Dr. Olivia Hayes, MD - Orthopedic Surgery Specialist, HSS

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What is Rheumatoid Arthritis? Rheumatoid arthritis is the most common inflammatory joint disease. In the German-speaking...
05/22/2026

What is Rheumatoid Arthritis? Rheumatoid arthritis is the most common inflammatory joint disease. In the German-speaking space, it is also known as chronic polyarthritis. “Chronic” means that the disease lasts for a long time. “Poly” comes from Greek and means “many,” which in this case means that the disease affects a wide range of joints. Due to the international importance, the designation "rheumatoid arthritis" has now come into force. In Germany, one percent of adults suffers from this rheumatic disease. Women are three times more likely affected than men. The disease can occur at any age, but it usually starts after 50. Year of life. When the disease occurs in children, they talk about juvenile idiopathic arthritis. How does rheumatoid arthritis occur? The cause of rheumatoid arthritis is still unknown. In the tendency to develop rheumatic diseases, innate (genetic) factors play a significant role. Viruses and certain bacteria are suspected to be the cause of rheumatic diseases. Other environmental influences also play an important role. In addition, studies show that smoking increases the risk of illness. Smokers are more likely to get serious illnesses. The treatment is less effective for them. The role of other risk factors (eg. B. professional exposure) is unclear. You know much more about the inflammatory processes in the joints. Immune system plays a crucial role. The real purpose of this system is to protect the body from diseases. In rheumatoid arthritis, cells of the immune system attack the body's own tissue. This can lead to inflammation of the joints. Doctors call this attack on one's own body an autoimmune reaction. Although the exact cause of the disease is not yet known, many patients today experience a significant improvement in their disease course. What are the warning signs? Rheumatoid arthritis often starts with pain in the joints of the fingers and toes. Swollen joints that hardly move in the morning after getting up (morning stiffness). In rare cases, inflammation of individual large joints, such as the knees, can also occur. Often it doesn't remain with inflammation of individual joints. More content is often added during the first few weeks and months. Also tendons and mucous cysts can catch fire. For example, some patients develop rheumatic nodes on the forearms or fingers. After years of illness and inadequate treatment, the upper cervical spine can be damaged. Other symptoms may include: fatigue. Poor performance. Sleep disorders. Fever. Night sweats. Weight loss. This clearly indicates that the disease affects the entire body. In the course of the disease, rheumatoid arthritis can also infect other organs such as lungs, heart, blood vessels, nerves or eyes. A hallmark of rheumatoid arthritis is that it damages the joint cartilage and bones and, at worst, can destroy the joint. The course of the disease is very different for each patient individually. However, the condition usually deteriorates when left untreated.

Overview of Arthritis"Arthritis" literally means joint inflammation. Joints are places where two bones meet, such as you...
05/22/2026

Overview of Arthritis
"Arthritis" literally means joint inflammation. Joints are places where two bones meet, such as your elbow or knee.
There are many different types of arthritis with different causes and treatments. In some types, other organs, such as your eyes, heart, or skin, can also be affected.
Common symptoms of arthritis include pain, redness, heat, and swelling in your joints.
If you have arthritis, it is important for your doctor to diagnose the type of arthritis you have so that you can get the proper treatment. Fortunately, current treatments allow most people with arthritis to lead active and productive lives.

Cervical SpondylosisWhat causes cervical spondylosis?The most common cause is changes in your spine that happen as you a...
05/22/2026

Cervical Spondylosis
What causes cervical spondylosis?
The most common cause is changes in your spine that happen as you age. Changes may include medical conditions, including:
Degenerative disk disease.
Herniated disk.
Osteoarthritis.
Bone spurs (osteophytes).
Spinal stenosis.
What triggers cervical spondylosis?
Cervical spondylosis happens over time. Triggers or risk factors include:
Being 60 or older.
Smoking.
Doing work that requires you to spend hours every day looking up or down.
Straining your neck to lift heavy objects.
Having a family history of cervical spondylosis.
Having a history of neck injury.
What are the complications of this condition?
Cervical spondylosis increases your risk of developing:
Cervical myelopathy: This is when something compresses (squeezes) the spinal cord in your neck.
Cervical radiculopathy: This is a pinched nerve in your neck.
Can cervical spondylosis affect my brain?
No, it can’t. Cervical spondylosis just affects the disks in your spine, which can make your neck hurt or feel stiff.
Diagnosis and Tests
How is cervical spondylosis diagnosed?
A healthcare provider will do a physical examination, including looking for bumps or knots in your neck. They may check your:
Neck flexibility.
Muscle strength and reflexes in your hands, arms or legs.
Reflexes.
Gait (how you walk).
What tests help diagnose cervical spondylosis?
Your provider may do the following tests to get detailed images or pictures of your spine and check on your skeletal muscles and nerves. Tests may include:
X-ray.
Computed tomography (CT) scan.
Magnetic resonance imaging (MRI) scan.
Myelogram.
Electromyography (EMG).
Nerve conduction study.
Management and Treatment
What is the best treatment for cervical spondylosis?
The best treatment is one that helps ease your symptoms. In general, healthcare providers start cervical spondylosis treatment with noninvasive, conservative treatments. For example, they may recommend:
Physical therapy.
Over-the-counter pain relievers.
Placing ice or applying heat to your neck for 15 minutes several times during the day.
Soft collar or brace.
If you have significant neck pain, your provider may recommend treatments like cervical epidural steroid injection or radiofrequency ablation.
If these treatments don’t help or your condition is a complication of cervical myelopathy or cervical radiculopathy, your provider may recommend spinal fusion surgery.
What are the treatment side effects?
Conservative treatments rarely cause side effects. Treatments like spinal fusion surgery, steroid injections or radiofrequency ablation have different side effects. Your healthcare provider will explain what you can expect, including any treatment side effects and complications.

Symptoms and CausesThere are more than 100 types of arthritis, but they share several common signs and symptoms.The most...
05/22/2026

Symptoms and Causes
There are more than 100 types of arthritis, but they share several common signs and symptoms.
The most common signs and symptoms of arthritis usually affect your joints and your ability to use them.
The most common arthritis symptoms and signs include:
Joint pain.
Stiffness or reduced range of motion (how far you can move a joint).
Swelling (inflammation).
Skin discoloration.
Tenderness or sensitivity to touch around a joint.
A feeling of heat or warmth near your joints.
Where you experience symptoms depends on which type of arthritis you have, and which of your joints it affects.
Some types of arthritis cause symptoms in waves that come and go called flares or flare-ups. Others make your joints feel painful or stiff all the time, or after being physically active.

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