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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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My mother age 63 yr. Diabetic patient type 2. Weight 105 g. Nearly bed ridden due to knee problems . Suffered from septesemia infection on 27 jan. urea rose to 175 and createnine to 3. Then she was given antibiotics and createnine dropped to 1.3 and urea 45. Then she was caught by viral on 3 feb. Again she was given antibiotics. Got Relief. Repeated test has revealed createnine 1.2- 1.6 . Again she is infected on right foot . Lot of Swelling persisting on both feet. Why is this repeated infection?
Hi is cervical spondylosis a cause of vertigo. Or is it due to ear issues. I have neck pain n bilateral chronic eardrum perforation and this imbalance/ dizzy feeling is happening from 2-3 week mostly after I stand for sometime or I bend my head/ neck.
BPPV problem from last one year Having done all tests ct scan, cervical, bp all are normal. What is solution to resolve this problem. Do exercises will solve it or any thing else to do.
I have joint crepitus from near about 3 4 years, I consulted wid orthopedics, he tells me it is normal, you should increase milk intake, I take milk two times a day, my calcium level is 8.5 ,recently I was diagnosed wid tuberculosis nd cystitis but now I recover by these conditions wid homeopathy, but now I am suffering by knee pain, and I also have neck pain.
Two days back I overexerted my body by doing some heavy exercises which I had never done previously. As a result of which, muscle soreness developed in my entire body along with high fever which makes me almost bed ridden. I have been taking medication for fever, but the medication works only for 6-8 hours. After that my body goes back to same high fever. Please note that my body ache has subsided but fever continues to persist.
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.