Typical Symptoms And Treatment Guidelines For Arthritis
Aug. 19, 2019
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1.Joint pain
It is the most important manifestation of arthritis. Different types of arthritis can exhibit different pain characteristics.
2. Joint swelling
Swelling is a common manifestation of joint inflammation and is the result of inflammation progression, not necessarily related to the degree of joint pain. Generally proportional to the disease.
3. Joint dysfunction
Joint edema around the joint caused by joint pain and inflammation, protective tendon of the surrounding muscles and joint structure are destroyed, resulting in limited joint activity. Chronic arthritis patients may have permanent joint function loss due to limited long-term joint activity.
Other symptoms
Different types of arthritis signs are also different, may occur erythema, deformity, soft tissue swelling, joint swelling, exudate, bone swelling, bone rubbing, tenderness, muscle atrophy or muscle weakness, limited range of joint activity and nerve root compression Equal signs.
Diagnose based on
1. Different types of arthritis have different signs, such as erythema, malformation, soft tissue swelling, joint swelling, exudate, bone swelling, bone rubbing, tenderness, muscle atrophy or muscle weakness, limited range of joint motion and nerve roots Signs such as pressure.
2. X-ray films of the joints can be seen soft tissue swelling, osteoporosis and subchondral bone sclerosis and/or articular surface cystic changes, invasive bone destruction, articular surface blur, asymmetrical joint space stenosis, joint fusion And dislocation.
3. Arthroscopy and joint synovial biopsy are valuable for the diagnosis and differential diagnosis of arthritis.
Treatment policy
Choose the appropriate treatment based on the type of arthritis, the characteristics of the symptoms, and the accompanying diseases. The principle of treatment is early diagnosis and rational and combined use as soon as possible.
medical treatement
Commonly used anti-rheumatic drugs are: non-steroidal anti-inflammatory drugs ibuprofen, penicillamine, diclofenac, aspirin, indomethacin and so on. Chondroprotective agent glucosamine sulfate. Slow-acting anti-rheumatic drug gold mixture (intramuscular or oral), penicillamine, sulfasalazine, chloroquine, and the like. Cytotoxic drugs cyclophosphamide, methotrexate, Jin Duchun and so on. Adrenocorticotropic hormone. Antibiotics, anti-tuberculosis or antifungal drugs.
Treatment for gouty arthritis includes high-dose non-steroidal anti-inflammatory drugs or colchicine and uric acid-lowering therapy during remission.
Surgical treatment
Surgical treatment mainly includes joint cavity puncture, synovectomy, joint replacement, joint orthopedics, joint fusion and so on.