Best Reactive Arthritis Treatment In Delhi NCR.

Reactive arthritis treatment and cure
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Signs and Symptoms

  • Incubation period is 1 to 4 weeks.
  • Pain and stiffness- pain in joints of knee, ankles, low back, heels.
  • Eye- people who have this arthritis develop eye inflammation ( conjunctivitis ).
  • Urinary problems: inflammation of prostate gland and cervix, discomfort during urination.
  • Reactive arthritis occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomatis) or the bowel (Campylobacter, Salmonella, Shigella and Yersinia). Chlamydia is most often transmitted by sex. It often has no symptoms but can cause a pus-like or watery discharge from the genitals. The bowel bacteria can cause diarrhea. If you develop arthritis within one month of a gastrointestinal or a genital infection especially with a discharge see a health care provider. You may have reactive arthritis. Reactive arthritis tends to occur most often in men between ages 20 and 50. Some patients with reactive arthritis carry a gene called HLA-B27. Patients who test positive for HLA-B27 often have a more sudden and severe onset of symptoms. They also are more likely to have chronic (long-lasting) symptoms. Yet, patients who are HLA-B27 negative (do not have the gene) can still get reactive arthritis after exposure to an organism that causes it.
  • Patients with weakened immune systems due to AIDS and HIV can also develop reactive arthritis.
Diagnosis

In 2015, research showed that bubbles remained in the fluid after cracking, suggesting that the cracking sound was produced when the bubble within the joint was formed, not when it collapsed. In 2018, a team in France created a mathematical simulation of what happens in a joint just before it cracks. The team concluded that the sound is caused by bubbles’ collapse, and bubbles observed in the fluid are the result of a partial collapse. Due to the theoretical basis and lack of physical experimentation, the scientific community is still not fully convinced of this conclusion.

The snapping of tendons or scar tissue over a prominence (as in snapping hip syndrome) can also generate a loud snapping or popping sound. For many decades, the physical mechanism that causes the cracking sound as a result of bending, twisting, or compressing joints was uncertain. Suggested causes included:

  1. Cavitation within the joint—small cavities of partial vacuum form in the synovial fluid and then rapidly collapse, producing a sharp sound.
  2. Rapid stretching of ligaments.
  3. Intra-articular (within-joint) adhesions being broken.
  4. Formation of bubbles of joint air as the joint is expanded.
Treatment/Medical Management

Goal of physiotherapy management:

  • Reduce inflammation
  • Reduce pain
  • Improve rom
  • Increase cardiovascular fitness Cryotherapy should be initiated early at the acute stage to control inflammation and swelling around the affected joints.

Electrical stimulations like TENS, IFT to ease pain . Range of motion and stretching exercises for all joints to avoid any stiffness in the joint, strengthening exercises will be initiated to improve power of muscles.

Patient Education

This is necessary to promote joint protection and proper body mechanics when performing daily activities to maintain joint integrity.

Aerobic exercises should include low impact activities such as swimming, walking depending on the patient’s age and cardiovascular level.

Other advanced techniques like dry needling and taping have shown great benefits in relieving pain and stiffness. Physiotherapy management will target the affected joint and its attachments .

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