. . It is well known that the incidence of temporomandibular joint disorders is very high, with an average of about 50% according to statistics at home and abroad, but there has been no very effective treatment.  . . Although many studies believe that the anterior displacement of the articular disc is not the initiating factor in the onset of arthropathy, the changes in the joint structure caused by it are the main cause of the patient’s restricted mouth opening, pain, snapping and even bone destruction the reason.  . . Therefore, articular disc reduction and fixation has an important position in the treatment of temporomandibular joint disease. In the past, open surgery was often used to anchor the joint disc. Although the effect was definite, it required general anesthesia, which caused large injuries and scars.  . .Using an arthroscope for surgery, only three small holes about 3mm in size are left after the operation, and each hole is sutured with one or two stitches, leaving no scar after recovery. At the same time, the operation can be performed under local anesthesia, the systemic reaction is small, and the hospital can be discharged on the same day after the operation, which is more in line with the modern minimally invasive concept.  . .After the articular disc reduction and fixation surgery, the patient needs to continue occlusal treatment, including orthodontic or repair treatment, so multidisciplinary joint diagnosis and treatment (MDT) is required before surgery, and specific treatment plans and procedures are discussed to achieve the best The therapeutic effect.  . . . The arthroscopic minimally invasive surgical treatment of temporomandibular joint disorders represents the latest concepts and methods. It is in a leading position in China and is worth promoting.
Many hypertensive patients need combined medication to control blood pressure. But under what circumstances should they be combined and how to choose various antihypertensive drugs, today I will give you a simple science-related knowledge of antihypertensive drug combination. Why is the combination medication recommended for hypertensive patients? The main reason why we need to take medicine to control blood pressure is to control blood pressure more steadily to reach the standard, and to minimize the harm caused by high blood pressure to health. The so-called “smooth compliance”, to what extent is the standard controlled? The “ISH2020 International Hypertension Practice Guidelines” issued by the International Society of Hypertension in May this year gave clear conclusions. Normally, for hypertensive patients, the blood pressure should be controlled below the 140/90 diagnostic value for hypertension. It is the most basic requirement, and if blood pressure can be controlled below 130/80, more cardiovascular and cerebrovascular health benefits can be obtained. Therefore, for hypertensive patients, if the body tolerates it, the blood pressure is the most The basic goal should be 130/80. To achieve this goal, a combination of drugs is often needed to strengthen blood pressure control. In the treatment of hypertension and blood pressure, combined medication is the basic principle of medication. Many friends do not understand that one medication can be reduced, why use two? In fact, if you can use a drug to control the blood pressure to the target range under the premise of ensuring the safety of the drug, of course, every necessary combination of drugs, but in many cases, the combination of drugs will synergistically lower the blood pressure through different mechanisms of action. Blood pressure can control blood pressure and have a better effect of lowering blood pressure. Reasonable combination medication can also improve and reduce the risk of adverse drug reactions and help strengthen the safety of medication. Therefore, combination medication is for patients with hypertension. An important principle of medication to control blood pressure. In many cases, we can obtain more benefits through reasonable combination medication. Under what circumstances do you need to use a combination of drugs to control blood pressure? For primary patients with mild hypertension, if there is no risk of other cardiovascular diseases, if the blood pressure still cannot be controlled through strict self-discipline of life conditioning, it is recommended to choose a low-dose single antihypertensive drug first. Control blood pressure. If the blood pressure control is stable and up to the standard, the medication does not produce untolerable adverse reactions. Of course, there is no need to combine medication. If it is the following conditions, it is recommended to consider combining medication to strengthen blood pressure control-blood pressure In cases of secondary hypertension exceeding 160/100, it is generally recommended to directly use combination drugs to enhance blood pressure control on the basis of strengthening life conditioning interventions. Hypertension is on the basis of life conditioning. For hypertensive patients whose blood pressure cannot be effectively controlled by a single drug at a regular dose, it is recommended to use combination drugs to strengthen blood pressure control. For high blood pressure, taking a higher dose of a single drug, although it can control blood pressure to reach the standard, but the body has a serious adverse drug reaction, you can consider reducing the dose of a single drug and adding another antihypertensive drug. Combine medication to control blood pressure. The best combination of combination drugs for blood pressure control——sartan+dipine Although the conditions of hypertensive patients are varied, the choice of medication should be based on the actual situation, but generally speaking, the combination of hypertension patients is still preferred I recommend the combination of sartan and dipine. One of these two drugs is an angiotensin 2 receptor antagonist and the other is a calcium channel antagonist. They are the two most commonly used antihypertensive drugs in clinical practice. They are also ISH. It is recommended to be the first choice for routine clinical combination medication to control blood pressure. The advantages of the combined application of these two drugs are mainly in the following four aspects. First of all, in terms of the mechanism of action, the two drugs have complementary effects. Dipine drugs can relax vascular smooth muscle and lower blood pressure by inhibiting the influx of calcium ions in cells, while sartan drugs can reduce blood pressure by inhibiting the activity of the renin-angiotensin-aldosterone system and inhibiting vascular tension. The two types of drugs play a role in lowering blood pressure from different targets. Dipine drugs relax arterial blood vessels. Sartan drugs can not only relax arterial blood vessels, but also venous blood vessels. Therefore, the combination of the two drugs can achieve 1 +1>2 blood pressure reduction effect. In terms of adverse reactions, the combination of these two drugs also has the effect of reducing the risk of adverse reactions. From the mechanism of action
The pathological change of rheumatoid arthritis is characterized by chronic synovitis of the joints. In the past, rheumatoid arthritis has become a nightmare for many patients due to its irreversible disabling injury. The joints gradually deform in the late stage, which is even more miserable. In 2009, the American Academy of Rheumatology and the European Anti-Rheumatism Alliance launched a new classification standard for rheumatoid that is more suitable for the diagnosis of early rheumatoid than the traditional standard. Early diagnosis, early treatment, scientific treatment and effective monitoring of prognosis are the current rheumatoid treatments. Main strategy. Capture the basis for early diagnosis of rheumatoid arthritis Patients who see a doctor for persistent joint pain generally first need to determine whether it is inflammatory arthritis, such as erythrocyte sedimentation rate and C-reactive protein increase, and suspect inflammatory arthritis. Even using the new classification standards introduced by the American Academy of Rheumatology and the European Anti-Rheumatism Alliance in 2010, the diagnosis of rheumatoid arthritis is often not clear at the beginning of the onset, and may be temporarily diagnosed as undifferentiated arthritis. Some of these patients can relieve themselves, and some patients continue to increase inflammation and may progress to rheumatoid. Generally, the disease can be diagnosed early by the patient’s autoantibodies that may already exist, such as anti-citrullinated protein antibodies, rheumatoid factor, and the use of joint ultrasound and magnetic resonance. Treatment timing: Just like other diseases, the early treatment cost of rheumatoid is low, and the recovery is good. In recent years, the concept of rheumatoid “treatment opportunity window” has been put forward. That is to say, early diagnosis and effective treatment can be carried out in the “window period” within 3-6 months of onset, which can control the development of inflammation more quickly and have the best therapeutic effect. It is possible to stop the drug, eliminate the patient’s symptoms and prevent the development of the disease. , And there is hope of cure. It is generally believed that within 3 months of the onset of symptoms, and some people believe that it is within 6 months. There is no consensus judgment standard: ①At least one joint has clear clinical synovitis, such as wrist, palm, finger, elbow and knee Joint swelling persists, symptoms lasting for 6 weeks. ②Inflexible joint movement, morning stiffness time ≥30 minutes. ③Blood test positive for anti-CCP antibodies and rheumatoid factor. ④Synovitis excludes systemic lupus erythematosus and psoriatic arthritis And other diseases such as gout, all suggest the possibility of early rheumatoid arthritis. Why is the treatment of rheumatoid good in the early stage and bad in the late stage? The main reason is the quantitative and qualitative changes of synovitis. When early treatment is missed, synovitis continues to develop and accumulates to a certain threshold. The synovial cells of synovitis have also undergone qualitative changes. At this time, the synovial cells have certain tumor cell habits and can cause damage to bone. Stronger, the treatment effect will also be worse at this time. In addition, an 8-year follow-up study showed that in the same cohort, about 35% of patients who received treatment within 12 weeks after the onset of symptoms can be discontinued and relieved, while patients who started treatment after 1 year can stop. The chance of remission with medicine is less than 12%. And early treatment can also effectively reduce complications, such as osteoporosis and cardiovascular and cerebrovascular involvement. The key to early treatment: efficient and precise examination, scientific evaluation of the condition. The key to early rheumatoid treatment lies in examination. Only when the diagnosis is made can targeted treatment be carried out. However, clinically, many patients with rheumatoid Visible from time to time. Experts remind: In recent years, the treatment of rheumatoid arthritis has made great progress. Research results and clinical cases have confirmed that if individualized treatment plans can be applied to patients to control the disease in the early stage, the prognosis can be greatly improved. After effective treatment, it can be Greatly reduce the risk of joint deformities in patients.
Long-term heavy physical labor often causes people to have joint pain, but most people just stick on plasters or rest for a while and keep busy. No one thinks of rheumatoid arthritis, which causes the disease to be delayed and severely disabled. Joint pain is mostly a normal phenomenon of the first offender of rheumatoid, but because most people do not know the cause of joint pain, it leads to neglect of examination and blind selection of treatment, which makes the condition worse. This has to warn us that we must understand the cause of rheumatoid, actively prevent the disease and protect our health. So, what is the main cause of rheumatoid disease? ▶Immune, infection, genetic and other factors can induce rheumatoid 1. Immune factor: Because the infection invades the joint cavity, stimulates the synovial membrane or plasma cells, produces rheumatoid factor, and causes immunity The function of the system is reduced, leading to the occurrence of rheumatoid. 2 Infectious factors: Many microorganisms are pathogens that induce rheumatoids, including a variety of bacteria, mycoplasma, chlamydia, and viruses. 3 genetic factors: In the families of rheumatoid patients, the disease incidence is 2-10 times higher than that of the general population. Among the close relatives of rheumatoid patients, the positive rate of rheumatoid factor is also 2-3 times higher than that of the general population. 4 sex hormones: the incidence of rheumatoid in women is significantly higher than that in men. Studies have shown that the ratio of the incidence of rheumatism to men and women is 1:2 to 4, and the condition is reduced during pregnancy. 5 psychological factors: people who are emotionally stimulated or who are psychologically depressed for a long time, the incidence of rheumatoid is significantly higher than that of normal people, and people who are already ill are prone to attacks after mental stimulation. These all indicate that the disease is related to their own psychological factors. ▶Deteriorating living environment and bad living habits can induce rheumatoids. Rheumatoid disease is more often associated with bad living habits and poor living environment. 1 Cold and humid: Cold and humid is one of the important factors that induce rheumatoid. If you live in a humid environment for a long time, the internal environment of the body will be unbalanced, and the secretion of inflammatory cytokines will increase, causing an inflammatory response, which will induce rheumatism. 2 Smoking: Smoking doubles the risk of rheumatoid in men, but it does not increase the risk of rheumatoid in women. If you want to avoid getting rheumatoid or prevent rheumatoid disease from getting worse, you must develop good living habits and improve your current living environment. It is recommended that the majority of patients have a reasonable diet, maintain a good mental state, and not be too tired to stay up late, so as to effectively prevent rheumatoid disease. Rheumatoid standard treatment method There are many pathogenic factors for rheumatoid, but if you don’t get regular treatment after suffering from rheumatoid, it will be very harmful. In order to prevent affecting normal work and life, the editor recommends that the treatment of rheumatoid should follow the principle of “early detection and early treatment”.
Clinically, women with rheumatoid arthritis have a higher number of cases, and they often cause joint disease and impaired mobility. But rheumatoid arthritis is not limited to women, the disease can occur at any age. Not only that, but the harm it causes is also different. Adolescents affect mental development and physical development Rheumatoid arthritis affects the normal growth of joints in adolescents. This harm may be lifelong. Rheumatoid arthritis is an immune disease that not only affects joint health, but also affects patients systemically. In addition to growth and development disorders, adolescent patients can also cause mental retardation and other adverse consequences. Middle-aged people cause joint deformities, joint pain deformities caused by rheumatoid arthritis that affect normal activities, and affect the digestive system and nervous system, which have a great impact on life and work. Long-term inflammation can also cause cerebral infarction, high blood pressure and Heart attacks, especially middle-aged people who are susceptible to hypertension, should be paid enough attention. The elderly cause a variety of complications, and there are fatal risks. Rheumatoid arthritis can cause a variety of complications, such as rheumatoid vasculitis, pericarditis, renal failure, cerebral infarction, etc. For elderly patients, they are weak, and the emergence of such complications seriously threatens their lives. Rheumatoid in female patients causes joint dysfunction and affects fertility Women are a group with a high incidence of rheumatoid arthritis. If they are not treated in time after the disease, the joints will experience swelling, pain, stiffness, deformation and other symptoms, which affect normal life and work. At the same time, it is believed in medicine that rheumatoid arthritis has a certain heredity, which has a great impact on women who have not given birth. Regardless of the age of patients, if you want to minimize the harm of rheumatoid arthritis, you must check and confirm the condition as soon as possible, and scientifically treat and recover quickly.
Rheumatoid arthritis is one of the diseases of the human immune system. The main symptom is joint swelling and pain. It will not only affect the patient’s bone health, but also cause other diseases, even joint deformities and other symptoms. Early treatment is the best choice to stabilize the condition and prevent its deterioration. However, patients with rheumatoid arthritis often face some specious misunderstandings in the treatment process, which are very unfavorable for the treatment of the disease. Therefore, let us briefly introduce some common misunderstandings in the treatment of rheumatoid arthritis. Misunderstandings in rheumatoid treatment 1. An important sign of rheumatoid arthritis is that the fingers and toes are stiff and painful in the morning, and not only during exercise. Most patients who have symptoms such as metacarpophalangeal joint and toe pain believe that although the condition is developing, it has not yet threatened daily life, so it will delay for a long time until they cannot work normally until they realize the seriousness of the problem. This is a great potential hazard for patients and increases the risk of heart disease and other cardiovascular diseases. 2. Lack of exercise for patients with rheumatoid arthritis. Proper exercise is good for the disease and can improve the flexibility of arthritis. Light exercises in the evening in patients with rheumatoid arthritis can reduce morning stiffness symptoms, and finger exercises can significantly improve the joint function and pain of patients. At the same time, exercise can increase muscle strength, improve bone and joint health, and relieve depression in mild patients. However, patients with rheumatoid arthritis should be reminded not to over-exercise, and stop immediately when fatigue and mild pain occur. 3. Pro-inflammatory foods Certain foods can increase inflammation in the body. Saturated fats, trans fats, omega-6 fatty acids, refined carbohydrates, MSG, gluten, aspartame, and alcohol are all considered pro-inflammatory foods and additives. Patients with rheumatoid arthritis should eat anti-inflammatory foods and avoid or reduce the consumption of pro-inflammatory foods. 4. Smoking Current studies have confirmed that smoking can cause and aggravate the occurrence of diseases. For patients suffering from rheumatoid arthritis, smoking cessation can reduce the severity of the disease. For your own health, it is better to quit smoking! 5. Stress Many patients with rheumatoid arthritis can point out the stress and traumatic events that occurred before the onset. According to a study published by University of Michigan researchers in “Arthritis Research and Treatment”, both immune and non-immune mechanisms may be the cause of increased disease activity and worsening symptoms during stress. 6. A good attitude of negative emotions is a good medicine. Negative or pessimistic attitudes can induce disease progression. Therefore, to maintain a normal mental state, when the mood is very bad, you can try to say to yourself repeatedly: I am not terminally ill. As long as you actively seek regular treatment, you can retain the joint function to the maximum and you can study normally. Work, get married and have children, and live a normal life.
Rheumatoid arthritis is a common disease. In fact, the harm it brings has always been the patient’s heart headache, and the taste of body pain is always indelible. If early rheumatoid disease can be prevented, diagnosed and treated in time, subsequent hazards can be effectively avoided. So how to carry out early prevention and treatment? It is necessary to understand the characteristics of its disease and control the amount of joint activity. The pathogenesis of rheumatoid arthritis has the following characteristics: Some patients start to develop fever, skin rash, and joint pain. After several weeks or months, joint swelling occurs and gradually develops into typical rheumatoid arthritis. Second, some patients start with symptoms of long-term low-grade fever and arthralgia. After several weeks or even 1 to 2 years, the symptoms of typical rheumatoid arthritis appear. Three women start with small joints such as hands and wrists, while men start with single joints in lower limb joints, and eventually change into typical rheumatoid arthritis. Fourth, the form of rheumatic fever starts from the knee or ankle joint, and after a few months or years, it affects the small joints such as fingers or toes, and finally develops into a typical rheumatoid arthritis. How to control the amount of exercise with rheumatoid The process of rheumatoid damage to the joints starts from the synovium of the joints. First, inflammation changes, and then granulation tissue hyperplasia of the synovium appears, invading the cartilage surface of the joint, subchondral bone, and joint capsule, until the joint Ligaments and tendon tissues. In the later stages, joint dislocation, deformity and rigidity will inevitably occur. Therefore, delaying the development of the disease, preventing the appearance and aggravation of joint deformities, and avoiding disability are essential for patients with rheumatoid arthritis. Proper activity is an important factor in reducing joint deformities. How to solve this contradiction? Many patients dare not move because of pain. In order to maintain a certain posture that can relieve pain, the movement of joints is restricted. How to correctly grasp the amount of activity? Joints in the active period of inflammation have obvious local swelling and pain and should be properly rested. This can not only reduce pain, but also prevent the spread of inflammation, delay and reduce the damage of inflammation to joints. In the static period of inflammation, do some activities with small or no weight-bearing joints, such as flexion exercises of hip joints, knee joints, and ankle joints while lying on your back. The purpose is to strengthen muscles and ligaments and prevent joint contracture deformities. The amount of activity should be increased from small to large, and the time of activity should be gradually increased. If you stay in bed for a long time regardless of the specific circumstances, your muscles, ligaments, and even joints will undergo disuse changes, leading to accelerated formation of joint stiffness. Rheumatoid patients must pay attention to daily life! 1. Avoid cold, rain and damp to avoid the invasion of wind, cold and damp. Keep warm at the joints, do not wear wet clothes, wet shoes, etc. Do not expose your skin because of the cold. Do not lie down Home wetlands and so on. In addition, after work or exercise, do not take a bath in cold water before sweating. If you work in a wet and cold environment, you must pay attention to the use of labor protection products. 2. Prevention and control of infection. Some patients with rheumatoid arthritis develop the disease after suffering from infectious diseases such as tonsillitis, sinusitis, dental caries, etc. It is believed that this disease is caused by the body’s immune response to these infectious pathogens. . Therefore, it is very important to prevent and control infections in the body. 3. Pay attention to the combination of work and rest with regular diet, regular daily life, and moderate work are the main ways to strengthen health. Excessive fatigue, righteousness is vulnerable, wind, cold and dampness can take advantage of the deficiency. Clinically, although the condition of some patients with rheumatoid arthritis is basically under control and in the recovery period of the disease, they often get worse or relapse due to fatigue. 4. Maintain a normal mental state. A large part of this disease is caused by abnormal mental states such as mental stimulation, depression, and excessive sadness. After suffering from this disease, emotional fluctuations often aggravate the condition. Therefore, maintaining a good mood is of great significance for preventing rheumatoid arthritis. Regarding the prevention of rheumatoid arthritis, it is already a commonplace issue, but there are still many patients with repeated attacks in clinical practice. It is hoped that every patient can strictly abide by the relevant prevention and treatment principles and recover as soon as possible.
Rheumatoid arthritis can cause joint swelling, pain, stiffness and other symptoms. What should I do if joint swelling and pain is unbearable? Many people think of applying hot water or ice to the affected joints so that the swelling and pain can be relieved. But is hot compress effective or cold compress suitable? Today I will answer this question for everyone. What are the effects of hot and cold compresses? 1 cold compress: cold compress can constrict capillaries, reduce local congestion, relieve pain, and reduce temperature and fever. The cold compress can be soaked in cold or ice water with a small towel, twisted into a semi-dry, and applied to the local area. Replace it every 1-3 minutes for 15-20 minutes. You can also use an ice pack wrapped in a towel to apply to the local area, to avoid frostbite. 2 hot compress: hot compress can promote blood circulation in local tissues, improve body resistance and repair ability, and reduce local stiffness. The hot compress is similar to the cold compress. You can either use a small towel to soak in hot water and twist it into a semi-dry to use, or you can use a hot water bottle to fill with hot water and wrap the towel on the affected area. Rheumatoid joint swelling and pain, choose hot compress or cold compress? Although rheumatoid arthritis is an inflammatory disease, it can also be applied appropriately when the condition is stable. Because heat can reduce muscle tension and promote blood circulation, many patients find that applying something warm will make the joints feel good and relieve joint pain and stiffness. If there is acute inflammation of the joints, the more obvious the condition is, and the swelling has already occurred, you can use cold compresses to improve the inflammation and swelling. Generally, in the process of cold compress, ice cubes can be wrapped in a towel. Taking this method of cold compress can achieve the effect of reducing swelling. Whether it is hot or cold, you should always consult your attending doctor before trying. Rheumatoid cold and hot compress tips 1 cold compress: To avoid frostbite, do not apply a cold compress for more than 15 minutes. Before applying another cold compress, make sure that the skin returns to its normal temperature and color. 2 Cold compress: Avoid applying ice cubes or cold compress packs directly on the skin. Use a towel or cloth to separate them to avoid direct skin contact with cold sources. 3 Hot compress: It is mainly for cold diseases, so patients with warm-heat diseases should not apply hot compress. 4 Hot compress: The temperature should not be too high, usually 40-50 degrees Celsius, and the time is about 20 minutes. If you apply heat to the delicate skin area, the temperature needs to be lower. At the same time, avoid fixing hot compresses in one area for a long time. Warm reminder: Rheumatoid arthritis can be used to relieve joint pain by hot compress, but it cannot be used to treat rheumatoid arthritis. Patients can easily damage the joints and surrounding soft tissues by improper operation. It is recommended that patients with rheumatoid arthritis be treated systematically, and the root cause is to solve the joint swelling and pain.
The basic treatment of gout is mainly medical treatment, and the treatment is generally carried out by clinical stages, including drug treatment in the acute attack stage, traditional Chinese medicine physiotherapy, uric acid-lowering treatment in the remission stage and chronic gouty arthritis stage, and treatment to prevent acute attacks of gout. Part, and follow the principle of individualized medication. ▴Gout drug treatment needs to follow the principle of individualized medication. Most patients with gout can obtain clinical relief after systematic and long-term clinical treatment. However, some patients have untimely treatment, unsystematic treatment, and a long medical history. The further development of gout and hyperuricemia leads to Urate crystals deposit in various organs and tissues of the body, causing organic changes and functional damage, and even various complications appear. At this time, surgical operations must be taken to prevent further erosion and destruction of organs and tissues, and to improve organ function and quality of life. Traditional open surgical treatment has disadvantages such as large incisions, many separated exposed tissues, many damages to joint structures, and many postoperative complications. With the improvement of surgical techniques, such as the maturity of minimally invasive surgery, surgical procedures have gradually begun to be used in the treatment of gout. For patients with gouty arthritis, when the medical treatment is not effective, early surgical cleaning of the joints of the affected joints can not only delay the erosion of the joints, improve the symptoms of the limbs, but also provide further sequential medical treatments. time. Today we will talk about acupotomy in gout surgery. ▴Surgical treatment of gout should be combined with medical treatment. Surgical treatment of gout cannot replace the medical treatment of acute gouty arthritis and chronic gouty arthritis. The main treatment methods are drugs, physical therapy and immunoadsorption therapy. Surgery cannot prevent the onset of gouty arthritis, and the stimulation of the operation may also cause an acute attack of gout. Therefore, surgical treatment is also used for medical treatment. Generally speaking, the patients who need to undergo surgery are mostly patients with chronic gouty arthritis or who have had tophi for many years. Clinically, the common conditions in these patients include the formation of tophi, skin ulcers, and long-term deposition of urate leading to bone destruction. , Nerve compression, bone and joint violations, resulting in joint dysfunction, pain, unstable deformity and even pathological fractures, as well as inelegant appearance and other problems. These problems are difficult to achieve with medical treatment or cannot achieve “clinical cure”. ▴Patients with tophi are especially painful and require surgical treatment when joint function is damaged. If there are only small subcutaneous stones, they may be reduced or even disappeared through appropriate medical treatment; domestic studies have proved that for subcutaneous tophi smaller than 1.5cm, Long-term drug treatment can dissolve within 5 to 8 years, so surgery is not necessary, but sometimes the treatment course is longer, and adverse effects of long-term medication may occur. The surgical treatment of gout is mainly for tophi, joint urate deposition and its bone, joint damage and other comorbidities, that is to say, to remove tophi or urate crystals deposited in the joints, to relieve the sodium urate crystals deposits on the joints Compression of adjacent tissues or organs, and the corresponding treatment of the disease of the injured organ. ▴Needle-shaped monosodium urate crystals are seen in the gliding fluid under a polarized light microscope. About 60% of gout patients who control the acute attack of gout can relapse in the first year, and 78% of the patients have relapse within 2 years. % Of patients will not have seizures within 10 years. Therefore, for severe cases where tophi increases and destroys bone cartilage and soft tissues, surgery is a necessary treatment mode. Studies have shown that in patients with chronic gouty arthritis combined with lowering uric acid for about 14 days, the blood uric acid value significantly decreases, while for non-surgical users, the blood uric acid will not be significantly different from before the medication until the 21st day. Long-term follow-up found that combined with standard treatment for lowering uric acid after surgery can make blood uric acid drop steadily, and the blood uric acid concentration is not easy to rebound after reaching the standard, and the frequency of acute arthritis is reduced. The surgical treatment principles of gout surgery mainly include: must adhere to the regular medical treatment as the basis. Surgical treatment alone cannot cure gout, but can only improve local symptoms. Those with chronic tophis that have not healed with organ involvement, and whose clinical symptoms are progressively worsening, are advised to undergo early surgery to improve organ and tissue function and prevent further invasion. For patients with advanced gout disease that must include the function of the affected limbs and organs, the quality of life should be maximized. ▴Characteristic “punch-like” bone may appear in tophi in bones or near joints under X-ray
In the past few days, the temperature has been like a big dive, coupled with the recent light rain, the autumn in Sichuan can be described as extremely wet and cold. During the constant rainy period, the old patients with rheumatoid arthritis had a hard time. They joked that they could forecast the weather, and every one of them was a qualified weather forecaster. This characteristic shows that humid weather is closely related to human rheumatoid arthritis. So how should rheumatoid patients spend this difficult time? This is an explanation for everyone. Joint pain on cloudy and rainy days, beware of rheumatism. Many people know that rheumatoid patients are the most painful in wet and cold seasons, but the concept of rheumatoid is by no means the “joint pain on cloudy and rainy days” that people often say, let alone Simple “back and leg pain”. Therefore, it is best to go to a specialist hospital for differential diagnosis, whether it is rheumatoid arthritis, and then symptomatic treatment. Humid autumn, prevention of exacerbation of rheumatoid arthritis, Sichuan is currently in the cold and wet season, how can rheumatoid arthritis patients do protection and conditioning? First of all, rheumatoid arthritis patients should be more active, exercise is an auxiliary treatment for rheumatoid arthritis One of the effective methods, but it is recommended to change the morning exercise to noon exercise. Exercise in the morning may aggravate the above discomfort; second, the temperature of the ground in the morning is lower, and joints may cause or aggravate inflammation after being cold; third, when you wake up in the morning, the muscles and joints are in a relaxed state. Premature exercise may cause acute Or chronic injury. The best exercise time for patients with rheumatoid arthritis is between 14:00 and 16:00. Change “morning exercise” to “afternoon exercise”, and the effect of exercise during this period will be better. However, it should be noted that due to the humid air in autumn, especially the dew in the morning, it is cold and humid, so it is not suitable for patients with rheumatoid arthritis to go out and exercise. Rheumatoid patients can spend the autumn safely and remember these four points When encountering changeable weather, for old patients with rheumatoid arthritis, the pain and discomfort of various joints will also increase. At this stage, everyone should pay more attention to diet and daily life, and pay attention to the following aspects in daily conditioning. 01 rain and moisture proof. If it gets wet from the rain, wipe it dry in time. 02 keep the joints warm. In particular, pay attention to the daily warmth and protection of the limbs and joints, and cover the quilt when sleeping. 03 Pay attention to diet. To control high-fat diet, there are some taboos to stimulate spicy diet. 04 to ensure adequate sleep. Finally, I would like to remind everyone that if joint pain cannot be relieved in a short time, you should seek medical treatment in time. For rheumatoid patients, if joint pain is induced or the pain is aggravated at this time, they should still go to the hospital for treatment, treat the symptoms if necessary, and adhere to appropriate and reasonable treatment.
Any disease has often issued warning signals to people before its typical manifestations. Rheumatoid arthritis also has various warning signals. Pay attention to the following situations: 1. One or two joints (such as proximal The swelling and pain of the interphalangeal joints, wrist joints) persist for several days or weeks without relief. 2. There are only a few joint pains, but serum rheumatoid factor (RF) is positive. 3. Recurrent asymmetric polyarthritis accompanied by rheumatoid factor positive. How to judge whether you have rheumatoid 1. After getting up in the morning, make a fist with your hands, the finger joints become stiff, or other joints become stiff, it is called “morning stiffness”, each morning stiffness is more than 1 hour, lasting more than 6 weeks 2, and 3 Swelling of one or more joints for at least 6 weeks 3. Swelling of the knee joint, metacarpophalangeal joint or proximal interphalangeal joint for 6 weeks or more 4. Symmetrical joint swelling and inflammation for at least 6 weeks 5. Appearance Rheumatic nodules (small bumps near the joints) 6. X-ray photographs of hands with typical rheumatoid joint changes (including bone erosion and osteoporosis) 7. Rheumatoid factor positive or above 7 items, if 4 items are in line, It can diagnose rheumatoid arthritis, which can help judge early rheumatoid. All in all, beware of symptoms such as fatigue, general malaise, low-grade fever, weight loss, loss of appetite, and occasional muscle aches. These may be precursors of rheumatoid arthritis.
A stretched leg, “pop”! curled up, “clicked”! stretched legs + curled legs =? “Papa, papa, papa, duo Lai Mifa…” Why is my knee still playing symphony? Doctor, I can’t stop my knee rhythm music at all, what should I do! Doctor: The abnormal sound of the knee joint, also called “knee snapping”, is the sound and sound of the surrounding tendon sliding or joint impact when the knee joint is flexed and extended. Vibration, such as the sound of the popliteal muscle sliding on the outside of the knee joint. Knee snapping is divided into two types: Physiological: harmless, generally only occurs when the joint is suddenly stretched or flexed, the sound is crisp, single, non-repetitive, not accompanied by pain or discomfort, and does not affect the movement of the knee joint. Sometimes there is a sense of relaxation after the buzzer. Pathological: Once the snapping sound is accompanied by joint pain, jamming, and there will be limited movement and joint swelling after the sound. This pathological snapping may indicate changes in some parts of the joint. For physiological snapping, we don’t need to worry too much. We should warm up before the activity and slow down the speed of joint flexion to adjust. However, the pathological buzzer needs to go to the hospital as soon as possible to avoid deterioration of the condition. What causes knee snapping? 01 meniscus injury 02 discoid meniscus 03 knee joint patellofemoral joint impact 04 knee joint friction around the tendon 05 knee synovial fold syndrome 06 joint capsule ligament proliferation 07 osteoarthritis 08 Loose knee joint 09 Cruciate ligament old injury 10 others.
Generally, if you have an “allergy”, the hospital will prescribe several medicines to help you relieve your symptoms, and may do an allergen test to help you avoid it. Anaphylactoid purpura mostly develops in children. This is due to the allergic reaction of autoantibodies to certain allergens, increased capillary fragility and permeability, and extravasation of blood components, leading to skin purpura, mucous membranes and bleeding in certain organs. So do you know that the presence of these 4 signs in the body means that you have allergic purpura? At the onset of illness, within 2 to 3 weeks, fever, headache, muscle and joint pain will occur. A rash will appear on the skin, which looks similar to measles or papules, and can also be fused into pieces to form purple bruises that will not fade when pressed. It mainly occurs on the hips, legs, and mostly on both sides of the body. Most patients experience joint pain and swelling, mainly affecting the knees and ankles. Joint swelling and pain can sometimes appear earlier than purpura, but it only lasts for a few days. When the symptoms subsided, it will not cause any permanent joint damage. Inflammation of the gastrointestinal tract can cause abdominal pain or cramps, as well as loss of appetite, vomiting, diarrhea, and occasionally blood in the stool, but no gastrointestinal bleeding. Most patients have mild injuries and usually do not cause any discomfort. Only when the urine is tested can the urine contain protein or blood components. Under normal circumstances, as the condition subsides, the kidney damage can get better on its own without causing any long-term harm. However, doctors still closely monitor the trend of kidney disease and require patients to follow up regularly, because a small number of patients have kidney damage that can exist for a long time or even continue to develop. And glucocorticoids can be used as second-line drugs for severe allergic diseases. Oral or intravenous corticosteroids may reduce the risk of delayed reactions. However, this medicine has a slow onset of action, and the effect is not very obvious. If you eat too much, you will have a variety of side effects. Therefore, if you want to reduce side effects, it is recommended to use traditional Chinese medicine to reduce the side effects of hormones on the body, which is beneficial to the recovery of the disease.
There are many treatments for rheumatoid arthritis. Simply go to the pharmacy to buy medicines and take them, while the complicated ones need to go to the hospital for examination and hospitalization. What are the therapeutic effects of these treatments? The editor will analyze five common treatments for you. Analysis of various treatment methods Western medicine treatment Non-steroidal anti-inflammatory drugs are commonly used clinical drugs for the treatment of rheumatoid arthritis. This drug has anti-inflammatory, analgesic, antipyretic and reducing joint swelling effects. However, these drugs are mainly used to suppress joint pain, not a cure. Long-term single medication can cause gastrointestinal symptoms, liver and kidney damage, and increase the risk of cardiovascular disease. Closed therapy commonly known as closed injection, that is, direct injection of drugs into the spinal canal or around the nerve roots, local anesthesia to achieve analgesic effect. Single use of drug injection treatment, the pain is easy to rebound after the drug effect, and the patient needs to have a long-term closed injection to have some effect. Physiotherapy Common physical therapies include electrotherapy, infrared radiation, hyperthermia, etc., which mainly relieve pain by paralyzing nerves and relieve joint discomfort. Pain relief during on-site treatment. However, if the physical therapy method is used alone, it will relapse after stopping the treatment. Rheumatoid arthritis cannot be cured. It needs to be combined with systematic treatment to fundamentally solve the rheumatoid problem. Chinese medicine treatment common treatment methods such as oral Chinese medicine, acupuncture, cupping, etc. The treatment cycle is relatively long, and the effect is slow. Many patients respond that the pain recovers after stopping the drug. Traditional Chinese medicine treatment needs to be combined with systematic treatment methods, through professional treatment to eliminate the root causes of rheumatoid disease, cooperate with Chinese medicine treatment to consolidate the effect, repair the body’s immune mechanism, and restore normal joint function. Standardized treatment through musculoskeletal ultrasound examination to clarify the site of inflammation and the degree of joint damage. Minimally invasive Chinese medicine visual needle knife mirror to remove inflammatory factors and immune complexes that cause joint pain. If the joint is damaged, the fourth-generation joint PRP technology And interventional injection therapy that can induce the growth of bone cells, repair damaged bone. Immunoadsorption therapy and combined with specialized Chinese patent medicine therapy with immune regulation, stabilize the internal environment of the immune system and achieve the purpose of anti-relapse. After this series of rehabilitation systems, avoid the disadvantages of a single treatment method and solve the rheumatoid arthritis from the root cause. From the above analysis of the five treatment methods, it is known that rheumatoid arthritis is not a disease that cannot be cured. As long as it undergoes regular testing in professional hospitals, scientific treatment, and consolidation, the clinical recurrence of rheumatoid arthritis can be avoided.
Joint health problems are a problem that many friends are facing. Whether it is with age, bone and joint degeneration, or joint damage caused by exercise, these problems will trouble us and affect our quality of life. For all kinds of bone and joint problems, in addition to oral medications and surgery, there is also a very common treatment method, which is to improve and relieve bone and joint pain by injecting sodium hyaluronate directly into the bone and joint. Many friends do not understand the symptoms and treatment of inflammatory reactions. This sodium hyaluronate injection is quite expensive. Does it work after all? Under what circumstances should sodium hyaluronate injections be given? Today, we will share and interpret the relevant content of the “Expert Consensus on the Application of Sodium Hyaluronate in Orthopedics and Sports Medicine-related Diseases” released by my country in 2017. What is sodium hyaluronate? When it comes to sodium hyaluronate, everyone may not be familiar with it, but if you talk about hyaluronic acid, hyaluronic acid and other names that often appear in cosmetics, I believe many friends may be familiar with it. In fact, sodium hyaluronate, sodium hyaluronate, and hyaluronic acid are all A different name for a substance. This substance is an inherent substance contained in many of our animal bodies and in the human body. In our human body, our eye vitreous, joint synovial fluid, synovial membrane, cartilage, and skin And other parts are rich in sodium hyaluronate. Sodium hyaluronate is a macromolecular polysaccharide substance composed of disaccharide units, and its molecular weight ranges from 200,000 to 2.7 million. As a macromolecular polysaccharide substance, sodium hyaluronate has its own characteristics, and its aqueous solution has It has a certain viscosity and elasticity, so it can be used as a viscoelastic filler in ophthalmic surgery. Because of its good moisturizing effect, it has a wide range of applications in cosmetics. In addition, hyaluronic acid Due to its moisturizing properties and the properties of increasing the viscosity of the aqueous solution, the application of sodium in eye drops is now becoming more and more extensive; in the field of bone and joint and sports medicine, sodium hyaluronate, as an inherent substance in the synovial fluid of the bone and joint, is used externally. Source-derived supplementation of sodium hyaluronate is an important way to treat and relieve bones, joints and other related diseases. The mechanism of action of sodium hyaluronate in relieving the pain of osteoarthritis. Injection of sodium hyaluronate has a long-term effect in alleviating the pain of osteoarthritis. Studies have found that 5 to 13 weeks after injection of sodium hyaluronate, the patient’s pain can be improved by 11~ 54%, this proportion does not seem to be high. In fact, for patients with osteoarthritis, if the application is symptomatic, the effective rate will be higher. There is still some controversy about the mechanism of action of sodium hyaluronate injection on bones and joints. But the main mechanism of action includes the following aspects: lubricate the joints and maintain the viscoelasticity of joint synovial fluid: This is well understood. Sodium hyaluronate itself is a macromolecular substance that contains lubrication and increases viscoelasticity, and is injected through joints. Exogenous supplementation of sodium hyaluronate can form lubricating and protective effects on articular cartilage. It is not necessarily an appropriate metaphor. The problem of our joints is like the wear and tear of the machine and the loss of lubrication. It is like applying lubricating oil to our joints, which can provide some mechanical protection to our joints. Relieve the inflammatory response and inhibit the secretion of inflammatory cells: Sodium hyaluronate can not only lubricate and replenish the synovial fluid of the joints, but also inhibit the release and synthesis of inflammatory cells in the joints. Therefore, for patients with osteoarthritis , Sodium hyaluronate also reduces inflammation. Promote articular cartilage repair. Sodium hyaluronate injection can reduce chondrocyte apoptosis and promote articular cartilage repair. At the same time, it can also promote the synthesis of proteoglycans and glycosaminoglycans, which are also important components in the formation of articular cartilage. Therefore, sodium hyaluronate injection can also promote the repair of articular cartilage. Promote the secretion of endogenous sodium hyaluronate: Exogenous supplementation of sodium hyaluronate can also promote the secretion of endogenous sodium hyaluronate, improve the pathological changes of joint fluid, and delay the process of bone and joint refuge. Which conditions are suitable for treatment with sodium hyaluronate injections? For joint problems, the causes are various, some are caused by bone and joint degeneration, some are caused by bone and joint damage, and there is arthritis caused by rheumatism. Sexual problems and chronic inflammatory reactions caused by tophi, it should be clear that it is not
After the tooth is removed, the mouth cannot be opened. Consider two possibilities: the first is that the temporomandibular joint is damaged; the second is that the local tissue damage is more serious, with edema and hematoma, spreading to the masticatory muscles. The masticatory muscle spasms caused by the inability to open the mouth. For the first type of temporomandibular joint injury, the mouth cannot be opened, and local physical therapy can be performed, such as applying heat to the temporomandibular joint, or baking electricity. For the second case, the mouth cannot be opened due to the influence of the masticatory muscles. You can consider applying cold compresses within 24 hours after surgery, and applying heat to local muscles after 48 hours, which can effectively promote edema and Healing of hematoma, relieve symptoms.
1 Aerobic exercises suitable for rheumatoid arthritis-Choose low-loss aerobic exercises You can choose exercises to enhance endurance, strengthen bones, and strengthen the muscles of the legs. Including climbing stairs, walking, dancing, low-intensity endurance machines, etc. According to your own situation, you can make a suitable amount of exercise for yourself and the length of time. And aerobic exercise helps build a healthy body and heart. People with rheumatoid arthritis are more likely to develop heart disease, and exercise can help reduce this risk. Aerobic exercise can lower blood pressure and improve cholesterol. Because bone loss and rheumatoid arthritis often appear in weight-bearing exercises. Things like walking, dancing and climbing stairs can all help prevent osteoporosis. 2 Aerobic exercises suitable for rheumatoid arthritis 2 Strengthen your muscles and bones Perform antagonistic exercises two to three times a week to increase your muscle strength and reduce joint pain. By strengthening muscles and reducing joint pain, it also helps increase metabolism and help you lose weight. You can go to the gym and ask a trainer to help you choose weight-bearing equipment or resistance machines to strengthen your muscles. Swimming is a good choice. Swimming can increase the flexibility of your joints, and strengthen the strength of your back, and swimming will not cause excessive pressure on your joints. At the beginning, you can slowly spend a few minutes swimming in warm water. You can also use a floating board to grab. When you begin to adapt to the moving water, you can gradually increase the amount and time of swimming. Gradually increase physical activity until you reach your goal. 3 Exercises that patients with rheumatoid arthritis should avoid ①High-intensity exercise can damage joints, such as jogging, tennis, and badminton. ② Exercises that increase joint pressure are not suitable, such as weightlifting. Patients with rheumatoid arthritis are generally weak, so exercise and rest should be arranged reasonably. Especially in the acute stage of rheumatoid arthritis, absolute bed rest is required. In the remission period of rheumatoid arthritis, exercise should be done gradually and gradually increase the amount of exercise. Long-term persistence can reduce joint pain, improve joint stiffness, and strengthen physical fitness. To maintain the normal function of the joints, it is necessary to pay attention to maintaining the mobility of the joints. 4 The best exercise time for rheumatoid arthritis The best exercise time for patients with rheumatoid arthritis is the afternoon after nap to before dinner, not early morning. The main reasons are as follows: 1. Muscles, joints and internal organs are in a state of slack and low function when they wake up in the morning, and they cannot adapt to sports, which may cause acute and chronic injuries. 2. The blood viscosity is high when you get up in the morning. In addition, sweating during exercise causes water consumption and thicker blood, which can easily cause vascular embolism and sudden myocardial infarction and stroke. Many rheumatoid arthritis are easily accompanied by cardiovascular disease, and exercise in the morning is more dangerous. 3. The air in the early morning is not fresh: the carbon dioxide content in the air in the early morning is higher than that in the afternoon. Because there is no sunlight at night, the photosynthesis of the leaves stops and a large amount of carbon dioxide is released. 4. The density of pathogenic microorganisms in the air in the early morning is high, which is not good for the human body. Because there is no sunlight and ultraviolet radiation at night, it is not conducive to sterilization. In addition, you should choose a place with few people, quiet and plenty of trees to exercise. It can be seen that the best time for patients with rheumatoid arthritis to exercise is somewhat different from that of ordinary people. They should not start exercising after getting up in the morning, but should be used for exercise during the time after nap. The effect is relatively good, and it is not easy to cause physical injury.
As the saying goes, life lies in movement. When all your cells are awakened and all fat is burning, you can feel your vigorous vitality. People who are suffering from rheumatoid arthritis or those who want to prevent rheumatoid arthritis can fight against rheumatoid arthritis through morning exercises. Morning exercise can not only enhance the physical fitness of patients with rheumatoid arthritis and promote their treatment, but also increase the proper movement of joints, thereby reducing joint stiffness and deformity, and reducing the formation of disability. For those who are not sick, proper morning exercise can improve body resistance and effectively prevent rheumatoid arthritis. Especially for middle-aged and elderly people and office white-collar workers who are vulnerable to diseases, morning exercises can relieve joints and enhance human immunity and reduce the risk of rheumatoid arthritis. Morning exercise can effectively prevent rheumatoid arthritis from walking and walking backwards quickly. This is an effective fitness method that most people can easily master and can persist. The so-called fast walking, that is, 120 steps per minute, the time is from short to long. The so-called backward walking means walking backwards, on a flat road or on a square, 100-200 steps each time, which can alternate with fast walking. Patients with better physical fitness can also perform fast running, long-distance running and variable speed running. This method can not only exercise the body, but also strengthen the joints and enhance joint mobility. Chinese traditional martial arts such as Tai Chi, Tai Chi Sword, Wu Qin Xi, Tai Chi Sword, Wu Qin Xi, etc. This type of morning exercise is soothing and good for joint exercises, suitable for middle-aged and elderly people. Other soothing sports: cycling, dancing elderly disco, traditional dance, aerobics, etc. You can also perform simple joint function exercises with joint gymnastics, which is especially suitable for women who sit in the office for a long time. Insist on daily exercise and morning exercises can effectively prevent and prevent the recurrence of rheumatoid arthritis. Patients can choose 1-2 according to their condition, physical condition and their hobbies. For milder illnesses, you can choose activities with complex movements and heavy activity, such as Tai Chi, Tai Chi sword, elderly disco, etc. If you have more serious illnesses, you can choose activities with simple movements and less activity, such as walking, jogging, and Qigong. And so on, patients can also choose different joint exercises for their diseased joints. Exercise morning exercises need to pay attention to these three items. 1 Exercise morning exercise attention to exercise intensity The activity intensity of exercise morning exercise must be selected according to the patient’s own physical condition to avoid excessive exercise and damage joints. At the same time, the elderly and the infirm should appropriately reduce the exercise intensity, shorten the exercise time, and avoid morning exercise at the stage of acute rheumatoid arthritis. 2 Pay attention to cold and warm exercises in morning exercises. Pay attention to keep warm when you get up early. Avoid morning exercises in rainy and snowy weather. People are prone to sweating after exercise. Dry sweat in time to avoid cold and freezing. At the same time, joint protection should be done to avoid joint injuries during morning exercises. 3 Exercise morning exercises should be combined with work and rest. Exercise and morning exercises should also pay attention to the combination of work and rest. When the body is tired, reduce the number of morning exercises. If you are overworked, persist in morning exercises not only for the purpose of strengthening your body, but also to the body. Great damage. 01 Unsuitable activities during the active period Arthritis activities are mainly manifested as joint swelling and tenderness. At this time, exercise may easily cause joint damage. Therefore, rest should be the mainstay at this time, and standard treatment should be performed. Exercise should be performed after the symptoms are relieved. 02 Exercise should be based on aerobic and stretching. Aerobic exercise refers to small amount of exercise and long-term exercise, such as brisk walking and running. It can enhance the patient’s cardiopulmonary function and exercise strength; stretching exercise refers to the stretching training of the small joints, which can help the patient improve the joint movement ability and delay joint contractures and deformities. 03 Don’t be overly tired. Exercise should be done step by step, focusing on self-comfort and not overly tired. 04 Pay attention to joint protection. Patients may have certain joint injuries. Therefore, during exercise, joints need to be strictly protected to avoid some exercises that damage joints. If necessary, some protective gear can be worn. The prevention of rheumatoid arthritis is more important than the treatment. As long as everyone does prevention work and insists on moderate morning exercises, they can stay away from the damage caused by rheumatoid arthritis. If you suffer from rheumatoid arthritis, do not worry, follow the principle of early detection and early treatment, do not blindly choose treatment methods, and go to a regular hospital for professional treatment to avoid aggravating the condition due to blind treatment.
Clinical data shows that due to the similarities between the stiffness, pain, and swelling of the joints in the early stage of rheumatoid arthritis and other bone diseases, most patients with rheumatoid arthritis ignore the early symptoms and fail to receive effective treatment in time. The condition continues to worsen and even cause joints. deformity. Therefore, it is important to understand the symptoms of rheumatoid arthritis. Editor’s reminder: Rheumatoid arthritis is a chronic and recurrent disease, with obvious clinical symptoms such as joint stiffness, swelling and pain in the early stage. Patients and their families should understand the symptoms of rheumatoid arthritis and other medical knowledge in order to detect rheumatoid arthritis early and receive treatment as soon as possible to avoid rheumatoid arthritis. △View the picture: The most infringed rheumatoid is the joints of the hands. If the treatment is not timely and standardized, as the disease progresses, the two-handed object is weak, the grip strength decreases, and gradually worsens, eventually different degrees of deformity may appear! Rheumatoid online self-test platform ☑ morning stiffness, joint stiffness and stickiness after morning awakening ☑ multiple joint swelling and pain ☑ joint symmetry migratory pain ☑ rheumatoid nodules ☑ wrist and elbow joint swelling and stiffness ☑ metacarpophalangeal joints Deformation ☑ joint swelling and fever ☑ long-term low fever ☑ worsening joint pain in rainy days ☑ fatigue, weakness, weight loss ☑ erythema on the hands Rheumatoid arthritis symptoms can be followed 1 fatigue, low fever patients with rheumatoid arthritis early in the body will continue to fatigue Weakness, some patients have fever symptoms, mostly low-grade fever below 38 ℃, and often accompanied by loss of appetite and weakness. 2 Morning stiffness of the joints Patients with rheumatoid arthritis often have morning stiffness of the joints. The joints are stiff in the morning, which can be relieved or disappeared after exercise. 3 Joint pain early and mid-stage rheumatoid arthritis, often accompanied by symmetrical small joint pain, tenderness and tenderness. Joint pain worsens on rainy days. 4 Joint swelling The soft tissue around the affected joint is swollen, and the surface temperature is slightly higher than that of the normal joint. There will be swelling in 3 or more of the wrist joints, metacarpophalangeal joints, or proximal interphalangeal joints. 5. Erythema and subcutaneous nodules in hands. Early rheumatoid patients have very sensitive fingers. They tend to become purple when they encounter cold water, and erythema appears on both hands and is difficult to eliminate. About 15-20% of patients will also have rheumatoid nodules. Patients who have these symptoms pay attention, it is very likely that they are suffering from rheumatoid. But don’t be afraid, what you should do now is to go to a specialist hospital and receive a specialist musculoskeletal ultrasound examination for further diagnosis. After all, accurate examination is more conducive to later treatment. Delayed death of rheumatoid arthritis can cause damage to many organs throughout the body, and even life-threatening. Once the patient has the above symptoms, he must go to a regular hospital for scientific treatment in time to avoid the disease from causing more damage to the body.
Seeking a doctor can be so convenient .! Experts allow you to see a doctor without leaving home. Recently, the remote center of Shijiazhuang Hexie Stomatological Hospital has given full play to the advantages of the platform to carry out remote consultation services with Peking University Stomatological Hospital so that patients do not have to Traveling back and forth, you can enjoy the medical services of the highest level of experts in the country, formulate practical treatment plans for patients, and solve difficult diagnosis and treatment problems. It is well known that temporomandibular joint disorders are more common in adolescents. If temporomandibular joint disorders occur during adolescence, it is easy to cause jaw retraction, deflection, and facial mutations, which have almost become the “magic curse” of adolescence. Example of temporomandibular joint patient: female patient, 15 years old. Chief complaint: restricted mouth opening for six months. History of present illness: history of restricted mouth opening for half a year, history of joint snapping for 2 years; history of joint stuck 2-3 times/day; history of joint stuck and unable to close mouth; history of hot compress, history of oral anti-inflammatory drugs, no relief; denial History of trauma. There was no abnormality in the Axis II questionnaire. Examination: the face is basically symmetrical; there is no obvious tenderness in the masseter muscles, temporal muscles, and joint areas on both sides, no buzzing noises, the maximum active mouth opening is 43mm, the right side of the mouth, the left masseter muscle pain; the forward extension is about 7mm; the left side The side movement is 7mm; the right side movement is 10mm. The anterior teeth cover 7mm deep. CBCT showed that the oblique surface of the left condyle was abraded and the cortex was discontinuous; the lateral view of the skull showed that the anterior tooth coverage was larger than last year. MRI see: Bilateral temporomandibular joint disc irreversible anterior displacement.  . . . .According to the patient’s description, he has not been assigned the expert number of Professor Fu of Peking University for a long time. After the patient learned about the situation of our hospital’s remote center, he was very excited. Professor Fu Kaiyuan from Peking University Stomatological Hospital . contacted and coordinated the time for remote consultation. After nearly half an hour of remote consultation, Professor Fu Kaiyuan diagnosed the patient as: bilateral irreducible anterior disc displacement. The treatment suggestions are: arthroscopic joint disc reduction and suture fixation. The video consultation is convenient and fast. The two sides communicated smoothly. The family members of the patients praised this efficient new diagnosis and treatment method. It was always necessary to seek expert consultation in the past. It’s too time-saving and labor-saving to be able to see a doctor face-to-face at the doorstep of the hospital repeatedly. Treatment analysis: When the articular disc is displaced and cannot be reset, it is accompanied by degenerative changes in the condyle or absorption of the condyle At times, especially in adolescent patients, the growth and development of the condyle has not been completed. The occurrence of reversible joint disc displacement/irreducible joint disc displacement at this stage may lead to severe bilateral or unilateral condyle underdevelopment. Cause severe mandibular retraction or partial jaw. Such patients can restore the position of the articular disc through arthroscopic reduction surgery, and promote the growth of the condyle. Research by Professor Yang Chi from the Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, shows that the use of Young’s joint disc reduction technique to restore the early displaced joint disc can promote the reconstruction of the condyle or restore the normal growth and development of the condyle. The patient underwent Young’s arthroscopic disc reduction and fixation at Shijiazhuang Hexie Stomatological Hospital on September 5, 2020. The small wounds left over after the surgical informed consent form are summarized in the adolescent period. Due to rapid growth and development, non-surgical treatment or simple observation will often cause a large degree of condyle bone resorption. If the joint disc is displaced in the adolescent period, joint joints should be performed in time. Disc surgical reduction creates good conditions for the formation of new bone in the condyle, which can further change the face shape.