It is so easy to forget that arthritis is not the only problem we see with rheumatoid arthritis, particularly when the disease is labeled and named an ARTHRITIS. However, the so-called extra-articular manifestations of rheumatoid arthritis can cause significant disability, even death. It must not be forgotten that rheumatoid arthritis is a SYSTEMIC disease, the most basic manifestation being malaise and fatigue. But there can also be significant inflammation of a variety of organ systems, particularly in those patients who are rheumatoid factor positive. Such patients also, in general, suffer from more severe arthritis and often have nodules. Rheumatoid nodules develop in about 50% of people suffering from rheumatoid arthritis, and most of these patients are rheumatoid factor positive. Another extra-articular manifestation of rheumatoid arthritis involving the skin is vasculitis. Sjogren's syndrome can cause dry mouth and dry eyes, common in rheumatoi...
How do you know when it's time for a knee joint replacement? When pain is not relieved by any other means. Quite often, the patient has severe arthritis as seen on X-ray. A 75-year old woman with a leg amputation below the knee is presented in this report. Her case is unusual because most people with an amputated leg have less arthritis in that leg. They tend to use the "good" leg more and favor the amputated side, putting less stress on the joint. In this case the patient had severe arthritis in both knees. At first she had the knee replaced on the nonamputated side. When she could no longer move the knee on the amputated side, that knee joint was replaced. A joint replacement on an amputated leg has more than the usual risks. For this woman, decreased blood flow led to the amputation in the first place. A joint replacement increases her risk of a second amputation further up the leg (mid-thigh). Physical therapy started the day after surgery. She went home on the eighth day, when she c...
Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.