Arthritis Clinics Laconia NH

Local resource for arthritis clinics in Laconia. Includes detailed information on local clinics that provide access to arthritis treatment, as well as advice and content on joint pain, arthritis in children, and pain medication.

Luchi S Quinones
(603) 524-5151
724 N Main St
Laconia, NH

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Frh Pediatrics
(603) 934-2547
15 Aiken Ave
Franklin, NH
Rural Health Clinic

Ossipee/Tamworth Family Medicine
(603) 323-3311
Po Box 499 Corner Of Rt 28 & 171
Ossipee, NH
Rural Health Clinic

Hoke H Shirley III, MD
(603) 224-3368
264 Pleasant St
Concord, NH
Concord Orthopaedic Professional Associates

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SonIta Claire K Estrada
(603) 742-3664
15 Old Rollinsford Rd
Dover, NH

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Family Health First P C
(603) 569-1441
P O Box 1269 North Main St
Wolfeboro, NH
Rural Health Clinic

Drs Diedrich And Doane
(603) 744-5441
2 School Street
Bristol, NH
Rural Health Clinic

Hitchcock Clinic,The
(603) 726-3921
19 Avery Street
Plymouth, NH
Rural Health Clinic

Daniel A Albert
(603) 650-8622
1 Medical Center Drive
Lebanon, NH
Internal Medicine, Rheumatology

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John G Schlegelmilch
(603) 354-5450
590 Court St
Keene, NH
Internal Medicine, Rheumatology

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Arthritic Pain Relief with Thumb Suspensionplasty

Wanted for arthritic pain sufferers: pain relief. Added stability and strength would be a bonus. In this article hand surgeons report on the use of APL suspensionplasty to treat arthritic pain at the base of the thumb (carpometacarpal joint). Pain relief without weakness was the favorable outcome for most of the patients.

Pain at the carpometacarpal (CMC) joint can be very disabling. Weak pinch and grip limits daily activities. Many operations have been tried for this problem. Ligament repair and tendon transfer are the most common.

Suspensionplasty is the use of the abductor pollicis longus (APL) tendon as a sling. First, the arthritic bone at the base of the thumb (trapezium) is removed. Then the APL is taken from its attachment to the CMC and threaded through two tunnels. One tunnel goes through the bone of the index finger. The other goes through the thumb. The APL is stitched to another tendon to hold it in place. The overall effect is to stop the deforming force of the APL on the CMC joint.

Everyone was followed for at least one year. Grip and key-pinch strength was measured before and after surgery. Range of motion and pain levels were also recorded. X-rays were taken before and after as well. Two-thirds of the patients were pain free after surgery. Pinching and gripping activities were much easier. Two patients still had some weakness when opening jars and using keys.

The authors show how suspensionplasty is an effective surgical treatment for pain...

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Arthritic Thumb Joints May Need a Little Space

Arthritis at the base of the thumb is a common condition that mostly affects postmenopausal women. This condition can cause pain, swelling, and loss of motion with serious consequences. The symptoms from this type of arthritis can prevent simple, everyday tasks. Picking up a cup of coffee, fastening buttons, or holding a book can be agonizing or even impossible. Some people are unable to continue working at their jobs. What can be done about this?

When pain, weakness, and loss of motion cause difficulties, surgery may be necessary. The joint in question is between the base of the thumb and the trapezoid bone, the small wrist bone next to the thumb. Together these two bones form the trapeziometacarpal joint (TM). Different surgical methods are used to repair or restore this joint.

One method of fixing the TM joint is to fuse the bones together, a procedure called arthrodesis. Wire and bone chips taken from the patient's hip are used to hold the bones together. A second method is called interposition arthroplasty. The joint surfaces of the TM joint are shaved off, creating a space between the joint. The doctor takes a strip of tendon from a nearby muscle, rolls it into a ball, and places it into the joint space. The tendon ball acts as a "spacer" to keep the sore parts of the joint from rubbing together.

A study compared 24 arthroplasties to 32 joint arthrodeses to determine which operation had the best results.

Interposition arthroplasty was clearly the winner! Compared to fusing the joint, using a spacer between the joint brought less pain, fewer problems with changes in temperature, and better thumb and hand function. There were also fewer complications after surgery, fewer reoperations, and a shorter time in a cast after surgery. The only advantage of the joint arthrodesis was that more people returned to their jobs or daily activities. Researchers think this was because more people in the arthrodesis group were still working before surger...

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Arthritis in Children: Who Gets It and Why?

Most people think of arthritis as something older adults often suffer from. But juvenile idiopathic arthritis (JIA) affecting children is not uncommon. This condition used to be called juvenile rheumatoid arthritis (JRA) but new findings have shifted the name to reflect numerous subtypes of the disease.

Two pediatric rheumatologists from Children's Hospital of Philadelphia wrote this article on juvenile idiopathic arthritis (JIA) to give us a better understanding of the condition. The information is also intended to help physicians treating children and teens with JIA make informed decisions about treatment.

First of all, who is affected by this potentially disabling disease? It first appears in children at a very young age (between one and three years old). It can develop later but rarely presents in babies before age six months. Early diagnosis and treatment can help prevent long-term complications but there is no cure. In some children, it disappears as mysteriously as it came. In others, active disease accompanies them right into adulthood.

What causes juvenile idiopathic arthritis (JIA)? No one knows for sure. There are probably multiple factors including genetics, confusion within the immune system, environmental agents, bacteria or viruses, trauma, and irregular hormone function. JIA is considered an autoimmune because the immune system fails to recognize self from nonself, identifies the joint as a foreign substance, and attacks itself.

How is it diagnosed? There isn't one single individual lab test that can be relied upon to identify JIA as the underlying problem for all affected patients. That's why doctors have to depend on the child's symptoms, history (including family history), X-rays, and other imaging studies to make the diagnosis. There are a couple of blood tests that can help (e.g., presence of antinuclear antibodies or ANAs and rheumatoid factor (RF), but they aren't positive in everyone.

How can you tell if your child has juvenile idiopathic arthritis? The first symptom is morning stiffness or joint stiffness after any prolonged period of rest or inactivity. Getting out of bed in the morning is a real chore. Te child may walk funny or with an odd gait. Getting the child moving or ready for daycare, school, or daily activities can be difficult. Young children don't always complain of pain or say they feel stiff but they clearly feel better as the day goes on.

Since any joint can be affected, some odd symptoms might pop up -- like difficulty chewing when the jaw is involved, an inability to turn the head when the neck is inflamed, or problems lying flat or leaning the chest against something when the sternum (breastbone) is affected.

Juvenile idiopathic arthritis is a systemic disease meaning it can affect the whole body and not just the joints. Besides joint swelling, pain, and loss of motion, the physician may notice changes in the eyes, swollen glands, an enlarged spleen or liver, and changes ...

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