How to treat rheumatoid arthritis of the foot

Arthritis of the foot is a pathology characterized by inflammatory changes in the osteoarticular apparatus of the foot. In the clinical course of arthritis, stiffness and pain in the foot during walking, hyperemia and swelling of the soft tissues, and deformation of the foot are noted. Diagnosis of arthritis involves radiography, MRI, ultrasound, biochemical and immunological blood tests, joint punctures, synovial fluid tests. The algorithm for treating arthritis of the foot consists of etiotropic and pathogenetic drug therapy, intraarticular administration of drugs, physiotherapy, joint gymnastics, immobilization of the foot or selection of orthopedic appliances, and if ineffective, surgical intervention.

Overview

Arthritis of the foot – a group of diseases of an inflammatory nature, affecting the articulation of bones in the tarsus, metatarsus and toes. Among the types of foot arthritis, rheumatoid, post-traumatic, gouty, gouty, infectious arthritis, which may have an acute or chronic course, are more common than other forms. Damage to the joints of the foot is often combined with arthritis of the ankle joint and arthritis of the toes. Depending on the causes of the disease and the required amount of medical care, specialists in the field of rheumatology or traumatology and orthopedics may be involved in the treatment of foot arthritis.

Human foot is an important element of the musculoskeletal system and is a complex anatomical and functional formation, experiencing large static and dynamic loads. The foot performs a number of important functions that ensure a vertical position when standing and walking: balancing, spring, jerking, reflexogenic. Violation of one or another function of the foot as a result of trauma or disease can lead to the development of pathology of the intervertebral, hip, knee and ankle joints.

The bones of the foot are connected with the bones of the lower leg and with each other through the joints of the tarsus, metatarsus and toes. The joints of the hindfoot (tarsus) are represented by subtalar, talus-calcaneo-scaphoid, calcaneo-cuboid and sphenoid joints. The ram-navicular and calcaneo-cuboid joints form the Shoparov joint or the tarsal transverse joint. Bones of the middle and forefoot are connected through the tarsus-metatarsal (Lisfranc joint), intertarsal, metatarsophalangeal and interphalangeal joints. Arthritis of the foot can occur in any of the listed joints. Unlike the joints of the anterior section, the joints of the hind and middle sections of the foot are inactive. The range of motion in the joints of the foot is quite limited: flexion – 45-50 °; extension – 15-25 °; reduction and abduction – 12 °; pronation and supination – 13 °.

Causes of Foot Arthritis

The inflammatory process in the joints of the foot can develop primarily (independently) or against the background of concomitant infectious, metabolic, autoimmune diseases. In the etiology of foot arthritis, there is often a connection with previous injuries: bruises, sprains, dislocations and fractures of the bones of the foot. At the same time, a rather long time can elapse between trauma and joint disease. In cases where an open fracture or injury to the foot occurs, the inflammatory process may occur due to direct penetration of the infection into the joints. In some cases, foot arthritis develops as a result of chronic trauma to the joints of the foot, for example when wearing uncomfortable shoes, flat feet, playing sports or ballet.

The development of infectious arthritis of the foot may be associated with past viral, microbial, fungal or parasitic infections. Often in the history of patients it is possible to identify influenza or other acute respiratory viral infections preceding arthritis, exacerbation of chronic tonsillitis, pneumonia, intestinal infection, gonorrhea. Sometimes the infection spreads to the joints of the foot along the lymphatic paths from septic foci located close to the joint cavity (with boils, erysipelas, osteomyelitis, infected wounds, insect bites and animals). Reactive foot arthritis, debuting after a urogenital or intestinal infection, occurs in Reuters syndrome.

Rheumatoid arthritis of the foot is a disease with a reliably unknown etiology. Nevertheless, it is known that in this case, inflammatory and destructive changes develop due to damage to the synovial membrane of the joints formed in the body by immune complexes. In arthritis associated with gout, the inflammatory process is initiated by the deposition of urate crystals in the joint cavity. Factors that provoke pathological changes in the joints of the foot are old age, overweight, heavy loads, general and local hypothermia, smoking, immunodeficiency, diabetes mellitus, etc.

Symptoms of foot arthritis

Arthritis of various localization and etiology have a number of common clinical signs: pain, change in the appearance of the joint, impaired function. At the same time, each form of the disease has its own specific features. Pain in the joints of the foot is usually permanent, aggravated while walking or standing for a long time, and to some extent subside after rest. With gouty arthritis, a paroxysmal type of pain is noted. Soft tissues over the affected joints of the foot are swollen, the skin is hyperemic and hot to the touch. Violation of the function is expressed in limiting the mobility of the foot, reducing the volume and amplitude of movements. The loss of habitual foot mobility can be caused by both intense pain and osteophyte overgrowth (secondary foot arthrosis). Movement in the joints of the foot is often accompanied by a characteristic crunch or clicks.

Specific symptoms of foot arthritis include morning stiffness, multiple joint damage, and characteristic deformities of the fingers and feet. Stiffness of movements in the foot is noted mainly in the morning after a long period of night rest. Patients themselves usually express this condition with the phrase “in the morning I can’t disperse.” To limit mobility, pain is added, which makes the gait limp; sometimes patients for some time cannot step on the foot at all. Arthritis of the foot (with the exception of the post-traumatic form) is usually a manifestation of polyarthritis – an inflammatory lesion of the joints of various groups. Typical types of deformations resulting from the proliferation of marginal osteophytes, ankyloses and subluxations of the joints include claw-shaped and hammer-like fingers, valgus deformity of the foot.

Diagnosis of foot arthritis

Usually, referring to a specialist (rheumatologist or orthopedist) of the patient is caused by intense pain that makes walking difficult. As part of the study of physical status, the distal lower limb is examined; assessment of the position, shape of the foot, the nature of passive and active movement; palpation, determination of local temperature; gait analysis, etc.

In the diagnosis of arthritis, radiography of the foot, ultrasound of the joints, magnetic resonance imaging and computed tomography are crucial. To clarify the etiology of foot arthritis, immunological and biochemical blood tests are performed to evaluate the levels of CRP, rheumatoid factor, uric acid, and blood sugar. Diagnostic puncture of small joints of the foot allows you to get and conduct a study of synovial fluid. Arthritis of the foot should be distinguished from periarticular pathology – plantar fasciitis, heel bursitis, Morton’s disease, etc.

Arthritis Foot Treatment

Treatment of foot arthritis consists of etiopathogenetic and symptomatic drug therapy, a complex of rehabilitation and rehabilitation measures; if necessary – surgical tactics. In all cases, it is necessary to limit the load on the foot, to exclude its chronic trauma. In the acute period of the disease, immobilization of the foot with a plaster splint and movement with crutches can be indicated. Diet for foot arthritis is most often required for patients with gout.

In various forms of foot arthritis, the use of oral, parenteral and local forms of NSAIDs is shown, which have anti-inflammatory and analgesic effects. When establishing the infectious nature of foot arthritis, antibiotics are prescribed. In many cases, local intra-articular administration of glucocorticosteroids is required. In the recovery period, chondroprotectors, physiotherapy (magnetotherapy, diadynamic therapy, amplipulse therapy, paraffin, ozokerite, therapeutic foot baths), exercise therapy, foot massage are prescribed. Arthritis of the foot places high demands on the choice of shoes: it should be free, low-heeled, with a firm sole. As a rule, the patient is recommended the constant use of arch support and other orthopedic appliances.

In the event that arthritis leads to severe structural changes in the foot, endoprosthetics of the metatarsophalangeal joints or arthroplasty is performed. With the development of persistent deformation, resection of the hammer-like toes may be required.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Forecast and prevention of foot arthritis

In the case of arthritis of the foot, the prognosis largely depends on the control over the course of the underlying disease and the completeness of treatment measures. With proper therapy and following the doctor’s recommendations, it is possible to restore the former quality of life. Otherwise, irreversible changes in the joints and severe deformations of the foot can lead to disability and the impossibility of independent movement. To prevent foot arthritis, you should take care of convenient and comfortable shoes, protecting your feet from injuries and excessive loads, maintaining optimal weight, and timely elimination of concomitant diseases.

Arthritis of the lower extremities

The inflammatory process in the joints of the lower extremities is called arthritis of the legs. Such a disease can cause severe discomfort. A joint affected by inflammation swells, itches, blushes, and can be very painful. Sometimes the motor activity of the joint decreases. Drug treatment is necessary to prevent complications and even disability.

Causes and types of ailment

Arthritis of the lower extremities can develop against the background of some abnormalities in the human body. Classify the following main types of arthritis of the joints:

  • Infectious, developing due to the entry of bacteria and viruses into the joint area.
  • Reactive. Occurs after the transfer of infectious diseases.
  • Rheumato >The disease occurs against a background of mechanical damage to the joint.

There are many factors provoking inflammation of the joints of the legs, and they are all different. Among the main distinguish:

  • surgical interventions;
  • bruises;
  • heavy exercise;
  • infectious diseases;
  • problems with the immune system in humans.

And also there is a genetic predisposition to the disease. Often there is a development of the disease in women after the onset of menopause. This is due to endocrine changes in the body. Excessive consumption of foods that increase the excretion of uric acid can also lead to the development of gouty disease.

Symptoms of Leg Arthritis Disease

Arthritis on the legs can occur in a chronic or acute form. Inflammation extends to neighboring tissues, but the main focus is on the cartilage segments of the joint. Symptoms of the lesion appear immediately after the onset of the disease. At the site of localization of the inflammatory process, one can observe swelling, redness of the skin and a local increase in temperature. Symptoms that should alert you first:

  • acute joint pain;
  • limitation of mobility;
  • deformation or thickening of the joint.

Diagnostic Methods for Detecting Arthritis

To establish the correct diagnosis, it is necessary to analyze all the symptoms, collect an anamnesis, make a visual and tactile examination. This should be done by a qualified person. A comprehensive examination includes a biochemical blood test and urinalysis. Often, to identify a disease such as arthritis, you need to take a synovial fluid sample. This analysis will show the amount of protein and changes in electrolyte composition. And also, the study will help determine the causative agent of the infection, which provokes the inflammatory process.

An X-ray machine is used to confirm the diagnosis. The picture clearly shows the characteristic changes in the joint with arthritic disease.

Joint disease treatment

For effective therapy, several methods are used. Arthritis should be treated with internal and external effects. Non-steroidal anti-inflammatory drugs will help reduce pain and swelling of tissues. They will remove the inflammatory process in the joint. Often during the disease, cartilage tissue is destroyed and chondroprotectors are used to restore it. To cure arthritis of an infectious nature, antibiotic drugs are used. Externally, the disease can be affected by ointments or gels. Such drugs act directly on the focus of inflammation and relieve unpleasant symptoms.

Preparations

Arthritis of the lower extremities is treated with drugs such as:

  • “Diclofenac” – tablets that have analgesic and anti-inflammatory properties.
  • “Methotrexate” – capsules of the antimetabolite group. Relieve puffiness.
  • “Actovegin” – injections, activate metabolism, promote tissue repair.
  • “Voltaren Emulgel.” It has anti-inflammatory effect.
  • “Artrex” is an ointment that exhibits an analgesic effect.
  • Penicillin is an antibiotic with a wide spectrum of bacteriostatic and bactericidal action.
  • “Azithromycin.” Sensitive to gram-positive cocci. Used in the reactive form of the disease.

Therapeutic diet

To alleviate the symptoms and effectively treat the disease, it is recommended that certain nutritional rules be followed. For example, it is necessary to reduce the level of consumption of flour and starch-containing products. Be sure to diversify the diet with raw vegetables and fruits, especially apples, plums, sorrel and asparagus. In chronic arthritis of the joints of the legs, it is recommended to do a fasting week, that is, to eat vegetables for 7 days. To remove salt deposits, you can resort to a rice diet. To begin with, rice is soaked in water for 1 day. Then the cereals need to be boiled and consumed throughout the day. In addition to rice, you need to drink a rosehip broth.

Surgical interventions

In rare cases, resort to surgical methods of treatment. But sometimes arthritis can deform parts of the joint, and surgery is necessary to restore full motor activity. When drug therapy can not cope with the disease, surgical interventions are also used. The modern technique of operations does not cause a strong traumatic effect on the human body.

ethnoscience

To improve the condition with arthritis of the legs, methods of alternative therapy will help. Examples of effective recipes:

  • Birch buds need to be poured with boiling water and boil for several minutes. This broth is infused for 1 hour. Consume 250 grams 2 times a day before meals.
  • Scale the horsetail (about 50 grams) with boiling water and leave for 45 minutes. Take 1 glass per day.
  • Raw potatoes need to be grated and filled with kefir. Drink 10 days daily, then every other day.
  • Peel 4 heads of garlic, peel and pour 0,5 l of vodka. Insist the remedy for 10 days and then take 5 grams 3 times a day half an hour before meals.

How to warn?

Preventive measures are always very important. To prevent arthritis, you need to lead an active and healthy lifestyle. Be sure to monitor your weight and give up bad habits. An effective method in the fight against arthritis is hardening of the body, especially the lower extremities. And also you need to pay attention to the composition of the food. It should be dominated by foods rich in vitamins and calcium. Preventive measures include mud baths, massage and therapeutic exercises of the legs.

Arthritis of the legs: symptoms, treatment, prevention

Doctors distinguish different types of disease. Some of them have a destructive effect not only on the joints, but also on the internal organs. Pathology often provokes human disability. Therefore, it is important to begin treatment of toe arthritis in a timely manner.

Causes

Big toe arthritis develops for various reasons. Sometimes several factors contribute to the onset of the disease. Consider them:

  • Excessive load on the legs. Pathology can develop against the background of the fact that the joints experience excessive pressure when lifting weights, walking in uncomfortable shoes. The large body weight also contributes to the rapid wear of the joints of the limbs.
  • Heredity. The predisposition is determined mainly for the psoriatic and gouty type of disease. It is worth noting that in patients suffering from psoriasis or gout, arthritis does not always develop, provided that they lead a healthy lifestyle.
  • Failure to diet. Provoking factors are excessive drinking. Purine-containing foods are also harmful. These include wine, meat, oily fish, offal, chocolate, beans.
  • Injuries often provoke arthritis of the toes. In athletes, dancers, pathological changes in the joints of the lower extremities have become an occupational disease.
  • Infectious diseases cause a rheumatoid, reactive type of pathology. Negative consequences more often occur after angina, flu, acute respiratory viral infections, and diseases of the genital area.

The risk of developing arthritis is great, when, in addition to the listed reasons, a person is in constant stress, poorly fed, overworked mentally and physically.

Symptoms

Signs of arthritis of the phalanx of the toes are important to notice in a timely manner and seek help. Treatment of pathology is effective only at the initial stage of the disease. If you start therapy later, you can only temporarily stop the symptoms of arthritis of the toes.

Consider the signs:

  • pain (from aching to intense);
  • swelling;
  • swelling, worse after exercise;
  • the affected toes on the leg become red in the joint;
  • if the body temperature rises, the person experiences chills, weakness.

Symptoms of arthritis do not always consist of a complete list of symptoms. They can occur singly and in any combination.

Which doctor treats toe arthritis?

Polyarthritis of the feet is treated by an arthrologist. However, getting an appointment with this specialist in small cities is almost impossible.

Therefore, if you find manifestations of arthritis, contact your therapist. The doctor will refer you to a narrow specialist, taking into account the characteristics of the disease.

When a pathological phenomenon has arisen due to a dislocation or fracture, an examination by a traumatologist is required. In rheumatoid arthritis, an immunologist consults the patient. In some cases, specialists such as a nutritionist, endocrinologist, and rheumatologist are involved. The main thing is to begin treatment of the disease as soon as possible, otherwise it can transform into polyarthritis of the toes.

Diagnostics

Arthritis of the joints of the toes can be suspected by a person himself, based on the symptoms. However, only an expert is able to establish an accurate diagnosis and type of disease.

Already at the stage of the initial examination, the doctor establishes a presumptive diagnosis based on the patient’s complaints of pain in the legs, pain in the feet. The doctor examines and feels the limbs. It is important to study the history in order to determine the cause of the pathology.

To confirm the diagnosis, various examination methods are used:

  • general analysis of urine, blood;
  • to determine the state of the immune system, donate blood for a biochemical study;
  • autoimmune disorders can be eliminated by studying the patient’s biomaterial samples;
  • puncture from a diseased joint allows you to confirm the diagnosis;
  • X-ray examination allows the specialist to determine the degree, extent and stage of the disease.

Modern diagnostic methods together allow you to accurately determine the diagnosis. Analysis of fluid taken from the joint eliminates the 100% chance of error.

Treatment

Arthritis of the big toe gives a person significant discomfort. Little fingers and other fingers are less likely to deform. To begin treatment of arthritis of the big toe, you need to treat the underlying disease that provoked the pathology. To alleviate the condition, they conduct therapy that eliminates the painful symptoms of pathology. In each case, the doctor selects an individual scheme.

We will consider the basic principles used to stop inflammation of the big toe:

  • Anti-inflammatory drugs for local use in the form of ointments, creams, gels (Sustamar, Indometocin ointment, Fastum gel, Nimedar). They allow you to stop the inflammatory process, relieve swelling and soreness.
  • Chondroprotectors are prescribed to regenerate cartilage. Drugs stop the process of decay of its structure, make it more elastic (Structrum, Osteo pro, Terraflex, Movex, Donna).
  • Treatment of arthritis of the big toe in the stage of an acute attack is not complete without the use of injections of anti-inflammatory drugs (Diclofenac, Ibuprofen, Meloxicam, Clinoril). In severe situations, steroid hormone therapy is prescribed (cortisone, prednisolone).
  • Rheumatoid arthritis is treated with drugs that reduce the activity of the immune system, for example, Diprospan.
  • A gouty type of disease requires the use of medications that slow down the production of uric acid (Niacin, Cyclosporin). It is also necessary to strictly follow a diet. Clinical nutrition excludes foods that are high in purines.
  • Psoriatic arthritis should be treated with glucocorticoid hormones (hydrocortisone, triamcinolone). Drugs help stop erosive changes in diseased joints.

Folk methods

In addition to tablets, stabilization of the patient’s condition can be achieved through the use of alternative recipes. Alternative medicine does not guarantee a positive result for the patient, therefore, appropriate treatment should be used purely as an auxiliary technique.

  • Lotions of tincture of red pepper with honey.
  • Foot baths with camomile.

Before using traditional medicine, you must always consult a doctor.

Proper nutrition will not relieve the patient of arthritis, but will contribute to improving his well-being. Especially important is the correct diet for patients with gout. To select a daily menu, you should consult a dietitian.

  • Dietary meat (chicken, turkey).
  • Fresh vegetables and fruits to choose from.
  • Dairy products.

Avoid fried and smoked food. With the parallel presence of gout, chocolate, alcohol and red meat (beef) are excluded from the menu.

Gymnastics

Physical therapy is one of the most affordable and effective methods to improve the well-being of the patient. Dosed physical activity helps stimulate microcirculation with accelerated recovery of affected tissues.

  • Smooth circular revolutions of the foot.
  • Work on a stationary bike in a gentle mode.
  • Swimming.

It is important to consider that exercise therapy in the acute period of arthritis is not carried out due to severe pain. First, you need to reduce the intensity of discomfort.

Massage

Massage is an auxiliary treatment for arthritis of the metatarsal bones of the foot. The manual effect on the affected joint contributes to the heating of internal structures, improves microcirculation, and reduces the severity of edema.

  • With soft circular motions, the foot warms up. Use of special oil is allowed.
  • The intensity of movement increases until there is a sensation of mild pain in the joint.
  • Onslaught decreases.
  • In parallel, it is recommended to perform light circular foot movements.

As in the case of exercise therapy, massage can only be done with the attenuation of exacerbation. Otherwise, there is a risk of aggravation of the patient’s condition.

Prevention

You can prevent arthritis of the joint of the big toe by listening to the recommendations of doctors:

  • Physical education, swimming help improve blood circulation, get rid of excess weight, strengthen muscles.
  • Proper nutrition in the prevention of arthritis plays a big role. It is advisable to limit or eliminate the use of fatty foods, red meat. It is good to make a diet of low-fat varieties of fish, seafood, fruits, vegetables, cereals.
  • Doctors advise drinking 2-3 liters of water per day.
  • Alcohol is excluded or limited.
  • Avoid hypothermia.
  • Comfortable shoes should be chosen.

A responsible approach to your health can reduce the likelihood of developing a pathology. Particular attention to the prevention of arthritis should be given to people aged 40-50 years.

Posted by Tatyana Grosova, Nurse,
specially for Ortopediya.pro

Useful video about ankle arthritis

Any discomfort in the legs may be the beginning of rheumatoid arthritis of the foot.

Popularly, lower limb joint disease is often referred to simply as “rheumatism”. And only specialists among a number of articular pathologies isolate rheumatoid arthritis of the foot (ASD) and know everything about its different symptoms that occur suddenly or undermine health for several years without external clinical manifestations. The disease can develop quite early, at the age of 25-45 years.

At the therapist’s appointment

To make the correct diagnosis at the stage of “height” of the pathology does not provide labor during an elementary examination of the patient. The problem with the diagnosis arises in the early stages, since the course of the disease in patients is significantly different in each case. You can verify the wide range of manifestations of articular pathology by familiarizing yourself with the classification of rheumatoid arthritis in general, created by doctors for convenience:

  • The disease affects all, several or less often one joint.
  • In the patient’s blood, rheumatoid factor may or may not be present.
  • The disease can acquire a rapid course, and can develop slowly.
  • Pathology is characterized by varying degrees of activity.
  • Pathology may be accompanied by periarticular osteoporosis with normal or narrowed joint space, with or without bone ankylosis.
  • The disease proceeds both with significant restrictions on physical activity, up to the complete loss of self-care, and without movement restrictions.
  • In adolescence, the disease gains even more atypical forms with multiple joint damage, high fever, and an increase in the pancreas and liver.

Difficulties in diagnosing rheumatoid arthritis

All joint diseases of the legs have similar manifestations: it is the same pain, swelling of the joints, changes in the general and biochemical analysis of blood, and the treatment of rheumatoid arthritis of the foot is specific with the use of potent medicines, the purpose of which should be justified by 100%, since it has a number of serious side effects effects. That is why it is so important for the doctor to make sure that he is dealing with ASD, and not with another pathology.

If rheumatoid arthritis is suspected, the doctor will definitely prescribe a comprehensive examination that can distinguish the disease from other diseases, such as:

  • gout,
  • osteoarthritis,
  • autoimmune pathologies,
  • fibromyalgia,
  • psoriatic arthropathy,
  • inflammation of the joints caused by infection.

It is important for the doctor to conduct an examination at the peak of exacerbation, since the disease is characterized by an uneven course: symptoms can appear for a while, and then disappear or decrease for a certain period. A specialist will definitely recommend undergoing a laboratory examination with a general, serological and biochemical blood test. And although there is no single clear marker among blood indicators that would accurately indicate the presence of ASD, a comprehensive analysis of the symptoms of rheumatoid arthritis of the foot, blood counts and a detailed history will lead to an objective diagnosis.

RAS facts only

  • This is a dangerous disease leading to chronic processes in the joints, leading to their destruction.
  • ASD affects people of all ages and categories.
  • Often, a genetic predisposition to the disease plays a role in the development of the disease.
  • The disease begins, most often, with small joints, and later large ones are involved in the process.
  • The causes of joint pathology often remain unclear.
  • Often start the mechanism of the onset of the rheumatoid process of viral attacks, leading to malfunctions in the immune system.
  • More often patients of rheumatologists become patients who have been exposed to negative external factors and harmful industries for a long time.
  • It provokes excessive stress on joints and frequent bruises.
  • The disease is characterized by the presence of periods of outbreaks and attenuation of symptoms, which delays the patient’s appeal for help.
  • Joints in most cases, but not always, are affected symmetrically.
  • Long-term rheumatoid inflammation leads to deformation of the joints, which violates their mobility and requires surgical intervention.
  • The disease can be sluggish, without acute symptoms, but joint damage still occurs quite quickly.
  • Rheumatoid factor is determined only in 80% of patients with ASD.
  • The chronic form of the disease is more difficult to treat than the initial stage.
  • In men, rheumatoid arthritis of the ankle joint is more common, and women are more affected by inflammation of the small joints of the foot.

Complications of the RAS

As a rule, the disease has a long course. Any painful process in the body cannot occur in a limited way and sooner or later begins to affect all biochemical reactions. As a result, all systems and organs are involved in the pathological process, which violates their usual rhythm.

Complications eventually affect large areas of the body, paying attention to most systems and organs:

  • The skin reacts with the appearance of rheumatoid nodules and dermatitis;
  • The reaction of the eyes begins with a slight reddening, and may result in complete blindness;
  • The heart becomes more susceptible to the development of heart attack, pericarditis;
  • Blood responds with anemia and thrombocytopenia;
  • Rheumatoid nodules can form in the lung tissue and pleurisy develop.

In addition to the listed complications, the resistance against infectious diseases falls in patients. The emotional sphere is also disturbed, which is manifested by frequent depression. In a word, the whole organism undergoes changes.

An integrated approach is sure to overcome the ailment

Since the course of the disease largely depends on the general condition of the body, on the factors that provoked the development of pathology, treatment also requires an individual approach, taking into account concomitant diseases, age, and immune system resistance. The arsenal of methods that can effectively combat ASD is quite diverse:

1. drug treatment

2. folk remedies

3. physiotherapy exercises,

4. surgical intervention.

First of all, all the efforts of the doctor will be aimed at eliminating the discomfort caused by soreness of the inflamed joints. After removing acute inflammation, the patient should definitely engage in physical therapy in order to reduce the load on the affected joints due to a good muscle frame. Traditional methods give a very good effect. In cases of severe destruction of the joint, it is replaced by a prosthesis, which returns the patient to normal motor capabilities.

A few words about traditional methods of treatment

Rheumatoid diseases did not appear today, and folk experience has in its arsenal many effective ways to combat the disease. Many patients resort to traditional medicine, having become disillusioned with traditional remedies and not receive quick relief.

Many patients get a good effect from foot baths with a concentrated solution of iodized salt, various warming compresses and warming the feet in hot sand. All folk recipes should be agreed with the attending physician, since there are a number of conditions in which they are strictly contraindicated.

Herbal medicine courses, as well as the main treatment methods for ASD, can last up to a year. It helps to use a decoction of linden, St. John’s wort, chamomile: mix herbs in equal proportions, and brew one teaspoon of the mixture in a glass of boiling water, drink throughout the day, delimiting time with meals.

You can also remove inflammation and increase immunity by taking a mixture of carrot and cabbage juice (up to 1 glass per day).
It is worth remembering that folk remedies can only be additional methods of treatment, and not replace the main ones. And even the most harmless means, in your opinion, should be taken only after consultation with your doctor.

A diagnosis of rheumatoid arthritis is not a sentence, even if treatment is started at a later stage.
A full recovery is possible, only this will require a little more effort and time, patience and endurance in order to abandon the usual pastime in favor of a strict routine, therapeutic diet and a positive attitude.

Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues

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