It is a disease in which body develops ‘allergy’ to some components of body which accumulate in Joints and some other body parts like eyes, lungs, heart etc. The body’s natural defense mechanism reacts adversely to this accumulation resulting in swelling and pain, It is often extensive and can rarely cripple a person. It is common in women, may run in families and onset age is 16-70 year (Commoner in 20-45 year age group).
The early symptoms are fever, vague aches and pains in body and later present with pain , stiffness (usually early morning stiffness) and swelling of various joints usually of hands, knees, feet. It can affect other organs of body like eyes etc . There may be waxing and waning in its severity and disease may also disappear on its own.
Management of Rheumatoid Disorders (Arthritis)
1. Early diagnosis.
2. Patient education. Accept that disease is at best controllable,
3. Avoid obesity.
4. Eat small. Frequent balanced meats. Add liberal quantity of fiber foods and fluids.
5. Do simple exercises once acute pain subsides, gradually increasing duration of exercises.
6. Do proper duration and severity of exercises, as taught by your doctor or physiotherapist, to avoid hurting yourself.
7. Normal sexual activity can be practiced especially once acute painful stage subsides.
8. Avoid pregnancy in active phase of disease.
9. Medical management employs:
a) Non steroidal anti-inflammatory drugs
b) Pulses of steroids intermittently may be beneficial. But avoid prolonged use,
C) Disease modifying drugs such as Salazopyrin , Methotrexate , Gold Penicillamine, antimalarials etc .
10. Aids and appliances 10 prevent I correct deformities may be beneficial.
11 Surgery may be in dictated to correct deformities o r once other methods of preserving the joint fail , Joint replacement may offer mobility once joint is destroyed irreversibly.
Knee joint pain is a very common complaint being not only uncomfortable but causing lot of anxiety. It is often associated with ageing process but no age is immune.
Common causes of Knee joint pain
Degenerative - Osteoarthrosis
Traumatic (Injury) - Knee sprain, Meniscal Injury, Ligament Injury, Fracture, Dislocations Overuse Injury
Rheumatological - Rheumatoid Arthritis, Ankylosing Spondylitis, Psoriatic Arthritis
Infections - Tuberculous Bacterial
Metabolic Disorders - Rickets Osteoporosis, Gout, Osteomalacia, Steroid,
Haemoglobinopathies - Bleeding disorders Hemophilia
Congenital - Tibia Vara > Bow-legs
Genu Varum > Bow-legs
Genu Valgum > knock knees
Tumors (Bony/synovial) - Benign
“Arthritis” is not a disease but a symptom, Of the venous types, Osteoarthrosis and Rheumatoid disorders are the commonest.