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 ...
Dear Dr. Krant: I am a 55 year-old man who has had osteoarthritis in my feet for 17 years. During the last 3 years it has spread throughout my spine, skull to tailbone, in the shoulders/hips/knees and hands, and nodes on fingers. I also have some difficulty walking. Is this a normal progression, or an extreme variation? You have had osteoarthritis for almost twenty years, beginning in your early 30s. Many people develop aches and pains in the large weight-bearing joints relatively early, even in their twenties. X-ray evidence of joint space narrowing, loose bodies and asymmetry throughout the weight-bearing surfaces usually does not appear until the 40s, although certain people will develop abnormalities early on. This is particularly true when cartilage has been surgically removed from the knees, when work involves repetitive lifting, bending and weight-bearing heavy loads, and when there is a genetic link to an affected parent. Nodes on the fingers (called Heberden...
Puffy face; Swelling of the face; Moon face; Facial edema
Apply cold compresses to reduce swelling from an injury. Raise the head of the bed (or use extra pillows) to help reduce facial swelling.
Call your health care provider if
You should call your health care provider if you have:
Sudden, painful, or severe facial swelling
Facial swelling that lasts a while, particularly if it is getting worse over time
Fever, tenderness, or redness, which suggests infection
What to expect at your health care provider's office
Emergency treatment is needed if facial swelling is caused by burns or if you have breathing problems.
The health care team will ask questions about your medical and personal history to determine treatment or if any medical tests are needed. Questions may include:
How long has the facial swelling lasted?
When did it begin?
What makes it worse?
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