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

Reumatologia este un domeniu medical specializat care se ocupă cu diagnosticarea și terapia bolilor reumatice. Bolile reumatice, sau reumatismul, sunt diagnosticate prin întocmirea unui istoric medical, efectuarea unui examen fizic și detectarea markerilor genetici și a anticorpilor în sânge.

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.

Reumatologii sunt specializați în diagnosticarea și terapia reumatismului, precum guta, artrita reumatoidă și alte boli reumatice. Medicii reumatologi lucrează în cabinete sau clinici specializate. Aceștia provin din domeniile medicinei interne, ortopediei sau pediatriei și medicinei pentru adolescenți.[1]

Rheumatologists – A Joint Specialist

Reumatologul este medicul care tratează reumatismul articular. Acesta este un medic internist sau pediatru care a primit o pregătire suplimentară în diagnosticarea (depistarea) și tratamentul bolilor care afectează articulațiile, oasele, mușchii, ligamentele și tendoanele. Reumatismul are multe simptome diferite. Aceste boli pot provoca durere, umflături, rigiditate și pot cauza, eventual, deformări articulare. Simptomele reumatismului sunt ușor de observat.

Reumatologul este, așadar, un specialist în articulații. Acesta lucrează în colaborare cu medicul de familie, confirmă diagnosticul acestuia din urmă și poate efectua anumite proceduri medicale, de exemplu puncția unui revărsat articular. De asemenea, dacă este necesar, el poate trimite pacientul la alți medici specialiști, cum ar fi un chirurg. Consultațiile cu reumatologul pot avea loc fie în cabinetul său privat, fie în clinică, în special în cazul unor examinări complementare mai complicate, cum ar fi o artroscopie (examinarea interiorului unei articulații prin introducerea unei mici camere).[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]

Aceste boli fac parte din opțiunile de tratament pentru reumatologi:[4]

  1. Afecțiuni inflamatorii cronice de cauză autoimună, cronice în mișcarea și bolile inflamatorii cronice condiționate ale sistemului musculo-scheletic (reumatoide, psoriazice, vasculite), colagenoză.
  2. Tulburări metabolice care duc la afecțiuni reumatice (de exemplu, guta)
  3. Reumatismul țesuturilor moi (de exemplu, fibromialgia).
  4. Boli ale oaselor, care duc la afecțiuni ale coloanei vertebrale (de exemplu, osteoporoza)Boli reumatice degenerative sau legate de vârstă (de exemplu, boli degenerative ale coloanei vertebrale)

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
  • Roșeață
  • 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: Curcumin și Boswellia.

More info here: Fyron G1 + G2

Rheumatism Doctors Rheumatism Doctors

Remediu acasă pentru reumatism

Care este principala cauză a reumatismului?

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…

Într-adevăr, în domeniul reumatismului, fișele clinice sunt la modă. Cauzele sunt atât de numeroase, încât sunt încă puțin studiate.

Acestea includ:

  • distribuție slabă a greutății
  • uzura articulațiilor
  • factori ereditari
  • fracturi slab consolidate
  • leziuni ale ligamentelor și tendoanelor
  • malformație înnăscută a unei articulații

Alte boli reumatice sunt cauzate de probleme metabolice sau imunitare sau sunt de origine inflamatorie. Infecțiile virale și anumite bacterii intestinale sunt, de asemenea, suspectate de a provoca reumatism.

În general, boala progresează cronic și provoacă inflamarea articulațiilor, ceea ce poate duce la distrugerea acestora.

Care sunt primele semne de reumatism?

De fapt, nu există o boală numită reumatism. Reumatismul este un termen generic pentru o serie de simptome legate de dureri la nivelul aparatului locomotor.

Primele semne ale reumatismului sunt rigiditatea dureroasă, sensibilitatea, înroșirea și umflarea mai multor articulații, în special a încheieturilor, mâinilor și degetelor. Durerea apare, de obicei, noaptea și dimineața.

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…

Iată și alte semne de avertizare:

  • Oboseală
  • Febră ușoară
  • Pierderea în greutate
  • Căldură în articulații
  • Amorțeală și furnicături
  • Scăderea amplitudinii de mișcare
  • Implicarea comună a ambelor părți
  • Tulburări de somn pe timp de noapte
  • Stare de rău generalizată

De asemenea, primele simptome ale reumatismului nu se limitează întotdeauna la articulații. Pot exista manifestări inițiale în alte organe, cum ar fi pielea, ochii, gura, tractul digestiv, plămânii și rinichii.

Așadar, primele simptome ale reumatismului nu sunt foarte specifice și pot fi confundate cu alte boli. De asemenea, se poate întâmpla să nu le acordăm importanță, punându-le pe seama vârstei, a îmbătrânirii sau a lipsei de condiție fizică.

Cum este durerea reumatismului?

Durerea este cel mai frecvent simptom al reumatismului și este de obicei localizată în articulații sau în jurul acestora. Ea poate fi temporară sau poate apărea doar la mișcare, de exemplu, în mâini când coase, în genunchi când merge sau în spate când se apleacă; dar poate fi, de asemenea, fixă și persistentă, împiedicând chiar mișcarea sau somnul.

Durerea este uneori însoțită de o senzație de rigiditate sau amorțeală la nivelul articulațiilor, care se ameliorează odată cu mișcarea. Dar durerea poate proveni și de la mușchi, tendoane sau alte structuri ale aparatului locomotor și poate deveni foarte incomodă.

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 :

  • disconfort
  • dificultăți în mișcarea membrelor;
  • rigiditate ;
  • umflături sau chiar zone roșii și fierbinți;
  • dureri musculare

Acestea sunt dureri zilnice și nocturne care nu-i părăsesc pe pacienți: mai mult de jumătate dintre ei sunt treziți de durerile lor.

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”.

Un simptom fundamental este umflarea articulațiilor. Aceasta este o consecință a acumulării de lichid sinovial în interiorul cavității articulare și poate fi cauzată de o multitudine de procese. Este un semn de boală articulară care ar trebui să ne determine să consultăm un reumatolog. Bolile aparatului locomotor pot produce și alte simptome, cum ar fi pierderea poftei de mâncare, scăderea în greutate, pierderea forței, slăbiciune, oboseală, febră sau alterări ale altor organe sau sisteme (piele, ochi, gură, sistem digestiv, plămâni, rinichi etc.).

Care este diferența dintre artrită și reumatism?

Termenii de artrită și reumatism se referă la peste o sută de afecțiuni, de naturi și cauze diferite, caracterizate prin dureri la nivelul articulațiilor. Reumatism vs. artrită?

Reumatismul este un grup de boli care se caracterizează în principal prin umflarea dureroasă a articulațiilor. Reumatismul este un termen generic pentru toate afecțiunile articulare. El se referă la toate bolile responsabile de dureri sau inflamații care afectează articulațiile sau structurile situate în apropierea acestora, cum ar fi tendoanele, ligamentele, cartilajele sau discul intervertebral. Prin urmare, reumatismul se referă la toate bolile aparatului locomotor. Poate fi vorba de osteoartrită, artrită, artroză, osteoporoză sau de boli autoimune, cum ar fi artrita reumatoidă.

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.

Artrita este o inflamație a membranei care înconjoară o articulație. Aceasta poate fi de origine infecțioasă, autoimună (cauzată de sistemul imunitar care își atacă propriile celule cartilaginoase) sau metabolică. Există mai multe tipuri: gută, spondilită anchilozantă, artrită reumatoidă etc.

Există mai mult de o sută de boli diferite ale sistemului musculo-scheletic. Reumatologia este specialitatea medicală care se ocupă de bolile sistemului musculo-scheletic și de bolile autoimune sistemice, iar medicul specializat în aceste boli este reumatologul.

Cum se tratează reumatismul?

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!

Citește mai mult: Cum se tratează reumatismul?

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.
Zahăr
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.
Alcool
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.
Dieta
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.
  • Febră
  • 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.

Surse

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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  7. Huges V., (2015) – What is the Difference Between Rheumatism and Joint Pain, Journal of Therapeutic Massage: Research, Practice & Education,   [online] 2(5), pp.110–118. doi:12.5352/jtm.2015.17225.

 

1 Comentariu

  • Ben
    Postat 1. noiembrie 2022 la 12:07

    Mi-a plăcut foarte mult acest articol, pentru că am fost reticentă să merg la medic. Mereu am experiențe proaste pentru că niciodată nu fac bine, dar acum înțeleg că ar trebui să mă consult cu un specialist și să urmez recomandările acestuia. Mulțumesc pentru aceste informații atât de bune despre Gută și despre cum să o tratezi!

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