Do You Have Arthritis?

" Into -- I'm doctor David marks arthritis is a pain sometimes debilitating condition. There's disease of the joints affects 43 million Americans and that number will only increase the population. That is arthritis and who's at risk. Joining us to these questions is -- I don't give you. He's professor of medicine and look at that an adult and a rheumatologist at the surgery welcome thank you David. And that's the doctor Stephens and I was an assistant professor of medicine at NYU thanks for being here. Everybody's heard the word arthritis but a lot of people -- don't know what it means. What they're -- to mean well."

" Trends -- word arthritis means inflammation. Of the joint. -- comes from Arthur which means joining an idea which means inflammation. -- the -- arthritis is really what the word or automobile what you know what model what -- what options. There -- over a hundred different clinical conditions that we refer to as arthritis."

" And as people understand our threat or use it to mean team in the joint. The -- around the joints as well -- in the bones and muscles that may be no -- excellent. So when he -- public use that term arthritis that frequently using it to refer to -- conditions -- and suggest anyone."

" And what that means is that the challenge to a physician my doctor smiles and myself."

" Is being able to tease out exactly what kind of arthritis for dealing with so that we can better individualized therapy for that patient."

" Doctors know what are some of the lowest common types of arthritis. Program that will receive most often and commonly Europe. To encourage both categories. Warren is the authorities that we see related to degeneration of the joint. I don't know degeneration coming to explain what that means. It is the localization. Are a process that local rose through the joint itself rather than a systemic disease. Of the entire body bad -- to sort of -- are categorized under inflammatory. Diseases like rheumatoid arthritis. Sort of the two largest categories. We would sneak are furious Reuters. A local rose to general crisis of the joint. -- and arthritis but generalized systemic disease with a major manifestation being a systemic don't join --"

" Let me let me carry that one step -- Steve has indicated. When we talk about degenerate disease."

" Generally we talk about is either not to use an abnormal joint."

" Or abnormal and use of a normal -- individual who are basketball players and used it needs a lot."

" Develop the kind of operating in the irony is that we would see -- grandparents their hands of the parts of their body you're fine."

" And then have those individuals who may have been born and -- day the occasion of the --"

" And did the joint is abnormal and -- using an abnormal joint normally they made without an early form of degeneration."

" it's not always mean when somebody's little. Are actually not I think it's important for people to understand the arthritis is not a disease of old people. -- he's second being in your grandmother that's also -- disease can be your grandchild. And the difference -- of arthritis can occur at different ages and different people."

" There were never let me be less common types of writers want to mention a couple of them looked -- you -- try to -- the mountains. Or no systemic lupus and retirement -- in clinical and to be. Our inflammation -- and one and can be related to join itself how to so I don't know if they have arthritis to begin. -- only the first sign off right the first symptom of our race relations today is keen. He even around the joints worth paying him."

" I don't pain in a muscle pain in any soft tissue structure luckily electorate and I generally that's what people understand. When they think they have arthritis. And that's generally what. Causes and seek attention for. The problem is that unfortunately there is it culture. And perhaps frustrating part but via. An advertising that we've seen in the past and arthritis is not a serious disease at -- And be treated within that simple aspirants. That's not always -- and that the kinds of conditions that cause our right. Often require much more treatment and what may be available over the counter and that's why it's important for people who have these kinds of problems. To see -- position early one last point I would make. Is that it's also important to understand that the -- Arthritis diseases. That those symptoms other than arthritis. And the reforms of other diseases that cause arthritis example. People will viral disease may have joint pain. And people with joint pain may have problems with their eyes are problems with heart. So it's very important to be able to tease out that differentiate. Those conditions that can cause arthritis or not the joint. And those conditions that are right it's causing things to happen outside the John. Give me an example of when a person should be concerned the dark riders is caused by some estimate disease. I think whenever someone has arthritis. They should be thinking not just of their joint. But. Are there things that can cause it as well. Unfortunately. That convenient long time interval and Steve has seen many of these patients and I have. And individuals who were present you with pain in the joint and you watch them for a period of time you come to realize that. They're going to develop viral disease -- the grant developed skin disease like surprises. A student there and the delay of a twelve year between the time that patients were coming with the joint and and when they had the blow sent them so them have a good position is to be able to identify when that's going to happen anticipated Steve would you do that. I think that the whose."

" One would be calling someone chronic. Patients can have are there signs and symptoms loss of appetite. May be fever. Maybe -- who went. Maybe some other part of their -- disputes -- us to their abdomen is no longer functioning properly. And in the car and two of them having. Joint conference. They should then he -- an extension of their physicians and wonder whether or not presentation of the pain that could be in a swollen. Total. Because we've gone and develop count. The course of that -- Aurora. The -- over and over the course of -- of psoriasis. It's something that they then should bring to their internist. And even to the possibility of seeking a rheumatologist --"

" I would agree with everything you said but I would also argue for the earlier in detention -- the earlier -- diagnosis and treatment. We know that unfortunately. A number of people with a arthritis -- can't see us. Until all several pounds or nine years into that process. Doesn't."

" Can -- from the bridge trying to give people -- home permanent earlier things. That possibility of their kid who's going to be improved. Well one of the three most common symptoms that a person look for -- The three most common symptoms would be playing. In Greenwich aren't slowing in around -- joint he redness in her around a joint pain swelling and threatens. Court -- well thank you very much and thank you for joining webcast. I'm doctor David -- about."