What is Arthralgia Symptoms Diagnosis
Arthralgia - Joint pain symptom characteristic of one or more joints at the same time (polyarthralgia). Occurrence arthralgia promotes irritation neuroreceptors joint synovia capsules inflammatory mediators, immune response products, salt crystals, toxins, osteophytes and t. D. Arthralgia can be observed in rheumatic, endocrine, infectious, neoplastic, neurological, autoimmune diseases, injuries, obesity. To determine the causes of arthralgia has an important differential diagnostic significance. Arthralgia Therapy Treatment Reduces Their Disease Determine; Applying symptomatic measures - analgesics, local heating and ointments.
For articular cartilage syndrome, the form of arthralgia, characterized by the lack of objective symptom lesion of the articular cartilage device under - deformation, swelling, hyperemia and local hyperthermia, palpation pain, a significant limitation in mobility, which often - rays signs. Arthralgia can be the harbinger of severe organic lesions of the joint, or a symptom of a formidable extra-articular pathology.
Types of arthralgia
Manifestations of arthralgia differ in the location and depth of the pain, the number of joints involved, the type and intensity of the pain, the daily rhythm, the length of existence, coupled with a certain type of movement and so on. D. Propose monoartralgii, simultaneously or sequentially, in the presence of pain in a single joint, pain syndrome in several joints - such as oligoartralgii with the involvement of 5 or more joints - a syndrome polyarthralgia.
The type of arthralgic syndrome distinguishes between acute and dull pain; by intensity - from light to medium to strong; according to the type of current - transient and constant. Arthralgia often occurs in large joints - hip, knee, shoulder and elbow, at least in the medium and small - wrist, ankle, interphalangeal.
In rheumatology, it is customary to distinguish the following types of joint pain:
- Arthralgia caused by a toxic syndrome in acute infections;
- primary episode or intermittent arthralgia with acute or recurrent arthritis;
- Long-term monoarthralgia of large joints;
- oligo- or polyarthralgic syndrome, accompanied by the involvement of synovial membranes or progressive degenerative-dystrophic changes in cartilage;
- Residual post-inflammatory or post-traumatic arthralgia;
Factors in the development of arthralgia
The arthralgic syndrome often accompanies the course of acute infections. Arthralgia can be detected both in the prodromal period of the disease and in the early clinical stage that progresses with fever and intoxication. For the infectious form of arthralgia is characterized by "pain" in the joints of the lower and upper extremities, the polyarticular nature of the pain, its conjugation with myalgia. The mobility in the joint is completely preserved. As a rule, arthralgia of the infectious nature disappears within a few days as the toxic syndrome weakens due to the underlying disease.
Possible variants of post-infectious reactive arthralgia after acute intestinal or urogenital infections; Parainfection Arthralgic Syndrome caused by tuberculosis, infectious endocarditis, secondary syphilis. The cause of the arthralgia is often the focus of the existing chronic infection - pyelonephritis, cholangitis, adnexitis, paratonsillar abscess or parasite infestation.
Poly- or olologovitralgii are the main symptom of inflammatory rheumatic diseases. Rheumatic arthralgia is characterized by a constant, intense, migrating pain syndrome, in which large joints occur predominantly on the lower extremities, and movement restrictions in the joints occur. The debut of rheumatoid arthritis, as well as systemic rheumatic diseases, are manifested in the polyarticular syndrome devouring the small symmetrical joints of the feet and hands and motor stiffness in the morning. In microcrystalline gout osteoarthritis, arthralgia manifests itself in the form of recurring paroxysmal pain in the isolated joint, which, if suddenly developed, quickly reaches a peak intensity and does not weaken for a few days.
May be indicative of arthralgia deforming, osteoarthritis and other degenerative lesions of the joint gradually increasing over time. In this case, involvement of knee or hip joints is typical; dull, aching, stress-related pain and its disappearance at rest. Arthralgia can be media-dependent, accompanied by crunching of the joints during movement, weakened by local distraction therapy.
Resistant oligosaccharides and long polyarthralgia flow, accompanied by the formation of "fingers Hippocrates" (deformations of nail and distal phalanges of the type "time steklyshek" and "clubs") show paraneoplastic lesion of synovial membranes. Such patients should be suspected of oncological pathology of the internal organs, primarily lung cancer.
Common causes are arthralgia - endocrine disorders. Primary hyperparathyroidism, ovarian dysfunction, hypothyroidism and other articular cartilage syndrome of endocrine origin takes place in the form of oligoartralgii conjugate to ossalgiya, myalgia, pelvic and spinal pain. Among other possible causes of arthralgia, poisoning with heavy metals (thallium, beryllium), frequent congestion or microtrauma joints, prolonged drug therapy, etc. should associate postallergicheskie reaction.
Restarthralgia after joint inflammation is chronic or temporary. Pain and stiffness in the joints can persist for weeks or months; In the future, the functions of well-being and extremities will be fully restored. In the chronic form of arthralgia, its exacerbation is associated with overexertion, meteolabilnostyu, hypothermia. By psevdoartralgiyam pain, simulated primary ossalgiya affects, neuralgia, myalgia, circulatory disorders, flat feet, X-shaped or deformation of the limbs, psychosomatic disorders O-shaped.
Diagnosis of arthralgia
Since arthralgia is not an independent disease entity but only a subjective symptom, the foreground in determining its causes are the clinicoanamnestic properties and physical examination. Consultation of the rheumatologist is desirable. In order to distinguish the etiology of arthralgia a number of objective research is carried out. Laboratory diagnosis is an indication of clinical blood analysis including platelet count, biochemical and bacteriological examinations, serological tests.
Among the instrumental methods of diagnosis using X-ray and ultrasound of the joints, imaging, thermography, xeroradiography, podography and invasive intervention - contrast arthrography, arthroscopy, articular puncture with diagnostic microbiological and cytology punctata.
Treatment and prognosis of arthralgia
In therapy, arthralgia plays an important role in leading pathology treatment. Drug treatment is aimed at stopping inflammatory intra-articular processes and pain syndrome. Systemic therapy involves the use of NSAIDs. Ibuprofen, Diclofenac, Naproxen, etc. In case of moderate arthralgia or contraindications to the use of medication, local external therapy, anti-inflammatory and analgesic ointments with diclofenac, ketoprofen, turpentine ointment took place. It is applied with dimethyl sulfoxide on the joint surface.
Neglecting competent examination and treatment for arthralgia harbors the development of irreversible functional disorders of the joint - rigidity, ankylosis, contracture. Since arthralgia can serve as a marker for various diseases, access to a doctor is necessary in the case of the maintenance and joints syndrome over 2 days.
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