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What is the cause of rheumatic pain? What are its treatments?

1 What is rheumatism?

Rheumatism refers to a group of species that affect bones, joints and their surrounding soft tissues, such as muscles, synovial bursas, tendons, fascia and nerves. A large class of diseases based on chronic inflammation of blood vessels and connective tissues, with pain as the main manifestation, gradually involves many organs and systems. Because rheumatism is mostly related to immune disorder, it is customarily called "rheumatic immune disease". The clinical manifestations and prognosis of the same disease vary greatly among different patients.

Rheumatoid pain is a symptom caused by inflammation of blood vessels and connective tissue.

2 What is immunity?

Generally speaking, the immune system is a defense mechanism of the human body, similar to the military or public security departments. When they find an alien invader or alien in the process of body metabolism, they will attack it, destroy it and protect human safety.

When the human immune system fails, it will mistakenly attack some of its normal tissues and organs as dissidents, resulting in its own damage. Therefore, immune disorder is the fundamental cause of rheumatic immune diseases.

What are the common clinical symptoms of rheumatism?

Fever: there are high fever onset and long-term low fever.

Pain: swelling and pain of joints and muscles, pain of limbs, neck and shoulders, back and heel.

Skin symptoms: rash, photosensitivity, oral and vulvar ulcers, eye symptoms, cyanosis reticulata, skin ulcers, etc.

Morning stiffness: refers to the stiffness and tightness of the joints after the patient wakes up in the morning, which can be improved after the activity.

Raynaud's syndrome: When the fingers (toes) are cold or emotional, they will turn white, then purple and red, or accompanied by numbness and pain at the fingers (toes). In severe cases, skin ulceration may occur.

Muscle weakness. So: when you have the above symptoms, please go to the rheumatology department of a regular hospital in time. Early treatment is helpful to control the disease as soon as possible and the prognosis is good.

What diseases does rheumatism include? Rheumatism can be divided into ten categories: (1) Diffuse connective tissue diseases: rheumatoid arthritis, juvenile arthritis, systemic lupus erythematosus, diffuse fasciitis, vasculitis, dermatomyositis, polymyositis, scleroderma, Sjogren's syndrome, Behcet's disease (stomatitis-genital ulcer triad), allergic purpura, recurrent polychondritis, recurrent nodular non-suppurative panniculitis, etc.

(2) Arthritis related to spine: ankylosing spondylitis, Reiter syndrome, psoriatic arthritis, inflammatory bowel arthritis, etc.

(3) osteoarthritis.

(4) Rheumatic syndrome (infectious arthritis) caused by infection.

(5) Metabolic or endocrine diseases accompanied by rheumatic diseases: gout, pseudogout, amyloidosis, etc. (6) Tumors: synovioma, osteochondroma, etc.

(7) Nervous system diseases: neurodegenerative arthritis, carpal tunnel syndrome, Raynaud syndrome, etc.

(8) Bone and cartilage diseases: osteoporosis, osteomalacia, proliferative osteoarthritis, osteonecrosis, osteolysis or chondrolysis, costal chondritis, etc.

(9) Non-joint rheumatic diseases: fibrositis, tendinitis, fasciitis, fibromyalgia syndrome, etc. (10) Other rheumatism: sarcoidosis, erythema nodosum, recurrent rheumatism, intermittent hydrocephalus, etc.

Rheumatoid patients should go to the immunology department of rheumatology department of regular hospital for systematic examination and diagnosis in time. Regular diagnosis and treatment! After the diagnosis, it is necessary to return to the clinic and adjust the medication and treatment plan in time. The treatment after recurrence should be followed up in time.

How to prevent rheumatism? 1 Primary prevention:

(1) Actively avoid the invasion of pathogenic wind, cold and dampness, and protect against cold, rain and moisture. Keep your joints warm and don't wear wet clothes, shoes, socks, etc. Pay attention to the combination of work and rest, eat properly and live regularly. The combination of work and rest is the main measure of health care and an important guarantee to avoid rheumatoid arthritis.

(2). Enhance physical fitness, improve their disease resistance. Strengthen exercise at ordinary times to enhance physical fitness. Regular physical exercise, such as health gymnastics, Tai Ji Chuan, radio gymnastics, walking and so on, is of great benefit to the prevention of rheumatoid arthritis.

(3) Maintaining a normal mental state is also helpful for the prevention of rheumatoid arthritis. According to clinical investigation, we can all find that some patients are induced by mental stimulation, excessive sadness and depression. After suffering from this disease, mood swings often aggravate the condition. All these suggest that mental (or psychological) factors have certain influence on this disease. Therefore, we should maintain a positive and peaceful attitude in life and actively prevent the invasion of this disease.

(4) Pathogen infection produces immune response to cause diseases or induce the onset of this disease, such as tonsillitis, pharyngolaryngitis, sinusitis, chronic cholecystitis, dental caries, enteritis and other infectious diseases, so timely and effective prevention and control of infection is an important means to prevent rheumatoid arthritis.

(5) Strengthen nutrition, live a regular life and improve immunity.

Secondary prevention: After the onset of rheumatism, take comprehensive intervention measures to limit the development of the disease, protect joint function, prevent and reduce the occurrence of disability, relieve symptoms and improve the quality of life. Early treatment is mostly treatable and even reversible. Treatment includes:

(1) Drug treatment: The drug treatment of rheumatic joints is individualized, and different treatment schemes are implemented according to different conditions, functional status and prognosis of different patients, emphasizing early practical chronic anti-rheumatic drugs and traditional Chinese medicines.

(2) Exercise therapy.

(3) physical therapy.

(4) Occupational therapy: For people with mild hand dysfunction, practice daily life and manual activities, train the meticulous movements of hands and fingers, and improve their functions.

(5) Chinese medicine therapy: Du moxibustion; Traditional Chinese medicine fumigation and cupping based on syndrome differentiation: pot-walking therapy; Acupuncture and cupping; Auricular points, Chinese medicine hot compress, intermediate frequency pulse therapy, infrared therapy, ion osmosis, package therapy, etc. The first choice is Du Moxibustion, Chinese medicine hot compress, intermediate frequency pulse therapy, infrared therapy, iontophoresis and package therapy.

What are the main principles of rheumatism treatment?

The main therapeutic principle of wind therapy for rheumatoid arthritis is comprehensive treatment. Comprehensive treatment measures: refers to the principle of combining traditional Chinese and western medicine-mainly drugs treated by western medicine, combined with traditional Chinese medicine: one is to improve the curative effect of western medicine to play a synergistic role, the other is to reduce the toxic and side effects of western medicine, and the third is to reduce the dosage of western medicine. * * * Control inflammation, relieve symptoms, control disease development, prevent irreversible bone changes, protect joint and muscle functions as much as possible, reduce joint deformities, avoid disability and return to normal life. Four principles in the treatment of rheumatoid arthritis: early detection of early symptoms and timely examination. Combination medication-several drugs are taken at the same time. Standard-regular hospital, regular physical examination, taking medicine on time. Long-term-chronic diseases with long treatment cycle.

Following the above four principles can control the disease early, improve the quality of life and prevent joint deformity.

What are the advantages of traditional Chinese medicine in treating rheumatoid diseases?

The biggest advantage of traditional Chinese medicine in treating rheumatism is syndrome differentiation and comprehensive treatment of systemic conditioning;

(1). The diagnosis of rheumatism is a complicated and difficult process. Some diseases take a long time to be diagnosed. Before the diagnosis is made, the help of western medicine is often not available. Rheumatologists in China can give corresponding treatment based on syndrome differentiation, which often achieves good results.

(2) Rheumatism patients will have more adverse reactions after long-term high-dose application of hormones and immunosuppressants, which will make their condition repeat in the process of drug reduction. Traditional Chinese medicine can obviously reduce adverse drug reactions, reduce the dosage of western medicine and minimize the toxic and side effects of western medicine through systematic conditioning.

(3) For some rheumatism patients who are allergic to western medicine and cannot use western medicine, Chinese medicine treatment is more important.

What are the common problems in rheumatism treatment?

Question 1: pessimistic thinking, thinking that you have an incurable disease.

In fact, there is a clear connection between mental stress and illness. There is a close time relationship between the stimulation of patients' life and the aggravation of diseases. Don't worry, fear, pessimism, disappointment, unhappiness and unhappiness about the disease. We should learn to be self-disciplined, self-regulated, broad-minded, open-minded, establish the belief of overcoming diseases, and have perseverance and courage.

Question 2: Believe in advertisements and rumors, and believe in "magic medicine"

Rheumatism is a long-term chronic disease, many of which cannot be completely cured, so we must have the ideological understanding of fighting the disease for a long time. Don't trust the secret recipe and magic medicine mentioned in the advertisement, so as not to be deceived and delay the illness. In addition, health care products cannot replace drug therapy, and the composition and dosage of health care products and drugs are two different concepts.

Question 3: abuse of hormones or talk about hormone discoloration.

Glucocorticoid is the strongest anti-inflammatory drug, which can be described as a "double-edged sword" in the treatment of rheumatism. How to treat rheumatism with glucocorticoid is an art, we should not only see its curative effect, but also realize its adverse reactions. Some quacks add a lot of hormones to the so-called "ancestral secret recipe" without telling patients. Patients are heavily dependent after taking it for a long time. Once the drug is stopped, the condition will deteriorate rapidly and serious complications such as femoral head necrosis will occur.

It is safe to take hormones under the guidance of a doctor! ! !

Question 4: Western medicine can only "treat the symptoms", but Chinese medicine can "cure the disease"?

New understanding: Western medicine and Chinese medicine have their own advantages in treating rheumatism. In recent years, the combination of traditional Chinese and western medicine has made encouraging achievements in treating rheumatism. For example, the most important pathological change of wind-like disease is bone and joint erosion. A large number of clinical studies have found that some western medicines can control the progress of the disease and prevent the occurrence of bone and joint erosion.

As a treasure of our country, traditional Chinese medicine has played an important role in the treatment of rheumatism since ancient times and is still widely used at present. The combination of Chinese and western medicine can reduce toxicity and increase efficiency.

Question 5: Why do you need long-term medication after symptom control?

Up to now, most rheumatic immune diseases are incurable and need long-term or even lifelong medication. The remission of symptoms only shows that the disease has been controlled and not completely cured. The disease in the body may not really stop, and it will still recur after stopping the drug or being stimulated by the outside world. Only long-term application of disease control drugs (slow-acting drugs) can slow down or prevent the progress of the above process.

13 why do you need to check regularly?

(1) Evaluate the curative effect and adjust the treatment plan.

(2) Monitoring the toxic and side effects of drugs.

(3) To achieve the goal of minimal side effects and the best curative effect.

If you have any questions, please consult Dr. Feng from the Department of Rheumatology, Xunxian Hospital of Traditional Chinese Medicine, Henan Province 136 13935958.