FROM OUR EXPERTS
In short, rheumatoid arthritis is an inflammatory disease which attacks joints in the body. It can affect the alignment and positioning of those joints, even to the extent that they become stuck in a bent position or become dislocated. Bone erosion caused by RA may make the ends of bones rough and irregular. Patients may eventually notice that their fingers begin to shift toward the direction of their elbow.
In previous posts, we have discussed different types of surgery used in patients living with rheumatoid arthritis, including synovectomy, tendon repair, and carpal tunnel release . Today’s discussion centers around joint replacement and implants.
What is Joint Replacement?
One would think that this is a simple question, right? Take the joint out and put a fake or replacement one in. But in researching this subject, I found it rather difficult to find information which went much beyond this simple concept without become ...
Alternative Names Pain - wrist Prevention To prevent carpal tunnel syndrome: Adjust your keyboard so that you do not have to bend your wrist upward while typing. Take frequent breaks from activities that require wrist movement. Work with an occupational therapist. To prevent gout attacks: Limit alcohol. Lose weight if you are overweight. Drink plenty of water. Eat lower amounts of liver, anchovies, sardines, and herring. Your doctor may prescribe medication. References Swigart CR. Hand and wrist pain. In: Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB, eds. Kelley's Textbook of Rheumatology . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 44. Wright PE II. Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale ST, Beatty JH, eds. Campbell 's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 73. Mercier LR. The forearm, wrist, and hand. In: Mercier LR, ed. Practical Orthopedics . 6th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 7.
Complex regional pain syndrome, or CRPS, can develop after an injury, but the cause isn't yet understood. Researchers do know that inflammation plays a role and previous studies have suggested that the body's reaction in CRPS can be similar to that of a burn. Researchers looking into burn treatment have found that giving high doses of vitamin C to burn patients helped reduced the amount of fluid they needed and reduced the swelling. With this in mind, the authors of this study wanted to see if giving vitamin C to patients with a new broken wrist would decrease their chances of developing CRPS. The study took place at 3 hospitals in the Netherlands and involved 416 women who had a total of 427 wrist fractures. The patients were randomly chosen to receive vitamin C (317 women, 328 fractures) or placebo , a sugar pill, (99 women, 99 fractures). Among the women taking vitamin C, 96 took 200 mg, 114 took 500 mg and 118 took 1500 mg, per day. The patients did not know if they were taking the ...
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