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Rheumatism Doctors or Clinic – Which Treatment is best? Here 9+ explanations

Reimatoloģija ir specializēta medicīnas nozare, kas nodarbojas ar reimatisko slimību diagnostiku un terapiju. Reimatiskās slimības jeb reimatismu diagnosticē, ņemot anamnēzi, veicot medicīnisko izmeklēšanu un nosakot ģenētiskos marķierus un antivielas asinīs.

Rheumatism Medicine

General practitioners, rheumatologists, physiotherapists, orthopaedists, occupational therapists, osteopaths and dieticians each have a particular role to play in the treatment of rheumatic diseases. There are various types of rheumatism, various causes of rheumatism and various rheumatism treatments. Rheumatism medicine is a wide field that we all need to learn more.

Reimatologi specializējas reimatisma, piemēram, podagras, reimatoīdā artrīta un citu reimatisko slimību diagnostikā un terapijā. Reimatologi ārsti strādā specializētās praksēs vai klīnikās. Viņi nāk no iekšķīgo slimību, ortopēdijas vai pediatrijas un pusaudžu medicīnas jomas.[1]

Rheumatologists – A Joint Specialist

Reimatologs ir ārsts, kas ārstē locītavu reimatismu. Viņš ir internists vai pediatrs, kas ieguvis papildu izglītību slimību, kas skar locītavas, kaulus, muskuļus, saites un cīpslas, diagnosticēšanā (noteikšanā) un ārstēšanā. Reimatismam ir daudz dažādu simptomu. Šīs slimības var izraisīt sāpes, pietūkumu, stīvumu un, iespējams, izraisīt locītavu deformācijas. Reimatisma simptomus ir viegli pamanīt.

Reimatologs ir locītavu speciālists. Viņš sadarbojas ar ģimenes ārstu, apstiprina viņa diagnozi un var veikt noteiktas medicīniskas procedūras, piemēram, locītavas izsvīduma punkciju. Vajadzības gadījumā viņš var nosūtīt pacientu arī pie citiem ārstiem speciālistiem, piemēram, ķirurga. Konsultācijas ar reimatologu var notikt vai nu viņa privātpraksē, vai klīnikā, jo īpaši sarežģītāku papildu izmeklējumu gadījumā, piemēram, artroskopijas (locītavas iekšpuses pārbaude, ievietojot nelielu kameru) gadījumā.[2]

Rheumatism Diseases

Rheumatism is a generic term for all joint disorders. This can be osteoarthritis, arthritis, osteoporosis or autoimmune diseases such as rheumatoid arthritis. These osteoarticular disorders are among the leading causes of disability and handicap.[3]

Šīs slimības ir daļa no reimatologu ārstēšanas iespējām:[4]

  1. Autoimūnu izraisītas, hroniskas iekaisuma slimības, kas saistītas ar kustību un muskuļu skeleta sistēmas hroniskām iekaisuma slimībām (reimatoīdā, psoriātiskā, vaskulīta), kolagenozi.
  2. vielmaiņas traucējumi, kas izraisa reimatiskas sūdzības (piemēram, podagra).
  3. mīksto audu reimatisms (piemēram, fibromialģija).
  4. Kaulu slimības, kas izraisa mugurkaula sūdzības (piemēram, osteoporoze)Degeneratīvas vai ar vecumu saistītas reimatiskas slimības (piemēram, mugurkaula deģeneratīvas slimības).

Rheumatism Symptoms

One of the main reasons why inflammatory rheumatism is often misdiagnosed is that the symptoms are still relatively unknown.[5] Knowing the symptoms of inflammatory rheumatism is simply a better way to prevent it.

Among the symptoms, inflammatory rheumatism is manifested by:

  • Pain or sensitivity in the affected joints
  • One or more swellings in the affected joints
  • Apsārtums
  • Persistent morning stiffness lasting up to an hour.
  • Constant and unexplained fatigue
  • An outbreak of fever

Inflammatory rheumatism, such as rheumatoid arthritis or ankylosing spondylitis, affects the joints, particularly in the hands, wrists, hips, knees, feet, etc. It is a very uncomfortable disease, especially as it can be very painful depending on the case and the areas affected.

If inflammatory rheumatism is misdiagnosed or diagnosed too late, the complications can be serious and difficult to bear for those affected. These include motor difficulties, but the disease can also spread to other circulations. In the most difficult cases and depending on the psychological situation of the person affected, inflammatory rheumatism can lead to depression, the main cause of which is pain. Inflammatory rheumatism can be lived with, thanks to special treatments and a regulated lifestyle.

Rheumatism Treatment

To treat rheumatism, doctors prescribe analgesics and painkillers such as paracetamol, but also non-steroidal anti-inflammatory drugs. If this first line of treatment fails, rheumatologists may offer patients corticosteroid injections to relieve the inflammation. In the case of chronic inflammatory rheumatism, background treatments are combined with painkillers to control the disease and space out inflammatory attacks.[6]

Physiotherapy and physical activity are non-pharmacological approaches common to all rheumatic diseases, as they are essential in preventing painful attacks: in order to feel less pain, the joints must be mobilised.[7]

Finally, in some cases, surgery can be considered. In particular, it can be used to prevent destruction of cartilage or tendons or to repair tendons or to replace a destroyed joint with a prosthesis in the case of rheumatoid arthritis. In arthritic patients, surgery is mainly used to install total or partial knee or hip prostheses.

But before going to the clinic, if rheumatism is not so advanced, we recommand you to go to see a rheumatologist to relief your pain, but also take home remedies, such as: Kurkumīns un bosvēlija.

More info here: Fyron G1 + G2

Rheumatism Doctors Rheumatism Doctors

Reimatisms Home līdzeklis

Kāds ir galvenais reimatisma cēlonis?

In many cases, rheumatism is a disease caused in part by ageing, joint trauma or excessive stress on cartilage, but also by immune system dysregulation and sometimes by infections or cancerous tumours. A hereditary component has also been identified. However, the exact causes of these disabling diseases are still unknown. Rheumatism causes are very complex…

Patiešām, reimatisma jomā klīniskās kartes ir ļoti aktuālas. Cēloņu ir tik daudz, ka tie vēl ir maz pētīti.

Tie ietver:

  • slikts svara sadalījums
  • locītavu nodilums
  • iedzimtie faktori
  • vāji konsolidēti lūzumi
  • saišu un cīpslu traumas
  • iedzimta locītavas deformācija

Citas reimatiskās slimības izraisa vielmaiņas vai imūnsistēmas problēmas vai arī tās ir iekaisuma izraisītas. Ir aizdomas, ka reimatismu var izraisīt arī vīrusu infekcijas un dažas zarnu baktērijas.

Kopumā slimība progresē hroniski un izraisa locītavu iekaisumu, kas var novest pie to iznīcināšanas.

Kādas ir pirmās reimatisma pazīmes?

Patiesībā nav slimības, ko sauc par reimatismu. Reimatisms ir kopējs apzīmējums vairākiem simptomiem, kas saistīti ar sāpēm balsta un kustību sistēmā.

Pirmās reimatisma pazīmes ir vairāku locītavu, īpaši plaukstu, plaukstu un pirkstu, sāpīgs stīvums, jutīgums, apsārtums un pietūkums. Sāpes parasti rodas naktī un no rīta.

Gradually, the inflammation weakens the cartilage, bone and tendons, leading to disabling deformities. In everyday life, these joint pains are annoying and sometimes very painful. As soon as they appear, they can have repercussions on everyday activities but also prevent us from sleeping at night…

Šeit ir arī citas brīdinājuma zīmes:

  • Nogurums
  • Viegls drudzis
  • Svara zudums
  • Siltums locītavās
  • Nespēks un tirpšana
  • Samazināts kustību diapazons
  • Abu pušu kopīga iesaistīšanās
  • Miega traucējumi naktī
  • Vispārējs nespēks

Arī pirmie reimatisma simptomi ne vienmēr ir saistīti tikai ar locītavām. Sākotnējās izpausmes var būt arī citos orgānos, piemēram, ādā, acīs, mutē, gremošanas traktā, plaušās un nierēs.

Tātad pirmie reimatisma simptomi nav ļoti specifiski un tos var sajaukt ar citām slimībām. Var gadīties arī tā, ka mēs tiem nepiešķiram nozīmi, vainot tajos vecumu, novecošanu vai fiziskās sagatavotības trūkumu.

Kādas ir reimatisma sāpes?

Sāpes ir visbiežāk sastopamais reimatisma simptoms, un parasti tās rodas locītavās vai ap tām. Tā var būt īslaicīga vai parādīties tikai kustību laikā, piemēram, rokās, kad tās šuj, ceļgalos, kad tās staigā, vai mugurā, kad tās noliecas, bet tā var būt arī pastāvīga un neatlaidīga, pat traucējot kustēties vai gulēt.

Sāpes dažkārt pavada stīvuma vai nejutīguma sajūta locītavās, kas uzlabojas kustoties. Taču sāpes var nākt arī no muskuļiem, cīpslām vai citām kustību sistēmas struktūrām, un tās var kļūt ļoti nepatīkamas.

Rheumatism is usually manifested by “mechanical” pain that is triggered and aggravated by movement. They subside with rest.

Those so-called “mechanical” pain is the main symptom. They lead to :

  • diskomforts
  • grūtības kustināt ekstremitātes;
  • stīvums ;
  • pietūkums vai pat sarkanas un karstas zonas;
  • muskuļu sāpes

Tās ir ikdienas un nakts sāpes, kas neatstāj pacientus: vairāk nekā pusi no viņiem pamodina sāpes.

So, rheumatic diseases produce discomfort, prickling, a feeling of heaviness, tightness or tiredness localised in one area of the body (shoulder, neck, lumbar region, legs, etc.) or with a generalised or diffuse distribution, as if the whole organism were involved and which the affected person expresses with a phrase such as: “everything hurts” or “I get up worse than when I go to bed”.

Galvenais simptoms ir locītavu pietūkums. Tas ir sinoviālā šķidruma uzkrāšanās locītavas dobumā sekas, un to var izraisīt dažādi procesi. Tā ir locītavu slimības pazīme, kuras dēļ mums būtu jākonsultējas ar reimatologu. Locītavu slimības var izraisīt arī citus simptomus, piemēram, apetītes zudumu, svara zudumu, spēka zudumu, vājumu, nogurumu, drudzi vai izmaiņas citos orgānos vai sistēmās (ādā, acīs, mutē, gremošanas sistēmā, plaušās, nierēs u. c.).

Kāda ir atšķirība starp artrītu un reimatismu?

Ar terminiem artrīts un reimatisms apzīmē vairāk nekā simts dažādas dabas un cēloņu slimības, ko raksturo sāpes locītavās. Reimatisms pret artrītu?

Reimatisms ir slimību grupa, ko galvenokārt raksturo sāpīga locītavu pietūkums. Reimatisms ir vispārējs termins, ar ko apzīmē visus locītavu traucējumus. Tas attiecas uz visām slimībām, kas izraisa sāpes vai iekaisumu, kas skar locītavas vai to tuvumā esošās struktūras, piemēram, cīpslas, saites, skrimšļus vai starpskriemeļu disku. Tādējādi reimatisms attiecas uz visām kustību sistēmas slimībām. Tas var būt osteoartrīts, artrīts, artroze, osteoporoze vai autoimūnas slimības, piemēram, reimatoīdais artrīts.

The concept of rheumatism does not exist in medical books, so it is not considered a pathology: rheumatism refers to the set of ailments or complaints related to the locomotor system.

Artrīts ir locītavu apņemošās membrānas iekaisums. Tas var būt infekciozs, autoimūns (ko izraisa imūnsistēmas uzbrukums savām skrimšļa šūnām) vai vielmaiņas cēlonis. Ir vairāki veidi: podagra, ankilozējošais spondilīts, reimatoīdais artrīts utt.

Ir vairāk nekā simts dažādas muskuļu un skeleta sistēmas slimības. Reimatoloģija ir medicīnas specialitāte, kas nodarbojas ar muskuļu un skeleta sistēmas slimībām un sistēmiskām autoimūnām slimībām, un ārsts, kas specializējas šo slimību ārstēšanā, ir reimatologs.

Kā jūs ārstējat reimatismu?

To treat rheumatism, doctors prescribe analgesics and painkillers such as paracetamol, but also non-steroidal anti-inflammatory drugs. If this first line of treatment fails, rheumatologists may offer patients corticosteroid injections to relieve the inflammation. In the case of chronic inflammatory rheumatism, background treatments are combined with painkillers to control the disease and space out inflammatory attacks.

Natural preventive also solutions exist to counter the appearance of rheumatic symptoms!

Lasīt vairāk: Kā jūs ārstējat reimatismu?

What foods to avoid if you have rheumatism?

Osteoarthritis manifests itself as severe pain in the joints. This is usually due to a deterioration of the cartilage which leads to inflammation. Certain foods tend to accentuate this effect and prevent the supply of certain nutrients to these parts of the body. In order to try and control this, certain foods should be avoided.
Red meat and cold cuts
More generally, these are all products rich in saturated fatty acids, which feed the inflammation and tend to aggravate it. Various cheeses and margarine, in particular, can also be mentioned in this context. Without going so far as to cut out all consumption, it is recommended to limit it and to aim for good quality products.
Fried foods
Still on the subject of fats, it is important to pay attention to the amount you consume. Some fatty acids, such as Omega 6, are particularly bad because they increase inflammation. Fried foods in general should therefore be avoided, especially when combined with a large amount of salt, such as Chips or crisps.
Certain vegetable oils
For the same reason as mentioned above, certain oils should also be avoided. These are all oils that are too rich in Omega 6, such as soya, corn or sunflower oil. Rest assured, other vegetable oils are rich in Omega 3s, so they can easily be replaced.
Cukurs
Sugar is one of the biggest enemies of the human body, especially in the case of osteoarthritis. Although it is difficult to do without it completely, it is nevertheless recommended to limit its consumption. You can use alternatives that provide taste without having harmful effects.
Alkohols
Finally, for the more festive among you, alcohol is not a good idea if you suffer from osteoarthritis. Consuming large amounts of alcohol can actually increase the effects of inflammation. As with other foods, it is not advisable to give it up completely, but rather to know how to limit yourself to a glass from time to time.

How do you relieve rheumatism?

A person suffering from inflammatory rheumatism must adapt his or her lifestyle to the disease in order to relieve the pain and have a better quality of life.

Inflammatory rheumatism or not, adopting a healthy lifestyle can only be beneficial. In the case of inflammatory rheumatism, a healthy lifestyle helps to regulate the rhythm of life of the person affected. A healthy lifestyle can be as much about a healthy and balanced diet as it is about physical activity.

It is important to choose the right physical activities, otherwise there is a risk of creating complications in addition to the inflammatory rheumatism. Practising an unsuitable sport could completely destroy a damaged joint. While tennis is not recommended because it can cause sciatica, yoga is recommended to relieve joint pain, or walking and cycling.

What is the best way to treat rheumatism?

The best way is to use natural methods. Alternative doctors often use herbal therapy (phytotherapy) to treat rheumatism. Well-known herbs in herbal medicine are devil's claw, comfrey, nettle and arnica.

Acupuncture, herbal therapies of traditional Chinese medicine, homeopathy and Kneipp applications are also possible. The focus is on improving the immune system and metabolism. This generally relieves pain and prevents the rheumatic disease from spreading.

These natural remedies and practical tips for everyday life help to relieve joint pain:

Cold poultices
In case of acute joint pain accompanied by swelling or redness, apply a cold compress or clay poultices made of acetic clay, cottage cheese or medicinal clay several times a day. This has an anti-inflammatory, decongestant and analgesic effect.
Heat treatments
Full and partial baths with arnica, hay flowers, fango (volcanic mud with therapeutic properties) or peat reduce pain and stimulate the metabolism and blood circulation. Potato, medicinal clay or flax seed poultices also help. In an emergency, a cherry stone heating pad is also helpful.
Meadowsweet tea
2x a day a cup of meadowsweet, also known as ultima spirea, false spirea or filipendula. The herb contains acetylsalicylic acid, like aspirin, which is an analgesic and has an anti-inflammatory and analgesic effect.
Regular physical activity
Despite the pain, patients with rheumatoid arthritis or osteoarthritis should apply regular pressure to the affected joint to improve mobility and prevent cartilage degradation. Aquafit, weight training, Nordic walking, swimming and cycling are particularly gentle on joints. Talk to your family doctor or therapist and decide with him/her on the appropriate training and pace.
Learn to relax
Tension and cramps make the pain worse. Use relaxation techniques such as autogenic training or breathing exercises.
Diēta
Along with physical activity and relaxation, a balanced diet is one of the fundamental pillars of a healthy lifestyle. Interesting tips and general information can be found on the Swiss League against Rheumatism website.

What are the symptoms of rheumatism?

Rheumatism is usually manifested by "mechanical" pain that is triggered and aggravated by movement. They subside with rest. Daily pains that do not leave the patients: more than half of them are awakened by their pains. Joint stiffness, swelling and discomfort are also common symptoms of all rheumatic diseases. These symptoms diminish during the day when the joints are moved and mobilised.

The most common symptoms of rheumatic fever are:

  • Pain in the joints (mainly hands, knees, hips);
  • Pain in the back, neck ;
  • Swelling of the joints;
  • Feeling of stiffness, especially in the morning. Joints become more flexible as they are "unlocked" during the day.
  • Drudzis
  • Chest pain or palpitations caused by inflammation of the heart (carditis)
  • Jerky, uncontrollable movements (Sydenham's chorea)
  • Skin rash
  • Small papules (nodules) under the skin

Joint inflammation and fever are the most common initial symptoms. Spontaneous pain suddenly appears in one or more joints that are painful to the touch. They may also be hot, swollen and red. The joints may be stiff and contain fluid. Ankles, knees, elbows and wrists are usually affected. However, the shoulders, hips and small joints of the hands and feet may also be affected. When pain decreases in one joint, it appears in another (migratory arthralgias).

The joint pain may be mild or severe and usually lasts for about 2 weeks, rarely more than 4 weeks.

Rheumatic fever does not lead to long-term joint damage.

Avoti

Nutrition and Rheumatic Disease

Nutrition and Rheumatic Disease

Springer Science & Business Media. 2008

In this book, experts provide a comprehensive review of current knowledge regarding nutrition and dietary management for the complex set of rheumatic conditions. Within the disease-specific chapters, the authors present a historical perspective, a discussion of the major clinical features, current management and treatment, a review of the literature related to nutritional status and diet, and dietary recommendations, based on current scientific evidence. The field of rheumatic diseases...

The Primary Prevention of Rheumatic Diseases

The Primary Prevention of Rheumatic Diseases

CRC Press. 1993

The ultimate objective of all aetiological research is the primary prevention of rheumatic diseases. This book emphasizes what can be done in the prevention, for example, of rheumatic symptoms arising out of occupational overuse, injuries and infections of joints. It also provides advice on pain tolerance and control.

Changing Health Care Systems and Rheumatic Disease

Changing Health Care Systems and Rheumatic Disease

National Academies Press. 1997

Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will...

 

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1 Komentāri

  • Ben
    Iesūtīts 1. novembris 2022 vietnē 12:07

    Man ļoti patika šis raksts, jo es negribēju doties pie ārsta. Man vienmēr ir slikta pieredze, jo viņi nekad neko nesaņem pareizi, bet tagad es saprotu, ka man jākonsultējas ar speciālistu un jāievēro viņa ieteikumi. Paldies par tik labu informāciju par podagru un tās ārstēšanu!

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