Rheumatoid Arthritis (आमवातीय संधिशोथ)


Introduction- It is a chronic joint inflammatory disease.
1. It involves features like polyarthritis, tenosynovitis, morning stiffness (more than 30 min), appearance of antibodies that target immunoglobulins in the serum and increased erythrocyte sedimentation rate.
2. It is also characterized by pain, fusiform swelling, redness; joints will be warmth to touch, loss of mobility, malaise and low grade fever.
3. Affected joints will be elbow joint, wrist(MCP, PIP and DIP), hip joint, knee joint and ankle joint(TARSALS and MTP).
4. Thumb Z-deformity (radial deviation of wrist and ulnar deviation of digits), Swan neck deformity (hyperextension of PIP and flexion of DIP), and Boutonniere deformity (flexion of PIP, extension of DIP).
5. It affects 1-3% of population worldwide and Women are affected 3or 4 times more than men.

Risk factors of Rheumatoid Arthritis:-
Non – Modifiable Risk Factors:- Genetics (HLA) genes, Age (b/w 30 and 50 years).
Modifiable Risk Factors:- smoking, diet (high sugar), obesity, vitamin D deficiency.

Disease Monitoring:-
1. Bilateral, symmetrical polyarthritis.
2. Joints involved.
3. ESR, CRP elevated and Anti-cyclic citrullinated peptide (CCP) Ab.
4. Rheumatoid subcutaneous nodules or periarticular erosions on X-ray.

Management Goals:-
1. Medications like NSAIDs (Ibuprofen, indomethacin), analgesics (Morphine, Acetaminophen), Prednisolone.
2. PHYSIOTHERAPY STRATEGIES: – Passive Stretching, Wax Bath (for tightness). TENS, IFT (for pain), Hot Packs (to increase Range Of Motion). 3. Surgery: – Synovectomy (removes synovium or lining of joint), Osteotomy, Arthroplasty, Splintage.

Ms. Kajal Bodhwani, II Year, BPT, Department of Physiotherapy, School Of Health & Allied Sciences, Career Point University, Kota

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