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Arthritis and Other Joint Conditions
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Arthritis Types Rheumatoid Arthritis OsteoArthritis
Infectious (Septic) Arthritis
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Other Joint Conditions
Gout Pseudogout Torn/Strained Ligaments Torn Cartilage Tendinitis Bursitis
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Rheumatoid Arthritis Description: Inflames Synovial Membranes in joint
Abnormal Immune System Activity Synovial Tissue Thickens Causes ongoing inflammation and cartilage breakdown
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Rheumatoid Arthritis Symptoms: Pain, stiffness, swelling in joints of hands, wrists, elbows, feet, ankles, knees, and neck Diagnosis: joint examination, medical history, several tests Risk Factors: Age, Gender (female), genetic susceptibility, smoking
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Rheumatoid Arthritis Treatment:
Physical Therapy: exercise, heat/cold, massage Occupational Therapy Biofeedback (to control pain) Counselling Accupuncture Supplements Blood Filtering (severe cases)
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OsteoArthritis Description: Cartilage breakdown in joints; eventually can cause bone damage Symptoms: pain in joints, limited Range of Motion, tenderness/swelling, creaking joints, deformity
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OsteoArthritis Diagnosis: Physical Exam, X-Rays, Blood Tests
Risk Factors: Age, Gender (female), previous joint injuries, obesity, weak thigh muscles (for knee), contracting gout, rheumatoid arthritis, or hemochromatosis
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OsteoArthritis Treatment:
Medications: NSAIDS, Acetomeniphen, corticosteroids, hyaluron injections Surgery: arthroscopy, osteomoty, joint replacement, hip replacement, arthrodesis (fusing)
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Infectious/Septic Arthritis
Description: joint inflammation as a result of an infection by bacteria, virus, parasites, or fungi; can damage tissue Symptoms: joint pain, redness, swelling, decreased ROM, weight loss, fatigue, fever/chills
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Infectious/Septic Arthritis
Diagnosis: blood tests, bone scans, X-Rays, MRI, CT scans, Bone Biopsy Risk Factors: weakened immune system, metal inplants (joints, screws), diabetes, removed spleen, gonorrhea, rheumatoid arthritis, immuno-depressant drugs
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Infectious/Septic Arthritis
Treatment: Treat infection: antibiotics, antiviral drugs Drain fluid around joint Surgery
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Gout Description: High concentration of urate crystals in blood
Symptoms: inflammation/tenderness, pain, redness (usually in the foot) Diagnosis: Urine Tests, Blood Tests
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Gout Risk Factors:Excessive alcohol consumption, High BP, Diabetes, High cholesterol, Genetics, Age, Gender (male) Treatment: Medication: NSAIDS, corticosteroids, uric acid lowering medications Adjust diet and alcohol consumption
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Pseudogout Description: Calcium Pyrophosphate Dihydrate crystals in blood Symptoms: inflammation, tenderness, redness, joint pain Diagnosis: X-Rays, Joint fluid analysis
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Pseudogout Risk Factors: Age, Joint trama, Genetic disorder, Excess iron in blood Treatment: Medications: NSAIDS, Colchicine Joint Aspiration Rest
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Torn/Strained Ligaments
Description: Stretched/Torn Ligaments (ligaments hold bones together in a joint) Symptoms: Pain, Swelling. Limited mobility, Joint instability Diagnosis: Physical Exam, X-Rays, MRI
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Torn/Strained Ligaments
Risk Factors: Previous injury, “loose” ligaments Treatment: RICE Rehabilitation Medication: NSAIDS Surgery
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Torn Cartilage Description: torn cartilage (cartilage is the soft tissue between bone ends in a joint) Symptoms: instant pain, swelling, “locked” joint Diagnosis: Physical Exam, MRI
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Torn Cartilage Risk Factors: none known Treatment: Rehabilitation
Arthroscopic Surgery Invasive Surgery
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Tendinitis Description: inflammation of or microtears in tendon (tendon connects muscle to bone) Symptoms: gradually increasing pain, sore to touch, swelling, stiffness Diagnosis: Physical Exam, Medical/ Activity History, MRI, X-Rays
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Tendinitis Risk Factors: repetitive tasks Treatment: Ice/Heat
“Cho-Pat” Straps NSAIDS Surgery
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Bursitis Description: Swelling of the bursa (fluid pouch around joint)
Symptoms: Swell/Pain when pressure applied, pain, stiffness Diagnosis: Physical Exam, Medical History, Draw Bursa Fluid for testing
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Bursitis Risk Factors: Repetitive tasks; people who work on their knees (carpet layers, roofers, gardeners) Treatment: Medications: NSAIDS, Corticosteroids Ice Drain extra fluids Surgery
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