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Arthritis

Arthritis Takes Aim At Baby Boomers

As baby boomers age, cases of arthritis and other rheumatic conditions will jump by an estimated 50 percent during the next 25 years. The number of people affected by arthritis will rise to about 60 million Americans. According to the federal Centers for Disease Control (CDC) and Prevention, arthritis is the leading cause of disabilities in the United States. With the first baby boomers are pushing 50, it will affect a lot more people in the future. The CDC notes that arthritis, which affects 40 million Americans, is more common and disabling than heart disease, cancer or diabetes, but remains "under-appreciated and under-studied," in part because it presents itself as a "slow motion event."

Currently about 15.5% of Americans suffer from some form of arthritis, including nearly half of the population 65 years and older. Arthritis is more common in women, in people living in rural areas and in those with lower income and education levels, although researchers do not know why. Rates of the disease are similar for whites and blacks, but are lower among Hispanics and Asians.

Arthritis is characterized by pain, stiffness and sometimes swelling in and around the joints. The CDC recommends that those who have such symptoms for more than two weeks should see a doctor. The most common form is osteoarthritis, which increases with age and involves the breakdown of cartilage and bones in the fingers and weight-bearing joints.

Rheumatoid arthritis is an immune-related inflammation or swelling of the joint lining that damages cartilage and bone, affecting hands, wrists, feet, hips, knees, ankles, shoulders and elbows. Other forms of arthritis include fibromyalgia, gout, low back pain, bursitis, systemic lupus and juvenile rheumatoid arthritis.

Although most people are able to carry on a normal lifestyle with arthritis, the disease severely disables nearly one in five arthritic patients — about 7 million today — and could leave 12 million people severely disabled in 2020.

Joint injuries, infections and genetics may play a role in some forms of arthritis, but the causes are generally not known. Weight control can help reduce the chance of getting several types of arthritis.

While there is no cure, treatment usually involves a number of medications, including nonsteroidal anti-inflammatory drugs, called NSAIDS, including aspirin and ibuprofen as well as many prescription products. These drugs may affect the stomach, so medication to relieve these side effects is also important. Drug manufacturers are racing to develop a new generation of safer NSAIDS that will bypass the stomach and could be available early in the next century.

The Arthritis Foundation and others recommend that arthritis patients stay active, including regular range-of-motion, strengthening and endurance exercises. Some patients gain limited relief by applying heat or cold to the joint. Surgery is used when other approaches have failed. Researchers have also found that providing self-help courses and skills for patients to manage their own illness can reduce the pain and suffering of arthritis. But the disease still takes an enormous toll. Arthritis is serious, and it has an enormous impact on those who have it. It also has an enormous impact on those who don't have it.

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