Check-up this week looks at Rheumatoid arthritis
Rheumatoid arthritis
My husband has had tests done for pains he's been having in his hands and feet. His doctor has diagnosed rheumatoid arthritis but at only 40, surely he's too young to have this?
Rheumatoid arthritis can strike at any age but is most common in the 40 to 60 age group. It affects about two people in every 100 and will cause disability for one in 10 sufferers. It is a disease of the joints, particularly the smaller ones of the hands, wrists and feet. Most people with the condition will experience stiffness, particularly in the mornings, swelling and tenderness of the small joints and tiredness.
Is this type of arthritis different to the sort my elderly father has?
Yes. Osteoarthritis is the term that describes the "wear and tear" our joints experience as part of the ageing process. It tends to affect larger weight- bearing joints such as the knees and hips. Joint damage during sports or through accidental injury can bring the condition on earlier in life. Stiffness and pain are usually worse in the mornings and can be aggravated by excessive or strenuous activities.
How is rheumatoid arthritis treated?
It's very important to keep as fit as possible. Walking and swimming are particularly good activities and a referral to a physiotherapist would be advisable as she can provide a range of exercises to prevent muscle weakness and maintain joint mobility. She will also advise on the use of heat and cold packs to help reduce inflammation and control pain. Rest is important but must be balanced with exercise. Pain killers and anti-inflammatory drugs can also be used.
My husband works from home, but we're worried that using a PC is adding to his problems.
He needs to see an occupational therapist (OT) who will assess his current functional ability and advise him on adapting his work station to minimise strain on his joints. An OT will also advise on adaptations to the home, driving and leisure activities.