For the treatment of infectious polyarthritis beforeall study conducted fluid taken from the joint: determined causative agent and its sensitivity to antibiotics. As a result of this analysis is assigned to antibiotic therapy.
Antibiotics are administered intravenously, the restthe route of administration deemed ineffective. There are also intra-therapeutic puncture, in which the inflammatory joint fluid removed them. If many pus joint, it is removed by surgery (joint drainage). In order to alleviate the pain in the joint is superimposed bus providing its immobility. All treatment is carried out in a hospital.
Treatment crystalline polyarthritis
The attack of acute gouty arthritis withoutthe treatment lasts a few days, with the help of treatment it can be removed in a few hours. For this purpose are assigned different anti-inflammatory agents that remove tissue swelling and reduce pain. This so-called non-steroidal anti-inflammatory drugs (NSAIDs) such as indomethacin. But the effect of these agents appear only after 12-24 hours, so when first administered strong pain relieving inflammation another drug - Colchicine (preferably administered intravenously, as it often causes gastrointestinal complications). If these drugs are, for whatever reasons, it is contraindicated, the short-term hormone therapy (prednisone) are assigned to relieve pain.
Diet appointed for prevention of exacerbations,restricting foods rich in purines (liver, kidneys, brain, canned fish) rich alkaline water. Means of reducing the excretion of uric acid (e.g., allopurinol), assigned only for frequent attacks arthritis and kidney damage, since these drugs have severe side effects.
Treatment of rheumatoid arthritis
rheumatoid arthritis treatment consists ofseveral steps. First of all, when the first detection of the disease are appointed by the NSAIDs that relieve swelling and pain in the joints. If NSAIDs do not bring relief, as well as the presence of lesions of the internal organs and the general condition is assigned to hormone therapy (prednisone). Hormones used as a last resort, when all other possibilities have been exhausted.
In acute diseases impose on the jointbus, fixing the limb in a comfortable position for the patient. Pain is also facilitated heat. As the pain subsided range of motion in the joint increases, the patient begins to move with the help of orthopedic appliances (eg crutches). At this time, to improve joint mobility necessary to conduct physical therapy sessions.
There is also the so-called basic therapyRheumatoid arthritis, which slows down the breakdown of cartilage and bones. Appointed by drugs which inhibit immunological processes (hydroxychloroquine, sulfasalazine), as the main cause of joint disease in this case are higher immune response. If such therapy is ineffective, the prescribers, inhibiting proliferation of tissue cells (eg, methotrexate). This prevents the proliferation of granulation tissue in the joints, which destroys the cartilage. Preparations of these groups can be used only under medical supervision.
In the case of absolute necessity in order to reduce pain and improve joint function surgical treatment and even prosthetics (artificial joint).
Physiotherapy and spa treatment polyarthritis
Physiotherapy polyarthritisaimed at the removal of pain, swelling and inflammation in the joint. For this purpose, introduced by electrophoresis and phonophoresis drugs (hydrocortisone, NSAIDs, Novocain and others.), Courses to other physical treatments (magnetic therapy, ultrasound, paraffin, ozokeritotherapy, cryotherapy - cold exposure).
Treatment of arthritis (especially rheumatoid)must be constant. First of all - this clinical observation, treatment by a physician and regular hospital treatment. Spa treatment is performed in a state outside of an exacerbation. Courses baths, mud, physiotherapy treatments allow patients even with severe disease for a long time to live without relapse, as it is during a spa treatment restores blood circulation to the joints, normal metabolism, which helps to restore cartilage and bone.