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'title' => 'Rheumatoid Arthritis and Spine Involvement',
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'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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include - APP/View/MagazineArticles/view.ctp, line 54
View::_evaluate() - CORE/Cake/View/View.php, line 971
View::_render() - CORE/Cake/View/View.php, line 933
View::render() - CORE/Cake/View/View.php, line 473
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Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 200
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
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Notice (8): Trying to access array offset on value of type null [APP/View/MagazineArticles/view.ctp, line 54]Code Context $user = $this->Session->read('Auth.User');
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<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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include - APP/View/MagazineArticles/view.ctp, line 54
View::_evaluate() - CORE/Cake/View/View.php, line 971
View::_render() - CORE/Cake/View/View.php, line 933
View::render() - CORE/Cake/View/View.php, line 473
Controller::render() - CORE/Cake/Controller/Controller.php, line 968
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 200
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
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Notice (8): Trying to access array offset on value of type null [APP/View/MagazineArticles/view.ctp, line 55]Code Context //find the group of logged user
$groupId = $user['Group']['id'];
$user_id=$user["id"];
$viewFile = '/var/www/html/newbusinessage.com/app/View/MagazineArticles/view.ctp'
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'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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$magazineArticle = array(
'MagazineArticle' => array(
'id' => '1161',
'magazine_issue_id' => '863',
'magazine_category_id' => '61',
'title' => 'Rheumatoid Arthritis and Spine Involvement',
'image' => null,
'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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'modified' => '2015-08-20 14:43:39',
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'published' => true,
'created' => '2015-04-18 10:47:04',
'modified' => '2015-08-20 13:37:57',
'title' => 'April 2015',
'publish_date' => '2015-04-01',
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'MagazineArticleComment' => array(),
'MagazineView' => array(
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$current_user = null
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include - APP/View/MagazineArticles/view.ctp, line 55
View::_evaluate() - CORE/Cake/View/View.php, line 971
View::_render() - CORE/Cake/View/View.php, line 933
View::render() - CORE/Cake/View/View.php, line 473
Controller::render() - CORE/Cake/Controller/Controller.php, line 968
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 200
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - APP/webroot/index.php, line 117
Notice (8): Undefined index: summary [APP/View/MagazineArticles/view.ctp, line 62]Code Context<?php
echo $this->Html->meta(array('name' => 'description', 'type' => 'meta', 'content' => $magazineArticle['MagazineArticle']['summary']), null, array('inline' => false));?>
$viewFile = '/var/www/html/newbusinessage.com/app/View/MagazineArticles/view.ctp'
$dataForView = array(
'magazineArticle' => array(
'MagazineArticle' => array(
'id' => '1161',
'magazine_issue_id' => '863',
'magazine_category_id' => '61',
'title' => 'Rheumatoid Arthritis and Spine Involvement',
'image' => null,
'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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'sortorder' => '758',
'published' => true,
'created' => '2015-04-18 10:47:04',
'modified' => '2015-08-20 13:37:57',
'title' => 'April 2015',
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$magazineArticle = array(
'MagazineArticle' => array(
'id' => '1161',
'magazine_issue_id' => '863',
'magazine_category_id' => '61',
'title' => 'Rheumatoid Arthritis and Spine Involvement',
'image' => null,
'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
',
'status' => true,
'publish_date' => '0000-00-00',
'created' => '2015-04-19 00:00:00',
'modified' => '2015-08-20 14:43:39',
'keywords' => '',
'description' => '',
'sortorder' => '1133',
'feature_article' => true,
'user_id' => '0',
'image1' => null,
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),
'MagazineIssue' => array(
'id' => '863',
'image' => 'small_1429422363.jpg',
'sortorder' => '758',
'published' => true,
'created' => '2015-04-18 10:47:04',
'modified' => '2015-08-20 13:37:57',
'title' => 'April 2015',
'publish_date' => '2015-04-01',
'parent_id' => '0',
'homepage' => false,
'user_id' => '0'
),
'MagazineCategory' => array(
'id' => '61',
'title' => 'Spine Column',
'sortorder' => '61',
'status' => true,
'created' => '0000-00-00 00:00:00',
'homepage' => false,
'modified' => '2014-07-01 00:00:00'
),
'User' => array(
'password' => '*****',
'id' => null,
'user_detail_id' => null,
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'username' => null,
'name' => null,
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),
'MagazineArticleComment' => array(),
'MagazineView' => array(
(int) 0 => array(
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$current_user = null
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include - APP/View/MagazineArticles/view.ctp, line 62
View::_evaluate() - CORE/Cake/View/View.php, line 971
View::_render() - CORE/Cake/View/View.php, line 933
View::render() - CORE/Cake/View/View.php, line 473
Controller::render() - CORE/Cake/Controller/Controller.php, line 968
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 200
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - APP/webroot/index.php, line 117
Notice (8): Undefined index: summary [APP/View/MagazineArticles/view.ctp, line 68]Code Context echo $this->Html->meta(array('property' => 'og:title', 'type' => 'meta', 'content' => $magazineArticle['MagazineArticle']['title']), null, array('inline' => false));?>
<?php
echo $this->Html->meta(array('property' => 'og:description', 'type' => 'meta', 'content' => $magazineArticle['MagazineArticle']['summary']), null, array('inline' => false));?>
$viewFile = '/var/www/html/newbusinessage.com/app/View/MagazineArticles/view.ctp'
$dataForView = array(
'magazineArticle' => array(
'MagazineArticle' => array(
'id' => '1161',
'magazine_issue_id' => '863',
'magazine_category_id' => '61',
'title' => 'Rheumatoid Arthritis and Spine Involvement',
'image' => null,
'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
',
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'modified' => '2015-08-20 14:43:39',
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),
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'image' => 'small_1429422363.jpg',
'sortorder' => '758',
'published' => true,
'created' => '2015-04-18 10:47:04',
'modified' => '2015-08-20 13:37:57',
'title' => 'April 2015',
'publish_date' => '2015-04-01',
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$magazineArticle = array(
'MagazineArticle' => array(
'id' => '1161',
'magazine_issue_id' => '863',
'magazine_category_id' => '61',
'title' => 'Rheumatoid Arthritis and Spine Involvement',
'image' => null,
'short_content' => 'Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.',
'content' => '<div>
<div><img alt="" src="/userfiles/images/sc(4).jpg" style="height:460px; margin-left:10px; margin-right:10px; width:725px" /></div>
<div> </div>
<div><em><span style="font-size:14px">As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.</span></em></div>
<div> </div>
</div>
<div> </div>
<div><strong>--By Dr Gaurav Raj Dhakal</strong></div>
<div> </div>
<div> </div>
<div><img alt="" src="/userfiles/images/sc1(1).jpg" style="float:right; height:517px; margin:5px; width:200px" />Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.</div>
<div> </div>
<div>RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.</div>
<div> </div>
<div>Symptoms related to RA are:</div>
<div>•Pain at the base of head, neck, and back </div>
<div>•Burning sensation and pain in the affected joint</div>
<div>•Loss of movement in the affected joint</div>
<div>•Deformity</div>
<div>•Pain radiating to the arms or legs</div>
<div>•Difficulty in walking and loosing balance</div>
<div>•Difficulty in writing</div>
<div>•Difficulty in passing urine and stool</div>
<div> </div>
<div>Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.</div>
<div> </div>
<div>The goals of RA management are:</div>
<div>1.Pain relief</div>
<div>2.Preserving function and mobility</div>
<div>3.Controlling the disease process</div>
<div> </div>
<div>It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.</div>
<div> </div>
<div>Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.</div>
<div> </div>
<div><em>The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).</em></div>
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Rheumatoid Arthritis and Spine Involvement
As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots.
--By Dr Gaurav Raj Dhakal
.jpg)
Rheumatoid Arthritis (RA) is a disabling systemic disease, affecting mainly the small joints of the hands and feet. The end result is gross destruction and deformity of the joints. Majority of the RA patients have afflictions of the spine, especially the cervical (neck) spine.
RA of the spine can cause neck and back pain with or without radiation to the legs or arms. As the disease advances, destruction of the joints of the spine can lead to compression of the spinal cord or nerve roots. It can also result in the instability of the spine.
Symptoms related to RA are:
•Pain at the base of head, neck, and back
•Burning sensation and pain in the affected joint
•Loss of movement in the affected joint
•Deformity
•Pain radiating to the arms or legs
•Difficulty in walking and loosing balance
•Difficulty in writing
•Difficulty in passing urine and stool
Bowel or bladder dysfunction or change in the ability to walk or move the arms are serious medical symptoms and require immediate medical attention.
The goals of RA management are:
1.Pain relief
2.Preserving function and mobility
3.Controlling the disease process
It is imperative for any patient with RA to consult a rheumatologist for medical management. If medical treatment is initiated early then majority of symptoms and joint destruction and deformity can be halted.
Once diagnosed with RA, patients also need to consult a spine surgeon to rule out any cervical spine involvement and spinal cord or nerve root compression. Involvement of cervical spine with RA can result in sudden death in some patients. Change in lifestyle, exercise, medication and surgery are the management strategies for RA. Patients should never discontinue medication themselves and should be on a regular follow-up.
The author is a Spine Surgeon at Norvic International Hospital. He has completed his ASSI Clinical Spine Fellowship from Park Clinic, Kolkata, India; AO Spine Fellowship (Toyama University, Japan) and the SRS GOP Educational Scholarship (Lyon, France).
.jpg)
