Pakrheumatology Facebook Page
 
21st PSR CONFERENCE
7-8th April 2017 at PC Bhurban
6th April 2017, Pre-Conference meet the experts

For Program Website Click here

For Program Details Click here

 

Patient Education

 
 
 

1. BACK PAIN

2. FIBROMYALGIA

3. GOUT

4. JUVENILE ARTHRITIS

5. KNEE PAIN

6. LUPUS

7. OSTEOPOROSIS

8. RHEUMATOID ARTHRITIS

9. MISCELLANEOUS INFORMATION



1. BACK PAIN

Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.

Back pain can be divided anatomically: neck pain, upper back pain, lower back pain or tailbone pain. By its duration: acute (less than 4 weeks), subacute (4 – 12 weeks), chronic (greater than 12 weeks). By its cause: musculoskeletal, infectious, cancer, etc.

From a rheumatologic perspective, musculoskeletal pain can be characterized into mechanical or inflammatory. Mechanical character back pain is more common, usually worsens with activity and improves with rest. Usual causes are muscular spasm, herniated disc and degenerative changes in the spine. Inflammatory character back pain is the most commonly overlooked, cause of persistent back pain and can be because of group of uncommon inter-related diseases called Spondyloarthropathies. 

In most of the patients with back pain X-rays or labs at onset are not required as most of back pains settle in few weeks time.

Usually back pain is not an emergency but patients with following warning symptoms or conditions should contact their physician as early as possible:

  • Bowel and/or bladder incontinence or progressive weakness in the legs.
  • Severe back pain (e.g bad enough to interrupt sleep) that occurs with other signs of severe illness (e.g fever, unexplained weight loss).
  • Underlying medical conditions at high risk for a spinal fracture, such as osteoporosis or multiple myeloma.
  • Underlying history of cancer to rule out metastatic disease of the spine, especially cancers known to spread to the spine like breast, lung, prostate. 

Specific treatment is available for patients who have neurological compromise, spondyloarthropathies, infection or fracture.

Conservative management includes analgesics, physical therapy and patient education including postural care.

Less than 1% of the patients with back pain require surgery.

Links:

http://www.spondylitis.org

http://www.nass.co.uk

http://www.aaos.org

 


Top

2. FIBROMYALGIA

Fibromyalgia is a condition characterized by aching and pain in muscles, tendons, and joints all over the body, especially along the spine. Fibromyalgia is not associated with muscle or joint injury, nor any other serious bodily damage or disease.

Other symptoms often associated with pain include:

Sleep disturbance
Depression
Daytime tiredness
Headaches/ dizziness
Alternating diarrhoea and constipation
Numbness and tingling in the hands and feet
Feelings of weakness
Having difficulty remembering
Women tend to have fibromyalgia more often than men.

For more information you can go to the link:

www.arthritis.org


Top

3. GOUT

Gout was once called the disease of the kings and the king of diseases. It has the distinction of being one of the most frequently recorded medical illnesses throughout history, as far back as 5 BC. It is one of the most common causes of inflammatory arthritis in men over 40 years of age.

Gout can be one of the most painful types of arthritis, but the good news is that if managed appropriately it rarely leads to disability.

For more information you can go to the link:

www.gouteducation.org


Top

4. JUVENILE ARTHRITIS

Juvenile arthritis (JA) is a term often used to describe arthritis in children. Children can develop almost all types of arthritis that affect adults, but the most common type that affects children is juvenile idiopathic arthritis. Juvenile in this context refers to an onset before age 16.

Both juvenile idiopathic arthritis (JIA) and juvenile rheumatoid arthritis (JRA) are classification systems for chronic arthritis (lasting for more than 6weeks), in children. The JRA classification system was developed about 30 years ago and had three different subtypes. More recently, paediatric rheumatologists throughout the world developed the JIA classification system, which has seven subtypes.

It is very important that the patient must be evaluated by a Rheumatologist with experience in paediatric rheumatology, as patients, if diagnosed early, can be treated successfully.

For more information you can go to the link:

www.nih.gov/niams
www.rheumatology.org
www.arthritis.org


Top

5. KNEE PAIN

Pain can occur in the knee from diseases or conditions that involve the knee joint, the soft tissues and bones surrounding the knee, or the nerves that supply sensation to the knee area.

Causes of knee pain include injury, degeneration, arthritis, infrequently infection, and rarely bone tumors.

In fact, the knee joint is the most commonly involved joint in rheumatic diseases and immune diseases that affect various tissues of the body including the joints to cause arthritis.

Arthritis is inflammation within a joint. The causes of knee joint inflammation range from non inflammatory types of arthritis such as osteoarthritis, which is a degeneration of the cartilage of the knee, to inflammatory types of arthritis (such as rheumatoid arthritis or gout). Treatment of the arthritis is directed according to the nature of the specific type of arthritis.

For more information you can go to the link:

www.arthritis.org


Top

6. LUPUS

Systemic lupus erythematous (lupus) is a disease of the immune system. Normally, the immune system protects the body from infection. However, in lupus, the immune system inappropriately attacks the body’s own tissues, causing tissue damage, resulting in illness.

Lupus can affect men and women of any race or age, but women of child bearing age are more commonly affected than men.

Symptoms associated with lupus are fever, joint pains, skin rashes, sun sensitivity, mouth ulcers, and hair loss; it can affect any organ system of the body like the brain, lungs, heart, blood cells, etc.

It is an illness often misdiagnosed and can be life threatening.

For more information you can go to the link:

www.lupus.org.uk


Top

7. OSTEOPOROSIS

Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased risk of low impact fractures.  

Osteoporosis is a global public health problem. The loss of bone occurs progressively over many years and without apparent symptoms, and often the first sign of osteoporosis is a fracture. For this reason, osteoporosis is often referred to as the silent epidemic.

Any bone can be affected, but of special concern are fractures of the hip and spine. A hip fracture almost always requires hospitalization and major surgery, and may cause permanent disability or even death. Spinal or vertebral fractures also have serious consequences, including loss of height, severe back pain, and deformity.

Men as well as women are affected by osteoporosis, a disease that can be both prevented and treated.

For more information you can go to the link:

www.iofbonehealth.org
www.nih.gov/niams
www.nof.org


Top

8. RHEUMATOID ARTHRITIS

Rheumatoid Arthritis (RA) is a chronic systemic autoimmune disease that is estimated to affect 1% of the population worldwide, including all ethnic groups with a female male ratio of 3:1. It is characterized by symmetrical inflammation of affected joints and causes cartilage breakdown, bone erosion and deformity. Spontaneous recoveries are rare. RA usually is progressive and associated with significant morbidity, functional disability, economic burden and a profound impact on families. Typically, RA patients are first affected in the most productive stage of their lives, between 35 and 50 years of age, and its destructive effects become apparent within several years. Hence, there is often a relatively brief window of time from disease onset in which to halt the disease or to reverse progression. Within ten years, up to 50% will be disabled; after another ten years, 80% or more will have some disability or deformity.

Further, most patients complain of such as systemic symptoms as weakness and fatigue, which impair daily quality of life. More threatening complications such as rheumatoid vasculitis and infection, all of which may be life threatening.

This joint and organ damage can be slowed and even halted or prevented if the physician intervenes in a timely and aggressive manner with the latest drugs available in rheumatoid disease. Several studies demonstrate the benefits of early treatment in RA patients. Even a three month delay before instituting the current treatment lessens the opportunity for disease remission.

For further information you can go to the link:

www.arthritis.org

 


Top

9. MISCELLANEOUS INFORMATION

To order the following free free publications write to: Arc Trading Ltd. James Nicolson Link, Clifton Moor, York Yo30 4XX, UK.

 

DISEASES

Ankylosing Spondylitis
Antiphospholipid Syndrome
Behcet’s Syndrome
Carpal Tunnel Syndrome
Fibromyalgia
Gout
Introducing Arthritis
Lupus (SLE)
Osteoarthritis
Osteoarthritis of the Knee
Osteomalacia (Soft Bones)
Osteoporosis
Paget’s Disease of Bone
Polymyalgia Rheumatica (PMR)
Polymyositis and Dermatomyositis
Pseudogout
Psoriatic Arthritis
Raynaud’s Phenomenon
Reactive Arthritis
Reflex Sympathetic Dystrophy
Rheumatoid Arthritis
LIFESTYLE
Scleroderma
Sjogren’s Syndrome
Vasculitis

DRUG INFORMATION

Drugs and Arthritis (general info.)
Adalimumab
Anakinra
Azathioprine
Ciclosporin
Cyclophosphamide
Etanercept
Gold by Intramuscular Injection
Hydroxychloroquine
Infiximab
Leflunomide
Local Steroid Injections
Methotrexate
Mycophenolate
Non-Steroidal Anti-Inflammatory
Drugs
Pamidronate
Penicillamine
Steriod Tablets
Sulfasalazine

PART OF THE BODY

Back Pain
Feet. Footwear and Arthritis
Joint Hypermodility
Knee Pain in Young Adults
A New Hip Joint
A New Knee Joint
Pain in the Neck
The Painful Shoulder
Shoulder and Elbow joint
Replacement
Tennis Elbow

TREATMENT

Blood Tests and X-Rays for Arthritis
Complementary Therapies
Hand and Wrist Surgery
Hydrotherapy and Arthritis
Pain and Arthritis
Physiotherapy and Arthritis
The Rheumatology Nurse Specialist
Taking Part in Research

LIFESTYLE

Are You Sitting Comfortably?
Caring for a Person with Arthritis
Diet and Arthritis
Driving and Arthritis
Fatigue and Arthritis
Gardening and Arthritis
Keep Moving
Looking After Your Joints (RA)
Pregnancy and Arthritis
Sexuality and Arthritis
Sports and Exercise Injuries
Stairlifts and Homelifts
Work and Arthritis
Work-=Related Rheumatic Complaints
Your Home and Arthritis
JUVENILE ARTHRITIS
Arthritis in Teenagers
Da Kimzta Has a Joint Injection (for Children)
Growing Pains (for children)
Tim Has Arthritis (for children)
When a Young Person Has Arthritis
When Your Child Has Arthritis

 


Top

Click here for PSR 2017 Website
 
21st PSR Press Conference
7-8th April 2017 at PC Bhurban
6th April 2017, Pre-Conference meet the experts
 
All News & Events>>
 
Home |  About PSR |  Members |  Events |  E-Newsletter |  Patient Education |  Community Services |  Useful Links
The content (content being images, text, sound and video files, programs and scripts)
of this website is copyright © Pakistan Society of Rheumetology. All rights expressly reserved.