- Diseases, Disorders & Conditions
Living With Myositis - JO1 Antibodies - Antisynthetase Syndrome
Living With a Rare Illness Can be Challenging
When you are diagnosed with a rare illness like Myositis - Jo-1 antibodies - Antisynthetase syndrome your diagnosis can be confusing as well as more than just a little frustrating. Myositis is a rare illness, Jo-1 antibodies are a rare illness classified within it, and Antisynthetase a syndrome found within some individuals who have the JO-1 antibodies.
There is not a lot of research into rare illnesses and so also generally not a lot of reliable information on them either. Treatment options may be foreign or experimental and physicians may not have the expertise needed to treat your illness accurately. The rarity of myositis is one of the main factors which make having this rare muscle disease such a very difficult illness to deal with.
I am someone who has Jo1 antibodies, my illness is chronic, and it is now about 30 years since I was first diagnosed. I am a fighter and a survivor. I am proof that we can survive this illness.
Become Familiar with Your Illness its Symptoms and its Treatment
Myositis is a complex illness with so very many issues involved. If this disease simply concentrated on one specific area of the body then perhaps it would be easier to understand and to treat. But this disease takes many forms and often comes with an overlap of any number of inflammatory illnesses thus making each case of this rare illness individual.
Skin, lung, muscle, circulatory, intestinal, and joint issues are all issues of concern with myositis as antisynthetase syndrome leaves no part of the body untouched.
Individuals with anti-synthetase syndrome may suffer from Dermatomyositis or Polymyositis, polyarthritis, interstitial lung disease, Raynaud's Phenomenon, and mechanics hands. We may have overlapping symptoms of Rheumatoid arthritis, Systemic Lupus, Scleroderma, Raynaud's phenomenon, Sjogrens syndrome as well as other inflammatory based illnesses.
This means that you may not be able to predict your disease activity by what another person with Myositis has undergone because your illness will most likely be completely unique to you.
Your doctor may not understand your illness. A CPK test may not show abnormal levels yet you may still be very ill. There are many factors to this illness which are as of yet misunderstood.
The symptoms of your illness may change and this change may be a constant aspect of your illness. With the passing of time you learn to be comfortable within the unpredictability of your illness. You learn the symptoms of your illness and you fight these as they come and go.
I often joke that I am the ever changing woman. One month I am fighting stiffness, pain, and severe muscle fatigue. Then a couple months later I am having trouble swallowing and breathing, and when that goes away, I then find myself having to use a cane to walk the few simple steps to my car. My joints can become badly inflamed by rheumatoid like flare ups that seem to last forever. At any given time my hands may be covered in bandages to hide and protect from infection the painful cuts appearing from the phenomenon known as mechanic's hands.
The flares can reduce and the disease go into a rest period. It is then that I can exercise, live in a minimum amount of pain, and grow stronger. Then with a bang it will be back again. Each day with JO1 antibodies is new and different, but I have grown used to my enemy, and I now know to fight this illness on the terms that it sets out for me.
Antisyntheatase Syndrome - Dr. Lisa Christopher Stine
Lifestyle change is very important for those with myositis.
You are different and your lifestyle will probably be much slower than before. Becoming ill with a chronic disease is much like being a child again. You have to relearn what you are capable of accomplishing and also to adjust to your new limitations. This can be frustrating but it just takes time and patience to adapt to the new you.
Use health aides, splints, cane, walker, or scooter to help increase your mobility and keep you safe from falls. Adapt your home to your changing needs to help to prevent frustration and increase your ability to adapt to your illness.
Your activity levels will be reduced but don't just stop everything, keep your body moving. Throughout the day alternate periods of rest with periods of activity. Never attempt to do too much of any one activity at any given time or you will tire out and possibly put your body at risk of receiving permanent damage. Budget out your energy, remove restrictive obligations from your timetable, and learn to live comfortably within your illness.
Did you know that a twenty minute total rest period during the day can usually give you enough energy to get you through the remainder of your day? At some point during the day you just have to lie down and do absolutely nothing for twenty minutes. This will help to rejuvenate and recharge your body.
Swim therapy, walking, dancing, stretching, laughing, yoga, and singing are exercise therapies which can help to keep you strong until you are able to accomplish more. Simple things like laughing or singing to a favorite song can help to clear the mucous from your throat and lungs. Learn to adjust your activity level to what you are able to accomplish each day.
Don't allow yourself to be too lazy. That is something that can easily happen when you feel as tired as we do.
There is a very fine line between exercise and abuse and we must find ours each and every day that we live with this illness. Having myositis means that a slow and steady course of exercise may not make you grow stronger with each passing day. You may be fine one day and barely moving the next. You will have to adjust what you can accomplish each day by your current health levels. We are not like other people and we must set our own pace in everything that we attempt to do.
Budget your energy, budget your commitments, budget your time. Push yourself but don't abuse your inflamed joints and tissue either.
Research your symptoms, research your treatments, research your options. Each case of Myositis is individual to the person who has it so don't ever be afraid to question your treatments or to refuse one based on what you have learned. Fight each individual flare as it arrives.
Fatigue, pain, and muscle weakness are major aspects of this illness but it is important to hold onto as much muscle as you are able to. During severe muscle involvement do not damage your muscle by working it too hard but also do not allow it to waste away on you because you do not use it. Do as much as you are able to without causing damage.
Myositis is a challenging illness both physically and emotionally. You should not attempt to fight it on your own.
Listen to your doctor but also be aware that due the rarity of this illness that many doctors may not be knowledgeable on the many forms which myositis takes.
Research all treatments, see a specialist, and ask questions from others who suffer from this illness.
Individuals With Myositis may Have Difficulty Rising From Low Areas and Require Aides
The most dangerous room of the house is generally the bathroom so it is important to protect yourself from falls near the bathtub or toilet. A raised toilet seat and safety handles for toilet and tub can help decrease your risk of an accident in the washroom.
The annual TMA Myositis patient conference provides information and support for those who suffer from this rare illness.
Every home has dust mites but people with myositis may be more sensitive to them.
I went through a very bad bout of breathing difficulties and it was a nurse at the hospital who suggested that I try using dust mite covers on my pillows and mattress. She explained how the protein in dust mite droppings can affect those with protein issues.
Although dust mites can be found throughout the home they are generally at their highest concentration where people spend the majority of their time. People happen to spend a large amount of time in bed sleeping so this is a key area of indoor allergy caused by these microscopic creatures.
The first set I purchased were the plastic variety and I learning quite quickly that the cotton covers are much more durable. There is a definite difference in quality between the two styles. I purchased the cotton set about 5 years ago and they are still in excellent condition.
Know what your antibodies mean to you.
Dr. Robert Cooper on understanding your antibodies.
Disability changes how you will achieve your goals but it never stops you from having goals to achieve.
The Myositis Association can Help You Understand Your Illness
The Myositis website is a key group for helping to encourage research into myositis and the antibodies involved with Myositis.This awareness is helping doctors to understand which treatment programs work on us, which ones won't, and why these differences are there.
The Myositis website has a number of video presentations that may help you to understand your illness, diagnosis, and treatments. Where illness is concerned knowledge is indeed power. http://myositis.org/learn-about-myositis/helpful-videos
Meeting for lunch at Myositis conference Las Vegas, Nevada.
Swallowing and Choking can have Serious Issues
With muscle weakness also come many issues. Swallowing and choking are one of many very serious symptoms of myositis.
With myositis it can be difficult to consume liquid or food without having choking issues. There is also a danger of choking on saliva as well, and this can occur both at night during sleep, or during the day.
There are therapies which can help with swallowing difficulties and things which you yourself can do at home to help alleviate the problem swallowing. The wisest advice I was given was to treat swallowing as exercise and to stop when I began to get tired so I did not stress the fatigued muscle. Consuming tiny amounts of food and liquids throughout the day helped tremendously to increase the strength of my throat muscles.
A few tips to make swallowing safer:
1. When swallowing food, pills, or liquids, tip your chin down to make swallowing easier. This position creates the easiest route for swallowing.
2. Keep a glass of fluid beside you when you eat. Take a sip of milk or juice after each bite to help push the food down. A thicker liquid such as milk can be easier to swallow than water.
3. Cut your food into very tiny pieces. Avoid stringy foods or those that you have experienced difficulty in swallowing previously. Add sauces to your foods to make them easier to swallow.
4. Juice or mash your fruits and vegetables for easier swallowing. Consuming them with a sauce or dressing can make these foods easier to swallow.
5. Drinking from a straw is safer than drinking from a glass. If drinking from a glass take tiny sips rather than large ones.
6. Avoid larger sized pills or chop them into smaller pieces for easier swallowing. Many pills can be substituted with a liquid or chewable tablet version so discuss these options with your doctor or pharmacist. You can grind some pills into a powder so you can swallow them in liquids but check first to insure that these pills are not coated for your safety. Vitamin D can usually be crushed to add in to yogurt or soup.
Having muscle weakness makes it easy for food, liquid, or saliva to be swallowed into the lung area. Once in the bottom of the lungs this foreign matter can cause an infection or pneumonia to develop. The weaker muscles makes it more difficult to cough out the foreign objects. Always check with your doctor if you believe you are having problems with fluid in the lung area.
*It is always safest to visit your doctor to insure that your swallowing difficulties are not cause for more serious concern. If your swallowing difficulties concern you or are severe, discuss treatment with a therapist, throat specialist, or surgeon.
Much to my surprise I have come back very well from a severe term of swallowing. It took 3 years but I am pretty much back to what I now define as my new normal in food consumption. I actually ate a half a pork chop the other day without issue. I have heard this also from many others who come back from severe muscle or lung issues. This truly is one very strange illness and unique to each of us.
Overlap Syndrome with Dr. Christina Charles Schoeman
Overlap Syndrome and Antisynthetase Syndrome.
People with Myositis, Jo1 antibodies, or Antisynthetase can suffer from an overlap of inflammatory illnesses.
Polymyositis/Dermatomyositis, or multiple muscle inflammation, is only one aspect of this illness. Inflammation of the skin and within the joints, blood vessels, internal organs, and lungs can also be other major factors of this illness.
In addition to inflammation many individuals with myositis suffer from severe fatigue, pain, stiffness, brain fog, muscle fatigue, and muscle wasting.
The enzymes which synthesize protein may in some way be affected, but with so little research having been done into anti-synthetase syndrome and the other muscle myopathies, little is yet known about this very rare illness.
People with myositis may find that Vitamin D deficiency, Vitamin B12 deficiency, intestinal difficulties, as well as new sensitivities to foods which they previously had no difficulties with will now be an issue for them.
A healthy diet is important for anyone, but for someone who suffers from an inflammatory based illness such as that which occurs when you have Myositis, Jo1 antibodies, or anti-synthetase syndrome, a proper diet is vital to maintaining your optimum health.
Annual Myositis Patient Conference
The 2018 Myositis Conference is at Louisville, Kentucky. September 6th to 9th
For details on the annual conference visit: http://myositis.org
You can also contact the Myositis association at:
The Myositis Association
1737 King Street, Suite 600
Alexandria, VA 22314
So is there a Specific Diet Plan?
I wish that I had more information on an appropriate diet plan for those who suffer from antisynthetase syndrome but all that I have to offer is what I have learned over the years. Hopefully these tips will help you.
1) Because our energy level is reduced, we do not tend to eat as much as other people so tend to not get the nutrition that we need. The drugs we take may also deplete our body of specific nutrients or require us to take additional supplements to counteract negative affects they may otherwise cause.
We generally require additional protein, calcium, vitamin D, Vitamin B12, omega 3 fats, as well as a daily multi-vitamin supplement.
2) I have heard many of the people with Myositis mention the importance of having a high quantity and good quality protein diet. Egg, salmon and other fish, lean meats such as chicken, pork chops, and white turkey meat are good protein sources. Salmon seems to be one of the best meats as it provides the necessary omega 3 fats and high quality protein which so many of us seem to be lacking in our diet.
I also use whey protein supplement and make myself a drink blended from whey, yogurt, and fruit juice. It is actually very yummy and nutritious. Whey protein seems to work well for those with suffer from myositis.
Eggs are a complete protein so it is a protein which is immediately available to your body for use. I will make myself an egg salad and take bites of this throughout the day.
Munching on 6 to 10 walnuts or another omega rich nut is a good snack to consume throughout the day as well.
Avoid red meat as this can create an imbalance of good and bad fat within the body which may lead to additional inflammation.
3) Eat a high antioxidant diet. Your body's cells are being damaged by the inflammation within your body. Help to slow down or heal this damage by consuming an antioxidant rich diet. Fruits, berries, and dark leafy vegetables are generally good sources of antioxidants. Juice these if necessary but include them into your diet. It may be easier to drink these than to add additional food into your diet plan. Green tea and red wine are other antioxidant rich drinks.
Ginger and turmeric are natural anti-inflammatory spices that can be easily added into many foods.
4) Eat yogurt on a regular basis. The medicines that you take may be killing off the good bacteria in your intestinal tract and you need this bacteria to have optimum health. Eating a good probiotic yogurt replaces this good bacteria and helps to improve your intestinal health. Honey can also help to heal the intestinal tract as it is an antibacterial agent.
5) Drink plenty of water. Because of the amount and harshness of the medicines required for treating Myositis, you will most likely need to drink a lot of water to help keep your kidney and liver healthy.
6) Avoid the most common allergy foods. People with myositis are very sensitive to the environment around them and to the foods which they consume. Foods which you could previously tolerate may now be causing you to become ill. Try to avoid dairy products, soy products, gluten products, and nightshade plants if you find that you now have a sensitivity to these.
7) If you are on steroids then you will need additional calcium.
The Myositis conference has a number of knowledgeable speakers who present information on a variety of illness related topics.
Raising Furniture can Help Alleviate Joint Pain
Raising the height of your furniture can also help to relieve the stress on your joints as you rise from a seated or lying position. You can help to prevent acid reflux by raising the top part of the bed to give your upper body a more elevated position.
Have you been diagnosed with an auto-immune illness?
Do you suffer from myositis or another form of chronic inflammation.
Drug therapy programs for Myositis may include steroids, NSADS and other anti-inflammatory drugs, immune suppressants, or drugs such as IVIG (Intravenous Immunoglobulin) therapy.
Most people with Myositis also include several alternative therapy choices into their treatment program as well.
When you have Myositis it is vital to have a physician who you trust and are able to communicate openly with.
Discuss your illness and treatment options with your doctor.
Interstitial Lung Disease and Heart Issues for Those with Jo1 Antibodies
Individuals with Jo1 antibodies run a higher risk of suffering from lung issues than others with Myositis. It is believed that individuals with Jo1 antibodies may have about a 70 percent chance of interstitial lung disease being a visible part of their illness.
Fibrosis or scarring of the lung is very serious as the lung can be slowly damaged till it is no longer able to function. Our lungs can also die upwards from lack of use due severe muscle fatigue which makes it difficult for us to breathe deeply.
Early diagnosis and treatment is vital for those who suffer from interstitial lung disease. It is important to have breathing monitored, and lung x-rays, or cat scans performed on a regular basis to insure that damage is kept to a minimal.
The weakened or fatigued muscle in Myositis patients can cause many lung issues. This weakness can cause the Myositis patient to have difficulty breathing deeply or working mucous from the lungs. Liquid can pool in the lung leaving the individual vulnerable to pneumonia and other lung infections.
A cold or flu can be extremely dangerous for those who suffer from a chronic illness like myositis, so it is important to receive the annual flu shot each year, and to use other methods to prevent these illnesses from occurring.
Patients with Jo1 antibodies are prone to right heart failure so it is important to decrease disease related stress on the lungs as much as possible. Breathing difficulties will put additional stress on the heart.
Breathing or allergy issues in the home can be aggravated in the bedroom from exposure to dust mite droppings. It is important to use dust mite covers on your pillows and mattress to reduce this exposure. Wash blankets and sheets often. Keep a window open about an inch all year long to provide fresh air in the home. It is a surprising fact to many that there are generally more pollutants inside your home than outdoors.
People with Jo1 antibodies, or others who suffer from serious lung issues, should not take methotrexate except under extreme health circumstances.
You can read more on Myositis and interstitial lung disease at this website:
Falls are Dangerous for the Disabled
Muscle weakness, stiffness of the joints, and overall decreased mobility can make falls a very real concern for those who suffer from Myositis. Bathrooms, stairs, hills, ice, snow, or items which can be tripped on, are all potential areas where injury from a fall can occur.
Muscle weakness in the hands can cause dishes to fall from the patient's grasp, in the lower extremities it can cause the legs or ankles to give out from under them, or it can display itself in a stumbling gait which makes tripping on small objects or uneven flooring easier.
To increase their safety Myositis patients often find it necessary to adapt their home to their changing needs. A ramp or lifts may need to be installed to make access and mobility within the home easier.
Medical aides to help functioning ability and to prevent falls are often used. Canes, splints, walkers, scooters, and wheelchairs are very real in our world.
We often must change our lifestyle so that we are not exposed to areas where we may overly fatigue our muscle, hurt our inflamed joints, or fall. Often avoidance is the only option of safety for people who suffer from this rare illness.
People with Myositis May Have a Sensitivity to Light
Sunlight, Fluorescent tube bulbs, and the new (CFL) Compact Fluorescent bulbs may increase disease activity in many of the individuals who suffer from Myositis. This means that a simple trip to the local mall, dentist office, or school where these light bulbs are used may increase the inflammation of Myositis.
People who have myositis may be sensitive to UV rays, so if you have this illness, then exposure to many of the light sources which you encounter each day could be increasing the ill health effects of your Myositis. Those with Dermatomyositis may be particularly sensitive to the effects of exposure to UV rays from the sun or other UV based lighting sources.
1) Wear a hat, long sleeve clothing, sunscreen, and darkened glasses to minimize your exposure to UV rays.
2) Use the old Incandescent bulbs in your home and work place. Avoid or minimize your exposure to other lighting sources.
3) Blacken your car windows.
4) When outdoors sit in shady areas rather than in direct sunlight. Keep in mind that UV rays can ricochet off water or other surfaces so when using an umbrella it is still possible to be hit by these rays.
Surround yourself with happy
When you participate in pleasurable activities your brain does an amazing thing and releases a little chemical message known as an endorphin.
Endorphins are feel good messages which have the power to actually remove physical and emotional pain. They travel down the spine, and then throughout your body, sending a feeling of well being as they go.
Smile. Laugh. Watch cartoons. Sing. Put on your favorite music and dance around the living room.
Get happy. It's good for you.
Myositis Support Groups
You do not have to be alone in your illness. Talking and sharing with others who know what you are going through helps. Support groups share helpful tips and unlimited support.
Massage Your Feet - Soak Them in Epsom Salts
There are a number of health areas of issue for us. I Have found that soaking my feet in a massaging foot bath helps many of these. As I no longer able to access a bath tub this foot soak is highly relaxing.
A combination of the salts and massage is pure heaven on tired achy feet. Massaging the feet can help to improve poor circulation. A foot bath in Epsom salts can also help to prevent foot infections.
Epsom salts contain magnesium which helps to relieve muscle pain, when we soak our feet they absorb the magnesium and we feel less achy. This is an element which we are often lacking so this is a simple way to increase our dose. Magnesium in the Epsom salts helps to ease muscle aches and pain and it is absorbed through the soles of the feet during the bath.
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There can be Skin Issues
Inflammation of the skin, mechanics hands, and rashes, are but a few of the many damaging skin difficulties which people with Myositis face. The skin can be irritated by simple daily tasks, UV light rays, dryness, disease activity level, and many other factors. The more that you understand your illness then the more you will become aware of the factors which cause skin flare ups to occur.
Be aware of the lighting sources that you are exposed to. A simple trip to the doctor's office or local mall can expose you to fluorescent tube lighting, or the new CFL bulbs, which can irritate your skin symptoms. When outdoors the sun's rays can irritate and inflame your skin.
Protect your skin by wearing long sleeve shirts, full pants, a hat, and dark glasses.
Purchase a variety of gloves for your everyday activities. Use food preparation gloves to prepare your food, rubber or latex gloves for washing vegetables or dishes, warm gloves for retrieving food from the freezer. When outdoors wear light gloves in the summer and warm gloves in the winter.
Raynaud's syndrome can cause the circulation in your hands to decrease which further increases dryness and irritation of the skin. Avoiding emotional stress, cold, and stimulants such as coffee can help reduce the symptoms of Raynaud's syndrome.
The skin is the largest organ of your body and whatever you apply to it will be absorbed into your body. For this reason be very careful of the personal care products which you use throughout the day. Check the ingredient lists on the products you use and try to use more natural personal care products.
Choose a shampoo and hair conditioner that will not irritate your scalp or look for a more natural solution for this task.
Did you know that cocoa butter and Shea butter are natural moisturizers which contain high levels of antioxidants. When you use these products you absorb the antioxidants through your skin. Olive oil can also be used as a natural moisturizer for your skin but be careful when you use it as it can make your fingers slippery.
I keep a jar of shea butter lotion in every room of the house and am constantly applying it to my skin. It definitely seems to have reduced the number of skin flares that I am experiencing. Update: I have not had an outbreak of mechanics hands now for a couple years. Shea butter has definitely worked.
Protect your skin by wearing gloves when preparing food.
Prevent Permanent Damage
Treat each flare individually and on the terms that it sets out for you.
Your symptoms may flow in waves and it is up to you to learn as much as you can about each of these. Your goal is to prevent permanent damage in the affected area so you can be well again when it heals.
Skin, lung, joint, muscle, internal organs, and even your brain can be affected by the inflammation. Your circulatory system can be affected too. I define each of these as a separate flare and fight them as such.
Wear the Blue Myositis Awareness Ribbon
Please help to create awareness and understanding for those who live with myositis.
Visit the support networks set up to help those who suffer from this rare illness and please donate to help increase research into myositis and it's related illnesses.
Email this web page to your family and friends. Discuss the issues presented in this article with your doctor. Wear the blue myositis ribbon to show your understanding and support for those who suffer from the rare illness known as myositis.
Wear the Blue Myositis Ribbon
A Smile and a Giggle Can be Good for Your Health
It is important to note that mood truly can influence the amount of pain that you are in. Stress brings with it tense muscles and this can increase the hurt.
Find ways to bring additional laughter and a smile to your days. These elements will help improve how you feel and how you handle the events set out for you each day. The brain releases feel good chemicals known as endorphins when you smile, laugh, exercise, or enjoy a good sexual experience. These endorphins are a natural pain killer and can relieve both physical and emotional pain.
Somedays it can feel like you need one big prescription to help ease the aches and pains. This cute prescription coffee mug can help by providing a smile first thing in the morning. I can't help but feel a little better every time I use mine.
© 2011 Lorelei Cohen