Reactive arthritis

Reactive arthritis

| Reactive arthritis
Sign 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 develops an 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 most often transmits 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.



There is no specific test for diagnosing reactive arthritis, but the doctor may check the urtheral discharge for STD. Stool samples may also be tested. Blood reports shows positive for the HLAB27 genetic marker and alongwith wbc count esr increases. Patient will also have less rbc. X rays reports shows bone loss, signs of osteoporosis , bony spurs , back joints and pelvis may show abnormalities. Doctor will also test for eye and UTI which can confirm the disease

Treatment/ Medical Management

Goal of physiotherapy management

1) reduce inflammation

2) reduce pain

3) improve rom

4) increase cardiovascular fitness Cryotherapy should be intiated to intiated early at 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, strengtheing exercises will be intiated 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 patient's age and cardiovascular level.

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

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