Chronic arthritis

Chronic arthritis: symptoms and treatment

Chronic arthritis is a pathological process of inflammatory nature that affects joints.

This disease can occur as a complication from an earlier infectious or inflammatory process or be an independent pathological process, the development of which provoked some etiological factors.The main inconvenience:

1. Joint pain
2. Sweating
3. Amyotrophy
4. Fever
5. Restriction of joint mobility
6. Weight loss
7. Violation of fine motor skills
8. Stiffness in the joints in the mornings
9. Shortening of limb
10. Thickening of fingers
11. Disturbance of motor function
12. The lag in physical development
13. Deformation of the joints
14. Insufficient development of the lower jaw

There are several forms of development of this ailment of the musculoskeletal system, however, two forms of this illness clinicians isolated in separate nosological units - juvenile and chronic arthritis TMJ.

Diagnosis includes a comprehensive examination of the patient, using laboratory-instrumental methods of investigation. Treatment is carried out conservatively, using physiotherapy procedures during periods of persistent remission. Complete elimination of the disease is impossible.

Etiology

The etiological factors that can cause this disease include:

In general, any infection of a specific or non-specific nature can provoke the development of chronic arthritis. However, it is noted that such aetiology has not yet been proven with regard to rheumatoid arthritis.

Separately, there are predisposing factors for the development of such a disease:

• the course of diabetes mellitus;
• complications after vaccination;
• Thyroid gland diseases;
• pregnancy;
• long static load on the same joint;
• frequent hypothermia;
• hyperinsolation;
• physically inactive way of life;
• previously suffered diseases of rheumatic origin;
• a weak immune system, against which there is frequent infection of the body with various diseases.

Proceeding from the foregoing, it can be said that any infectious process in the body can provoke the development of chronic reactive arthritis or any other form of this dangerous ailment.

Classification

The following clinical forms of the disease are distinguished:

1. Juvenile chronic arthritis in children- not found in adults, characterized by involvement in the inflammatory process of small joints of the extremities. Inflammation of cervical spine, temporomandibular joint is less common. It should be noted that this form of pathology is marked by a pronounced clinical picture with intensive course, subsequent development of deformities, contractures and shortening of limbs;
2. Chronic arthritic arthritis. With this form of a person's illness, frequent, severe pain, sometimes up to several weeks, will be disturbed. After about 3-4 years, deformities of the affected joints develop, limited movement, the formation of tofus. This form of disease can affect internal organs, with the corresponding diseases;
3. Chronic psoriatic arthritis. Most often it is a complication of psoriasis, it is diagnosed in about a third of patients with this systemic disease. Characterized by a thickening of the fingers, limited mobility of the feet, there may be a flexural contracture.
4. Rheumatoid arthritis. Affected small joints, which, in the end, leads to the complete immobility of the lower or upper limbs.

It should be noted that every form of the disease is characterized by its clinical picture.

Healthy and affected arthritis joint

Symptomatology

In this case, it is difficult to identify the general symptom complex, since the nature of the manifestation of pathology will depend on its shape.

The juvenile form of the pathological process is characterized by the following clinical signs:

• Insufficient development of the lower jaw, which causes the so-called "bird's jaw" syndrome;
• shortening of limbs;
• impaired motor function;
• the defeat of the upper limbs leads to the fact that the child has problems with holding small items in his hands;
• atrophy of periarticular muscles;
• possible lag in physical development.

It is noted that this form of the disease is three times more common in girls, but the exact causes of this predisposition have not yet been established.

The rheumatoid form manifests itself in the form of the following clinical picture:

1. In the pathological process, three or more small joints are involved;
2. the patient feels the stiffness of movements in the morning, which disappears during the day;
3. decrease in body weight, for no apparent reason;
4. increased sweating, especially at night;
5. periodic fever attacks;
6. S-shaped deformation of the joints.

If treatment of rheumatoid arthritis is not started in time, the disease can lead to complete immobility of the joints and, as a consequence, disability of the person.

In the chronic form of gouty arthritis, the following clinical picture takes place:

• the patient may be disturbed by severe, frequent pain, the duration of which can go up to several weeks;
• the inflammatory process affects the knee, wrist, ankle joint;
• the formation of tofus - yellow-white plaques, which consist of tissue accumulations of urate. Localization of such formations - joints, auricles, sclera and cornea.

It should be noted that this form of pathology is fraught with the development of serious complications, which will be expressed in the defeat of internal organs, most often related to the genitourinary system.

In the psoriatic form of this disease there is no pronounced pain syndrome, and the disease itself characterized by external deformities - limited mobility of the upper or lower extremities, thickening fingers.

Diagnostics

If you suspect a rheumatoid arthritis or any other form of this ailment, it may be necessary to consult the following highly qualified specialists:

1. rheumatologist;
2. surgeon;
3. orthopedist;
4. pediatrician;
5. otolaryngologist;
6. dermatologist;
7. ophthalmologist.

Determination of the diagnosis is carried out through physical examination and the necessary diagnostic measures.

Rheumatoid arthritis

The diagnostic program can include the following:

• general clinical analysis of blood and urine;
• unfolded biochemical and immunological analysis of blood;
• a blood test for sugar;
• EIA;
• CT, MRI of affected joints;
• arthroscopy;
• puncture of the affected joint;
• Ultrasound of affected joints;
• X-ray examination.

Based on the results of the study, an accurate diagnosis is determined and the most effective treatment tactic is selected.

Treatment

As a rule, the treatment of such diseases is carried out in a complex way - medical therapy is combined with physiotherapeutic procedures and exercise therapy.

Therapeutic measures may include taking the following medicines:

1. antibiotics;
2. non-steroidal and steroidal anti-inflammatory drugs;
3. glucocorticosteroid - drugs of this group are administered intravenously;
4. painkillers;
5. vitamin and mineral complexes.

In the psoriatic form of the disease, anti-inflammatory therapy is carried out separately.

In addition to medical treatment, the doctor can appoint:

• exercises of physical therapy;
• a course of manual therapy;
• physiotherapeutic procedures;
• wearing special compression dressings;
• use of special orthopedic devices that reduce the load on the affected joint.

Also, as a prevention of recurrence of the disease and for maximum prolongation of the phase of persistent remission, after the course of active therapy, the patient can be directed to sanatorium-and-spa treatment.

Indications for the operation may be the following:

1. with obvious functional disorders of the musculoskeletal system;
2. with destructive lesions of the joints.

It must also be understood that it is impossible to completely eliminate chronic arthritis. By fulfilling the prescriptions of the doctor, one can only extend the phase of a stable remission.

Possible complications

If the prescribed treatment is not observed or if it is completely absent, the following complications may develop:

In addition to individual pathological processes, any form of arthritis can lead to complete immobility of the joint, which leads to disability.

Prevention

There are no effective methods of prophylaxis regarding this ailment, as there are no exact etiological factors. It is advisable to adhere to a generally healthy lifestyle and seek medical help in a timely manner.

Diseases with similar symptoms:

Collagenosis (coinciding symptoms: 5 of 14)

Collagenosis - is an immunopathological condition in which there is a development of degenerative disorders, which most often affect the connective tissue, but it is not excluded the possibility of involvement in pathology of other segments.

... Deforming osteoarthritis (coinciding symptoms: 5 of 14)

Deforming osteoarthritis - is considered a frequent pathology of joints, against which there is development degenerative-inflammatory process, leading to the destruction of their structures and their premature aging.

The main reason for the development of this pathology is excessive physical activity, but there are a number of other predisposing factors.

They include excess body weight, professional sports, sedentary working conditions and many other sources.

... Psoriatic arthritis (coinciding symptoms: 4 of 14)

Autoimmune diseases of joints that occur on the basis of skin lesions are called psoriatic arthritis.

The disease is characterized by a predominantly chronic or acute character of percolation.

Psoriatic arthritis occurs on an equal footing with both men and women in adulthood.

... Arthritis of the hip joint (coinciding symptoms: 4 of 14)

Arthritis of the hip joint is a pathological process, which is characterized by the appearance of inflammation in one of the largest joints in a man - in the hip.

In most cases, it is accompanied by severe pain at the site of the lesion.

... Juvenile rheumatoid arthritis (coinciding symptoms: 4 of 14)

Juvenile rheumatoid arthritis is a systemic autoimmune disease that affects children under the age of sixteen. Girls are sick several times more often than boys.

The autoimmune nature of the disease suggests that the body, by unknown factors, begins to recognize its cells as pathological and actively develops antibodies against them.

It is systemic, because not only the joints, but also several internal organs and systems are involved in the pathogenic course.

A source: http://SimptoMer.ru/bolezni/sustavy-kosti/2477-khronicheskii-artrit-simptomy

Juvenile chronic arthritis

Juvenile chronic arthritis (UXA) is an autoimmune disease in which a prolonged (longer than 6 weeks) inflammation of the joint for unknown reasons in children under 16 years old is observed.

This is quite a serious ailment, requiring timely diagnosis and treatment, maintaining a certain lifestyle. A problematic aspect of this disease is the difficulty of identifying all the foci of inflammation and, accordingly, the choice of a complex of medications.

It is characterized by the defeat of 1-4 articulations, almost always there is inflammation of the knee joint. Girls are more susceptible to disease up to 5 years. Very often this arthritis is accompanied by eye damage. The blood contains components called antinuclear factors.

Polyarticular juvenile chronic arthritis

Inflamed more than 4 joints, so the ailment is extremely dangerous. In all, 5% of patients have a positive rheumatoid factor, with this complicate the diagnosis of the problem in the early stages.

Juvenile spondylitis

It is characterized by arthritis of the knee, hip and ankle joint. In children this variant is accompanied by iridoklitsitom (acute inflammation of the eyes). Especially dangerous is the damage of the joint in the spine and sacrum. In the blood of patients, a specific HLA B27 antigen is found.

Systemic juvenile chronic arthritis

Specificity of such arthritis in the absence of obvious signs of the disease at the initial stage. It begins to manifest itself with the help of night attacks of fever, redness and itchy rash, possibly an increase in glands. Identify the disease by excluding other ailments with similar symptoms.

Why is the disease dangerous?

The mortality rate for this disease is very low. The main danger for children with this diagnosis is the gradual immobilization of the joint, erosion and destruction of the articular cartilage. As a consequence of this process, a child may remain disabled.

Also, in some cases, children have a risk of losing sight. With timely and adequate treatment, juvenile chronic arthritis passes into a state of remission. But one should constantly monitor the patient in order to notice the appearance of relapse in time.

Key features

Particular attention should be paid to the key signs of the disease, since from the care of parents and physicians depends on the speed of diagnosis, the speed of prescription of medicines and all further therapeutic process.

Characteristic features of JHA are:

• fever, at the peak of which a patchy-papular rash appears in children;
• general weakness, headache, increased fatigue;
• complaints of pain in the joint (usually present not immediately, but after a couple of weeks), the development of early joint deformities;
• changes in the size of internal organs, expressed in the form of pleurisy, generalized lymphadenopathy, enlarged spleen and liver.

Most often, the knee, wrist, ankle, hip, elbow joints are damaged.

To diagnose juvenile chronic arthritis, rheumatologists can on the basis of a number of instrumental and laboratory studies, among which:

1. Peripheral and biochemical blood tests.
2. Analyzes of immunological indicators.
3. General instrumental examinations with the help of: electrocardiograms,

• Ultrasound (heart, abdomen, kidney);
• chest x-ray;
• X-ray examinations of the expected foci of inflammation - knee, wrist, ankle, hip, elbow, sacroiliac joints, spine;
• analysis of infection detection;
• immunogenetic examinations;
• esophagogastoscopy;
• computed tomography.

It is mandatory for children with JUHA to conduct a diagnostic examination with an oculist by means of a slit lamp.

Methods of treatment

There are 2 main ways of treatment.

Medication

Treatment of juvenile chronic arthritis is based on the combination of 4 groups of drugs of different effects.

No. Name of group of drugs Functional purpose of the drug

1	Non-steroidal anti-inflammatory drugs (NSAIDs)	Are directed on removal of painful sensations and an inflammation of a joint, allow to restore its functionality
2	Glucocorticoids (GK)
3	Immunosuppressive drugs	Suspend the destruction of the joint
4	Biological agents

Taking medication should occur during periods of remission, so as not to provoke an exacerbation of arthritis.

Non-drug treatment

It is no less important than drug therapy. This group of methods includes:

• compliance with the motor regime;
• diet;
• daily exercise of exercise therapy;
• orthopedic correction with the use of longes, tires, insoles, orthoses.
• physiotherapy.

Lifestyle with ailment

Children with this diagnosis should be protected from:

1. unreasonable physical exertion;
2. excessive exposure to direct sunlight;
3. low temperatures, hypothermia of the body or individual limbs;
4. potential exposure to infections;
5. change of climatic zones;
6. interaction with animals (potential vectors of infections);
7. vaccination and medicines that provoke an increase in immunity;
8. psychoemotional loads.

Preventive measures

Since the factors of the occurrence of juvenile chronic arthritis in children are still not known, only secondary prevention of the disease is possible. It is aimed at preventing the recurrence of UXA.

Systemic monitoring of a professional rheumatologist is necessary. the task - through laboratory tests and symptoms, as early as possible to recognize a possible exacerbation.

Then the intensified treatment will not allow the disease to progress.

A source: http://MedOtvet.com/arthritis/uvenilnyi-hronicheskii-artrit.html

Chronic arthritis

Chronic arthritis is an inflammatory process in the joints that lasts more than 3 months. It is especially important to identify a patient with a high probability of developing persistent arthritis leading to joint damage.

Recently, based on a survey of 500 patients with early arthritis, a prognostic model has been developed, which shows that combination of symptoms, laboratory and radiological data can predict the risk of developing chronic or erosive disease.

The seven most important signs include:

• duration of symptoms more than 12 weeks;
• morning stiffness for more than an hour;
• synovitis, revealed in three or more articular areas;
• positive symptom of compression of the feet;
• a positive result of the analysis in the Russian Federation;
• positive test result for ATSTSP;
• erosion of hands or feet on the roentgenogram.

Not surprisingly, most of these patients already have or will develop rheumatoid arthritis. However, in many patients with early polyarthritis before the onset of chronic arthritis, only two of these symptoms are present, which complicates the diagnosis.

According to recent studies, in 25-30% of patients with early synovitis the diagnosis remained uncertain within 1-2 years of follow-up.

Isolation of such patients into a separate group is quite important, since in many cases (up to 42%) the disease progresses, which requires appropriate treatment.

Chronic Arthritis Options

Rheumatoid arthritis

RA of adults and JRA are the most frequent causes of chronic polyarthritis. Approximately 30-40% of patients with early-stage polyarthritis are diagnosed with rheumatoid arthritis.

Classically, patients are observed symmetrical polyarthritis, usually affecting the joints of the hands and joints of the feet. In other patients, the course of the disease is additive, beginning as an oligoarticular process.

Often expressed a long morning stiffness. Proliferative synovitis of symptomatic joints leads to deformities and erosion, which is noticeable in radiography.

Extra-articular manifestations include subcutaneous nodules (25%), pleural effusion, episcleritis and vasculitis. RF reveals in 70% of patients, more specific (95%) ATSPP are positive only in 50-60% of patients.

Psoriatic arthritis

Psoriatic chronic arthritis is characterized by several variants of the course.

Usually, the disease begins with oligoarthritis, which can pass into a symmetrical polyarthritis of small and large joints, reminiscent of RA.

The diagnosis is confirmed by the involvement of DMF joints, the presence of psoriatic plaques and a negative test result for the RF.

Systemic rheumatic diseases

Systemic lupus erythematosus often manifests itself in symmetrical chronic arthritis, which is difficult to distinguish from rheumatoid arthritis in the absence of extra-articular manifestations. Arthritis can be migratory or intermittent and extremely painful.

Medicinal lupus is manifested by symmetrical polyarthritis and systemic manifestations, like fever and serositis.

Chronic arthritis is present in other rheumatic diseases, including mixed connective tissue disease and systemic scleroderma. In patients with these diseases, Reynaud's syndrome and thickening of the skin are noted.

Patients with polymyositis and dermatomyositis often observe polyarthritis in combination with weakness of proximal muscles or a characteristic rash.

Other systemic diseases

Hepatitis C is combined with chronic arthritis, reminiscent of rheumatoid arthritis. Often, these patients have a high titer of the RF, but the result of the ATSPP test is negative, and there is no erosion on the roentgenogram. In addition, cryoglobulinemia, hypocompleteemia and vasculitis are possible.

Patients with polyarthritis and increased activity of hepatic enzymes should be examined for hepatitis C. Multiple reticulogistiocytosis is also capable of causing destructive arthritis reminiscent of RA.

Adequate diagnosis is indicated by the detection of damage to DMF joints and peri-nasal bundles.

Chronic arthritis with or without axial skeletal lesion

Seronegative spondyloarthropathies

The group of seronegative spondyloarthropathies is ankylosing spondylitis, psoriatic arthritis, reactive arthritis and enteropathic arthritis associated with intestinal diseases. Usually, these disorders cause asymmetric oligoarthritis.

As a rule, dactylitis and enteropathy, as well as damage to the sacroiliac joints and spine are detected. Ankylosing spondylitis in 25% of cases is combined with peripheral arthritis, most often the hip, shoulder and knee joints.

Some patients develop acute anterior uveitis, but all eventually develop inflammatory back pain and stiffness followed by bilateral sakroileitis. Syndesmophytes on the roentgenogram can also be detected.

Psoriatic arthritis is most often manifested by upper limb oligoarthritis involving DMF joints, and for reactive arthritis and enteropathic chronic arthritis, oligoarthritis of the lower extremities with the involvement of knee and ankle joints and fingers. In 25% of patients, one-sided or asymmetric sakroileitis, seen on the roentgenogram, is observed.

Juvenile idiopathic arthritis

The oligoarticular form of juvenile idiopathic arthritis is most typical for girls under 5 years old.

The disease affects one to four joints, typically involving the knee joints.

Juvenile idiopathic arthritis is strictly associated with a positive test result for ANA and chronic uveitis, often leading to blindness.

Infectious arthritis

A characteristic manifestation of late stages of Lyme disease, fungal and mycobacterial infections is chronic arthritis of large joints, usually knee joints. Sometimes several joints are affected.

Whipple's disease, a chronic infection caused by Tropherynna whippleii, is manifested by enteritis, as well as by oligoarticular or migrating chronic arthritis.

Polyorganic lesion allows to assume this diagnosis, which is confirmed by biopsy of the intestine, lymph nodes or synovium.

Other systemic diseases

Approximately half of patients develop chronic arthritis during the course of the disease.

Relapsing polychondritis is characterized by extraarticular manifestations, in particular inflammation and destruction of the cartilage of the nose, the auricles and upper respiratory tract. Often sooner or later, there is a recurrent oligoarthritis.

Sarcoidosis causes chronic arthritis, usually with knee joint damage. The majority of patients develop other manifestations of sarcoidosis. When doubting the diagnosis, synovial biopsy reveals noncaseating granulomas.

A source: http://surgeryzone.net/info/informaciya-po-revmatologii/xronicheskij-artrit.html

OSTEO-WIT. Vitamins for healthy bones

Chronic arthritis- an inflammation of the joints, which is characterized by a prolonged course of the disease (from 3 months or more) with recurring exacerbations, not a danger to life.

Pain syndrome withchronic arthritisdoes not depend on localization, is especially acute in the period of exacerbation.

In addition, forchronic arthritisstiffness, swelling of the tissues adjacent to the joint are characteristic, which subsequently leads to a change in the shape of the joint, contracture or subluxation.

Diagnosis of chronic arthritisregardlessforms of chronic arthritisimplies an integrated approach - instrumental examination and research of laboratory tests.

Treatment of chronic arthritis, regardless of the cause of its provoked, has a systemic approach, including immobilization of the affected joint, the use of drug therapy during the relapse of the disease and the use of therapeutic gymnastics, physiotherapy and massage in the period of the weakening of symptoms of an acute period of the disease.

Causes of chronic arthritis.

The term "chronic arthritis»Includes a whole set of different etiologiesforms of chronic arthritis, and since the nature of the onset of the disease is so heterogeneous and complex,causes of chronic arthritisenough.

Reactive (infectious) arthritis is associated with latent infections in the body (sinusitis, tonsillitis, viral hepatitis, pyelonephritis, etc.) or specific (tuberculosis, gonorrhea, syphilis).

The development of gouty arthritis is associated with infiltration of the urate joint tissues, which subsequently provokes its inflammation.

The emergence of suchforms of chronic arthritis, as rheumatoid or ankylosing arthritis depending on the penetration of infectious agents is not currently confirmed, but the recognized pathogenetic motivatorschronic arthritisthese forms of the disorder of tissue and general reactivity, allergic reactions, immune complex reactions, therefore are often accompanied by such diseases as Reiter's syndrome, systemic lupus erythematosus, psoriasis and others. Oftenthe cause of chronic arthritis, especially at the initial stage of development are hypodynamia, prolonged significant stress on the joints, hypothermia, endocrine system diseases (diabetes mellitus, thyroid disease), as well as hormonal changes in the body (pubertal period, climacteric period and menopause, pregnancy etc.).The cause of chronic arthritiscan become and vaccination.

Forms of chronic arthritis.

Juvenilechronic arthritisoccurs no more often than, cases per 1000 children.

Inflammatory process of the joints are more likely in children aged 2 to 6 years or during puberty (pubertal) period.

The cause of chronic arthritisin children and adolescents are mainly associated with ARVI and suffered joint trauma, as well as the possible appearance of the inflammatory process in the joints after vaccination, is not excluded and genetic addiction. With juvenilechronic arthritisusually affect no more than 4 joints (small joints, joints of the lower extremities, temporomandibular joint), possibly affecting the cervical spine.

The course of rheumatoid arthritis occurs as a type of chronic polyarthritis, which provokes the appearance of deformations and ankyloses.

For thisforms of chronic arthritischaracterized by coverage of the inflammatory process from 3 or more small joints of the hands and feet, The distinguishing feature of the flow of the process is the symmetry of the localization regions inflammation. For rheumatoidchronic arthritisstiffness of joints in the morning hours, disappearing during the day, unstable fever, excessive sweating and fast fatigue are also characteristic. With a prolonged course of the disease, characteristic deformations appear.

Chronic goutyarthritischaracterized by frequent, prolonged, to a lesser extent, acute gouty attacks.

In the inflammatory process most often involve the I-metatarsophalangeal joint, the joints of the hands, the wrist joint, the knee and ankle.

After the first manifestation of the disease (usually through 3 to 5 years) with gouty chronicarthritisThere is a pronounced deformation of the joints, contractures and the apparent limitation of the motor ability of the joint.

Chronic psoriatic arthritis is associated with psoriasis and is characterized not only by articular arthralgia, but also by cutaneous manifestations in the form of psoriatic plaques, usually a little prior to the inflammatory process in the joints, in the relatively rare cases of protruding Simultaneously. Another typical sign of psoriaticchronicarthritisis the asymmetry of the localization and the involvement of distal interphalangeal joints in the process, in which there is no pain or change in the shape of the joints, but there is a thickening of the fingers. Patients with psoriaticarthritisoften suffer from spondylitis, sacroiliitis, enthesopathy.

Diagnosis of chronic arthritis.

Diagnosis of chronic arthritisconducted with the involvement of several doctors of specialists of different specialties (pediatricians, therapists, rheumatologists, urologists, dermatologists, etc.) on the basis of an objective examination, instrumental examination (radiography, arthrography, computed tomography of the joint, magnetic resonance therapy), laboratory tests, diagnostic arthroscopy, synovial biopsy shell, puncture.

Treatment of chronic arthritis.

Treatment of chronic arthritis- the process is not only long, but also systematic, implying an integrated approach, on which the prognosis of the disease depends in the future.

Chronic arthritis- one of the most ancient diseases of mankind, from which for many centuries healers of different times are looking for a panacea.

As a result of many years of research it was found that an important role in the developmentarthritishas a value of vitamin D level in the body, the deficit of which provokes diseases of the musculoskeletal system, to a greater extent covering the inhabitants of the northern hemisphere, which are most of their life with low solar activity, which often causes hypovitaminosis D, which in turn leads to hypocalcemia.

ATtreatment of chronic arthritismodern medicine along with non-steroidal inflammatory drugs with a high anti-inflammatory effect - vitamin D, which the body receives from solar activity (excluding summer period) or with food is difficult (no more than 10% of the daily dose - with products), which significantly increases the role of biologically active vitamin complexes, which include vitamin D.

Vitamin D is not only an effective anti-inflammatory agent, but a good immunosuppressant, which allows it to be used intreatment of chronic arthritisautoimmune etiology, in particular rheumatoid arthritis.

Innovative vitamin complex Osteo-Vit, containing vitamin D3 (one of the active forms of vitamin D, having the ability to stay longer in body), vitamin B6, which allows to restore nerve endings in nerve fibers, which reduces arthralgia and swelling of the joints, which has an effect on hormonal background.

As part of Osteo-Vit, in addition to vitamins D3 and B6 there is a drone brood, whose unique biochemical composition allows the body to supply all nutrients, and also to influence on the hormonal background, which makes it possible to use it in the treatment of chronic arthritis, the etiology of which is associated with a change in the hormonal background, especially in women during pre- and postmenopause.

Along with drug therapychronic arthritis treatmenton will be effective if the blood supply of articular and cartilaginous tissue is not restored, exceeding even the blood supply of muscle tissues.

To improve the capillary blood supply to the structures of the joints, Dihydroquercetin Plus is recommended (a complex of antioxidants, among which is extracted from the bark of larch standard antioxidant - dihydroquercetin), and to provide the outflow of venous blood will help the root of the dandelion, on the basis of which the vegetable preparation Dandelion P, which is excellent natural venotonic and chondroprotector, which allows to improve the structure of cartilage, not to allow its destruction in degenerative-dystrophic lesions (arthrosis, osteochondrosis).

To restore the mobility of the joint, constant training in physiotherapy for joints, physiotherapy and massage, so necessary to ensure a longer period of remissionchronic arthritis, the aggravation of which is mainly in the cold season with low solar activity - in the winter and the off-season.

Of particular importance is the organization of nutrition in arthritis, which is not only of preventive value, but also performing a curative function, so a significant place in the menu is given to foods containing vitamin D and calcium. The components necessary to maintain joint health are contained in the biologically active complex Osteomed.

Launchedforms of chronic arthritisIn some cases (with severe destructive lesions and functional impairments) lead to surgical intervention followed by endoprosthetics of the joints.

remember, thatchronic arthritisit is completely difficult to cure, but by performing all the necessary preventive measures, including vitamin therapy, you can avoid heavy degrees of differentforms of chronic arthritisand systemic manifestations, significantly aggravating the prognosis of the disease.

A source: http://osteo-vit.ru/lechenie-xronicheskogo-artrita-prichiny-i-diagnostika/

Chronic arthritis

Chronic arthritis - is an inflammatory joint disease that has a progressive course and periods of exacerbation of symptoms.

A large number of predisposing factors, which often have a pathological basis, can cause the development of an ailment.

In addition, clinicians identify several predisposing factors.

The symptomatic picture of such a disease will differ depending on the form of its course. However, there are several common signs, for example, tenderness, stiffness of movements, swelling of the tissues and deformation of the affected joint.

Diagnosis requires an integrated approach, which is based not only on laboratory-instrumental examinations, but also on manipulations performed directly by the clinician.

Treatment consists in the use of conservative techniques and temporary immobilization of the joint.

Etiology

Chronic arthritis is considered as such, if signs of the inflammatory process persist for three months or more.

In the overwhelming majority of cases, the development of this disease is preceded by the course of another ailment, which means that lethargic arthritis is a pathology that develops a second time.

Chronic arthritis in children and adults are formed on the background:

1. tonsillitis and sinusitis;
2. pyelonephritis and hypovitaminosis;
3. tuberculosis and syphilis;
4. gonorrhea and gout;
5. psoriasis and systemic lupus erythematosus;
6. sarcoidosis and Reiter's syndrome;
7. polychondritis and Behcet's syndrome;
8. pathological influence of pathogenic bacteria, parasites and protozoa;
9. disruption of the endocrine system;
10. various allergic reactions;
11. hepatitis C, however, it is also possible that the main ailment may develop due to a different type of viral liver injury;
12. diseases of the nervous system;
13. congenital dislocation of the hip.

In addition to the above reasons, increase the risk of developing such a disease, the following predisposing factors:

• burdened heredity;
• exercise at a professional level. In such cases, arthritis of the knee, ankle, finger and wrist joints is most often diagnosed;
• the presence of excess body weight;
• poor nutrition or prolonged refusal to eat;
• abuse of bad habits;
• prolonged hypothermia of the body;
• bites of some insects - inflammation develops in cases of biological poison entering the joint cavity;
• hormonal changes occurring in the puberty or menopause;
• hypodynamia is a condition in which there is a lack of physical activity in a person's life;
• a prolonged load on the same joint.

Type of normal and aching joint

Classification

The nature of the development of pathology can be different, but most often clinicians use the following terms when establishing the correct diagnosis:

1. inflammatory or rheumatoid arthritis. In this case, the synovium is implicated in the disease, which lining the joint from the inside;
2. degenerative arthritis arising from the presence of a person with a different disease, for example, osteoarthrosis. It differs in that the basis is damage to cartilage directly in the joint and the joints of the bones.

Depending on the sources of formation, the ailment is divided into:

• chronic psoriatic arthritis;
• chronic gouty arthritis;
• chronic juvenile arthritis - this category includes various forms of the disease, which are expressed in unpleasant symptoms for more than twelve weeks. It is considered a rather rare species, which occurs with the frequency of 0.4 cases per one thousand children. The main risk group is children from two to six years old, as well as adolescents during puberty. It is noteworthy that girls suffer from illness several times more often than boys;
• chronic traumatic arthritis;
• chronic reactive arthritis;
• chronic infectious arthritis;
• chronic gonorrhea arthritis;
• osteoarthritis.

Depending on the form in which inflammation occurs, its clinical picture will differ.

As it progresses, chronic rheumatoid arthritis undergoes several degrees of severity, each of which has its own characteristics during the stage of exacerbation:

1. primary- often proceeds completely asymptomatically, occasionally complaints of stiffness of movements are noted. Often diagnosed in children;
2. moderate- differs in that there is a beginning of the development of erosions on the bone. In addition to a pronounced pain syndrome, swelling and swelling are present;
3. heavy- is expressed in a strong deformation of the affected joint and a violation of its function, while any movements are carried out with great difficulty;
4. complicated- is such at revealing of irreversible changes in joints and bones.

In addition, rheumatoid arthritis is characterized by such a classification:

• monoarthritis - inflammation of one joint occurs;
• oligoarthritis - no more than three joints are involved in pathology;
• polyarthritis - the inflammatory process affects many joints.

Also, clinicians identify the most common localizations of pathology:

1. arthritis of the knee;
2. arthritis of the ankle;
3. arthritis of the joints of the fingers and hands;
4. arthritis of the shoulder joint;
5. arthritis of the temporomandibular joint;
6. arthritis of the hip joint.

Symptomatology

As mentioned above, each of the types of ailment has its own clinical picture.

Thus, juvenile chronic arthritis in children (JHA) is represented by the following symptoms:

• severe articular pain;
• violation of the functioning of the affected segment;
• deformations of one or another joint;
• slowing the pace of physical development of the child;
• shortening of limbs;
• occurrence of a rash in the lesions;
• fever;
• hepatosplenomegaly - with an increase in liver and spleen volumes;
• decreased visual acuity.

Rheumatoid arthritis has the following symptoms:

1. stiffness of movements in the mornings, which gradually passes throughout the day;
2. increased sweating;
3. severe fatigue;
4. S-shaped deformation of fingers;
5. decreased body weight;
6. symmetry of inflammatory lesion;
7. temperature increase;
8. numbness of hands and feet;
9. photophobia;
10. pain in the sternum during respiratory movements.

Healthy joint and affected with arthritis

When chronic arthritic arthritis develops during an exacerbation, such symptoms will be present:

• frequent and prolonged bouts of gout;
• pronounced deformity and contractures - such signs appear after about five years of the course of the disease;
• manifestations of urolithiasis and other ailments affecting the functioning of the kidneys;
• swelling and redness of the problem area of ​​the skin.

Chronic psoriatic arthritis is characterized by the appearance of:

1. spots of red hue on the scalp of the head;
2. itching and flaky skin;
3. violation of the integrity of nail plates;
4. thickening of fingers;
5. asymmetric joint damage.

Symptoms of reactive chronic arthritis are:

• weakness and malaise;
• headache;
• temperature increase;
• the appearance of a characteristic crunch in the joints;
• a burning sensation during the emission of urine.

Chronic arthritis of the TMJ has the following symptoms:

1. constant and aching pain, increasing with exercise;
2. the appearance of pathological noise;
3. vivid expression of crunching and clicking of joints;
4. discomfort in the process of chewing food;
5. decrease in the height of the lower part of the face;
6. asymmetry of the lower jaw towards the patient joint;
7. lip gloss and nasolabial folds.

Osteoarthritis and traumatic chronic arthritis are expressed by pain and crunch with localization in the problem area.

Diagnostics

Confirmation of the diagnosis and definition of a variety of pathology requires a comprehensive approach, which includes a general examination, the results of laboratory and instrumental diagnostic procedures.

First of all, it is worth noting that one of such clinicians can conduct an adequate diagnosis of chronic arthritis:

• therapist;
• infectionist;
• pediatrician;
• traumatologist;
• dermatologist;
• phthisiatrist;
• rheumatologist.

The first stage of establishing the correct diagnosis includes:

1. study of the patient's medical history;
2. collection of a life history;
3. a thorough physical examination - to assess the mobility of joints and conduct tests for rheumatism;
4. detailed questioning of the patient - to establish the degree of symptomatology in the period of exacerbation and determine the severity of the course of the disease.

Laboratory diagnostic measures are based on:

• general clinical analysis of blood - to assess ESR, the number of leukocytes and eosinophils;
• biochemistry of blood;
• immunological and enzyme immunoassay.

As instrumental diagnostic techniques are:

1. Radiography in several projections is the main procedure that determines the course of the course and the type of the disease;
2. Ultrasound, CT and MRI of the affected area - to get a clearer picture of the patient's joint;
3. puncture of the affected joint;
4. arthroscopy and arthrography - to study the state of cartilaginous tissue;
5. myelography;
6. biopsy of the synovium.

Joint puncture

Treatment

The tactics of the therapy of the disease are dictated by the variety of its course.

Etiotropic treatment is possible only in some of its forms, for example, chronic gouty and psoriatic arthritis, as well as chronic purulent arthritis. In such situations, therapy will be strictly individual.

In other cases, the treatment will include:

• reception of non-steroidal and steroidal anti-inflammatory substances;
• administration of glucocorticosteroids by intra-articular injection;
• short-term immobilization of the joint;
• the use of orthopedic devices that are aimed at facilitating movement;
• the course of a therapeutic massage;
• exercise exercise exercise therapy;
• Physiotherapeutic procedures, in particular, balneotherapy;
• sanatorium-and-spa therapy.

To medical intervention are treated quite rarely, the main indications to this are:

• destructive lesion;
• pronounced functional disorders;
• deformation of the joint.

To maintain joints, especially for patients with juvenile chronic arthritis, enrichment of the ration with such products is shown:

1. fresh vegetables and fruits;
2. nuts and all sorts of cereals;
3. milk and fermented milk products;
4. dietary varieties of meat, poultry and fish.

Surgical therapy involves joint replacement, arthroplasty and arthroscopic synovectomy.

Possible complications

The variety of the course of the disease can lead to the development of a wide range of different effects, among which:

• synovitis and pleurisy;
• myocarditis and pericarditis;
• pulmonitis and vasculitis;
• chronic uveitis, which can cause blindness;
• kidney failure;
• secondary osteoarthritis;
• stiffness and total disability.

Prophylaxis and prognosis

To avoid problems with the development of chronic arthritis in children and adults, the following rules should be adhered to:

1. completely refuse from addictions;
2. avoid supercooling the body;
3. to live an active lifestyle;
4. Healthy food;
5. Constantly keep body weight within normal limits;
6. engage in early diagnosis and comprehensive treatment of those ailments that can lead to development inflammation of the joints - this requires several times a year to undergo a full preventive examination in clinic.

Despite the fact that chronic arthritis can not be completely cured, the prognosis of ailment is favorable. Observance of all the recommendations of the attending physician will help to avoid exacerbation of the patient's symptoms and disability.

A source: http://TopMeds.ru/bolezni/228-khronicheskii-artrit