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Archives for October 2016

Why Are Women More Likely to Get Arthritis?

October 21, 2016

You might be sitting down and working in front of a computer at your 9 to 5 desk job, typing away for hours at a time; or maybe you stock shelves as a retail associate, moving heavy objects all day long; or perhaps you work in daycare, bending down to pick up toys, comforting homesick children, and cleaning up messes.

Repetitive daily activities and lifelong wear and tear on the joints slowly eats away at the soft cartilage between your bones, regardless of your career path. When there is no more cartilage between your bones, painful bone-on-bone friction occurs that can cause inflammation and swelling, gradually leading to immobility. This form of arthritis is called osteoarthritis, the most common form, which alone affects around 21 million Americans.

Another form of arthritis called rheumatoid arthritis occurs less frequently, but is up to three times more likely to occur in women than men, specifically those over the age of 30. It is an autoimmune disease that causes synovial fluid that lubricates the joints to become inflamed and painful. Symptoms include long lasting pain, stiffness, and swelling in the joint area – even during rest.

So why are women more likely to develop rheumatoid arthritis?  According to recent studies, the answer may lie within our genes. Studies show that X-chromosome-specific genes account for 14 of the 46 specific genes linked to rheumatoid arthritis.

This is a significant finding, since women have two X chromosomes while men have only one X chromosome. While the presences of X-chromosome-specific genes increases one’s risk for rheumatoid arthritis, this may also be due to high levels of the hormone estrogen in women.

Estrogen helps to protect the bones. However, after menopause less estrogen is produced. This can cause changes in the joints, including weakened bones. Sustained lower estrogen levels can make women more susceptible to fractures and other conditions, including arthritis.

While there is currently no cure for arthritis, if action is taken early on, the severity of symptoms can be reduced. If you feel pain, stiffness, or swelling in the area of your joint for more than two weeks, schedule an appointment with Dr. Ishan Gunawardene to discuss the probability of arthritis.

The sooner you know the specific type of arthritis you may be suffering from, the sooner Dr. Gunawardene can prescribe an effective treatment. Over-the-counter or prescription medications often relieve pain and swelling, but cortisone injections can be given if something stronger is needed. Additionally, acupuncture, physical therapy, and regular engagement in a low impact exercise regime have proven effective in treating and managing symptoms.

If you are suffering from joint pain or need help managing your arthritic symptoms, call (561) 434-1935, or request an appointment online with Dr. Gunawardene today.

Filed Under: Arthritis Tagged With: Arthritis, rheumatoid, women

The Importance of Seeing Your Provider After a Car Accident

October 14, 2016

Car accidents are an all too real part of life, both dangerous and frightening. Just like the accidents themselves, some injuries are more severe than others. Whether the accident is a minor fender bender or a head-on collision, it is important to see your primary care provider as soon as possible after an accident to be evaluated.

During traumatic events, hormones such as adrenaline are released into the body. Adrenaline is your body’s natural reaction to stress, in order to provide you with strength and stamina to escape whatever danger (real or perceived) you are facing. Neurotransmitters including endorphins are also released to keep you calm under times of great stress.

Both of these natural reactions are designed to aid in survival. They allow you to fight or flee in times of great danger. However, in doing so they greatly reduce feelings of pain and send you into a euphoric state, similar to being in shock. This is often the reason so many people decline being evaluated by their family medicine provider. They really are “feeling fine” and assume that if there is no pain, there must not be any injuries. But once those euphoric feelings start to wear off, injuries can start to present themselves. This can be hours or even days after an accident. The most common injuries caused by car accidents are whiplash and concussions.

With whiplash, you may feel pain in your neck, shoulders, upper back, and even tingling and burning sensations in those areas. Whiplash can present itself immediately or in the days following an accident.

Concussions can cause dizziness, disorientation, nausea, vomiting and sensitivity to light and sound. Again, these symptoms can be present right away, or take days to set in. Only a family medicine provider can rule out or diagnose such injuries.

Being evaluated by a medical professional will give you peace of mind, alert you to any symptoms you should be watching for, and will provide you with documentation of any injuries in the event that you will need to file an injury claim.

If you are involved in an accident, please call (561) 434-1935 or request an appointment online at one of our convenient locations in Royal Palm Beach or Wellington. Dr. Ishan Gunawardene and Nurse Practitioner Shariffa Gunawardene offer walk-in appointments to evaluate your injuries and treat you immediately after a car accident.

Filed Under: Accidents & Injuries Tagged With: car accident, concussion, Whiplash

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