Rhemutoid Arthritis Treatment
Most common inflammatory diseases of joints characterize by proliferative and destruction of synovial membrane, periarticular structures, skeletal muscles, and perineural sheath.
Common in females.
Rhemutoid Arthritis Causes
It is an autoimmune disease initiating antigen triggers aberrant response which becomes self perpetuating after offending antigen has been cleared.
Predisposing factors include: viral infection e.g. rubella,Epstein-barr virus, genetic with people HLA DR4.
CLINICAL FEATURES
- Morning stiffness(> 1 hr)
- Arthritis of three or more joints
- Arthritis of hand joints
- Symmetrical arthritis
- Rheumatoid nodules
- Rheumatoid factor
- Duration of 6 weeks or more.
OTHER FEATURES INCLUDE
Systemic: fever, fatigue, weight loss, susceptility to infection
Musculoskeletal: muscle wasting, bursitis, tenosynovitis,osteoporosis
Hematological: anemia, eosinophilia
Lymphatic: splenomegaly, felty’s syndrome
Nodules: sinuses, fistulae
Ocular: episcleritis, scleromalacia
Vasculitis: digital arteritis ulcers,
Cardiac: pericarditis, myocarditis,endocarditis,conduction defects
Pulmonary: nodules, pleural effusions,bronchiolitis
Neurological: cervical cord compression, compression neuropathies, peripheral neuropathy.
PHYSIOTHERAPY MEASURES
- Reduction of weight.
- Modalities to reduce of pain and inflammation
- Strengthening exercises for quads
- Stretching exercises for the muscles of hams
- Alignment correction through manual therapy
- Taping