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Many people assume arthritis is just an ‘old person’s’ disease, and an inevitable part of getting older. Try telling that to the parents of toddlers impacted by the condition, or the 20-somethings living with it. The suggestion that it only troubles the elderly is one of many myths associated with arthritis, which affects around 10 million people in the UK. “One in six people live with the pain, fatigue, and disability arthritis can cause. The impact can be huge, affecting the ability to work, care for family, move free from pain and live independently,” says Deborah Alsina, chief executive at the arthritis support charity Versus Arthritis, speaking to mark Rheumatoid Arthritis Awareness Week (September 11–17). “There are many misconceptions when it comes to understanding arthritis, but by shining a light on the reality of living with arthritis day in, day out, we can help grow understanding and inspire people to take action.” Dr Amara Ezeonyeji, consultant rheumatologist from The Lister Hospital in London (part of HCA Healthcare UK), adds: “Arthritis is a general term that refers to a group of over 100 different types of inflammatory joint diseases that affect the musculoskeletal system. The most common symptom of arthritis is joint pain, but it can also cause stiffness, swelling, and decreased joint mobility.” She says the most common form of arthritis is osteoarthritis (OA), often associated with wear and tear of the joints. Other common types are rheumatoid arthritis (RA), an autoimmune disease that primarily affects the joints; psoriatic arthritis, a type of arthritis associated with the skin condition psoriasis; ankylosing spondylitis which primarily affects the spine and can lead to fusion of the vertebrae; and gout, which is caused by the accumulation of uric acid crystals in the joints and often affects the big toe. “There are several myths about arthritis that are often repeated. It’s important to dispel these to promote an accurate understanding of arthritis, and to encourage those affected to seek appropriate medical care and support from a rheumatologist,” Ezeonyeji adds. Here, Alsina and Ezeonyeji debunk nine common arthritis myths… Myth 1: Arthritis only affects the elderly While it is more common in older adults, arthritis can affect people of all ages, including children and young adults. Myth 2: Cracking your knuckles causes arthritisPeople who crack their knuckles will sometimes be wrongly warned that it’ll bring on arthritis, but Ezeonyeji explains: “There’s no scientific evidence linking knuckle cracking to the development of arthritis. When people crack their knuckles, they experience a release of pressure in the joints and relaxation in the surrounding muscles. It can make the joint feel more mobile and is unlikely to cause arthritis or other problems.” Myth 3: It’s just wear and tearAlsina says one of the most damaging myths is that any form of arthritis is just ‘wear and tear’. “Osteoarthritis is the most common type of arthritis and will affect half of us by age 70. But it isn’t an inevitable part of ageing – your joints are not like car tyres destined to wear down and be replaced. They are made of complex living tissue that our bodies constantly repair and maintain, and osteoarthritis occurs when our bodies can no longer do this effectively,” she says. “Our joints get stronger the more we use them, so keeping physically active and maintaining a healthy weight can help keep osteoarthritis under control.” Myth 4: Cold damp weather causes arthritisAlthough cold and damp weather can sometimes make arthritic joints feel worse, it’s definitely not why arthritis starts. Ezeonyeji explains: “Weather can influence joint discomfort, but it doesn’t cause arthritis. Arthritis is primarily a result of genetic and environmental factors.” Myth 5: Exercise makes arthritis worse People with arthritis can often find it hard to maintain regular physical activity, but a lack of movement can actually increase symptoms such as stiffness and pain, warns Alsina. “Building activity into your daily routine can help improve this, because using your joints builds muscle strength and improves the blood supply, all of which can ease symptoms and keep joints in better shape for longer.” She says different activities will suit different people, but adds: “Swimming and cycling are great exercises to try, as they get the body moving without putting pressure on painful joints.” It’s always a good idea to seek advice from a healthcare specialist if you are unsure what types of exercise will be suitable for you. Myth 6: Arthritis is just joint pain – it’s not serious Ezeonyeji says that while arthritis can be debilitating and lead to a reduced quality of life, it can get even more serious than that for some people. “Rheumatoid arthritis, for instance, is an autoimmune disease that can affect various organs and tissues in addition to joints,” she points out. Myth 7: There’s no treatment for arthritis While there’s no cure for arthritis, Ezeonyeji says there are many effective treatments for managing the disease, including pain relief medication, physiotherapy, disease modifying agents and biological drugs for inflammatory arthritis, plus joint surgery in some cases. “It’s also recommended that people with arthritis modify their lifestyle and try to lose weight [if they need to], follow a healthy balanced diet, exercise regularly and stop smoking,” she adds. Myth 8: Miracle cures can make arthritis disappear Although some people with arthritis believe copper or magnetic bracelets ease symptoms, Alsina says studies show no evidence to support this. “It’s the same with lots of supplements, and some of these are really pricey,” she observes. “Interestingly though, placebos can be very effective and continue to work even if you know it’s a placebo, so if you find these helpful there’s no reason to stop.” Myth 9: Certain foods definitely help/hinder arthritisThere are claims that foods like tomatoes can cause arthritis flares, and other foodstuff like cider vinegar may help it. Alsina says: “Sadly there’s no good evidence that there are specific foods you should avoid or have more of. But if you do find things that are helpful or make your symptoms worse, then listen to your body.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Prince Harry spotted at Windsor Castle on anniversary of Queen’s death How the weather can change the way you dream All the times Kate has channelled the late Queen’s style since her death

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On a Silverstone weekend where the presence of Brad Pitt and the Apple Studios crew is the talk of the town, the as of yet untitled Formula 1 film’s executive producer – the sport’s very own A-lister – struggled at his spiritual home on Friday. Lewis Hamilton remains without a win in 19 months since Saudi Arabia in the penultimate round of the 2021 season. Last year, a thrilling British Grand Prix won by Carlos Sainz saw the eight-time winner come close, but the 38-year-old remains on an unprecedented winless streak. This weekend, despite Mercedes bringing an upgraded front-wing, the practice pace simply wasn’t there for Hamilton or his team-mate George Russell. In both sessions, both drivers finished outside the top-10. “It’s a tough car to drive,” stated a brutally honest and demoralised Hamilton. “On a single lap, I didn’t feel any improvement between tyres which shows something is wrong. So we’re missing something. It didn’t feel particularly great. “Me and George were just talking and we’re at different sides with the setup – we’ll try and do something tonight and hopefully we’ll come up with something for tomorrow.” As for the man on top, no surprises here. Max Verstappen was quickest in both practice sessions under the sprinkling Silverstone sun and will be eager to correct a British Grand Prix hoodoo: in eight races, the Dutchman is yet to stand on the top of the podium. He did, however, win the one-off 70th anniversary grand prix at Silverstone during the covid-impacted 2020 season. “Overall, it’s been a strong day again,” Verstappen said, not for the first or last time in 2023. “The car has been performing really well, pretty positive.” Instead of the regularity of Red Bull’s dominance, the main feel-good story on Friday was Williams’ surprise pace, predominantly from the rejuvenated Alex Albon. Slowly but surely creeping up the leaderboard under the leadership of former Mercedes strategist James Vowles, Williams had a day to remember while sporting a special livery to celebrate their upcoming 800th grand prix. Albon was third-fastest in both practice sessions, with American rookie team-mate Logan Sargeant joining him in the top-five in the afternoon. There is forecasted to be rain in the air in and around qualifying on Saturday, which could provide a smidgeon of unpredictability in what has been a predictable order of events in the past few months, with Red Bull’s and in particular Verstappen’s all-out domination. Instead, a record 480,00 crowd at Silverstone this weekend – up by 79,000 from 2022 – will find intrigue in the early production scenes of the highly-anticipated feature film, with Pitt the star attraction. The fictional ‘Apex’ team are filming scenes in and around the paddock and using impressively modified F2 cars on track with stunt drivers. There are even plans for scenes to be rapidly shot on the grid ahead of Sunday’s grand prix. Such is Verstappen’s supremacy, the pre-race shenanigans could represent the most entertainment on Sunday ahead of a British Grand Prix whose victor has never felt quite so inevitable. There is also, understandably, wariness of another Just Stop Oil protest this weekend, after their actions at Wimbledon this week and at various sporting events this summer, with F1 and Northamptonshire Police on high alert and making extra provisions to ensure all the action goes ahead without interruption. Read More Alex Albon provides closest threat to Red Bull in British Grand Prix practice What time is F1 qualifying tomorrow at the British Grand Prix? Formula One welcomes Brad Pitt but is wary of protesters at British Grand Prix What time is qualifying at the British Grand Prix on Saturday? Jackie Stewart suffers stroke and falls ‘unconscious’ in frightening health scare F1 British Grand Prix LIVE: Practice updates and lap times from Silverstone

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