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 ...
Q. I’ve just been diagnosed with lymphedema. What are the treatments like? A. Depending on the seriousness of your case, treatments can range from a simple hand massage, exercises, and instructions to keep your arm elevated for a portion of each day; to daily hours-long treatments for several weeks, followed by wearing a wrist to shoulder elastic sleeve, potentially for life. In other words: HUGE possible range of treatments. You won’t know what YOUR treatment will be like till you see the physical therapist or lymphedema therapist for the first time. However, you can hazard a guess, based on how much swelling you see and feel in your arm/chest area: the greater the swelling, the more advanced the lymphedema probably is, the longer-lasting the treatment will be. Q. So, let’s take a middle-of-the-road scenario, just as an example. What might that look like? A. At your first visit, the PT will measure both arms very carefully, taking their circumference ...
In my last post, I wrote about the benefits and drawbacks of wearing splints and tried to give some suggestions for complying with a splinting regimen. I also thought that it might be helpful to talk about splinting for kids, and from a kid's perspective.
Splinting is a major treatment modality for kids. While it offers some of the same benefits as for adults, like joint protection and improved function, splints also help prevent joint deformities and contractures (shortening) of the soft tissue around the joints, like muscles and ligaments. Contractures tend to occur when the muscles around a joint are maintained in a shortened, flexed position. With RA, this sometimes happens because inflammation makes it impossible to straighten a joint completely or because it sometimes feels better to favor the limb or digit by keeping it flexed. They can also occur because of unequal growth of bones making up the joint; a common problem for children wit...
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