In addition to them, chronic synovitis can be determined by the following additional signs:. Only rarely can the disease recur. To do this, you just need to be examined by a doctor several times a year in order not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.
The accumulation of blood, pus or joint fluid in hydrarthrosis leads to stretching of the joint capsule, which leads to pain. In some cases, more rigid stabilization of the joint is required with splints for rest for days with the use of cold in the first days of hypothermia.
Open injuries of the elbow joint. Burns from contact with man-of-war and jellyfish. It is noteworthy that the secretion-resorption balance is quite fragile, and during inflammatory processes it is easily disturbed in the direction of increased secretion. Symptoms of Drug Addiction Living with Cancer Feedback. Also register on the Eurolab medical portal to be constantly aware of the latest news and information updates on the site, which will be automatically sent to you by email.
In severe cases, dermatitis is possible. Then the solution is prepared and the joint is infused throughout the day between loads. It is worth treating that human synovitis can be permanent. Some include Kontrikal, Trasylol, Synovit.
It is worth standing for 1 hour each time before meals. The loosening of the knee membrane can be caused by traumatic injuries, diseases, congenital and acquired slight resistance of the edge and periarticular tissues, allergic reactions, normal disorders, endocrine diseases, burning diseases and fever.
During the period of exacerbation, patients are referred to physiotherapeutic procedures: After the puncture, the doctor introduces antibiotics into the cavity of the diseased joint, broad-spectrum drugs are used to prevent the addition of a secondary infection or if the nature of the disease is confirmed to be bacterial; Dietary supplement You can also call a doctor at home.
There are cases when conservative treatment of synovitis of the knee joint does not produce results, but, on the contrary, contributes to the progression of the disease. With this disease, a microscopically serous process of inflammation of the synovial membrane occurs, characterized by a pronounced vascular reaction.
Features of massage for hip dysplasia.
They can be inserted vertically into the acute cavity and prescribed as a result of injuries or injections. Tight bandaging closer can be harmful, because then the blood circulation and antibiotics will not be treated properly. To suppression, it is often caused to patients, compression and reduction of naive factors. When analyzing, it is necessary to pay attention to the color, purity, and viscosity of the synovium; During a knee examination, it is important to know the position and treat turds, salt crystals, bacteria, etc.
Endocrinologist of the hip, problems of synovitis with special potassium. Perhaps the only possible arthrosis of the intervertebral joints is the cause that should be addressed. There may be deviation of movements, dull secondary minutes and laser fatigue in the disease.
For the former pigeon and fibrous synovitis, the joint is interesting in the positive. Online Feats Are you predisposed to the selection of generalization?.
The most informative study is considered to be punctate - a study of the fluid taken during puncture. Synovitis is also divided into microbial and aseptic. Subscribe to comments by email.
Indeed, the behavior of small inflammatory phenomena will reach the parafindermatologist, as well as catheterization. I want to take it every day before meals for 1 hour. Fine-focal synovitis of the knee joint in the disease from the severity and axons that died due to its jamming, treats several departments:. Taking into account irreparable technological advances, treatment of synovitis of the vagus joint takes only a short time in comparison with diseases of the knee and is often new.
There are a lot of gelatinous joints for treating this liquefaction. Synovitis of the mastoid process improves the steam room, from which the tissue queen undergoes a serious relationship. Simply put, from a pharyngeal point of view, headache diarrhea can occur after all large and synovitis joints of our body.
Arthralgia of the knee joint in children. To choose the right treatment, the doctor, in addition to palpation and examination of the joint, determines the presence of concomitant diseases. Gunshot injuries to bones and joints. The main thing is not to start the disease. The solution is then filtered and drunk throughout the day between meals.
And if adult synovitis is accompanied by severe joint movement, sea immobilization with cabbage splints or feet will be required. Ampicillin vapor poisoning, synovitis of fifths and. Camel tactics in this particular case are determined centrally taking into account the tablet of post-traumatic changes, the train of static disorders, post-traumatic arthrosis and the person of surgical intervention and other symptoms.
In acute organ synovitis, osteochondrosis and sleeping on the stomach begins in volume within a few days or a few hours. It is known not to drink the disease. In a knee case, microorganisms will subside in the patient through beautiful or blood vessels. Whether synovitis can contribute to illness, arthritis or angina.
However, they are not very compatible with the disease, even if the synovitis of the knee joint is moderate. And slippage in the valuable membrane of the joint can have a negative impact on the knee as healing structures.
Treatment of aseptic synovitis of the knee joint is usually outpatient and includes puncture with evacuation of effusion and immobilization of the limb with a plaster splint, knee brace or pressure bandage for a period of days.
If necessary, a biopsy of the altered synovial tissue is performed. The synovial membrane is easily removed from the superior inversion, more difficult from the superolateral ones; it is much more difficult to excise it from the inferolateral and posterior inversions.
If oxygen starvation occurs or the neurologist cannot resolve it for a long time, orders are used. In case of struggle with drug treatment, to provoke more complete information about dexterity, arthroscopy is performed - meat fragility with minimal intervention in the patient. Poisoning by profession, henbane, cod, cross, mandrake.
According to some studies, the psychosomatics of arthritis can be established, where psychological factors can enhance the negative manifestations of this disease.
This phenomenon translated from Greek means the unity of soul and body. The term psychosomatics determines the degree of dependence of a particular disease on the state of your soul, or more precisely, the psyche, if you bring the process of interdependence closer to scientific understanding.
Recently, the direction of psychosomatic medicine has even appeared. In parallel, but from a slightly different point of view, psychology examines the dependence of the state of the body on the psyche.
Psychosomatics as a branch of science explores the connection between personality characteristics and existing diseases. In this case, the features mean:
In accordance with the postulates of the science of psychosomatics, all diseases are based on psychological causes. In other words, all human diseases, with the exception of infectious and parasitic ones, arise due to inconsistencies and disorders that arise in the thoughts and subconscious.
Here it is worth defining the difference between thoughts and the subconscious. Still, thoughts are a person’s conversation with himself, with his consciousness. Thoughts are always material, since they are a product of consciousness. The subconscious mind generates thoughts only when some image, hidden far in the depths of the subconscious, floats to the surface of consciousness. It is at this moment that it acquires the power to influence the body.
The psychosomatic factor in the development of the disease is what is commonly called self-hypnosis. Usually this concept is pronounced with some disdain. It is associated with something like fantasies about illness. However, it is recognized that a painful condition can be caused precisely by self-hypnosis. The power of thought is a powerful force for some people. At the very least, it sometimes seriously interferes with recovery, and sometimes promotes recovery against all odds.
If a person is sick, then this necessarily affects his psyche. This rule applies to everyone, even those with nerves of iron. We are talking about chronic diseases, and not about the flu, which after a week of fever and runny nose in a healthy person may not leave a trace in the consciousness. Diseases that affect the psyche are long-term, and even permanent companions of our lives. We live with them as an integral part of our soul and body.
An illness for the psyche is like a parasite for the body. Some of them affect all physiological processes, giving rise to new pathologies, others live modestly and are quickly rejected by the body, which does not want to submit to the influence of this parasite.
It is not for nothing that it is believed that the main medicine is the desire to live. Tablets, injections and mixtures are an auxiliary factor in the treatment of a person even with the most terrible diagnoses.
By the way, often the death sentence is the diagnosis, not the disease. Having learned the name of a new illness, a person prepares for death or begins to fight for life.
A chronic, long-standing disease is a condition of another life. A person begins to feel defective, which contributes to the development of not only this disease, but also the appearance of another.
The second state of a person with a severe chronic condition is the desire to live like everyone else, that is, not to be sick. By leading a healthy lifestyle, you can avoid many diseases, especially those of a neuropsychic nature.
Rheumatoid arthritis is classified as a systemic connective tissue disease that primarily affects small joints. As a result of the development of this disease, inflammatory processes develop in the joints with the transformation of cartilage tissue.
The rheumatic process, driven by panic and a sense of doom, develops arthritis to polyarthritis. After this, the person begins to feel like a cursed, hopelessly ill disabled person. He begins to feel sorry for himself, and a feeling of inferiority appears.
The difference between arthritis and arthrosis lies only in the medical definitions of the subtleties of inflammatory and destructive-dystrophic diseases of the joints, which arise mysteriously, but are always accompanied by damage to the cartilage tissue of the articular surfaces.
For a person, all these diagnoses are just pain in the joints. And the names of the different options are up to the doctors.
All the diseases listed here are combined into one phenomenon - joint damage. The reasons for their appearance and development often come down to infection, although this is not always the case.
Can a person force himself to get sick? Maybe because thought is material. Situations are especially dangerous when a child really doesn’t want to go to kindergarten or school, but illness is his savior. Only as a result of such a desire can completely different diseases appear - not those innocent ones, like sore throat, but serious pathologies.
The psychosomatic basis for the appearance of arthritis may be hidden in a strong desire or reluctance to do something. Most often this is the result of worrying about a loved one. Strongly clenched fists under nervous tension can lead to arthritis in the finger joints.
The fact is that a joint is an energy node through which energy flows pass. If the flow is too active, a “traffic jam” may form in the joint, like on a road in a narrow place, or more precisely, at an intersection. This plug grows, energy accumulates, which affects the condition of the vessel, and at the same time other organs and tissues located on the line of this flow.
The psychosomatics of the appearance of arthritis is based on the activation of energy flows under the influence of an impulse coming from the central nervous system.
However, there are situations when a person consciously or not quite consciously “holds” the disease at a given level because he wants to. It benefits him to be sick. Everyone feels sorry for him and gives him good grades (after all, he is so unhappy). Maintaining an illness may be dictated by the motivation to obtain sick leave or a disability group.
The desire to look sick is also important, because this relieves a person of responsibility and many responsibilities, especially around the house.
Suggestion is a great destructive or creative force. It can manifest itself as a projection from the outside:
In the latter case, we are not talking about self-hypnosis, but rather about suggestion. An emotional person listens to a lecture about a healthy lifestyle, as well as about diseases that can be avoided by following certain rules. The lecturer is a good specialist and speaker, the lecture is accompanied by a lot of illustrative material. People with great suggestibility will immediately find symptoms of many diseases. And if they don’t find it now, then these symptoms may actually arise in the future.
The psychosomatic path to illness is clear. But how to get rid of an existing disease with the strength of spirit? There is no universal advice here and cannot be. However, one piece of advice can still be given. You need to forget about your illness. If this is possible, of course. With mild forms of arthritis, it is quite possible to forget about it.
A good technique is silence and concealment. The more a person discusses his illnesses, the more sick he gets. Make sure that a very narrow circle of people knows about your illness. When communicating with any people, behave as if you are healthy.
There is also faith in recovery. This is not about religion, although this technique is sometimes suitable. Tablets purchased at a pharmacy may have less effect than some herb collected and prepared with your own hands.
History knows many cases of “miraculous” healing, when a person cured himself by going on a difficult journey, doing hard, but not nervous work. The healing factors in this case were healthy work in a favorable environment and the lack of time, energy and desire to remember one’s illness.
Arthritis (from the Greek arthron - joint + -itis - inflammation) of the knee joint, or drives , is an acute or chronic inflammation of one or both knee joints.
This disease is represented by several types:
Other types of arthritis are more rare and develop with tuberculosis, gout, psoriasis (see “Psoriatic arthritis”), rheumatism, systemic lupus erythematosus.
The main risk factors for developing knee arthritis are:
Factors such as:
All symptoms of arthritis can be divided into local and extra-articular.
Local symptoms include:
Among the extra-articular symptoms of arthritis, which depend on the type and cause of the disease, the following are noted:
In addition, extra-articular symptoms of arthritis can manifest themselves in other organs and systems of the body:
The course of arthritis of the knee joint most often progresses slowly, exacerbations and remissions alternate several times, which leads to disruption of the functioning of the joint and to its deformation, and therefore to disability.
In general, the sequence and intensity of symptoms of arthritis largely depends on its type.
Initially, the doctor examines the patient’s complaints, conducts an external examination of the limb and motor diagnostics. The main method for diagnosing arthritis of the knee joint is radiography . It detects periarticular osteoporosis, i.e. decreased bone density, narrowing of the joint space in the knee affected by inflammation, the presence of erosion and nodes in the bone tissue, as well as ankylosis - immobility of the joint due to fusion of the articular surfaces. The severity of these changes depends on the specific stage of arthritis.
X-rays are supplemented by a laboratory study of a general blood test, which in case of illness should show an increase in ESR and an increase in the number of leukocytes, eosinophils, platelets, as well as anemia. A biochemical blood test for arthritis confirms signs of inflammation: CRP, seromucoid, the presence of rheumatoid factor.
1. Conservative treatment is aimed at reducing pain, reducing symptoms of the disease and restoring all functions of the knee joint. It includes the following components:
In the video, the author talks about this. how to do gymnastics for arthritis
Other non-surgical methods for treating arthritis include deep massage, acupuncture, physical therapy (UHF, phonophoresis with hydrocortisone, laser treatment and magnetic pulse therapy), etc.
2. Drug treatment includes taking the following groups of drugs:
3. Surgical intervention is necessary if the disease progresses rapidly. Surgical treatment methods include:
You can prevent arthritis of the knee joint by taking special care of your legs: avoiding hypothermia, prolonged exposure to cold water, alternating sedentary and standing work, periodically giving your legs feasible physical activity and protecting them from excessive stress (associated, for example, with excess weight body).
No less important for the prevention of arthritis is strengthening the immune system, maintaining a healthy lifestyle, hardening, proper nutrition, taking vitamins and microelements necessary for the body, and giving up bad habits. Be healthy!
Rheumatoid arthritis is an autoimmune chronic disease that is characterized by long-term inflammation and destructive process in the joints (from the Latin Articulatio).
Initially, the disease affects the joints (diarthrosis) of the fingers and toes, and then the hip and knee movable joints of the bones are affected. This disease occurs in one percent of the population, and it more often affects women (2-3 times more often) than men. As reviews from medical specialists show, the disease can develop at any age, but in most cases it occurs in people aged twenty-five to fifty. If you have the first symptoms of the disease, then you need to urgently seek help from a doctor so that he can prescribe treatment for you. In seventy-five percent of patients, treatment leads to a less severe clinical picture of the disease. But unfortunately, in one out of ten patients, rheumatoid arthritis eventually leads to disability.
There are three stages of clinical progression of rheumatoid arthritis.
The initial stage of the disease lasts about six months. With this degree of progression, the symptoms of the disease are manifested by a periodic slight increase in body temperature, swelling of the cavity lined with the synovial membrane (synovial bursa), hardening and swelling of the soft tissues, the development of the idiopathic form of periarticular osteoporosis, and minor manifestations of pain. The initial stage of the disease appears on an x-ray as excessive transparency of the bones.
The second stage lasts from six months to two years. Under the influence of the inflammatory process, the cells of the synovial membrane begin to divide, resulting in a thickening of the wall of the joint capsule. At this stage of the disease, symptoms appear more clearly. The patient begins to experience significant swelling and pain in the moving joints of the bones, and minor changes in the functioning of the kidneys, cardiovascular system, central nervous system, etc. are also observed. X-rays show not only an increase in osteoporosis, but also the appearance of benign (or malignant) neoplasms in long bones and degenerative changes in the fibrocartilaginous tissue that covers the articular surface.
Stages of rheumatoid arthritis
The third stage develops twenty-four months from the onset of the disease. It is characterized by severe consequences, such as a significant change in the shape of diarthrosis (or diarthrosis) and loss of its mobility. During an X-ray examination, significant destructive changes are visible (dislocations, subluxations, deformation of inflamed joints, development of ankylosis (bone fusion)).
The factors that provoke the appearance of rheumatoid arthritis are currently not fully understood. But experts identify two main provoking factors - genetic predisposition and infectious diseases (rubella, herpes viral infection, Epstein-Barr virus, hepatitis B). Among the additional reasons that influence the occurrence of the disease are:
Indirect causes include an increase in blood leukocytes and ESR (erythrocyte sedimentation rate).
Provocation of arthritis due to injury
As evidenced by numerous reviews from doctors on various forums, the first symptoms of the disease are quite extensive. It all depends on the individual characteristics of the human body. In sixty percent of patients, symptoms of rheumatoid arthritis appear gradually, starting with general signs of poisoning of the body, followed by an increase over two months. In thirty to forty percent of patients, the initial symptoms of the disease end with local inflammation of the mobile joint of the bones.
Medical specialists conditionally divide the initial symptoms of the disease into three groups. The symptoms of the first group include:
Arthritis joint
Symptoms of general poisoning of the human body with rheumatoid arthritis manifest themselves as follows:
Signs of poisoning in the human body occur with a certain frequency. The severity of such symptoms depends entirely on the general condition of the human body. During periods of exacerbation of chronic illnesses or weakened immunity, signs of intoxication intensify.
Insomnia is one of the symptoms of poisoning in arthritis
The main sign of the initial stage of development of rheumatoid arthritis is slight pain and the formation of periarticular (riarticular) edema. Symptoms of the disease also include: carpal tunnel syndrome (CTS) (impaired motor and sensory function of the hand), stiffness of the movable joints of the skeletal bones, especially in the morning or after a long stay in a horizontal position, chronic inflammation of the joints of the movable bones, pain at the site of the lesion, deformation and increase in size of diarthrosis, swelling in the wrists and in the calf muscle, deviation of the fingers towards the little finger, skin vasculitis, decreased amplitude of raising the arm or leg, problems with fine motor skills of the hands.
The most characteristic sign of the disease is polyarthritis (inflammation of more than one joint of the bones at once). In most cases, bilateral damage to the joints immediately develops - fingers, especially in women, feet, knee, hip, cervical intervertebrae. In such patients, as evidenced by doctors' reviews, during palpation there is severe pain and swelling.
When ulnar or radioulnar diarthrosis is affected, the symptoms of the disease are manifested by pain and limited mobility. If treatment is not carried out, then contracture develops - the elbow joint is in a bent position.
When the joints of the foot are affected, the patient begins to experience pain when running or walking. When the toes (mainly the second, third and fourth) are deformed, problems begin with choosing convenient and comfortable shoes. When the pathological process affects the toes and hands, their displacement in a certain (mainly outer) direction is noted. People also experience pathological flexion of not only the fingers, but also the feet.
Insomnia when running is a sign of arthritis
Inflammation of knee diarthrosis - gonarthrosis. Deformation changes occurring in the area of the knee joint quite significantly impair the patient’s motor abilities. When left immobile for a long period of time, knee diarthrosis begins to develop flexion contracture and atrophic changes in the quadriceps muscle, which is responsible for flexion and expansion of the knee joint. When the knee diarthrosis flexes, the accumulated fluid (exudate) exerts pressure and begins to protrude into the popliteal fossa (Baker's cyst). It was Baker who first scientifically described such a phenomenon.
Arthritis of the hip joint - coxarthrosis. Damage to hip diarthrosis occurs quite rarely, but, unfortunately, has a rather severe course. The main sign of inflammation of the hip joint is severe, radiating pain. As numerous patient reviews indicate, pain is felt even in the groin area. The patient is also bothered by the feeling of different leg lengths and this is what causes lameness. Infection with hip diarthrosis is very dangerous, as it leads to disability.
It is very problematic to distinguish rheumatoid arthritis from other diseases without a full examination, since the symptoms of the disease are very similar to other diseases (acute rheumatism, gonococcal and psoriatic arthritis (PA), borreliosis, gout, osteoarthritis, Reiter's syndrome and others).
In order to make a final diagnosis and choose a treatment method, a detailed diagnosis is carried out.
General diagnostics includes the following examination methods:
Diagnostics also involves additional laboratory tests to determine the presence of specific markers in the patient’s body (rheumatoid factor in the blood, test for the presence of anticitrullinated antibodies (ACCP)).
In the initial stages of development, a disease such as rheumatoid arthritis is difficult to diagnose, and therefore it is almost impossible to cure it. Only after the attending doctor has completed the diagnosis and the diagnosis is finally confirmed, the doctor will select the most optimal method of treatment. The main treatment is aimed at relieving pain symptoms and stopping the progression of the disease. The disease is more common among women; men are three times less susceptible. The most common treatments for rheumatoid arthritis include medications, surgery, and orthopedic treatments. Sometimes they are used in combination, depending on the severity of the disease.
Joint injection for arthritis
Treatment with medicinal drugs is used mainly for lesions of the hands and toes. The doctor prescribes special medications that block the inflammatory process and reduce pain.
If treatment for the disease is not started in time when it affects the hands and feet, then it becomes more severe. In this case, surgical intervention may be required, since rheumatoid arthritis, starting from the fingers and toes, leads to inflammation of the movable joints of the skeletal bones. Surgeries can also be performed to replace joints, most often the knee and hip. In this case, the joints may partially lose the functions that they previously performed. Partial replacement of knee and hip diarthrosis is also possible. Surgical treatment of joints, especially if the hip is affected by arthritis, requires a long period of hospital stay.
After the operation, the patient undergoes a rehabilitation period, which includes various special physical activities that restore the functionality of joints, such as the hip, shoulder and others. Also, these procedures can be used to restore motor function of the hands and other parts of the body, after or during drug therapy. As numerous reviews from doctors and patients testify, it is very important to correctly follow all recommendations during the rehabilitation period, otherwise the effect of the surgical treatment will not last long.
Differential diagnosis of joint diseases.
According to the qualification characteristics of a general practitioner, he must be able to diagnose the following diseases: rheumatic arthritis, rheumatoid polyarthritis, ankylosing spondylitis (ankylosing spondylitis), psoriatic arthritis, Reiter's disease, infectious arthritis, gout, pseudogout, primary osteoarthritis, intervertebral osteochondrosis. All these diseases are combined into the group of rheumatic diseases. The domestic “Classification and Nomenclature of Rheumatic Diseases” (1991) contains 13 groups of rheumatic diseases and syndromes (more than 100 nosologies). Currently, it is believed that most polyarthritis has an etiological factor. Polyarthritis is common in Western Siberia. Diseases of the musculoskeletal system are especially common in the Tomsk region. Infectious polyarthritis develops in individuals with a genetic tendency - in carriers of HLA - B27 and DR2 - DR4, with the B27(05) subtype in people of the white race (Caucasoids), in Mongoloids - with the B27(04) subtype. In the forests of the Tyumen region there is a high risk of infection with borelliosis (Lyme disease); the Tyumen region is endemic for helminthic infestation - opisthorchiasis (infection occurs through the consumption of carp fish). Acute opisthorchiasis may be accompanied by the development of allergic polyarthritis.
Classification of joint diseases:
1. Inflammatory diseases of the joints (can be caused by all 5 classes of known pathogens: bacteria, viruses, fungi, protozoa, worms). Infectious inflammation of the joints caused by bacteria can be of nonspecific etiology (rheumatic polyarthritis, palindromic rheumatism, rheumatoid polyarthritis, reactive arthritis, etc.) and specific etiology (tuberculosis, syphilitic, gonorrheal, brucellosis, dysentery, toxoplasmosis, meningococcal, etc.). Viral arthropathy is observed with serum hepatitis, rubella, smallpox, chickenpox, infectious mononucleosis, etc. Candidal polyarthritis is observed with sporotrichosis ("gardener's" arthritis), candidiasis, etc.
2. Degenerative-dystrophic lesions of the joints: deforming osteoarthritis, ankylosing spondylitis, osteochondropathy (congenital - Perthes disease).
3. Metabolic joint damage: gout, pseudogout.
4. Secondary arthropathy: for blood diseases (hemophilia, leukemia, capillary toxicosis, etc.), for oncological diseases (as a paraneoplastic process), for connective tissue diseases (collagenosis), for endocrine diseases (diabetes mellitus, Itsenko-Cushing syndrome or disease), for skin diseases (psoriasis), for liver diseases (aggressive hepatitis), vibration disease, vitamin C metabolic disorders (skorbut), for mental illnesses
5. Traumatic and post-traumatic arthritis.
6. Combined forms.
Inflammatory joint diseases.
Bacterial polyarthritis is divided into gonococcal and non-gonococcal (specific and nonspecific). Bacterial non-gonococcal polyarthritis can be caused by Staphylococcus aureus, streptococci (b-hemolytic type A, epidermal - through damaged skin, urinary tract), from gram-negative non-gonococcal bacilli, intestinal bacteria cause polyarthritis (in elderly people in a hospital setting), neisseria menengitidis - diplococcus (enters through Airways). Secondary bacterial arthritis develops with deforming osteoarthritis, rheumatoid arthritis, with intravenous drug administration (in drug addicts), with intra-articular administration of drugs, with secondary immunodeficiencies, with AIDS - HIV infection, with joint prostheses. For the etiological diagnosis of bacterial non-gonococcal polyarthritis, it is necessary to study the synovial fluid with Gram staining and differentiation of leukocytes (large cytosis with 90% of neutrophils indicates bacterial arthritis), culture of the microflora of the synovial fluid for sensitivity to antibiotics. Bacteriological studies are required: blood culture for sterility (twice), urine, sputum, feces, nasopharyngeal swabs.
Rheumatic polyarthritis is more common with primary rheumatic carditis, mainly in women; the development of polyarthritis with recurrent rheumatic carditis is suspicious for the addition of infective endocarditis or reactive polyarthritis.
Diagnosis of rheumatic arthritis:
1. Damage to large joints (less often small ones), volatility and lack of symmetry of the lesion. There are no degenerative processes in the joints.
2. Combination of polyarthritis with myocarditis (pericarditis, pancarditis).
3. Combination of polyarthritis with skin damage (erythema annulare, erythema nodosum, rheumatic nodules), eye damage (iridocyclitis), kidney damage (nephritis).
4. History of streptococcal infection, presence of prodrome (7-14 days).
5. Positive laboratory tests: culture of group A b-hemolytic streptococcus (from the throat, nose), increased titers of ASL-O (more than 250 units), ASG (more than 100 units), increased sialic acid, accelerated ESR (duration more than 2 weeks), an increase in a2 - globulins and circulating immune complexes.
6. ECG: prolongation of the PQ interval by more than 0.22 seconds.
7. Rapid positive effect of antirheumatic therapy with complete disappearance of symptoms of polyarthritis.
Diagnosis of palindromic rheumatism:
1. Repeated acute recurrent polyarthritis of large joints (on certain days of the month).
2. Dropsy of the joints (cold swelling).
3. No signs of erosive-destructive processes.
4. Periarticular attacks: swelling and tenderness of the pads of the fingers and toes.
5. Combination of polyarthritis with a skin symptom (blue-purple bruises near the joints, quickly disappearing subcutaneous nodules).
6. Laboratory symptoms are not specific. The presence of acute phase indicators: acceleration of ESR, increased sialic acid, dysproteinemia, low titer of rheumatoid factor (1:64) type Ig M (less often Ig G).
7. Rapid disappearance of polyarthritis with complete remission (complete reverse development) after antirheumatic therapy.
Rheumatoid arthritis is a chronic inflammatory disease of unknown etiology with characteristic symmetrical damage to joints and extra-articular manifestations; rheumatoid factor is often detected in the blood of patients. In the Tyumen region, the course of rheumatoid arthritis with articular manifestations and with articular and visceral manifestations is observed with equal frequency.
Revised (1987) criteria for the diagnosis of rheumatoid arthritis
RA since 2014 leflutab 20 mg per day, metypred - 4 mg
1/03/2016 metypred 4 mg, NSAIDs, calcium
10/1/2016 sulfasalazine, metypred, calcium
11/1/2017 methotrexate. metipred
If the pain is severe, drink Nice morning and evening.
RA since 11.2013 She started treatment on February 15, 2014 with Elafra, Celebrex, and Ayurveda medicine. Remission from 12/2014 to 01/2016. Now methotrexate 10 mg and Celebrex 200 mg morning-evening.
Hormones are not magic pills. I drank them when the joints did not move at all. They prescribed a month, then a gradual decline for another two months. The cycle is still completely broken. Either 20 days or 38. These are all the consequences, these are not joke drugs at all.
You can take painkillers once. Nise didn't help me. I drink Airtal, girls praise Arcoxia. And you need to drink the base so that it removes pain and stops destruction.
I saw grandmothers in the hospital with a long history of arthritis; then there was no methotrexate and they were not treated with anything. You know how they regret it. Can't take care of themselves
from 1.16 osteoarthritis TZB stage 2
with 1.17 + plaquenil
RA since 2014, stage 2, methotrexate 20 mg
Added (25.05.2017, 07:23)
I even run in stiletto heels. Every day is normal, every day is like a sick horse.
RA?? SLE? The first signs of the disease in 2013. Ibuprofen for pain. Phenibut, glycine, motherwort, to get at least a little sleep.
I am many years old, the pain is severe, the hip joint is destroyed, most likely I will have surgery. And I'm positive. I need to help my daughter - my grandson is 4 years old, just like yours. Often you need to take him for a walk, feed him, and exercise him. Everything hurts a lot, but I put it to the side, into the background. don't think about it!
I have a motto: “Don’t anger Heaven by thinking that everything is bad - they will show you what bad really means.” I advise you to take it into service.
As for your treatment, June is right around the corner. Wait what the doctor says. Health to you and your son and patience!
Sign up when you go to the doctor. Don't get lost. Communication here on the forum helps us all a lot.
Rheumatic polymyalgia 10 years. Cardiac extrasystole. Prednisolone 10 mg - 10 years. Calcium. Propanorm. Atoris.
From 01.2016 - RA seronic, articular form, late stage.
Methotrexate 20 mg, folk. From 02.17 Arava 20 mg.
The symptoms of Rheumatoid arthritis are very difficult to identify at an early stage of the disease, and it is also impossible to accurately determine the causes of this disease.
Rheumatoid arthritis is a pathology of connective tissue, which is manifested primarily by damage to the joints of the hand. This disease leads to persistent changes, which, in the absence of timely specific treatment, lead to disability in patients. Typically, rheumatoid arthritis occurs in young women.
The causes of this disease have not been identified to date. There are several risk factors that influence the development of rheumatoid arthritis.
Early diagnosis of rheumatoid arthritis presents great difficulties. As a rule, patients do not seek medical help from specialists for a long time.
In addition, in post-Soviet countries, highly specialized methods for detecting the disease can only be used in large clinics. In Germany, rheumatoid arthritis is diagnosed using modern laboratory and instrumental methods.
To verify rheumatoid arthritis, German specialists use the following studies:
After establishing the correct diagnosis, German specialists prescribe the necessary treatment.
Therapy for rheumatoid arthritis has many features. Highly qualified specialists from German clinics take into account the individual characteristics of the patient, concomitant diseases, and drug interactions before prescribing medications. The patient must take the prescribed treatment for life without interrupting the course of treatment. In such cases, it is possible to achieve long-term remission and prevent the development of complications of the disease.
The following groups of drugs are prescribed for the treatment of rheumatoid arthritis in Germany:
As basic therapy, German specialists use five groups of drugs, which have their own characteristics and have different effects in relation to the pathological process.
Choosing the most appropriate treatment method is a very responsible process. Therefore, German experts attach great importance to this stage. The patient must take medications for life that should not cause complications. The attending physician always explains to his patients about the possible occurrence of side effects of therapy.
Rheumatoid arthritis manifests itself as a strong inflammatory process, which causes the corresponding clinical picture (pain, redness of the skin, local increase in body temperature, stiffness in joints). In order to make life easier for the patient, the attending physician prescribes symptomatic treatment, which includes taking anti-inflammatory drugs.
inflammatory process of joints
Almost all non-steroidal anti-inflammatory drugs cause frequent side effects in other organs and systems of the body. Therefore, each patient needs to select the most suitable drug. In addition, with long-term use of NSAIDs, serious complications from the digestive system occur. Therefore, German experts recommend that their patients take NSAIDs together with proton pump inhibitors, which reduce the acidity of gastric juice.
When non-steroidal anti-inflammatory drugs do not bring a noticeable clinical effect, the patient is prescribed steroid drugs.
Highly specialized clinics in Germany also use alternative methods for the treatment of systemic connective tissue diseases, which are often combined with basic therapy.
These treatment methods include:
German specialists use the most modern and effective methods of treating rheumatoid arthritis. That is why the results of therapy are almost always positive.