Rheumatism is a chronic disease, and its symptoms are mainly manifested in various joints, especially hand joints, leg joints, etc. This type of rheumatic pain is difficult to cure, and patients will experience obvious discomfort in their life and work, so it is necessary to find the correct treatment method. 1. Symptoms of rheumatic pain 1. Characteristics of joint manifestations: 1. Joint pain. 2. Morning stiffness When patients wake up in the morning or after resting for a long time, their joints feel sticky and stiff, which can only be relieved or disappear after movement. Morning stiffness is most prominent in rheumatoid arthritis and can last for several hours, but is shorter in other arthritis conditions. 3. Joint swelling and tenderness It often appears in painful joints and is a sign of synovitis or surrounding soft tissue inflammation, and its degree varies depending on the severity of the inflammation. It may be caused by joint effusion or synovial hypertrophy. Bone hyperplasia is more common in osteoarthritis. 4. Joint deformity and dysfunction The finger joints lose their normal shape and range of motion is restricted, such as the knee cannot be fully straightened, the metacarpophalangeal joints of the hand have ulnar deviation, and the joints are subluxated. These changes are associated with the destruction of cartilage and bone. Common in rheumatoid arthritis. 2. Characteristics of systemic symptoms: It is necessary to grasp the manifestations of injury to other systems outside the joints for diagnosis. For example, a butterfly-shaped rash on the cheeks and proteinuria suggest systemic lupus erythematosus, a psoriatic rash suggests psoriatic arthritis, and a large number of dental caries suggest Sjögren's syndrome. The patient's age and gender at onset are also helpful for diagnosis. For example, ankylosing spondylitis is more common in young men, systemic lupus erythematosus is more common in women of childbearing age, gout is more common in middle-aged men, and osteoarthritis is more common in middle-aged and elderly people. 2. Treatment Methods 1. Rheumatism often invades joints, muscles, bones and soft tissues. Symptoms such as pain, swelling, joint dysfunction and fever are more prominent. Antipyretic, analgesic and anti-inflammatory, and relieving symptoms are the primary goals of treating this group of diseases. Therefore, non-steroidal anti-inflammatory drugs are often used, such as Voltaren, Mobic, Lesong, Tianxinlide, Celebrex, Vanlo, etc. In addition, new non-steroidal anti-inflammatory drugs have good effects and high efficacy, which significantly reduces side effects. 2. If rheumatic diseases are not treated correctly and reasonably, lesions of joints, muscles, bones, etc. will lead to functional disorders and deformities, leaving lifelong disabilities, affecting life and work, and causing economic losses to individuals and society. Judging from the tissues invaded by rheumatic diseases, systemic lupus erythematosus, rheumatoid arthritis, scleroderma, polymyositis, necrotizing vasculitis, and ankylosing spondylitis, formerly known as connective tissue diseases, all have autoimmune disorders and belong to a group of autoimmune diseases. It has been clearly established that gouty arthritis is caused by a disorder in purine metabolism, which leads to the deposition of urate crystals in the joints, often affecting the joint cavity, bones, and ligaments. Therefore, in addition to symptomatic treatment to relieve symptoms, the treatment of rheumatic diseases also requires etiological treatment. Autoimmune disorders require immune regulation, such as the use of corticosteroids and immunosuppressants. Immunosuppressive therapy has made great progress, and new drugs are constantly being discovered and used in clinical practice, such as Xiaoxi, Enova, and Pavlin. New therapies are constantly being discovered, such as ① The combined treatment of mild systemic erythema with small doses of prednisone, chloroquine, and MTX can significantly reduce side effects; ② Rheumatoid arthritis uses combined treatment, combined treatment of first-line drugs with second-line drugs, and combined treatment of second-line drugs. ③ High doses of immunoglobulin G are used to treat severe rheumatic disease. 3. Biological therapy and bone marrow transplantation have also been tried in clinical practice. 4. Arthroscopic treatment can also be used for joint diseases, which greatly improves the efficacy, changes the prognosis of the disease, significantly reduces the disability rate, and improves the patient's quality of life. |
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