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Arthritis - An Introduction For Patients

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Find out more at http://www.noelhenley.com.
In this presentation I give you an overview of arthritis and its diagnosis and treatment.

I'll share with you my quick three step guide to diagnosing arthritis and teach you the best way to think about ANY arthritis treatment.

Ozark Orthopaedic: Henley C Noel MD
3317 North Wimberly Drive, Fayetteville, AR 72703
(479) 521-2752


Published in: Health & Medicine
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Arthritis - An Introduction For Patients

  1. 1. Preserving Your Most Valuable Asset What You Should Know About Arthritis C. Noel Henley, MD 2011
  2. 2. The Asset www.noelhenley.com
  3. 3. The Asset Your Time www.noelhenley.com
  4. 4. The Asset www.noelhenley.com
  5. 5. The AssetMore specifically, www.noelhenley.com
  6. 6. The Asset www.noelhenley.com
  7. 7. The AssetPain-free Time www.noelhenley.com
  8. 8. Who Am I? www.noelhenley.com
  9. 9. Who Am I?• Husband, Father, Board-certified orthopaedic surgeon www.noelhenley.com
  10. 10. Who Am I?• Husband, Father, Board-certified orthopaedic surgeon• Specializing in hand, wrist, and elbow www.noelhenley.com
  11. 11. Who Am I?• Husband, Father, Board-certified orthopaedic surgeon• Specializing in hand, wrist, and elbow• My goal is to restore and preserve function - with surgery or without www.noelhenley.com
  12. 12. Who Am I?• Husband, Father, Board-certified orthopaedic surgeon• Specializing in hand, wrist, and elbow• My goal is to restore and preserve function - with surgery or without• Orthopaedic surgeons provide surgical and non-surgical care for arthritis patients www.noelhenley.com
  13. 13. What Will You Learn? www.noelhenley.com
  14. 14. What Will You Learn?• What arthritis is www.noelhenley.com
  15. 15. What Will You Learn?• What arthritis is• Where it is www.noelhenley.com
  16. 16. What Will You Learn?• What arthritis is• Where it is• The two common types www.noelhenley.com
  17. 17. What Will You Learn?• What arthritis is• Where it is• The two common types• 3 steps to self-diagnosis www.noelhenley.com
  18. 18. What Will You Learn?• What arthritis is• Where it is• The two common types• 3 steps to self-diagnosis• An overview of treatment options www.noelhenley.com
  19. 19. What is Arthritis? www.noelhenley.com
  20. 20. What is Arthritis?• Arthr- : joint www.noelhenley.com
  21. 21. What is Arthritis?• Arthr- : joint• -itis : inflammation www.noelhenley.com
  22. 22. What is Arthritis?• Arthr- : joint• -itis : inflammation• Joint inflammation that causes pain and stiffness www.noelhenley.com
  23. 23. Is it a Bad Thing? www.noelhenley.com
  24. 24. Is it a Bad Thing?• Most of you know someone with arthritis www.noelhenley.com
  25. 25. Is it a Bad Thing?• Most of you know someone with arthritis• “My mom’s hands were bent and useless - I don’t want to end up that way” www.noelhenley.com
  26. 26. Is it a Bad Thing?• Most of you know someone with arthritis• “My mom’s hands were bent and useless - I don’t want to end up that way”• Pain, stiffness, trouble walking and using your hands or doing what you love www.noelhenley.com
  27. 27. Is it a Bad Thing? www.noelhenley.com
  28. 28. Is it a Bad Thing?• Non-joint effects www.noelhenley.com
  29. 29. Is it a Bad Thing?• Non-joint effects • depression www.noelhenley.com
  30. 30. Is it a Bad Thing?• Non-joint effects • depression • anxiety www.noelhenley.com
  31. 31. Is it a Bad Thing?• Non-joint effects • depression • anxiety • feelings of helplessness, dependence www.noelhenley.com
  32. 32. Is it a Bad Thing?• Non-joint effects • depression • anxiety • feelings of helplessness, dependence • activity limitations, job limitations www.noelhenley.com
  33. 33. Is it a Bad Thing?• Non-joint effects • depression • anxiety • feelings of helplessness, dependence • activity limitations, job limitations • difficulty participating in family/social activities www.noelhenley.com
  34. 34. Take-Home Point 1 www.noelhenley.com
  35. 35. Take-Home Point 1Arthritis is a Destroyer of your pain-free time www.noelhenley.com
  36. 36. Where is Arthritis? www.noelhenley.com
  37. 37. Where is Arthritis?• In the joints www.noelhenley.com
  38. 38. Where is Arthritis?• In the joints• Places where two bones meet www.noelhenley.com
  39. 39. Where is Arthritis?• In the joints• Places where two bones meet • fingers www.noelhenley.com
  40. 40. Where is Arthritis?• In the joints• Places where two bones meet • fingers • elbows www.noelhenley.com
  41. 41. Where is Arthritis?• In the joints• Places where two bones meet • fingers • elbows • knees www.noelhenley.com
  42. 42. Where is Arthritis?• In the joints• Places where two bones meet • fingers • elbows • knees • hips www.noelhenley.com
  43. 43. Take-Home Point 2 www.noelhenley.com
  44. 44. Take-Home Point 2Arthritis is a problem with the joints www.noelhenley.com
  45. 45. Where is Arthritis? Turkey Leg Bone
  46. 46. Where is Arthritis?
  47. 47. Where is Arthritis? Normal Joint
  48. 48. Where is Arthritis?
  49. 49. Where is Arthritis? Arthritic Joint
  50. 50. Where isArthritis?Most Common Locations: fingers knees hips spine
  51. 51. Types of Arthritis
  52. 52. What Types of Arthritis Are There? www.noelhenley.com
  53. 53. What Types of Arthritis Are There?• Osteoarthritis www.noelhenley.com
  54. 54. What Types of Arthritis Are There?• Osteoarthritis• Rheumatoid arthritis www.noelhenley.com
  55. 55. What Types of Arthritis Are There?• Osteoarthritis• Rheumatoid arthritis• Less common www.noelhenley.com
  56. 56. What Types of Arthritis Are There?• Osteoarthritis• Rheumatoid arthritis• Less common • gout and psoriasis www.noelhenley.com
  57. 57. What Types of Arthritis Are There?• Osteoarthritis• Rheumatoid arthritis• Less common • gout and psoriasis • infection-related www.noelhenley.com
  58. 58. What Types of Arthritis Are There?• Osteoarthritis• Rheumatoid arthritis• Less common • gout and psoriasis • infection-related • fracture/trauma-related www.noelhenley.com
  59. 59. Osteoarthritis
  60. 60. Osteoarthritis (OA) www.noelhenley.com
  61. 61. Osteoarthritis (OA)• “Wear and tear” arthritis www.noelhenley.com
  62. 62. Osteoarthritis (OA)• “Wear and tear” arthritis• usually affects fingers, knees, and hips www.noelhenley.com
  63. 63. Osteoarthritis (OA)• “Wear and tear” arthritis• usually affects fingers, knees, and hips• develops slowly with age www.noelhenley.com
  64. 64. Osteoarthritis (OA)• “Wear and tear” arthritis• usually affects fingers, knees, and hips• develops slowly with age• a problem with cartilage in the joint www.noelhenley.com
  65. 65. Osteoarthritis (OA)• “Wear and tear” arthritis• usually affects fingers, knees, and hips• develops slowly with age• a problem with cartilage in the joint • hard, slippery covering over the ends of bone www.noelhenley.com
  66. 66. Osteoarthritis (OA) www.noelhenley.com
  67. 67. Osteoarthritis (OA)• Who has it? www.noelhenley.com
  68. 68. Osteoarthritis (OA)• Who has it? • 27 million Americans (about 10% of the population) www.noelhenley.com
  69. 69. Osteoarthritis (OA)• Who has it? • 27 million Americans (about 10% of the population) • more common in women than men after 45 years of age www.noelhenley.com
  70. 70. Osteoarthritis (OA)• Who has it? • 27 million Americans (about 10% of the population) • more common in women than men after 45 years of age • more common in overweight people and in those who stress their joints more (like runners) www.noelhenley.com
  71. 71. Osteoarthritis (OA) www.noelhenley.com
  72. 72. Osteoarthritis (OA)• Problem starts in the cartilage www.noelhenley.com
  73. 73. Osteoarthritis (OA)• Problem starts in the cartilage • normally allows bones to glide smoothly together www.noelhenley.com
  74. 74. Osteoarthritis (OA)• Problem starts in the cartilage • normally allows bones to glide smoothly together • the shock absorber in the joint www.noelhenley.com
  75. 75. Osteoarthritis (OA)• Problem starts in the cartilage • normally allows bones to glide smoothly together • the shock absorber in the joint • wears away with OA - becomes rougher - bone eventually grinds on bone www.noelhenley.com
  76. 76. Take-Home Point 3 www.noelhenley.com
  77. 77. Take-Home Point 3Osteoarthritis starts out as a cartilage problem www.noelhenley.com
  78. 78. Osteoarthritis (OA) www.noelhenley.com
  79. 79. Osteoarthritis (OA)• Other changes www.noelhenley.com
  80. 80. Osteoarthritis (OA)• Other changes • extra bone growth happens as the joint wears out (bone spurs) www.noelhenley.com
  81. 81. Osteoarthritis (OA)• Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid www.noelhenley.com
  82. 82. Osteoarthritis (OA)• Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid • swelling www.noelhenley.com
  83. 83. Osteoarthritis (OA)• Other changes • extra bone growth happens as the joint wears out (bone spurs) • the joint produces more fluid • swelling • cysts on fingers www.noelhenley.com
  84. 84. Osteoarthritis (OA) www.noelhenley.com
  85. 85. Osteoarthritis (OA)• Patterns in the hand and arm www.noelhenley.com
  86. 86. Osteoarthritis (OA)• Patterns in the hand and arm • some genetic (runs in families) component www.noelhenley.com
  87. 87. Osteoarthritis (OA)• Patterns in the hand and arm • some genetic (runs in families) component • small knots form at the end of the finger www.noelhenley.com
  88. 88. Osteoarthritis (OA) www.noelhenley.com
  89. 89. Osteoarthritis (OA)• Patterns in the hand and arm www.noelhenley.com
  90. 90. Osteoarthritis (OA)• Patterns in the hand and arm • bottom (or base) of the thumb gets swollen and deformed www.noelhenley.com
  91. 91. Rheumatoid Arthritis
  92. 92. Rheumatoid Arthritis (RA) www.noelhenley.com
  93. 93. Rheumatoid Arthritis (RA)• “Inflammation” arthritis www.noelhenley.com
  94. 94. Rheumatoid Arthritis (RA)• “Inflammation” arthritis• The immune system attacks normal joint tissues www.noelhenley.com
  95. 95. Rheumatoid Arthritis (RA)• “Inflammation” arthritis• The immune system attacks normal joint tissues• Starts in the joint lining first - not in the cartilage www.noelhenley.com
  96. 96. Take-Home Point 4 www.noelhenley.com
  97. 97. Take-Home Point 4Rheumatoid arthritis starts out as a joint lining problem www.noelhenley.com
  98. 98. Rheumatoid Arthritis (RA) www.noelhenley.com
  99. 99. Rheumatoid Arthritis (RA)• Pattern is usually symmetrical - equal in both hands www.noelhenley.com
  100. 100. Rheumatoid Arthritis (RA)• Pattern is usually symmetrical - equal in both hands• Patients may have fatigue, fevers, and feel ill more than OA patients www.noelhenley.com
  101. 101. Rheumatoid Arthritis (RA) www.noelhenley.com
  102. 102. Rheumatoid Arthritis (RA)• Who has it? www.noelhenley.com
  103. 103. Rheumatoid Arthritis (RA)• Who has it? • 1.3 million people in the US (much less common than OA) www.noelhenley.com
  104. 104. Rheumatoid Arthritis (RA)• Who has it? • 1.3 million people in the US (much less common than OA) • more common in women than men www.noelhenley.com
  105. 105. Rheumatoid Arthritis (RA)• Who has it? • 1.3 million people in the US (much less common than OA) • more common in women than men • usually begins in middle age and is more common with increasing age www.noelhenley.com
  106. 106. Rheumatoid Arthritis (RA) www.noelhenley.com
  107. 107. Rheumatoid Arthritis (RA)• Problem starts in the joint lining www.noelhenley.com
  108. 108. Rheumatoid Arthritis (RA)• Problem starts in the joint lining • inflamed joint lining invades and destroys the joint surface www.noelhenley.com
  109. 109. Rheumatoid Arthritis (RA)• Problem starts in the joint lining • inflamed joint lining invades and destroys the joint surface • erodes/weakens ligaments around joints, causing large deformities www.noelhenley.com
  110. 110. Rheumatoid Arthritis
  111. 111. Rheumatoid Arthritis
  112. 112. Rheumatoid Arthritis
  113. 113. Rheumatoid Arthritis (RA) www.noelhenley.com
  114. 114. SymptomsDo You Have Arthritis?
  115. 115. Do You Have Arthritis? www.noelhenley.com
  116. 116. Do You Have Arthritis?• Pain in a joint is the most common symptom www.noelhenley.com
  117. 117. Do You Have Arthritis?• Pain in a joint is the most common symptom • at rest www.noelhenley.com
  118. 118. Do You Have Arthritis?• Pain in a joint is the most common symptom • at rest • after activity www.noelhenley.com
  119. 119. Do You Have Arthritis?• Pain in a joint is the most common symptom • at rest • after activity• Stiffness, swelling, and crunching www.noelhenley.com
  120. 120. Do You Have Arthritis?• Pain in a joint is the most common symptom • at rest • after activity• Stiffness, swelling, and crunching• Weakness, deformity - may be pain-free www.noelhenley.com
  121. 121. Do You Have Arthritis? www.noelhenley.com
  122. 122. Do You Have Arthritis?• Pain usually comes on slowly; may start with a fall or sprain www.noelhenley.com
  123. 123. Do You Have Arthritis?• Pain usually comes on slowly; may start with a fall or sprain• Stiffness usually worse in the morning www.noelhenley.com
  124. 124. Do You Have Arthritis?• Pain usually comes on slowly; may start with a fall or sprain• Stiffness usually worse in the morning• Initially, pain comes on after activity; later, aching pain may be in the background all the time www.noelhenley.com
  125. 125. Do You Have Arthritis? Common Locations www.noelhenley.com
  126. 126. Do You Have Arthritis? Common Locations• Hand www.noelhenley.com
  127. 127. Do You Have Arthritis? Common Locations• Hand • fingertips www.noelhenley.com
  128. 128. Do You Have Arthritis? Common Locations• Hand • fingertips • thumb www.noelhenley.com
  129. 129. Do You Have Arthritis? Common Locations• Hand • fingertips • thumb• Wrist www.noelhenley.com
  130. 130. Do You Have Arthritis? Common Locations• Hand • fingertips • thumb• Wrist• Elbow www.noelhenley.com
  131. 131. Do You Have Arthritis? Painful Activities www.noelhenley.com
  132. 132. Do You Have Arthritis? Painful Activities• Pinching www.noelhenley.com
  133. 133. Do You Have Arthritis? Painful Activities• Pinching• Gripping www.noelhenley.com
  134. 134. Do You Have Arthritis? Painful Activities• Pinching• Gripping• Writing www.noelhenley.com
  135. 135. Do You Have Arthritis? Painful Activities• Pinching• Gripping• Writing• Sewing/Knitting www.noelhenley.com
  136. 136. Do You Have Arthritis? Painful Activities• Pinching • Twisting• Gripping• Writing• Sewing/Knitting www.noelhenley.com
  137. 137. Do You Have Arthritis? Painful Activities• Pinching • Twisting• Gripping • Opening jars• Writing• Sewing/Knitting www.noelhenley.com
  138. 138. Do You Have Arthritis? Painful Activities• Pinching • Twisting• Gripping • Opening jars• Writing • Turning the steering wheel• Sewing/Knitting www.noelhenley.com
  139. 139. Do You Have Arthritis? 3 Quick Steps to Diagnosis www.noelhenley.com
  140. 140. Do You Have Arthritis? 3 Quick Steps to Diagnosis1.Think www.noelhenley.com
  141. 141. Do You Have Arthritis? 3 Quick Steps to Diagnosis1.Think2.Look www.noelhenley.com
  142. 142. Do You Have Arthritis? 3 Quick Steps to Diagnosis1.Think2.Look3.Touch www.noelhenley.com
  143. 143. Do You Have Arthritis? Step 1: Think www.noelhenley.com
  144. 144. Do You Have Arthritis? Step 1: Think•Is the pain in the knuckles or joints? www.noelhenley.com
  145. 145. Do You Have Arthritis? Step 1: Think•Is the pain in the knuckles or joints?•Did the pain start gradually? www.noelhenley.com
  146. 146. Do You Have Arthritis? Step 1: Think•Is the pain in the knuckles or joints?•Did the pain start gradually?•Are your joints stiff in the mornings? www.noelhenley.com
  147. 147. Do You Have Arthritis? Step 2: Look www.noelhenley.com
  148. 148. Do You Have Arthritis? Step 2: Look•Is your thumb or finger swollen around the joint? www.noelhenley.com
  149. 149. Do You Have Arthritis? Step 2: Look•Is your thumb or finger swollen around the joint?•Are your joints bent or crooked? www.noelhenley.com
  150. 150. Do You Have Arthritis? Step 2: Look•Is your thumb or finger swollen around the joint?•Are your joints bent or crooked?•Is there redness around the joint? www.noelhenley.com
  151. 151. Do You Have Arthritis? Step 3: Touch www.noelhenley.com
  152. 152. Do You Have Arthritis? Step 3: Touch•Does pushing on the joint cause pain? www.noelhenley.com
  153. 153. Do You Have Arthritis? Step 3: Touch•Does pushing on the joint cause pain?•Is there pain when you bend it? www.noelhenley.com
  154. 154. Do You Have Arthritis? Step 3: Touch•Does pushing on the joint cause pain?•Is there pain when you bend it?•Can you feel grinding or crunching? www.noelhenley.com
  155. 155. What Now?
  156. 156. What Now? www.noelhenley.com
  157. 157. What Now?• Doing nothing about arthritis may be appropriate www.noelhenley.com
  158. 158. What Now?• Doing nothing about arthritis may be appropriate• Rarely is arthritis dangerous www.noelhenley.com
  159. 159. What Now?• Doing nothing about arthritis may be appropriate• Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck www.noelhenley.com
  160. 160. What Now?• Doing nothing about arthritis may be appropriate• Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck• Worst case if you do nothing... www.noelhenley.com
  161. 161. What Now?• Doing nothing about arthritis may be appropriate• Rarely is arthritis dangerous • Exception: rheumatoid arthritis in the neck• Worst case if you do nothing... • slow worsening of function over years www.noelhenley.com
  162. 162. What Now? www.noelhenley.com
  163. 163. What Now?• Best case www.noelhenley.com
  164. 164. What Now?• Best case • a “burning out” of the arthritis pain www.noelhenley.com
  165. 165. What Now?• Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain www.noelhenley.com
  166. 166. What Now?• Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain • disease may not get much worse www.noelhenley.com
  167. 167. What Now?• Best case • a “burning out” of the arthritis pain • stiffness, deformity, and abnormal function may persist with no pain • disease may not get much worse • no one can predict this for you www.noelhenley.com
  168. 168. When to Get Help www.noelhenley.com
  169. 169. When to Get Help• When pain and stiffness are stopping you from doing what you want to do www.noelhenley.com
  170. 170. When to Get Help• When pain and stiffness are stopping you from doing what you want to do• When you’ve tried treatments on your own that don’t work any more www.noelhenley.com
  171. 171. Who Treats Arthritis? www.noelhenley.com
  172. 172. Who Treats Arthritis?• Primary care doctors and nurses www.noelhenley.com
  173. 173. Who Treats Arthritis?• Primary care doctors and nurses• Specialists www.noelhenley.com
  174. 174. Who Treats Arthritis?• Primary care doctors and nurses• Specialists • Rheumatologists (non-surgeon joint doctors) www.noelhenley.com
  175. 175. Who Treats Arthritis?• Primary care doctors and nurses• Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons www.noelhenley.com
  176. 176. Who Treats Arthritis?• Primary care doctors and nurses• Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons• Others www.noelhenley.com
  177. 177. Who Treats Arthritis?• Primary care doctors and nurses• Specialists • Rheumatologists (non-surgeon joint doctors) • Orthopaedic surgeons• Others • physical therapists www.noelhenley.com
  178. 178. How is it Treated? www.noelhenley.com
  179. 179. How is it Treated?• Medication (over the counter and prescription) www.noelhenley.com
  180. 180. How is it Treated?• Medication (over the counter and prescription)• Heat/Ice www.noelhenley.com
  181. 181. How is it Treated?• Medication (over the counter and prescription)• Heat/Ice• Rubs and creams www.noelhenley.com
  182. 182. How is it Treated?• Medication (over the counter and prescription)• Heat/Ice• Rubs and creams• Splints www.noelhenley.com
  183. 183. How is it Treated?• Medication (over the counter and prescription)• Heat/Ice• Rubs and creams• Splints• Exercise www.noelhenley.com
  184. 184. How is it Treated? www.noelhenley.com
  185. 185. How is it Treated?• Steroid injections www.noelhenley.com
  186. 186. How is it Treated?• Steroid injections • very small amounts www.noelhenley.com
  187. 187. How is it Treated?• Steroid injections • very small amounts • much different than steroid pills www.noelhenley.com
  188. 188. How is it Treated?• Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first! www.noelhenley.com
  189. 189. How is it Treated?• Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first!• Surgery - when is it time? www.noelhenley.com
  190. 190. How is it Treated?• Steroid injections • very small amounts • much different than steroid pills • PAIN: I numb it up first!• Surgery - when is it time? • when other things stop working www.noelhenley.com
  191. 191. Surgery www.noelhenley.com
  192. 192. Surgery• Types www.noelhenley.com
  193. 193. Surgery• Types • arthritis removal - take out bone/joint www.noelhenley.com
  194. 194. Surgery• Types • arthritis removal - take out bone/joint • joint replacement (metal or plastic) www.noelhenley.com
  195. 195. Surgery• Types • arthritis removal - take out bone/joint • joint replacement (metal or plastic) • “clean out” surgeries www.noelhenley.com
  196. 196. Surgery www.noelhenley.com
  197. 197. Surgery• Results www.noelhenley.com
  198. 198. Surgery• Results • stops pain www.noelhenley.com
  199. 199. Surgery• Results • stops pain • improves function www.noelhenley.com
  200. 200. Surgery• Results • stops pain • improves function • reliable for most patients BUT - every patient is different! www.noelhenley.com
  201. 201. Making a decision www.noelhenley.com
  202. 202. Making a decision• No treatment or disease is risk-free www.noelhenley.com
  203. 203. Making a decision• No treatment or disease is risk-free • Risks of doing nothing www.noelhenley.com
  204. 204. Making a decision• No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment www.noelhenley.com
  205. 205. Making a decision• No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery www.noelhenley.com
  206. 206. Making a decision• No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery• No one can decide for you www.noelhenley.com
  207. 207. Making a decision• No treatment or disease is risk-free • Risks of doing nothing • Risks of non-surgical treatment • Risks of surgery• No one can decide for you • Many tools out there (providers and treatments) www.noelhenley.com
  208. 208. Where Do I Start? www.noelhenley.com
  209. 209. Where Do I Start?• Start with the doctor or nurse you know best and trust www.noelhenley.com
  210. 210. Where Do I Start?• Start with the doctor or nurse you know best and trust• Ask friends for recommendations www.noelhenley.com
  211. 211. Where Do I Start?• Start with the doctor or nurse you know best and trust• Ask friends for recommendations• Medicare or insurance may have rules about seeing one doctor or the other www.noelhenley.com
  212. 212. Where Do I Start?• Start with the doctor or nurse you know best and trust• Ask friends for recommendations• Medicare or insurance may have rules about seeing one doctor or the other• They can help you decide if going to a specialist is necessary or wise www.noelhenley.com
  213. 213. Summary www.noelhenley.com
  214. 214. Summary• You know what arthritis is www.noelhenley.com
  215. 215. Summary• You know what arthritis is• You know where it is www.noelhenley.com
  216. 216. Summary• You know what arthritis is• You know where it is• Osteoarthritis and Rheumatoid Arthritis www.noelhenley.com
  217. 217. Summary• You know what arthritis is• You know where it is• Osteoarthritis and Rheumatoid Arthritis• 3 steps to self-diagnosis www.noelhenley.com
  218. 218. Summary• You know what arthritis is• You know where it is• Osteoarthritis and Rheumatoid Arthritis• 3 steps to self-diagnosis• You have heard an overview of treatment options and whom to call next www.noelhenley.com
  219. 219. Final Questions About Treatments www.noelhenley.com
  220. 220. Final Questions About Treatments• Is it wasting your most valuable asset (time)? www.noelhenley.com
  221. 221. Final Questions About Treatments• Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment? www.noelhenley.com
  222. 222. Final Questions About Treatments• Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment?• Does it preserve the pain-free, functional time you have? www.noelhenley.com
  223. 223. Final Questions About Treatments• Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment?• Does it preserve the pain-free, functional time you have? • Does the treatment have a lasting benefit? www.noelhenley.com
  224. 224. Final Questions About Treatments• Is it wasting your most valuable asset (time)? • Is there a more efficient way of treatment?• Does it preserve the pain-free, functional time you have? • Does the treatment have a lasting benefit?• A doctor cannot answer these questions www.noelhenley.com
  225. 225. www.noelhenley.com
  226. 226. Learn more about your hand and arm problems atwww.noelhenley.com www.noelhenley.com
  227. 227. References• Lawrence RC, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheum. 2008 Jan;58(1):26-35.• Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis Rheum. 2006 Jan;54(1):226-29.• Simon L, Lipman SL, et al. Guideline for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and Juvenile Chronic Arthritis. 2nd ed. American Pain Society. Glenview, IL; 2002. www.noelhenley.com

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