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Cervical Traction Procedure
Hip Replacement Surgery
Treatment of Lumbar Radiculopathy
Spinal Fusion Surgery
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Hip Resurfacing Surgery
Hip Injury Treatment
Ankle Injury Treatment
Knee Injury Treatment
Hip Pain Treatment
Ankle Pain Treatment
Knee Pain Treatment
Treatment of Joint Dislocation
Joint Mobilization Procedure
Joint Replacement Surgery
Limping Child Treatment
Meniscus Injury Treatment
Pelvic Rehabilitation Techniques
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Hi i am having Ring like things on my left leg thigh. I applies medicine but no use of it .please help me.
I have osteoarthritis diagnosed before 1 year and taken calcimax tabs and D3 for 3 months. No pain no swelling till today. What medicine should I take now. Please advice me.
I am having problem of constipation sometimes and sometimes leg pain. what should I do? I want out of this misery.
My age is 38 and ive been working since 10 years in which I have to stand most of the time. (1) I have immense pain in my feet on the heel edges. (2) my palm n fingers also pain. (3) I have migraine (4) my nape bones and right side of the neck also has a lot of pain. Pls advice.
Hi I have an query that my mother has been suffering from leg pains for 6 years, we have tried so many treatments but her legs are so weak that she can't walk properly, pls guide me what can we do. Is there any way to get rid of this disorder as we are so depressed. We have tried with many medicines and physiotherapy also but all is in vain. Please suggest doctor, what more we can do. Thank you.
I am 42 years, getting pain at the bottom of the foot (toe) when get up in morning, please advise whats a remedy form your side, thanks.
I have problem in my eye and also my hair is loosing very fast so please help me I have pain in my back also so I can notealk properly so help me please I need to recover please help me doctor.
Two weeks back my lower hip joint connecting the legs and back aches a lot at night, I took out xray and examined but it came normal and do not know if the pain is persisting due to strain in muscle, started using powergesic tablet but it keeps paining if not taken.
How can I get rid of back pain. I was suffering from back pain since few months. Am doing regular exercise even was unable to get rid of it. Please help me over it.
I am 18 years old and I have pain beneath my knees since 3 months non of the ointment worked for me what should I do?
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis).
Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.
Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).
Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.
RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong).
COMPLICATIONS BEYOND JOINTS:
RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease).
These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections.
NEED OF THE HOUR:
All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.