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METHODOLOGY TEXT BOOK 2009 2010.doc
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Supplement 7 diseases of the bones, joints and muscles

Rheumatoid arthritis

Gouty

arthritis

Osteoarthritis

Osteoporosis

Fibromyalgia

Torticollis

Definition

Inflammation within a joint due to abnormal response of the immune system

Inflammation of the joint space

Degenerative joint disease

Destruction of the cartilage

The elderly

Obesity

Fragile structure natural deminerali-zation

Progressive weakening of bones

Disorders characterized by achy pain and stiffness in muscles, tendons and ligaments

Painful intermittent or continuous spasms of the neck muscles

Risk factors

After age 40 can be an inherited disease

Exposure to cold

Results from the body’s production of uric acid crystals

Can be hereditary

More rare in females

Over 60

Obesity

More common in females

15-20mln

200000 fractures

sedentary lifestyles

inadequate amount of calcium smoking

family history alcohol

h. protein diet

Physical or mental stresses,

injuries, exposure to dampness or cold, infections,

RA

30-60 years, more common in women,

hyperthyroi-dism, nervous system infections, antipsychotic drugs, neck tumors

Symptoms and complications

Remitting and exacerbation course

Stiffness

Joint swelling

Joint pains in wrists knees and small joints of the hand pleurisy eye pains shortness of breath

Hot

Painful

Swollen joints

(big toes or knees)

Hands, hips knees neck spine lower back

Long history

Episodic pains

Mild swellings stiffness numbness tingling weakness

No obvious symptoms

Achy pain and stiffness, fatigue, tenderness, muscle tightness,

Spasms, non-restorative sleep, anxiety, depression, irritable bowel symptoms

Sharp painful neck muscle spasms on one side of the neck, intermittent or continuous pains, spasms in the eyelids,face,jaw or hand

Evaluation

Special blood immune tests serological tests rheumatoid factor tests

x-rays

Aspiration of fluid microscopic analysis uric acid level blood tests

x-ray

blood tests MRI

x-ray CT

Palpation to reveal tender points

History (past injuries, x-rays, CT,MRI

Treatment

Immuno-suppressors anti-inflammatory medications physical and occupational therapy

Medications to decrease excess uric acid

Antiinflamma-tories

Joint rest and elevation splinting

No alcohol

Aspirin anti-inflammatory medications

Physical therapy

weight reduction

joint replacement

Exercise

Calcium supplement

Vitamin D

Estrogen supplements

Hormone therapy

Sodium floride treatments

Avoidance of stresses, exercises, sleep, appli-cation of heat, gentle massage, local anesthetics, low doses of antidepressants at bed time.

Physical therapy, massage, antiholinergics, sedatives, relaxants, antidepressants,

Surgery,

Psychiatric treatment