Diabetic joint disease is a debilitating form of arthritis that is facilitated by neurological (nerve-related) diseases. Charcot Joint Disease is another name for it. It is named after Jean-Marie Charcot, a French neurologist who noticed a severe pattern in joint destruction in patients suffering from advanced syphilis. Advanced (tertiary), syphilis can cause loss of normal sensation, especially in the lower extremities (foot or ankle). Charcot observed this in 1868. This phenomenon has been observed for the past seventy-years in patients with diabetic neuropathy (nerve disease). This neuropathy can also cause a loss in normal sensation.
Feet can become completely insensate, meaning they no longer feel. These feet often have normal arterial circulation. Trauma is the last factor that can lead to Diabetic Joint Disease. Trauma can occur as an injury such as a fracture, sprain, or as a subtle injury like a repetitive stress injury. This type of destructive arthritis is more likely to be experienced by someone whose foot musculoskeletal system is even slightly dysfunctional. Who gets Diabetic Joint Disease (DJD)? This arthropathy is most common in patients with diabetes mellitus. These patients are known to have diabetic peripheral nervepathy. About 8.5 people are diagnosed with diabetes per 1000. There are approximately sixteen million undiagnosed and diagnosed diabetics in America.
Another forty million people with impaired glucose tolerance, which makes them more susceptible to developing diabetes mellitus. Why do they develop Diabetic joint disease? Trauma is not synonymous with pain. Even minor trauma can cause pain in the sensate foot. The insensate foot does not feel pain. It is important to feel pain when something is wrong. The pain is what tells us that something is wrong. The person can’t tell if there is a problem by feeling pain. This can lead to joint and bone damage. Multiple fractures and complete joint destruction are common.
Diabetic Joint Disease
It can cause total or partial paralysis of the foot and ankle. This may require special shoes, orthosis for the feet, bracing, surgery, and possibly amputation. Charcot Joint Disease can also be caused by other conditions. Charcot Joint Disease can be caused by any disease or disorder that causes insensate feet. Spine trauma is a possible cause. Leprosy and syphilis can also be causes. Charcot-MarieTooth disease and vitamin deficiency are also possible causes. These are a very small number of Charcot Joint Disease cases. The most severe trend and highest risk is likely to be seen in those who are both diabetics and alcoholics. What are the most common symptoms of Diabetic Joint Disease (DJD)? Undiagnosed swelling of the ankle and foot, usually unilaterally (on one side), is a common sign. Redness and heat may be present.
Gout, tendonitis, or infection of the soft tissues or bone are all common differential diagnoses. How is Diabetic Joint Disease diagnosed A clinician should suspect the disorder based on a clinical examination and a basic history. A patient with an insensate diabetes who presents with a unilateral warm, swollen and reddish foot should be treated as Diabetic Joint Disease. Advanced cases may have crepitating and grating sounds between bone and joints, when placed through a range. Inconclusive radiographs can be difficult to interpret in the early stages. They can become very obvious in later stages, with severe bone loss, dislocations, and fractures. A bone scan is helpful in diagnosing the condition. Additional testing, such as MRI and CT scans, can be useful in diagnosing bone abscess or for surgical staging. How is it treated? Initial treatment involves immobilization using a cast or cam-walker. It is mandatory to not carry any weight. Also, crutches, walkers, and kneewalkers are a must. A wheelchair is an option. Special insoles, extra-depth shoes and custom shoes may be required to stabilize the deformity and control it. Sometimes, surgery is necessary.
Sacroliac Joint Pain
As baby boomers age, so does the need to deal with Sacroiliac Joint Pain. Sacroiliac pain is becoming more common. What is Sacroiliac Joint Pain? What are the causes? What are the best ways to prevent or treat it? Sacroiliac pain is a common condition that affects the lower back and hips. Sacroiliac back pain can cause severe pain that can spread to the legs and groin. Subluxation of the joints is a common cause for joint pain. This is a partial dislocation of the affected bone, causing ligament hyperextension. These areas are susceptible to inflammation and discomfort. There are many reasons for inflammation. These can include trauma to these areas, infection, disease, stress, and genetics. This causes damage to the surrounding tissue and ligaments. Joint pain can result from swelling due to the increased pressure on the surrounding nerves.
These areas are more vulnerable to pain than other areas. These areas are often surrounded by nerves. These nerves can be connected to our hips and legs, which can lead to inflammation and pain. It is possible to identify the cause of joint pain using vague symptoms and identifiers. If the pain is spreading to other areas, discomfort in the lower back may be a sign of a problem. A cough, sneeze, or small movements can all indicate increased back pain. Back pain can also be characterized by weakness in the affected area, numbness, or stiffness. If you feel this way, you should consult a doctor who specializes in Arthritis and other related health issues.
Do-it-yourselfers should not attempt to diagnose themselves. Severe health issues need serious treatment or at the very least analysis. Avoiding the visit to the doctor you fear will only prolong your pain and treatment. You can return to normal faster if you are proactive. There are many unknowns regarding the causes of Sacroiliac joint pain. It is not clear if the pain is caused by the ligament or the area around the joint. Gout, rheumatoid or gout can cause irritation of the Sacroiliac joints. If you have lower back pain, Talk to a qualified doctor to determine the cause of your joint pain. Once the causes of joint pain are identified, treatment can be given. Yoga, which has shown many positive results, may be used. The use of medication that reduces or eliminates inflammation. You might also be able to use herbal supplements to relieve back pain. A specialist who specializes in joint pain issues can provide guidance.