Rheumatoid arthritis - Autoimmune disease that leads tochronic inflammation of the joints also are affected, and some other periarticular tissues, organs and body systems, so rheumatoid arthritis refers to systemic diseases.
Rheumatoid arthritis - a chronic disease, itIt has a gradually progressive course, sometimes interrupted by remissions (periods of temporary improvement). Inflammation is characterized by its joint swelling, tenderness, and sometimes the appearance of redness. As already mentioned, in rheumatoid arthritis can inflame and periarticular tissues - ligaments and muscles. Chronic inflammation of the joint leads to destruction of the articular cartilage and joint occurrence of deformation, which in turn gives its function - when there is pain and stiffness movement.
Reactive arthritis - Purulent inflammatory diseases of the joints, after developing acute intestinal or genitourinary infections. The disease is more common in young men.
In reactive arthritis is characterized by athe defeat of one of the joints of the lower extremities (knee, ankle). Perhaps the defeat of the sacroiliac joints. When reactive artriteneredko there is inflammation of ligaments and tendons (eg, loss of the Achilles tendon). mucosal damage can occur conjunctivitis, erosions in the development of the oral cavity, urethritis. On the skin of the plantar part of the feet, palms rarely appear patchy or painless compared the areas of consolidation - keratoderma. In some cases, the nail may occur disease (degenerative changes).
Psoriatic arthritis - A chronic, progressive disease of the joints associated with psoriasis.
The prevalence of psoriasis in the population2-3%, and the prevalence of arthritis among patients with psoriasis ranged from 13.5 to 47%. Most often psoriatic arthritis begins between the ages of 20 to 50 years, and men and women are equally likely to fall ill. There are cases of particularly severe course of psoriatic arthritis in young men. The cause of psoriasis and psoriatic arthritis is currently unknown. Prevention of psoriatic arthritis has not been developed due to the lack of knowledge about its cause. It is carried out so-called secondary prevention (ie prevention of deterioration of the condition of patients after the onset of the disease), aimed at preserving the functional capacity of joints and slowing the progression of psoriatic arthritis.
Infectious arthritis It is a serious infectious diseaseJoints characterized by pain, fever, chills, redness and swelling of one or more joints, as well as the loss of mobility of the affected joints. This condition is a medical emergency.
Arthritis Treatment should be directed toreduction in symptoms of the disease, to restore metabolism in articular cartilage (ie, to prevent further destruction of cartilage) and maximal preservation of function of the affected joints. Arthritis Treatment involves removal of the main causes of arthritis or treat diseases caused by arthritis. Accordingly, depending on the nature of arthritis, arthritis treatment must be complex, lengthy and systematic. This should include both methods of influence on the regenerative processes in the cartilage, and the organism as a whole, using a non-pharmacological, pharmacological and surgical methods for the treatment of arthritis.
For non-pharmacological treatments for arthritis include:
- Therapeutic gymnastics, which should be carried out insitting, lying or in water (i.e. without static loads) and should not cause increased pain in the joints. Exercises on bent knees and squats are completely eliminated. Swimming is recommended.
- Physiotherapeutic treatment: thermal procedures, ultrasound, magnetotherapy, laser therapy, acupuncture, hydrotherapy, massage, electropulse muscle stimulation. Any physiotherapeutic procedures are carried out in the absence of contraindications.
- Getting rid of bad habits: smoking, excessive consumption of coffee drinks.
Pharmacological treatments for arthritis:
- Local therapy: the use of non-steroidal anti-inflammatory creams, ointments or gels; intraarticular or periarticular administration of glucocorticosteroids.
- For moderate pain in the joints, simple painkillers (paracetamol) are used, and if their effect is insufficient, non-steroidal anti-inflammatory drugs are prescribed.
- Currently, much attention in the treatmentArthritis is given to drugs that can eliminate not only pain, but prevent, slow down or reverse the development of pathological processes that occur in the joints with arthritis. Such drugs are called chondroprotectors, i.e. cartilage-protecting drugs. When prescribed, pain often significantly decreases, range of motion increases, joint function is restored. Chondroprotectors are well tolerated and very rarely cause side effects.
- Surgery (total joint replacement), which is only used in the most far advanced forms of arthritis.
Treatment of rheumatoid arthritis. Fully cured rheumatoid arthritisimpossible. Current treatments aim to reduce inflammation and improve joint function and prevent disability patients. Earlier initiation of treatment improves the prognosis. Optimal treatment involves not only medication, but physiotherapy, lifestyle changes, and other events. In the treatment of rheumatoid arthritis used two types of drugs: anti-inflammatory drugs or quick "first-line" and delayed prparaty "second line" (also called disease-modifying medicines or basic). The first group of drugs include aspirin, and hormones (corticosteroids) that reduce inflammation and relieve pain. DMARDs (eg methotrexate) induce remission and prevent or slow joint destruction, but not anti-inflammatory drugs. Surgical treatment is used to correct deformities of the joints expressed.
reactive arthritis Treatment. General hygiene measures prevention of intestinal infections, the use of condoms to reduce the risk of infection of urogenital chlamydia and other diseases, sexually transmitted diseases.
infectious arthritis Treatment. Typically in infectious arthritis requires several days of hospital treatment, followed by administration of drug and physiotherapy sessions for several weeks or months.