Can rheumatic joint pain be cured?

Rheumatoid arthritis is a common clinical manifestation of rheumatic fever

, often secondary to untreated group A beta-hemolytic streptococci

(group A of streptococcus, GAS) infection

As the disease progresses, it causes migratory polyarthritis, which can recur.

Patients with rheumatoid arthritis are often accompanied by obvious joint redness, swelling, burning, pain and tenderness during the attack period. At this time, they should rest in bed for 2 to 4 weeks. After the condition is relieved, they can gradually Return to exercise, and if the heart is affected, rest periods should be extended.

The typical manifestations of rheumatoid arthritis are migrating and polyarthritis. Mainly affected are large joints such as knees, ankles, elbows, wrists, and shoulders. Local redness, swelling, burning, pain, and tenderness may occur, and sometimes there may be oozing, but no suppuration.

Joint pain rarely lasts for more than a month and usually subsides within 2 weeks. There is often no obvious joint degeneration after relief, but it is easy to recur.

Patients with rheumatoid arthritis first need to eliminate streptococcal infection

focuses, and antibiotic treatment is an important treatment measure to eliminate the cause. Secondly, anti-rheumatic treatment is carried out. Non-steroidal anti-inflammatory drugs are the first choice for simple joint involvement, and acetylsalicylic acid (aspirin) is commonly used.

Patients with rheumatoid arthritis need long-term follow-up and monitoring, timely detection of disease recurrence, taking corresponding measures, and attention to the patient's heart function.

Usually, the follow-up consultation plan should be determined based on the patient's age, streptococcal susceptibility, rheumatic fever

number of episodes, and presence or absence of valvular disease

remaining.

For young patients, those with susceptibility, repeated attacks of rheumatic fever, and patients with carditis or valvular disease, the prevention period should be extended as much as possible, to at least 10 years or to 40 years old, or even lifelong prevention.

For those who have had carditis but no residual valvular disease, the prevention period is at least 10 years, and for children until adulthood.

For simple arthritis

, the prevention period can be shortened slightly, to at least 21 years old (or lasting 8 years) for children and at least 5 years for adult patients.