Don’t let the “bamboo knot” accompany you for life: rehabilitation treatment of rheumatoid arthritis – Dr. Yang of the Department of Rehabilitation Medicine, China-Japan Friendship Hospital of Jilin University shares with you
Yang Yuhui, Department of Rehabilitation Medicine, China-Japan Friendship Hospital, Jilin University
The rehabilitation of rheumatoid arthritis: Dr. Yang shares with you
Rheumatoid arthritis is a chronic systemic autoimmune disease with joint lesions as the main cause. The prevalence of rheumatoid arthritis in China is 0.24-0.5%, with more women than men, about 2-3:1, and can develop at any age, with the greatest number of 20-50 year olds.
Clinical manifestations
1. The main clinical manifestations are joint swelling and pain due to small synovial joints, followed by cartilage destruction and narrowing of the joint space, and in the late stage, severe bone destruction and resorption leading to joint stiffness, deformity and functional impairment.
2. Morning stiffness, pain, pressure, swelling and limitation of movement of the affected joints, initially wandering and later fixed. From single to multiple joints are involved. It is symmetrical. The small joints of the hands and feet are involved first, and the proximal interphalangeal joints, metacarpophalangeal joints and wrist joints are commonly involved. The most common deformities include proximal interphalangeal joint spindle enlargement, claw-shaped hand, finger “swan neck” deformity, ulnar deviation, metacarpophalangeal joint subluxation and wrist joint fixation, etc.
3. Tenosynovitis, bursitis and muscle atrophy may occur around the joint.
4, subcutaneous nodules, mostly seen in the joint protrusion and often pressed, tough as rubber, no obvious pressure pain, exist for a long time.
How do you diagnose that you may have rheumatoid arthritis?
① Morning stiffness for at least one hour (≥ 6 weeks). ② Swelling of 3 or more joints (≥ 6 weeks). ③. Swelling of wrist, metacarpal, finger or proximal interphalangeal joints (≥ 6 weeks) ④Symmetrical joint swelling (≥ 6 weeks). ⑤ Radiological changes typical of rheumatoid arthritis in the hand. (⑥Rheumatoid nodules under the skin. (vii) Positive rheumatoid factor (titer > 1:32). Those with 4 or more items can be diagnosed as typical rheumatoid arthritis.
How to prevent
1, avoid wind chill, moisture: many rheumatoid arthritis patients have cold, moisture reasons before the onset or recurrence of the disease, to prevent moisture and cold, should pay attention to the joint warmth, do not wear wet clothes, etc..
2, pay attention not to over fatigue: the body is in excessive fatigue, the immune system also declined, easily induced rheumatoid arthritis attack.
3, strengthen the body immune: often participate in physical exercise, participate in outdoor activities, such as tai chi, radio gymnastics, etc., to improve resistance can reduce the incidence of rheumatoid arthritis.
4, prevention of infection: bacterial and viral infections may induce rheumatoid arthritis.
5, relaxed spirit: bad mood is usually one of the main factors triggering rheumatoid arthritis, so do not get too excited or depressed about things, be good at controlling bad moods and maintain a good state of mind.
Disease treatment
1.Medium frequency electrical therapy: the use of electrical stimulation, improve local blood circulation, promote the absorption of inflammation.
2.Ultra-short wave therapy: using high frequency current to improve tissue blood supply, enhance tissue nutrition, and accelerate the dissipation of inflammation and edema.
3.Infrared therapy: using the warming effect to increase the tissue temperature, capillary dilation, and enhance tissue regeneration ability.
4.Exercise therapy treatment: using joint loosening to treat the joints that have produced lesions, which has the effect of improving joint mobility, preventing joint stiffness and eliminating joint swelling.
How to distinguish rheumatoid arthritis from rheumatoid arthritis?
1, the onset of the situation is different: rheumatoid arthritis first occurrence age 9-17 years old, the proportion of men and women are equal. Rheumatoid arthritis is more common in middle-aged women.
2, the cause is different: rheumatoid arthritis is caused by streptococcal infection, while rheumatoid arthritis is a variety of causes of chronic lesions of the synovial membrane.
3, the symptoms are different: rheumatoid arthritis commonly involves large joints (knee, elbow, etc.), does not cause joint deformities. Rheumatoid arthritis often invades small joints (especially the metacarpophalangeal joints, proximal interphalangeal joints, wrist joints), but also other large and small joints, often causing joint deformities in the late stages
Specialist Introduction
Yuhui Yang, Deputy Director of the Department of Rehabilitation Medicine, Sino-Japanese Friendship Hospital of Jilin University, Deputy Chief Physician, MD (Orthopedics), Master’s Degree Supervisor
Research interests: spinal cord, bone and joint, sports injury rehabilitation
Academic achievements
1. 1 international cooperation project, 3 provincial and ministerial level projects, with project funding of more than 1 million yuan.
2, 1 provincial scientific research achievement second prize, 1 medical achievement second prize of Jilin University.
3, 1 patent for invention and 1 patent for utility model.
4.Published more than 20 excellent papers in national core journals as the first author.