What is Rheumatism ?

Rheumatism or Rheumatic disorder refers to a painful medical condition, that affects heart, bones, joints, kidney, skin and lung. The study about Rheumatism or Rheumatic disorder is called Rheumatology.

The term Rheumatism is not found frequently in medical text but its is more often found in historical medical text. There are more than 200 different conditions of Arthritis and rheumatism. There are many number of herbal remedies for Rheumatism. According to Modern medicine, different treatments are available for different type of Rheumatism. There are some classifications of Rheumatism based on location and charateristics of symptoms.

Localized Rheumatism Rheumatism confined to a specific location is referred as localized rheumatism, Examples are tendonitis and bursitis (Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body).


Regional Rheumatism This causes chest wall pain, Example is temporo mandibular joint pain(The temporomandibular joint (TMJ) is the area directly in front of the ear on either side of the head where the upper jaw (maxilla) and lower jaw (mandible) meet.)


Generalized Rheumatism Rheumatism affecting many and diverse parts of the body is referred as generalized rheumatism. The most common example is fibromyalgia (Fibromyalgia is a chronic condition causing pain, stiffness, and tenderness of the muscles, tendons, and joints)

 


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Psychogenic Rheumatism Rheumatism in which the patient reports inconsistent pains of muscles and joints that do not match to exact anatomy and physiology. The patient will have these symptoms due to some psychological reasons.

 

Rheumatic diseases and conditions
Rheumatic diseases are described by inflammation and loss of function in some connecting structures of the body. The main signs for Rheumatic diseases are redness, swelling and pain. The parts that are mainly affected by Rheumatic diseases are joints, tendons, ligaments, bones and muscles. There are more than 100 rheumatic diseases. Different rheumatic diseases have different effects. Some rheumatic diseases also affect internal organs. The most common symptoms are pain, swelling and stiffness.
 

Examples of Rheumatic Diseases
Some of the Rheumatic disorders are:
Osteoarthritis This is the most common type of arthritis, that primarily affects cartilage (tissue that protects the ends of bones within the joint). It has been estimated that more than 21 million adults are suffering from Osteoarthritis in the United States. In this disease, the cartilage begins to fray and may entirely wear away. Osteoarthritis can cause joint pain and stiffness. This disease affects spine and weight bearing joints like knees and hips.

 

Rheumatoid arthritis This inflammatory disease of the synovium or lining of the joint, will result in pain, stiffness, swelling, joint damage and loss of function of the joints. This inflammation mainly affects joints in hands and feet. It has been estimated that about 1 percent (approximately 2.1 Million people) of the United States population have rheumatoid arthritis.


Juvenile rheumatoid arthritis This is the most common form of arthritis in childhood that will cause pain, stiffness, swelling, and loss of function of the joints. This type of arthritis is associated with rashes or fevers, and may affect various parts of the body.


Fibromyalgia is a chronic disease that causes pain all through the tissues that supports and helps for the movement of bones and joints. This disorder causes pain, stiffness in muscles and tendons, particularly in neck, spine, shoulders, and hips. Fibromyalgia may cause fatigue and sleep disturbances to the patients.


Systemic lupus erythematosus Systemic lupus erythematosus (also referred as lupus or SLE) is an autoimmune disease in which the immune system harms the body's own healthy cells and tissues. This can result in inflammation of and damage to the joints, skin, kidneys, heart, lungs, blood vessels, and brain.


Scleroderm also known as systemic sclerosis. The meaning for scleroderma is "hard skin." The disease mainly affects the skin, blood vessels and joints. Sometimes it also affects internal organs, such as the lungs and kidneys. In this disease, there will be abnormal and excessive production of collagen (a fiber-like protein) in skin and internal organs.


Spondyloarthropathies This type of rheumatic diseases mainly affects the spine. One of the common forms of this disease is ankylosing spondylitis, it not only affects the spine, but also affects the hips, shoulders and knees as the tendons and ligaments around the bones and joints. It causes inflammation, resulting in pain and stiffness. Ankylosing spondylitis tends to affect people in late adolescence or early adulthood. Another form of spondyloarthropathy is Reactive arthritis, which will develop after an infection involving the lower urinary tract, bowel or other organ and is commonly related with eye problems, skin rashes and mouth sores.


Gout This type of arthritis results from deposits of needle-like crystals of uric acid in the joints. These crystals cause inflammation, swelling, and pain in the affected joint.


Infectious arthritis This type of arthritis are caused by infectious agents like bacteria or viruses. Common examples of infectious arthritis are Parvovirus arthritis and gonococcal arthritis. Arthritis symptoms may also occur in Lyme disease (caused by a bacterial infection following the bite of certain ticks). In those cases of arthritis caused by bacteria, early diagnosis and treatment with antibiotics are important to get rid of the infection and to minimize the damage of joints.


Polymyalgia rheumatica Because this disease involves tendons, muscles, ligaments, and tissues around the joint, symptoms often include pain, aching, and morning stiffness in the shoulders, hips, neck, and lower back. It is sometimes the first sign of giant cell arteritis, a disease of the arteries characterized by inflammation, weakness, weight loss, and fever.

 

Polymyositis This is a rheumatic disease that causes inflammation and weakness in the muscles. The disease may affect the whole body and cause disability.


Psoriatic arthritis This form of arthritis occurs in some patients with psoriasis, a scaling skin disorder. Psoriatic arthritis often affects the joints at the ends of the fingers and toes and is accompanied by changes in the fingernails and toenails. Back pain may occur if the spine is involved.


Bursitis This condition involves inflammation of the bursa (small, fluid-filled sacs that help reduce friction between bones and other moving structures in the joints). The inflammation in bursa may occur from arthritis in the joint or due to injury or may be due to infection of the bursae. Bursitis causes pain and tenderness and may restrict the movement of nearby joints.
 

Tendinitis (Tendonitis) This condition refers to inflammation of tendons (tough cords of tissue that connect muscle to bone) caused by injury or any other rheumatic condition. Tendinitis produces severe pain and softness and may limit movement of nearby joints.

 

Causes for Rheumatic diseases
Researches are in line to identify all the risk factors of Rheumatic disease. Some of them are listed below:
• In osteoarthritis, cartilage tissue weakness or excessive stress on the joint from constant injury may be a cause for this disease.
• In lupus, rheumatoid arthritis, and scleroderma, the combination of genetic factors that determine susceptibility and environmental triggers are believed to be important.
• Heredity also plays a role in some diseases such as gout and ankylosing spondylitis.
• Gender is another important factor in some rheumatic diseases. The rheumatic disorders like Lupus, rheumatoid arthritis, scleroderma, and fibromyalgia are more common among women. This shows that hormones or other male-female distinction may also cause rheumatic disorders.

Rheumatic disease diagnostics
Diagnosing rheumatic diseases are difficult since some symptoms and signs are common to many different diseases.A general practitioner may be able to evaluate a patient or refer him or her to a rheumatologist (a doctor who specializes in treating arthritis and other rheumatic disorders).
The doctor will evaluate the patient's medical history; he will conduct a physical examination, obtain laboratory tests and x rays or other imaging tests.

Rheumatic disease treatments
Some of the treatments for rheumatic diseases include:
• rest and relaxation
• exercise
• proper diet
• medication
• instruction about the proper use of joints
Other treatments include the usage of pain relief methods and supporting devices like splints or braces. Surgery may be needed in case of severe Rheumatic disorder.

Medications
A variety of medications are available for treating rheumatic diseases. The type of medication depends on type of rheumatic disease and its effect on the patient. The medications used for treating rheumatic disease will not be expected to cure the disease completely but it reduces the symptoms.

 

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Article Contributed By: Priya Ameet

 

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