How Many Types Of Arthritis Are There?


Hello, everyone. We’re going to talk about
a nice general overview of the muscles and joints of the body that can be
associated with the differing types of arthritis. Hello, everyone. This is
Dr. Jason West with the West clinic coming at you have 102 years of healing and
four generations of doctors. We see a lot of patients that don’t fit the mold
where they are round peg that we’re trying to push into a square hole. We
never see easy cases and one of the video requests that I got was talking
about regional arthritis. Now what does regional arthritis mean? There’s over a
hundred types of arthritis, there’s osteoarthritis, there’s
rheumatoid arthritis, there’s inflammatory arthritis, metabolic
arthritis I mean, it’s a big big mouthful to get all of the arthritides out there
and so I just thought I’d make a video about some regional considerations for
arthritis because arthritis basically means inflammation of the
joint. It’s really common, sometimes it’s not very well understood so I just
thought I’d go to the different areas of the body and start talking about what
could be going wrong and the arthro tides. I may miss some of them and so in
the comments section, if I miss something or if you want to see a specific video
about arthritis, tell me and we’ll make one. So let’s just start with your hands
and feet and work up to the head. So the first thing that we look about for hand
arthritis is to see if we’re developing something called Heberden’s nodes. so
these are little osteoarthritic markers, you get a little bumps on the fingers
and basically it’s a sign that we’re losing the joint space, the joints are
coming closer together, you get a deformation of the joint and things like
glucosamine, chondroitin, are really good but something that
my grandfather taught my dad and my dad taught me was that raw pecans really
really help with those swollen irritated little knuckle joints, those Heberden
nodes and so a handful of raw pecans, it can’t be in pecan pie, it can’t be
candied pecans or chocolate dip pecans, just raw pecans. I’ve seen rehab really
good clinical outcomes for Heberdeen’s nodes. The other things that can affect
those joints and the fingers are things like rheumatoid arthritis and gout.
Now rheumatoid arthritis has a tendency to be a little bit more bilateral or
systemic because it seems to happen in both hands at the same time. That’s not
always the case but for gout, it really is unilateral, it likes to kind of go after
one joint, likes to really go after the thumb, same thing with the big toe in
the foot. Now going to the wrist and talking about wrist arthritis, this can
become from trauma, a lot of times people will be either skiing or they’ll trip
and fall and they’ll reach out and get their wrists into extension and crunch
that area and so it can be a traumatic or osteoarthritis but also looking at
systemic arthritis and I think it’s really important to upregulate the
immune system, make the immune system healthier before going into a bio
modular DMARDs or TNF inhibitor therapy and so many times you get people coming
into the office and they’re requesting alternatives and considerations to the
traditional approach and that’s one of the things that we offer. Now moving up
to the elbow, see a lot of tendinitis, sometimes you can have older nerve
entrapment that’s occurring in the elbow and some metabolic conditions there but
a lot of trauma associated with that. You can have golfer’s elbow which is medial
epicondylitis or you can have tennis elbow which is lateral epicondylitis and
some regenitive injection therapy where you’re taking little bits of
vitamins and some type of ear and mild irritant like dextrose 5%,
oxidative medicine, neural Prolotherapy to stimulate the body to go to a healing
mode are all really good considerations. Now when your shoulder’s not working,
a couple things to happen. I always want to evaluate and see if there’s some type
of rotator cuff, irritation. There’s four muscles that basically hold the shoulder
in place and if you put someone through the paces as far as identifying those
muscles, you can determine it’s a rotator cuff, there’s also a bursitis, there’s
also adhesive capsulitis. There’s a lot of different
arthritis that can affect the shoulder and then moving into the spine.
We talked earlier about a previous video about ankylosing spondylitis, you can
have degenerative joint disease which means the vertebrae are coming closer
together, you can get a pinched nerve that’s going down the arm, you can go
down in between the shoulder blades, you can go just to the shoulder, to the elbow,
to the wrist and an orthopedic evaluation where you’re doing a range of
motion, you can do specific tests to stretch the ligaments, to entrap
irritated nerve roots, to determine if there is a degenerative joint or add
intervertebral discs syndrome or all considerations. It’s nice to have some
plain films or x-rays you know, looking at you from the front and the side and
then doing an oblique view where we can look down the intervertebral foramen and
see if there’s enough space there, it may require some advanced imaging like an
MRI and then going down through the back into the
thoracic spine, the thoracic spine is relatively protected by the ribs so it’s
not as common actually it’s fairly rare to get a disc herniation in the thoracic
spine but you can get some schmorl’s nodes, you can get a a biomechanical
deformation called a kyphosis where you become hinged forward or it’s one of the
easier places to see something called ankylosing spondylitis. Now 80% of the
population at some point will have some type of low back episode and most of the
time it’s caused by improper biomechanics or some type of trauma and
you can get sciatic problems and you can get sacroiliitis, it’s one of the
places where ankylosing spondylitis likes to go is that sacroiliac joint but
there are many better bollock conditions basically you can show in the lumbar
spine.Now when you go to the hips and you think about arthritis in the hips,
it can be hip dysplasia, it can be which means that you didn’t have a properly
formed hip joint, we can have osteoarthritis which that ball and
socket joint of the hip just kind of wears out instead of having a nice ice
cream cone looking joint, it gets to be square, it’s like we’re having a rusty
hinge or we’re pouring gravel into a ball bearing joint, it just doesn’t
function very well. Having people lay on their back and
then you rotate, they have internal external rotation is one of the
considerations through osteoarthritis. Hip films or x-rays where
you do an AP lateral and a frog-leg so that you can show the different spaces
when the joint is moving our considerations and then the knee. Now
there’s a lot of different things that can happen in the knee. Osteoarthritis,
you could have rheumatoid arthritis, you can have a crystalline deposition
disease, we can have gout but usually you want to rule out, make sure there’s no
trauma and then going up and down the stairs, if it’s hurtful to go up and down
the stairs, it’s a classic sign of osteoarthritis.
There’s a million things that can cause knee arthritis but the joint lubrication
therapy through Prolotherapy or neural Prolotherapy or Prolotherapy are really
good considerations. I’m not opposed to any type of medical intervention,
whatever helps the patient is effective but whenever possible if we can avoid a
steroid, a cortisone injection because there was a recent paper that I read
that showed that people that had a steroid injection or people that had
some type of physical therapy or regenerative injection therapy, they all
seem to have initially pretty similar results. We start doing rehab, we start
doing the regenerative injection therapy stimulation. What’s interesting is about
a year or two three years later the people that got steroid injections don’t
seem to hold their treatments, they have repeat fault problems at higher levels
and people that are trying rehab. Now I think it’s really important whenever
possible to not put any type of prescriptive medications in your body
and less necessary. I don’t like to put in healthy things in your system or
unnatural things in your system unless it’s absolutely warranted and then the
last thing to talk about for just a real generalized arthritic considerations in
your feet, you could have plantar fasciitis which is an irritation of the
membrane along your feet, the spring ligament, it starts to pull away the bone
on the bottom of the foot, you can have some achilles tendonitis, you can have a
lot of metabolic considerations inflammatory and infectious arthritis
and going to a holistic provider that’s versed in nutritional considerations,
biomechanic, orthopedic considerations or to grow to an integrated medical
facility like our clinic. There’s other clinics like that across the United
States to get a thorough workup because once you know the cause then we can talk
about considerations of what’s the best way to put you back together. I really
like humpty-dumpty medicine. Humpty-dumpty is the nursery rhyme where
you fall off the wall and you’re pieces and then someone starts to put you back
together again. For me, in my office with our providers, it doesn’t matter who gets
the credit as long as the patient gets better. I know there are other doctors
out there and that’s just a systemic review of the different kinds of
arthritis and different kinds of conditions for joint problems. There’s
tons of other conditions and in the comment line, if you’ll ask me about
arthritis or a specific condition, we’ll make a video of it. This is Dr. Jason
West and we’ll see you on the next video.

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