Tag Archives: age

Arthritis Awareness

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Arthritis is very common but is not well understood. Actually, “arthritis” is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. People of all ages, sexes and races can and do have arthritis, and it is the leading cause of disability in America. Nearly 53 million adults and 300,000 children have some type of arthritis. It is most common among women and occurs more frequently as people get older.

Common arthritis joint symptoms include swelling, pain, stiffness and decreased range of motion. Symptoms may come and go. They can be mild, moderate or severe. They may stay about the same for years, but may progress or get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes. These changes may be visible, such as knobby finger joints, but often the damage can only be seen on X-ray. Some types of arthritis also affect the heart, eyes, lungs, kidneys and skin as well as the joints.

There are different types of arthritis:

Degenerative Arthritis
Osteoarthritis is the most common type of arthritis. When the cartilage – the slick, cushioning surface on the ends of bones – wears away, bone rubs against bone, causing pain, swelling and stiffness. Over time, joints can lose strength and pain may become chronic. Risk factors include excess weight, family history, age and previous injury (an anterior cruciate ligament, or ACL, tear, for example).

When the joint symptoms of osteoarthritis are mild or moderate, they can be managed by:

  • balancing activity with rest
  • using hot and cold therapies
  • regular physical activity
  • maintaining a healthy weight
  • strengthening the muscles around the joint for added support
  • using assistive devices
  • taking over-the-counter (OTC) pain relievers or anti-inflammatory medicines
  • avoiding excessive repetitive movements

If joint symptoms are severe, causing limited mobility and affecting quality of life, some of the above management strategies may be helpful, but joint replacement may be necessary.

Osteoarthritis can prevented by staying active, maintaining a healthy weight, and avoiding injury and repetitive movements.

Inflammatory Arthritis
A healthy immune system is protective. It generates internal inflammation to get rid of infection and prevent disease. But the immune system can go awry, mistakenly attacking the joints with uncontrolled inflammation, potentially causing joint erosion and may damage internal organs, eyes and other parts of the body. Rheumatoid arthritis and psoriatic arthritis are examples of inflammatory arthritis. Researchers believe that a combination of genetics and environmental factors can trigger autoimmunity. Smoking is an example of an environmental risk factor that can trigger rheumatoid arthritis in people with certain genes.

With autoimmune and inflammatory types of arthritis, early diagnosis and aggressive treatment is critical. Slowing disease activity can help minimize or even prevent permanent joint damage. Remission is the goal and may be achieved through the use of one or more medications known as disease-modifying antirheumatic drugs (DMARDs). The goal of treatment is to reduce pain, improve function, and prevent further joint damage.

Infectious Arthritis
A bacterium, virus or fungus can enter the joint and trigger inflammation. Examples of organisms that can infect joints are salmonella and shigella (food poisoning or contamination), chlamydia and gonorrhea (sexually transmitted diseases) and hepatitis C (a blood-to-blood infection, often through shared needles or transfusions). In many cases, timely treatment with antibiotics may clear the joint infection, but sometimes the arthritis becomes chronic.

Metabolic Arthritis
Uric acid is formed as the body breaks down purines, a substance found in human cells and in many foods. Some people have high levels of uric acid because they naturally produce more than is needed or the body can’t get rid of the uric acid quickly enough. In some people the uric acid builds up and forms needle-like crystals in the joint, resulting in sudden spikes of extreme joint pain, or a gout attack. Gout can come and go in episodes or, if uric acid levels aren’t reduced, it can become chronic, causing ongoing pain and disability.

Diagnosing Arthritis
Arthritis diagnosis often begins with a primary care physician, who performs a physical exam and may do blood tests and imaging scans to help determine the type of arthritis. An arthritis specialist, or rheumatologist, should be involved if the diagnosis is uncertain or if the arthritis may be inflammatory. Rheumatologists typically manage ongoing treatment for inflammatory arthritis, gout and other complicated cases. Orthopaedic surgeons do joint surgery, including joint replacements. When the arthritis affects other body systems or parts, other specialists, such as ophthalmologists, dermatologists or dentists, may also be included in the health care team.

November Is Alzheimer’s Awareness Month

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November Is Alzheimer's Awareness Month

Alzheimer’s is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.

Alzheimer’s and dementia basics

  • Alzheimer’s is the most common form of dementia, a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Alzheimer’s disease accounts for 60 to 80 percent of dementia cases.
  • Alzheimer’s is not a normal part of aging, although the greatest known risk factor is increasing age, and the majority of people with Alzheimer’s are 65 and older. But Alzheimer’s is not just a disease of old age. Up to 5 percent of people with the disease have early onset Alzheimer’s (also known as younger-onset), which often appears when someone is in their 40s or 50s.
  • Alzheimer’s worsens over time. Alzheimer’s is a progressive disease, where dementia symptoms gradually worsen over a number of years. In its early stages, memory loss is mild, but with late-stage Alzheimer’s, individuals lose the ability to carry on a conversation and respond to their environment. Alzheimer’s is the sixth leading cause of death in the United States. Those with Alzheimer’s live an average of eight years after their symptoms become noticeable to others, but survival can range from four to 20 years, depending on age and other health conditions.
  • Alzheimer’s has no current cure, but treatments for symptoms are available and research continues. Although current Alzheimer’s treatments cannot stop Alzheimer’s from progressing, they can temporarily slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer’s and their caregivers. Today, there is a worldwide effort under way to find better ways to treat the disease, delay its onset, and prevent it from developing.

Symptoms of Alzheimer’s
The most common early symptom of Alzheimer’s is difficulty remembering newly learned information.

Just like the rest of our bodies, our brains change as we age . Most of us eventually notice some slowed thinking and occasional problems with remembering certain things. However, serious memory loss, confusion and other major changes in the way our minds work may be a sign that brain cells are failing.

The most common early symptom of Alzheimer’s is difficulty remembering newly learned information because Alzheimer’s changes typically begin in the part of the brain that affects learning. As Alzheimer’s advances through the brain it leads to increasingly severe symptoms, including disorientation, mood and behavior changes; deepening confusion about events, time and place; unfounded suspicions about family, friends and professional caregivers; more serious memory loss and behavior changes; and difficulty speaking, swallowing and walking.

People with memory loss or other possible signs of Alzheimer’s may find it hard to recognize they have a problem. Signs of dementia may be more obvious to family members or friends. Anyone experiencing dementia-like symptoms should see a doctor as soon as possible. If you need assistance finding a doctor with experience evaluating memory problems, your local Alzheimer’s Association chapter can help. Early diagnosis and intervention methods are improving dramatically, and treatment options and sources of support can improve quality of life.

How Honda Wheelchair Van Insurance Really Works

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If your ever in a accident in your wheelchair van and have insurance questions or need your to have repairs made contact the experts at the Mobility Center in Bridgewater, MA with your questions 508-697-6006

2012 Honda Odyssey CB024644 Front Left Side View

We all know that we need to carry insurance on our Honda wheelchair vans. We understand that it’s a legal requirement and we recognize the value of being properly insured in case of an accident. Most of us are not insurance experts, though. In fact, some aspects of vehicle insurance confuse many of us. Let’s look at how wheelchair van insurance really works.

What Are You Buying?
When you insure your Odyssey or Element, what are you actually buying? “Insurance” actually consists of many different elements. Your policy may or may not have provisions covering all of them. They include:

  • Bodily Injury Liability: This covers you if your Honda hurts or kills someone in an accident.
  • Comprehensive: This covers damage to your Honda from non-accident sources like weather and vandalism.
  • Property Damage Liability: This is legally required everywhere. It’s the portion of your insurance that covers damage to the other party’s vehicle after an accident.
  • Collision: This covers damage to your Honda if it’s involved in an accident.
  • Medical Payment: This provides coverage for you and/or your passengers for medical expenses related to an accident.
  • Uninsured Motorist: If someone who doesn’t have insurance injures you, this will cover you.

The limits of your coverage and your deductibles for each element of your policy will vary based upon what you’ve purchased from your insurance company.

What Determines Your Rates?
How do insurance companies decide how much to charge you for that coverage? They look at a variety of factors.

Your actual vehicle is an important part of the puzzle. The value of your Odyssey or Element will have an impact on the price of your policy, because the cost of covering replacement and repair vary based upon the vehicle.

There’s more to it than that, though. Insurance companies also look at the vehicle type to help determine how likely you will be to utilize your insurance coverage. That’s why it’s cheaper to insure an Odyssey than an Element–minivans tend to have fewer significant claims than do small SUVs.

You can also expect the modifications you’ve made to your Honda wheelchair van to influence policy pricing. You may be an excellent driver, but the fact that modified vehicles tend to be involved in a relatively high number of claims is reason enough for insurance companies to increase premiums on wheelchair vans, in most cases.

You are part of the pricing equation, too. Your personal driving record, age, gender and any license restrictions you may have will influence the price of insurance. Non-driving related factors such as home ownership, credit rating, and where you live will also influence pricing. Insurance companies look at multiple variables to determine your probable level of risk.

Finally, the policy limits and coverage you select will influence your insurance pricing. If you’re only purchasing the minimum requirement of liability insurance in an effort to “stay legal,” you’ll spend a lot less than you would for full coverage with all available protections.

Purchasing insurance is always a process of balancing the best possible coverage with affordability. The levels of coverage you need and the amount you can spend will, obviously, vary based on a series of individual factors. The most important thing to remember is to be certain you have adequate coverage to meet both the legal requirements and your personal needs.

You’ll also want to consider insuring your mobility aids, vehicle modifications and equipment. Most vehicle policies will cover your Odyssey or Element, but they won’t cover your lift or ramp. They’ll replace your bumper if you get in an accident, but they won’t necessarily pay to fix your low-effort steering system if it’s damaged.

Insuring a Honda wheelchair van isn’t really a complicated procedure. When you understand the different kinds of coverage and how rates are set, the process is even easier to understand.