Although there are foods and diets that are touted as being anti-inflammatory, there is little research in this area to make specific recommendations thus far. It is a fascinating area of study, but much work needs to be done. Maintaining a healthy weight will minimize stress on joints, and clearly nutrition has much to do with body weight and body composition. I generally recommend avoiding processed foods, and I emphasize whole grains, fruits, vegetables, and protein. Protein is important to maintain muscle mass, which in autoimmune/inflammatory diseases can decrease over time (and this has been demonstrated in RA). We hope to explore many of the questions of optimum nutrition and supplementation in RA in future research being conducted at the Johns Hopkins Arthritis Center.
There is no absolute contraindication to a tubal ligation with rheumatoid arthritis.
Without a thorough examination and blood work it is impossible to make a diagnosis. Remember you do not have to have a positive rheumatoid factor in your blood work to have RA, but you do have to meet some other criteria. You should start with your primary care doctor to determine if a referral to rheumatology is appropriate. Remember , even if this is RA, they are many effective treatments available.
You most likely do have rheumatoid arthritis. In 2010, new diagnostic criteria were established. A point system is used; with the points awarded for which joints are affected, elevated and ESR, positive rheumatoid factor and Anti-CCP. People suspected of having RA do not have to have points in all areas. By using this system, we believe we can diagnose and thereby treat people earlier in their disease than previously.
An important note to this system ; anyone displaying a joint erosion on x-ray, will automatically receive the RA diagnosis regardless of the number of points achieved.
The word ‘arthritis’ simply means ‘joint derangement’. This specifies that the problem is in the joint itself – as opposed to the surrounding structures, such as the muscles or tendons. However, the word ‘arthritis’ does not determine the cause of the joint troubles nor the plan for treatment. The first step in evaluating an individual with arthritis is to determine if it is an inflammatory autoimmune cause of arthritis (such as rheumatoid arthritis, psoriatic arthritis, etc) or osteoarthritis. This can be established through history, examination, xrays, and laboratory testing.
If your mother is in reasonable health, a knee replacement is not out of the question. Seek an opinion from an orthopedic surgeon in your area, who has lots of experience with total knee replacement.