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 ...
The buzzing sound of the cast saw marked the beginning of the next phase in his wrist reconstruction project. With the removal of my husband's cast, all attention shifted away from the surgeon (whose job was done) to the hand therapist whose job was just beginning. Although, a question will always remain in my mind: Was that cast really necessary? Some research studies have come to the conclusion that early immobilization is not necessary following a proximal row carpectomy (PRC). But after seeing what my husband went through, I'd say that the cast certainly did help, if only to protect the surgical site while some healing took place and to prevent him from doing too much. As soon as that cast was removed, my husband noticed the vulnerability of his new hand and wrist immediately.
He experienced some initial swelling and increased pain in the first week without the protective cast. Fortunately, the topical anti-inflammatory , Pennsaid , helped keep those symptoms to a minimum. Th...
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.
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