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Rheumatoid arthritisof shoulder joint juncture is an autoimmune rabble-rousing disease that mostly affects synovial membrane , abridgement and articulating cartilage . Half the patient diagnosed of rheumatic arthritis sustain with berm joint arthritic arthritis.1Shoulder joint rheumatoid arthritis is not a genetic or unnatural chromosomal disorder . lighting of synovium cause bump or hydrops of the synovial tissue layer , hypertrophy of synovial stringy tissue and excess secernment of synovial fluid within the joint . Later stage continuation of redness causes destruction of articular cartilage within the articulatio . Rheumatoid shoulder joint joint arthritis is a bilateral disease that sham both shoulder joint joint simultaneously unlikeosteoarthritis . Disease often impact multiple joints simultaneously .
Risk Factors for Shoulder Joint Rheumatoid Arthritis
The Autoimmune Dysfunction
Vitamin D Deficiency-
Several studies have hint connexion between vitamin five hundred deficiency and occurrence of rheumatoid arthritis .
Smoking-
Sex-
More common in female than male ( F / M : 2/1 )
Age-
center old age
Symptoms Of Shoulder Joint Rheumatoid Arthritis
Chronic Pain
Weight Loss
Fatigue
Fever
Painful Shoulder Joint Movements
History of Restricted or Limited Shoulder Joint Movements
History of Shoulder Joint Stiffness
History of Muscle Spasm
Signs Of Shoulder Joint Rheumatoid Arthritis
Tender Shoulder Joint
Examination and palpation of the joint causes grave pain .
Warm Skin
Skin over the swollen joint often feel warm because of dynamic inflammations of the ejector seat and synovial membrane .
Shoulder Joint Swelling
Joint Stiffness
Nodules Under Skin
Rheumatoid nodule are note under skin mostly over coat of arms .
Changes In Smaller Joints
Muscle Atrophy
Restricted Range of Movements
Grinding Sound During Joint Movement
Investigations And Diagnostic Tests For Shoulder Joint Rheumatoid Arthritis
X-Ray2–
MRI-
finding are as follows-
CAT Scan
Findings are same as MRI findings .
Joint Fluid Analysis (Arthrocentesis)3
Ultrasound4
Blood Examination-
mental testing is positive in incitive joint disease like Psoriatic Hip Joint Disease , Ankylosing Spondylitis and Reiter ’s Syndrome .
Shoulder Joint Arthroscopy
Treatment Of Shoulder Joint Rheumatoid Arthritis
1. Conservative Treatment For Shoulder Joint Rheumatoid Arthritis
therapeutical value of follow medications is not corroborate by any research or scientific evidence .
2. Physical Therapy (PT) for Shoulder Joint Rheumatoid Arthritis
Physical therapyis apprize during initial phase of the disease or after surgical process . Physical therapy and anti - inflammatory medication often are decent to plow early symptoms.1Physical therapy involve exercise under superintendence by forcible therapist . forcible therapy practice session are often combine with massage therapy , heat treatment , echography therapy and dusty therapy .
3. Medication Prescribed To Treat Shoulder Joint Rheumatoid Arthritis
prescribe for
Side Effects-
curt Acting- act for 3 to 4 hour
Long Acting- deed for 12 to 24 hours .
dictate for –
Side Effects of Muscle relaxant :
Side Effects of Anti - epileptic Analgesics are :
Most Common Anti - epileptic Prescribed as Analgesics are :
Side Effects of Anti - depressant Analgesics are :
Most common antiepileptic prescribed as anodyne are :
4. Interventional Treatment for Shoulder Joint Rheumatoid Arthritis
Reason For Nerve Block
Advised when all other treatment has failed and continuing acute pain is not respond to oral annoyance medication including opioids .
5. Surgery for Shoulder Joint Rheumatoid Arthritis
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