Rheumatoid Arthritis Pain (#2)
Actively growing. blood cells in the bone marrow take priority over the cartilage for the available water that goes through the bone structure. In the process of dilating the blood vessels to bring more circulation to the area, it is possible that the blood vessel branch that goes through a tight hole in the bone cannot expand adequately enough to cope; the cells that depend on these vessels for an increased water and nutrient supply will thus be under a physically imposed rationing control. Under such circumstances, and unless there is blood dilution to carry more water, the serum requirements of the cartilage have to be satisfied from the blood vessels that feed the capsule of the joint. The nerve-regulated shunting mechanisms (to all the joints) also produce signals of pain.
Initially, this pain is an indication that the joint is not fully prepared to endure pressure until it is fully hydrated. This type of pain has to be treated with a regular increase in water intake to produce some dilution of the blood that is circulating to the area until the cartilage is fully hydrated and repaired from its base attachment to the bone -- the normal bone route of serum diffusion to the cartilage.
The swelling and pain in the capsule of the joint is an indication that there is dilation and edema from the vessels that furnish circulation to the capsule of the joint. The joint surfaces have nerve endings that regulate all functions. When the nerve endings place a demand for more blood circulation to the area to pick up water from the serum, the compensatory vascular expansion in the capsule is supposed to make up for the inefficiency of circulation from the bone route of supply. Because dehydration in the joint surfaces will eventually cause severe damage -- to the point of making the bones surfaces bare and exposed until osteoarthritis becomes established -- the tissue damage will trigger a mechanism for remodeling of the joint.
There are hormone-secreting cells In the capsule of the joint. When there is damage ( also from dehydration ) , the injured tissue has to be repaired. These "local remodeling hormone" take over and restructure the joint surfaces. It seems that they cater to the lines of force and pressure that the joints have to endure.
Unfortunately, the repair process seems to produce deviation of the joints. To avoid such disfigurement , one should take the initial pain seriously and pay strict attention to one's daily water intake. This initial pain should be recognized as a sign of local dehydration. If it does not disappear after a few days of increased water intake and repeated gentle bending of the joints to bring more circulation to the area, one should consult a medical practitioner .
You have nothing to lose and everything to gain by recognizing the pain and the non-infectious inflammation of a rheumatoid joint as a thirst signal in your body. You are probably showing other signals for water shortage in your body, but this particular site is indicating predisposition to a more severe local damage.
If we understand the body to have difficulty in recognizing it's thirst state, it is possible that this lower state of alertness is also inheritable by a child. It is possible that dehydration in a rapidly growing child might indicate it's presence by pain felt in the joints. The mode of signal production that denotes thirst might be the same in young and older people. It is therefore recommended that juvenile arthritis also be treated first with an increase in daily water intake.
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LOW BACK PAIN ( continue next post)