disease but it can get irritating and overwhelming if not dealt with.

Treating Gluten Intolerance

Before you can begin treating this illness, you must first diagnose it. In most cases, a basic blood test should prove sufficient. The right medical expert should be able to identify certain markers synonymous with gluten intolerance and sensitivity.

Some people who have the illness have been known to undergo and produce negative blood tests, this despite showing every possible symptom of intolerance.

In such cases, an endoscopic biopsy might prove necessary. This is where the intestinal tract is examined thoroughly. Patients are required to consume gluten for this test to work. Admittedly, even then, because intolerance doesn’t necessarily cause damage, you might not find any solid evidence of gluten intolerance, in which case you must trust the doctor’s interpretation of your symptoms.

When it comes to treating gluten intolerance, the solution is simple. You have to avoid gluten. That is all there is to it. Your diet must be completely and absolutely free of gluten.
There are medicines that your doctor can recommend but they will only help you control the symptoms caused by gluten consumption. They will not cure your intolerance.

Product Info

The Uses For Xeomin


Botulinum toxin has been around for many years being used in treatment of both cosmetic and medical conditions. It goes with brand names Botox, Dysport, Bocoture, Myobloc, Vistabloc and the most common of it all Xeomin. When very small concentrations of Xeomin are injected into specific areas of the face, it reduces wrinkles and even depending on their magnitude could eliminate them completely Xeomin work by temporarily paralyzing all the muscles that cause the problem.

Xeomin is used by cosmetic plastic surgeons to treat the following facial situations:

Gummy Smile

A “Gummy Smile” is one that is characterized by showing more than a normal amount of the gums. This situation usually stems from excessive lip elevation, when the upper lip rises too far above the upper teeth when the person smiles. Injecting Xeomin into the correct target area of the upper lip will prevent the lip from being raised as high, and give a better look and balance to the smile.

Forehead Wrinkles

Forehead wrinkles are those lines and wrinkles that develop across the brow. Xeomin has been used for many, many years as a temporary cosmetic treatment for this area.

Laugh Lines

Laugh lines are the parenthesis-like creases that form on either side of the mouth as we age. Medically, these are known as nasolabial folds. Xeomin can be used to temporarily get rid of these lines and wrinkles.

Crows Feet

Crows feet are those little lines that begin to fan out around the eyes as your body ages. They can make you appear older than your really are. Applying creams and drinking plenty of water can sometimes help reduce these lines. By injecting very small amounts of Xeomin in target areas next to your eyes, a plastic surgeon can lessen or eliminate these lines.

Nasal Tip Lift

When some people smile a muscle in the upper lip called the depressor nasii septi pulls down on the tip of the nose. In some cases, this dipping of the nasal tip can be quite pronounced, and remains down all the time the person is smiling. This gives the face an odd appearance and distracts from the smile. A plastic surgeon can inject Xeomin into the upper lip muscle, weakening it, and allowing the tip of the nose to remain up when smiling.


The exact cause of hyperhidrosis, a disorder in which there is abnormally excessive sweating, is not known. In hyperhidrosis, the amount of perspiration far exceeds what is required for the control of body temperature. The whole body can be affected, in general hyperhidrosis, or only parts such as the groin, underarms, hands, and feet, in localized hyperhidrosis. Xeomin treatment has proven to be effective in reducing excessive sweating.

Facial lines

The appearance of facial and wrinkles can also be eliminated by administration of Xeomin as directed by your dermatologist. The results are not overly dramatic as the appearance is not radically changed, but there is a high level of satisfaction among those who use it. The use of Xeomin for the treatment of wrinkle lines is highly popular and its fame continues to increase.


If you suffer from any of the above conditions, contact your nearest dermatologist for consultation and subsequent treatment with the use of Xeomin.

Medical News

Learn About AccuVein Technology

AccuVein LLC is a privately held organization that creates items that guide in the perception of fringe vasculature. Its headquartered in Cold Spring Harbor, New York and its business workplaces are in Kansas City, Missouri. Venipuncture is the most regularly performed obtrusive restorative methodology. Since its prosperity has depended generally upon the health care proficient’s feeling of touch and impulses, the system has verifiably been connected with a high mistake rate. The company′s items can altogether decrease the mistake rate.

AccuVein is the worldwide pioneer in vein light, now used by many offices in world. Thousands more around the globe are utilizing AccuVein’s grant winning, versatile vein enlightenment. The AccuVein AV400 shows a guide of the vasculature on the surface of the skin permitting clinicians to confirm patency and stay away from valves or bifurcations.

More viable venipuncture systems with less patient inconvenience result in higher patient fulfillment, making it clear why numerous offices have consolidated AccuVein into their standard of consideration.

The AccuVein AV400 digitally shows a guide of the vasculature on the surface of the skin progressively, permitting clinicians to confirm vein patency and stay away from valves or bifurcations. It is handheld and lightweight, weighing just 9.7 ounces (275g), and effectively changes over to sans hands with the utilization of discretionary wheeled or altered stands.

The medicinal evaluation outline permits the gadget to be effectively wiped clean, packed away for use in separation, and does not require adjustment as it is for all time adjusted. The simple to utilize AV400 can be held in any bearing over the vein being seen. All inclusive and reverse modes make the AV400 valuable on an assortment of patient sorts. With focus line exactness to the width of a human hair, the AV400 can distinguish veins up to 10 mm profound.

AccuVein declared that its earth shattering AV300 vein enlightenment gadget has been introduced in more than 275 healing centers all through the United States, under 12 months after the item started sending. Among the prestigious doctor’s facilities that have embraced the AV300 for venipuncture applications is Scottsdale Healthcare situated in Scottsdale, Arizona.

“Drawing blood or beginning an IV on a tyke can challenge on the grounds that their veins might be hard to find. We bring additional consideration with our pediatric patients and the AccuVein AV300 gadgets help us give another customized touch to help in their solace,” said Emily Shumway, RN, director of pediatric administrations at Scottsdale Healthcare Shea Medical Center.

The AccuVein AV300 helps healthcare experts find veins for blood draw, IV imbuement and blood gift by anticipating an example of light on patient’s skin that uncovers the position of hidden veins. This 10-ounce, hand-held gadget is accessible with a scope of without hands alternatives so it can rapidly free the expert’s hands to play out the venipuncture.

“Persistent fulfillment is up front in the brains of doctor’s facility staff.” said AccuVein promoting VP Vinny Luciano. “Since venipuncture is the most widely recognized obtrusive therapeutic system, it is essential that doctor’s facilities are getting the consolidated advantage of enhanced patient care and cost investment funds by conveying the AV300 for vein perception.”

Not withstanding doctor’s facilities, AccuVein offers to a wide assortment of healthcare offices, for example, blood gift focuses, EMS offices and blood labs around the globe. The AV300 is accessible available to be purchased in more than 45 nations