Arthritis: Difference between revisions
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== | == Overview == | ||
Arthritis is a broad and complex topic with many types, subtypes, and variations. It is defined as an acute or chronic joint inflammation that often co-exists with pain and structural damage. Arthritis affected both the Neanderthals and ancient Egyptians, Arthritis describes a set of symptoms that includes pain, stiffness, and joint deformities subsequent to an inflammatory process. The destructive process can occur through multiple pathways. Knowing the type of arthritis a person has means that informed decisions can be made. | |||
Arthritis can refer to over 150 different conditions that affect the muscles, bones and joints. These include: | |||
* Degenerative disease (osteoarthritis) | |||
* Auto-immune or auto-inflammatory processes (rheumatoid arthritis and ankylosing spondylitis) | |||
* Crystal deposition (gout and pseudogout) | |||
* Infection (septic arthritis) | |||
* Idiopathic (juvenile idiopathic arthritis). | |||
Many diseases can result in arthritis. Examples include systemic lupus erythematosus, psoriasis, Lyme disease, reactive arthritis, and celiac disease among numerous others.<ref name=":0">Senthelal S, Thomas MA. [https://www.ncbi.nlm.nih.gov/books/NBK518992/ Arthritis]. InStatPearls [Internet] 2019 Aug 22. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK518992/ (last accessed 23.12.2019)</ref> | |||
== | === Healthcare Team Management === | ||
Arthritis may be a disease of the joint but it also has systemic repercussions. The management of arthritis is ideally done by an interprofessional team that includes a nurse, dietitian, rheumatologist, physical therapist, orthopedic surgeon, pain specialist, pharmacist, and a Physician. | |||
Almost all patients may benefit from a physical therapy. Ample evidence indicates that water-based exercise can diminish pain and improve joint function. Further, loss of weight also decreases the stress on the joint. | |||
Polypharmacy is a major concern in these patients because of the need to resolve the pain, hence the pharmacist should closely monitor the medications to prevent serious drug interactions and if narcotics are required, monitor for overuse<ref name=":0" />. | |||
=== Mechanism of Injury / Pathological Process === | |||
Arthritis is the swelling and tenderness of joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis. | |||
Osteoarthritis causes cartilage to break down. | |||
Rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints. | |||
Gout occurs when uric acid crystals form when there's too much uric acid in the blood. | |||
Infections or underlying disease, such as psoriasis or lupus, can cause other types of arthritis. | |||
== Clinical Presentation == | == Clinical Presentation == | ||
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add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]]) | add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]]) | ||
== Management / Interventions | == Management / Interventions == | ||
add text here relating to management approaches to the condition<br> | add text here relating to management approaches to the condition<br> | ||
== Differential Diagnosis | == Differential Diagnosis == | ||
add text here relating to the differential diagnosis of this condition<br> | add text here relating to the differential diagnosis of this condition<br> | ||
== Resources | == Resources == | ||
add appropriate resources here | add appropriate resources here | ||
Revision as of 07:15, 23 December 2019
Original Editor - Your name will be added here if you created the original content for this page.
Lead Editors
Overview[edit | edit source]
Arthritis is a broad and complex topic with many types, subtypes, and variations. It is defined as an acute or chronic joint inflammation that often co-exists with pain and structural damage. Arthritis affected both the Neanderthals and ancient Egyptians, Arthritis describes a set of symptoms that includes pain, stiffness, and joint deformities subsequent to an inflammatory process. The destructive process can occur through multiple pathways. Knowing the type of arthritis a person has means that informed decisions can be made.
Arthritis can refer to over 150 different conditions that affect the muscles, bones and joints. These include:
- Degenerative disease (osteoarthritis)
- Auto-immune or auto-inflammatory processes (rheumatoid arthritis and ankylosing spondylitis)
- Crystal deposition (gout and pseudogout)
- Infection (septic arthritis)
- Idiopathic (juvenile idiopathic arthritis).
Many diseases can result in arthritis. Examples include systemic lupus erythematosus, psoriasis, Lyme disease, reactive arthritis, and celiac disease among numerous others.[1]
Healthcare Team Management[edit | edit source]
Arthritis may be a disease of the joint but it also has systemic repercussions. The management of arthritis is ideally done by an interprofessional team that includes a nurse, dietitian, rheumatologist, physical therapist, orthopedic surgeon, pain specialist, pharmacist, and a Physician.
Almost all patients may benefit from a physical therapy. Ample evidence indicates that water-based exercise can diminish pain and improve joint function. Further, loss of weight also decreases the stress on the joint.
Polypharmacy is a major concern in these patients because of the need to resolve the pain, hence the pharmacist should closely monitor the medications to prevent serious drug interactions and if narcotics are required, monitor for overuse[1].
Mechanism of Injury / Pathological Process[edit | edit source]
Arthritis is the swelling and tenderness of joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
Osteoarthritis causes cartilage to break down.
Rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints.
Gout occurs when uric acid crystals form when there's too much uric acid in the blood.
Infections or underlying disease, such as psoriasis or lupus, can cause other types of arthritis.
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis[edit | edit source]
add text here relating to the differential diagnosis of this condition
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ 1.0 1.1 Senthelal S, Thomas MA. Arthritis. InStatPearls [Internet] 2019 Aug 22. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK518992/ (last accessed 23.12.2019)
