When the pain of arthritis doesn't go away, replacing the problem joint may be an option. For the knee, the procedure to implant a new joint is called total knee arthroplasty (TKA). For most patients, TKA gives pain-free motion and return of function. For a small number of patients, the result isn't good. Painful swelling and loss of function can make them wish they'd never had the procedure. These patients can be helped. The doctor must make a careful search to find the cause of the problem before correcting it. There are many possible causes for a painful TKA. Problems from inside the knee may be the cause of painful symptoms. Recent changes in the design of the joint implant have helped solve some of these problems. Infection and bleeding are the first two things the doctor looks for. This can be assessed using laboratory test results. Scar tissue and pinching of the joint lining can cause a painful, stiff knee. This can be found using an arthroscope. The scope is a slender device wit...
Diseases that fall under spondyloarthritis umbrella are ankylosing spondylitis , reactive arthritis (known previously as Reiter's syndrome) psoriatic arthritis and psoriatic spondylitis, and the arthritis or spondylitis associated with the inflammatory bowel diseases, ulcerative colitis and Crohn's disease . Still other patients may develop undifferentiated spondyloarthritis. This means they have symptoms or signs of one of the illnesses above, but don't develop the full blown disease. The disease most frequently begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. Symptoms of Spondyloarthris The disease starts with hip or low back pain that comes and goes and is worse at night, in the morning, or after inactivity. Back pain may begin in the sacroiliac joints (between the pelvis and the spine) and involve all or part of the spine. Pain may go aw...
Generic Name: DECONGESTANT/ACETAMINOPHEN/ANTIHISTAMINE -
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