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By Keith W.L., Rand R.H.

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Rheumatoid arthritis (RA): In this, the second-most common form of arthritis, the immune system turns against the body, causing inflammation and swelling that begins in the joint lining and spreads to the cartilage and the bone. It often affects the same joint on both sides of the body (for example, both wrists), when it is described as ‘symmetrical’. Classifying arthritis as a ‘major player’ In the following conditions, arthritis is present and is usually a major part of the syndrome, but is not the main, underlying, or primary disease process: ߜ Lyme disease: Caused by a certain type of bacteria transmitted to humans via tick bites, Lyme disease causes a fever, distinctive red skin lesion in the shape of a bull’s eye, problems with the nerves and/or heart, and arthritis.

An inherited tendency toward defective cartilage or poorly structured joints can certainly put you on the road to osteoarthritis, although you won’t necessarily develop it. ߜ You’re overweight: Excess weight puts a great deal of strain on your weight-bearing joints, especially your hips, knees, and ankles. qxp 34 1/12/06 7:23 PM Page 34 Part I: Getting a Grip on Types of Arthritis ten pounds of excess weight you carry, you increase the force exerted on these joints anywhere from three to ten times, depending on the type of activity you pursue.

Suddenly, your knee aches, your hip burns, a finger joint swells and throbs, or your shoulder stiffens up. You can’t bend and flex the painful joint like you used to; its range of movement is limited. Most of all, the joint just plain hurts! But what happened to mess up your cartilage in the first place? To understand what went wrong, this chapter looks at how things work in healthy cartilage. Considering Cartilage Healthy cartilage is absolutely essential for joints to function properly and painlessly.

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