Rheumatoid arthritis and rheumatoid arthritis are autoimmune diseases , but they are fundamentally different :
1 , the incidence is different : age of onset of rheumatoid arthritis more common in 9-17 years old , men and women equally. Rheumatoid arthritis more common in middle-aged women .
2 , cause different: rheumatoid arthritis is caused by streptococcal infection , and rheumatoid arthritis is caused by a variety of reasons , chronic inflammation of synovial joints .
3 , different symptoms : rheumatoid arthritis commonly involving the large joints ( knee , elbow , etc.) , does not cause joint deformity . There annular erythema , chorea , carditis symptoms. Rheumatoid arthritis is often violated facet joints (especially the metacarpophalangeal joints, proximal interphalangeal joint , wrist ), also the size of invasion and other joints, causing joint deformity is often late . Rheumatoid nodules may also occur and the heart, lung , kidney, peripheral nerve and visceral lesions of the eye .
4, different laboratory tests : rheumatoid arthritis, high resistance to O , rheumatoid arthritis, rheumatoid factor is often high , CCP, AKA will appear positive .
5, treatment of different: mainly rheumatoid arthritis in order to eliminate Streptococcus infections , penicillin is the drug of choice. At the same time for joint pain , heart go far for correlation processing . Rheumatoid arthritis to prevent joint damage, protect the joint function , the maximum increase the quality of life in patients with the goal . Slow-acting drugs on the early application of anti- rheumatic drugs . Swelling in the joint pain anti-inflammatory drugs during the application of non- vector control pain and other symptoms. Complications associated with visceral treatment .
6 , different prognosis : no deformation of rheumatoid arthritis synovial left . Advanced rheumatoid arthritis joint deformity occurs .
Treatment
Conservative treatment of osteoarthritis . For patients with mild symptoms , treatment of the patient education can vary , such as oral non- opioid analgesics , or physical and occupational therapy . Additional measures include self-control program , individualized social support, physical exercise , lose weight (if overweight ) , support , and lifestyle changes (such as changes to employment ) . Participate in self-control programs ( such as sponsored by the American Arthritis Foundation some courses ) patients , joint pain and quality of life were improved . You can also try to stand at attention the proposed elimination plasty , it rheumatism , rheumatoid , cervical spondylosis , lumbar , frozen shoulder, arthritis, rheumatism and other bone disease osteoporosis hyperplasia have a good therapeutic effect , I bought Stand at attention Xiaotong posted rheumatism , and used when a course obviously feel the symptoms are reduced , but not that fast and complete cure , in the end , three courses with sensory symptoms are gone , side effects, so I was not that , after all, is for external use The only thing , but also traditional Chinese medicine , this is more assurances , you start with a look , if effective, certain symptoms will gradually reduce the light
Physical therapy treatment program especially for existing patients can not improve their symptoms , can improve muscle strength and teaching more effective joint care and conservation of energy
Physical exercise is an effective method , for example, for quadriceps exercise (probably because of disuse atrophy and quadriceps atrophy in patients with knee OA more common ), has been shown to relieve pain And improve joint function .
Wedge soles have been deformed as a treatment for osteoarthritis of the knee with bow method . Kerrigan , who assert the unilateral wedge sole right knee has a central role in bio- mechanical , mechanical force can be reduced . Toda , who assess the application of unilateral wedge soles found after the Ying Xiangxue change the angle of shoe can affect the degree of valgus correction . Because of the long-term effects of corrective shoes not know that such symptoms may only be temporary.
For non- drug treatment can not alleviate the symptoms of osteoarthritis cases , unless there is incompatibility , combination therapy is necessary , commonly used are NSaids or cox-2 inhibitors . Drug treatment is often as a complement but not replace non- drug treatment. Practice proves that drug therapy combined with non- drug therapy on bone when