Treatment of rheumatism medication

Treatment of rheumatism with modern and folk remedies

Rheumatism is a systemic disease of connective tissues and vessels that is of an infectious and allergic nature. This disease develops more often, as a complication of acute streptococcal infection in children and adolescents from 7 to 15 years, but rheumatism can affect the body of an adult, especially the elderly, with weakened immunity.

There are five variants of the localization of the rheumatic inflammatory process:

  • Rheumatic carditis - affects all the membranes of the heart: pericardium, endocardium, but above all the myocardium;

  • Rheumatic arthritis is an articular form of the disease;

  • Rheumatic cholangitis - rheumatic vasculitis of small vessels of the brain;

  • Rheumoeritis is a cutaneous form of the disease;

  • Rheumatic fever is a rheumatic inflammation of the bronchi, lungs and pleura.

In very rare cases, rheumatic peritonitis of internal organs, as well as rheumohepatitis or rheumatic rhinitis may develop. But usually the infection does not reach the organs of the digestive tract, liver and kidneys.

If there is a suspicion of rheumatism, treatment should be started immediately, because this disease is dangerous for its formidable complications, especially the development of severe heart disease. Rheumatism in children and adults is treated by a doctor specializing in specialty - rheumatologist. And today we will tell you everything about the modern therapy of this disease, folk methods of treatment, sanatorium-and-spa activities and the optimal diet for patients.


Treatment of rheumatism in adults

Experienced rheumatologist at the first stage of treatment of rheumatism throws all his strength to suppress streptococcal infection, because it was the main cause of the disease. The second most important after antibiotic therapy is hormone therapy, because the current inflammatory process is too intense, threatening irreversible destructive changes in the heart. The third important place is immunomodulatory therapy, sanatorium and physiotherapy, dispensary observation, tempering, in a word, all the measures necessary to prevent recurrence of rheumatism and return the patient to a healthy, active life.

Treatment of rheumatism in adults is carried out in three stages:

  • Therapy in a hospital( 1,5-3 months);

  • Treatment in a special sanatorium with a cardio-rheumatologic direction;

  • Regular visit to the polyclinic for dispensary registration.

Medical treatment of rheumatism

Antimicrobial, anti-inflammatory, corticosteroid, antihistamine, analgesic, immunomodulating drugs, as well as cardiac glycosides, non-steroidal anti-inflammatory drugs of the new generation, vitamins, potassium and magnesium are included in the basic composition of the antirheumatic program.

The main goal of hormone therapy is to avoid the development of pancarditis, the total defeat of all the membranes of the heart. To stop the acute inflammatory process, patients under constant dynamic ECG observation during 10-14 days are administered corticosteroids: prednisolone or methylprednisolone. Strengthen the anti-inflammatory effect can be drugs such as diclofenac: diclobene, diclouran, voltaren. They are taken either orally( in tablets) or rectally( in suppositories).

A new word in nonhormonal treatment of rheumatism is NSAIDs( non-steroidal anti-inflammatory drugs): aeralt, ketonal, neurolide, ambien, nimasil, celeprex. The last drug at a dosage of 200-400 mg / day is the optimal choice, because it combines high efficiency and complete safety - tselebrex almost does not give side effects from the gastrointestinal tract, unlike other anti-inflammatory drugs.

To eliminate the root cause of rheumatism, streptococcal infection, the following types of beta-lactam antibiotic are used:

  • Amoxicillin - 1.5 g three times a day;

  • Phenoxymethylpenicillin - similarly;

  • Benzathinpenicillin - Injection in the case of severe gastrointestinal side effects with oral administration of penicillins;

  • Cefadroxil - or another antibiotic from the cephalosporin group, 1g twice daily if penicillins are intolerant.

Treatment of prolonged and often relapsing rheumatism is performed using cytostatic immunosuppressants: azathioprine( imarant), chlorbutin, endoxan, 6-mercaptopurine. Chlorbutin is prescribed at 5-10 mg per day, and the calculation of the remaining drugs of this group is made based on the patient's body weight: 0.1-1.5 mg / 1 kg. Immunosuppressants - this is an extreme measure, which has to go to suppress the inadequate hyperreaction of immunity to the causative agent of infection. In addition to the above medicines for the treatment of rheumatism in adults, cardiac glycosides, drugs for the maintenance of cardiac metabolism( pumpan, mildronate, taurine, phytorelax, instenon, trimetazidine, tonsiginal, molsidomine, hawthorn extract), as well as drugs that saturate the blood with potassium and magnesium, magnetores, asparks).

Nutrition

A heavy patient with bed rest is shown a diet with a low fat and carbohydrate content, total salt failure and reduced fluid intake to one liter per day. If there is severe sweating, a small amount of salt is added to the food, since sodium chloride helps to retain moisture in the body.

The ration of a patient with rheumatism is enriched with vegetables, fruits and freshly squeezed juices. Fish, poultry and lean meat are boiled, baked or steamed. One day is made mono-unloading: the patient uses only kefir, potatoes, salad, apples, cottage cheese with milk or dried fruits.

To eat with rheumatism should be small portions of 5-6 times a day, avoid sharp dishes and sauces, refuse from bakery products and products that cause fermentation and gas formation( cabbage, grape juice, legumes, fat whole milk, lemonade).

Balneotherapy is the best spa treatment for rheumatism

Mineral waters gently and naturally regulate hemodynamics, increase cardiac output and normalize the heartbeat, so balneotherapy is recommended as an optimal end of the main stage of treatment of rheumatism. Staying in the seaside resort positively affects the general well-being and mood of the patient, and this is very important for successful recovery.

The following types of mineral waters are used for balneotherapeutic treatment of rheumatism:

  • Radon;

  • Sulphide;

  • Chloride-sodium;

  • Carbonic;

  • Iodide-Bromine;

  • Nitric-silica

If against a background of rheumatism a mitral-aortic heart disease develops in the patient, carbon dioxide and radon baths, which effectively restore hemodynamics and normalize the heart rhythm, are best for the patient. Patients in a state of persistent remission are shown applications from medical mud to the area of ​​joints affected by rheumatism.

Balneotherapy has a complex positive effect on the exhausted organism: it strengthens the immune system, activates the work of the endocrine glands, improves digestion and stimulates a good appetite, eliminates insomnia, weakness and apathy. Only patients with heart failure of stage 2A and above, as well as patients with aortic heart disease of stage CH and above, balneotherapy, unfortunately, is contraindicated.

Treatment of rheumatism in a sanatorium should not be limited to taking medicinal baths and drinking mineral water. Useful walks in the fresh air, moderate physical activity, stay on the beach, because the sea climate itself has a surprising effect on the sick body. Strengthen the beneficial effect of balneotherapy can be the intake of vitamins, minerals and drugs that nourish the hearts and strengthen the immune system( we mentioned them above).

Clinical examination of rheumatic patients

When the main stage of treatment of rheumatism is left behind, it is necessary to visit your rheumatologist or local therapist on a regular basis, so that at the first signs of remission take urgent measures. Close monitoring of the patient's condition with rheumatism and preventive courses of taking maintenance medications is the key to a stable remission.

Clinical examination for rheumatism solves several problems:

  • Control over the patient's condition and prompt response to any changes in his condition;

  • Assignment of drugs to normalize blood circulation and support the heart if necessary;

  • Consultation with a surgeon and performing a heart surgery, if required;

  • Analysis of the patient's ability to work and resolving questions about assigning a disability group;

  • Recommendations for lifestyle, nutrition, hardening and physical activity.


Treatment of rheumatism in children

Unfortunately, rheumatism most often chooses children and adolescents as its victims, moreover, in the same patients in a mature and advanced age the disease usually recurs, and strikes a new blow to the joints and heart. A child with acute rheumatism usually has to be placed in a hospital for a long( 1.5-2 months) course of treatment. Therapeutic tactics are selected individually, based on localization, the severity of the inflammatory process and the degree of destructive influence on the heart. Treatment of rheumatism in children is not only the intake of medications, but also special physiotherapy procedures and a special diet. But first things first.

Medical treatment of rheumatic fever in children is performed with the help of the following drugs:

  • Analginum or amidopyrine - 0,15-0,2 grams for every year of a child's life per day, but not more than 2,5 grams;

  • Aspirin ( acetylsalicylic acid) - 0.2-0.25 grams per year of life per day;

  • Salicyalat sodium - 0.5 grams for each year of life per day, the dosage is divided into 4-6 receptions and after the subsidence of acute symptoms of rheumatism is gradually reduced, but not earlier than a month after the first recorded attack of the disease;

  • Butadione - children under 7 years, 0.05 g three times a day, 8.08 years - 0.08 grams, and adolescents over 10 years - 0.1-0.12 g.

In modern practice of treatmentrheumatism in children is often used combined preparations of pyrabutol and rheopyrin, which contain both amidopyrine and butadione. Dosage is also calculated based on the age of the small patient.

In the first, acute stage of rheumatic fever, to overcome the inflammatory process and prevent irreversible damage to the heart membranes is possible only with the help of synthetic hormones - corticosteroids. The most popular representatives of this class of medicines for the treatment of rheumatism: voltaren and indomethacin( methindol).Hormonal therapy is performed for at least a month.

Therapy of Sluggish Rheumatism in Children

If the disease develops very slowly, and until it causes a significant damage to the heart muscle, you can avoid the appointment of glucocorticoids, and instead of hormones, use drugs from the chloroquine group - plaquenil or delagil. Dosage is calculated based on body weight: 0.5-10 mg per kilogram.

A child over the age of seven is still advisable to prescribe a hormonal drug to suppress the inflammatory process: prednisolone, dexamethasone, triamcinolone at a dosage of 10 to 20 mg per day, depending on the age, weight and nature of the course of rheumatism.

If the body has parallel infectious processes, for example, a cold, then in addition to corticosteroids, a 14-day course of antibiotics is prescribed. The choice of the drug remains at the discretion of the attending physician and depends on the type of infection.

In addition to medical treatment, dry heat is used, warming up with solux, ultraviolet and UHF irradiation. Sluggish rheumatism in children does not require a permanent stay in a medical hospital - usually the child is treated at home and visits the treatment room.

Therapy for acute rheumatic fever in children

Turmeric

A substance called curcumin, which is extracted from the popular spice of turmeric, can have a therapeutic effect on patients with rheumatoid arthritis. In addition, the data obtained from many studies suggest that curcumin eliminates the inflammatory process that occurs in some cancers, promotes the treatment of psoriatic lesions, intestinal diseases, Alzheimer's disease. The substance has proven itself as a fighter with autoimmune pathologies and chronic pain.

Omega-3 removes inflammation of the joints

The use of polyunsaturated Omega-3 acid is not to be doubted. Her ability to relieve inflammation from the joints in many diseases( rheumatism, arthritis, arthrosis) has long been proven.

Its action is due to three main mechanisms:

  • Acid improves the composition and functionality of intraarticular lubrication. Helps to some extent avoid age-related changes and maintain the elasticity of ligaments and tendons longer.

  • Omega-3 slows the irreversible decay of collagen fibers that make up the cartilage of the joint. This process increases with the development of the inflammatory process and in the presence of degenerative-dystrophic diseases.

  • Omega-3 reduces the activity of most inflammatory reactions in the joint tissues.

Therefore, it is so important to take Omega-3 not only during the development of the inflammatory process, but also for the prevention of joint diseases.

The roots of aconite from rheumatism

The most radical folk remedy for treating rheumatism is homeopathy using poisonous aconite, which is considered to be the most effective remedy. Natural poison, penetrating the body, triggers an immune response, with which you can defeat any disease, including cancer and rheumatism. If in the first case the poisonous tincture is taken orally by a special scheme, then in the second it is used for rubbing into the joints affected by rheumatism.

Tincture for external use. . Take 50 grams of grated akonite root of Dzungarian, pour half a liter of good vodka, tightly seal the jar( ideally - from dark glass) and insist 2 weeks in a dark, cool place, from time to time shaking. Avoiding penetration of light and air is very important, since the toxic alkaloids of aconite are volatile and are susceptible to oxidation. Ready tincture strain and store in the refrigerator in the same tightly ukuporennoy container.

At night, rub it into the aching joints in turn, that is, not all at once, but first in the right knee, then in the left one;in the right elbow, then in the left, and so on. Tincture of aconite very strongly stimulates blood circulation and accelerates the heartbeat somewhat - this effect will be felt right away. After rubbing the patient's joint, it is necessary to wrap a flannel or tie a scarf, in the morning, how to remove the bandage, first wait 2 hours, and then wash or wipe the limb with cool water.

Decoction for external use. To prepare the broth, take 10 g of root and pour half a liter of water. The resulting mixture is placed in an enamel saucepan on a fire and cook for 2 hours. After cooling, it is filtered. Such decoction can wipe the affected joints up to 3 times a day. It so intensifies the blood circulation that you can immediately feel an extraordinary palpitation.

Aconite tincture for internal use. For the preparation of alcohol tincture, take 2.5-3 g of dry root in a crushed form and pour 100 grams of vodka. The container must be made of dark glass. After it is placed in a warm place for 2 weeks and insisted. Before use, you must strain.

The reception scheme is as follows:

  • You need to start reception from 1 drop. You can not use the product on an empty stomach, it is important to timed this moment to each of the three main meals.

  • All subsequent days + 1 drop every day for all three doses.

  • On day 11 - it is necessary to take 10 drops 3 times a day.

  • Starting from day 12, the number of drops decreases every day by one.

Take the tincture followed by courses, the number of which should be three. The break between the courses is 5 days.

It is important to remember that the plant is poisonous, so compliance with precautionary measures will not be superfluous. Treated places should be wiped, hands thoroughly washed. When symptoms of poisoning appear, it is necessary to wash the intestines and stomach, as well as seeking medical help and refusing to take the medicine.

Among the alarming signs of poisoning can be identified:

  • Appearance of tingling sensation in different parts of the body

  • Pain in the stomach, esophagus, in the mouth

  • Pupil expansion

  • Emergence of dizziness

Pine needles

With prolonged chronic and often recurrent rheumatism, coniferous tincture can become a real salvation. It is prepared from fresh May needles of pine and medical alcohol. Fill a full liter can of needles, pour alcohol to the top, seal with a tight lid and insist in a dark and warm place for three weeks, periodically shaking. Strain the ready folk remedy for rheumatism and take it 8 drops per piece of sugar for half an hour before meals three times a day for 4-6 months.


Treatment of rheumatism with folk remedies

There are 2 interesting folk recipes that help with rheumatism:

  • Birch leaves. Collect a lot of fresh birch leaves, stuff them with linen pants from pajamas, put on your clothes and in such a way go to bed under a warm blanket. To achieve a good therapeutic effect, you need to sweat heavily. For this recipe, dried leaves will also fit, but from the fresh foliage the effect will be better. Sleep in the "birch pants" until the morning is not necessary - just lie down for 3 hours. In summer in the country, you can use another, even more effective way of treating rheumatism with birch leaves - a bath. Throw a mountain of foliage in an old cast-iron bath or a large wooden kadushku, put in the sun, wait a couple of hours until the leaves are up, undress and bury it in the waistband for an hour.

  • Salt. Simple table salt helps to relieve pain in joints with rheumatism. Dissolve a tablespoon of salt( sea or iodized - even better) in a glass of moderately warm water, moisten a clean cloth or gauze in the saline solution, attach it to a sore spot, wrap it with cellophane and a warm scarf and leave it for a couple of hours. There is also an anhydrous way of treating rheumatism with salt - with the help of linen bags, into which salt poured into the frying pan falls asleep. However, remember that warming of the joints is not allowed, however, in the remission of rheumatism, when there is no active inflammatory process.

Author of the article: Muravitsky Igor Valerevich, rheumatologist;Sokolova Nina Vladimirovna, phyto-therapeutist, especially for the site ayzdorov.ru

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If a child is diagnosed with pathological changes in the cardiovascular system and circulatory insufficiency, he is shown treatment with drugs of the glycoside group: 0.05% solution of strophanin, extract of digitalis( 0,03-0,075 g three times a day), 0,06% solution of Korglikona. In addition to glycosides, diuretics are used to treat acute rheumatism in children: fonurit and euphyllin.

With rheumocheroe to the standard set of antibiotics and corticosteroids, it is expedient to add vitamins of group B( primarily pyridoxine 50 mg per day), as well as vitamin C in glucose solution( 1 ml of 5% solution per 10-15 ml of 20%solution) to maintain the body;the introduction is carried out intramuscularly, the course - 10 days.

Novocain and preparations of antihistamines group: claritin, cetrin, loratadine are used to alleviate the pain syndrome and blunt the severity of symptoms in the treatment of acute childhood rheumatism.

The course of treatment of acute rheumatism in children takes on average about one and a half to two months. Then the child is sent for a couple of months to the sanatorium-resort institution, gain strength and recover from a serious illness. Despite the final recovery, all the children who have suffered rheumatism create a special medical card of the form Ns30, which is stored in the polyclinic by the district pediatrician and serves as a constant reminder of the special status of the small patient.

Modern methods of treating rheumatism allow in 85-90% of cases to expect a complete recovery of the child, but still 10-15% of children can not avoid the development of heart disease. If such unhappiness has occurred, you will have to avoid physical exertion for the rest of your life, adhere to a special diet and take supportive medications. That is why it is so important to sound an alarm in time and to see a doctor at the first sign of a terrible illness.


5 most effective remedies for rheumatism

Turmeric will ease pain

How to treat joint rheumatism?

Rheumatism is an infectious-allergic disease in which the joints of the joints, the cardiovascular system, internal organs, muscles and skin are affected. The causative agent of this disease is hemolytic streptococcus, but the main role is played by the allergy, which arises as a result of high sensitivity to the secondary introduction of streptococcus. Usually rheumatism develops after acute inflammation of the upper respiratory tract, tonsillitis, possibly the appearance of such a disease in dental caries. Also, the cooling of the body contributes to the development of this disease. Before deciding how to treat the rheumatism of joints, legs, for example, you should understand what this disease is and what its symptoms are.

General information about rheumatism

In fact, rheumatism is not as common a disease as it is commonly thought. In general, this disease is typical for children aged 6 to 15 years. In older people, this disease appears extremely rare. But even in that classic "children's" group, which is most susceptible to this disease, no more than one child per thousand is ill.

Most often, children

are suffering from rheumatism. Many wonder why we so often hear this word, if this disease is so rare? In this case, it appears that earlier this disease was more common, but after medicine intensified and available antibiotics appeared, the number of cases of rheumatic fever decreased significantly.

The second reason is even simpler - earlier the word "rheumatism" was used to refer to all joint diseases. Doctors simply did not distinguish them, because there was no such need - the choice of treatment procedures was small, respectively, and the treatment was almost always the same. But since the possibilities of medicine have increased, we have begun to distinguish between various joint diseases and to select appropriate treatment for each of them. Because now no doctor will confuse the symptoms of this rheumatism with manifestations of other diseases.

It should also be noted that rheumatism is characterized by seasonal exacerbations, with the intervals between attacks are different for everyone and can range from a couple months to several years. In addition, if the first attack of the disease passes without the involvement of the joints, the disease in general can go unnoticed for a long time. Such a latent form of the disease is revealed only after a time when rheumatic heart disease is formed. Repeated attacks of the disease in this case are much more difficult.

How to identify the disease?

In general, the symptoms of this disease are very characteristic. As we have already said, mainly teenagers and children suffer from this disease. Most often the disease develops after a few( 1 to 3) weeks, after the child has had a streptococcal infection of the upper respiratory tract. It can be angina, pharyngitis, which is an inflammation of the pharynx, or tonsillitis, in which inflammation of the tonsils occurs.

Streptococcal infection itself does not always manifest itself vividly, often leaking atypical and secretive. In this case, it is necessary to encounter only a slight inflammation of the throat and a minimum temperature. That's why doctors very often just diagnose ARI, just not noticing the infection and not prescribing the necessary treatment in this case. As a result, an untreated infection, especially in the case when it appeared against a background of low immunity and repeatedly, often leads to joint rheumatism. As a result, after some time after the transferred disease( pharyngitis or sore throat) a person is faced with inflammation of various large joints - shoulder, elbow, knee, ankle, wrist. But the small joints of the toes and hands are very rarely affected by this disease.

Characteristic is also the fact that joints become inflamed not simultaneously, but in turn. For example, first the knee joint can inflame, after a few days this inflammation passes, but a new one appears, already in another joint, then in the third, etc. This is the movement of inflammation around the joints and is a kind of "business card" of rheumatism. In this case, the inflammation of each particular joint is usually short enough, it rarely lasts more than 10-12 days.the problem is that such inflammations usually occur in several turns, and they harm not only the joints, but also the heart.

As a result of untreated or in time untreated rheumatism appears rheumatic carditis, which is a rheumatic inflammation of the heart. This disease is of three degrees of severity, and the heart muscle, membranes and heart valves can be involved in the process.

Forms of rheumatic carditis

There are three forms of this disease - mild, moderate and severe.

The mild form of rheumatic carditis affects only some local areas of the heart muscle. At the same time, the blood circulation of the heart is not disturbed, and there are simply no external manifestations of the disease, because it practically always goes unnoticed.

In case of a moderate disease, a stronger defeat of the heart muscle occurs, the heart itself grows somewhat in size, there are unpleasant sensations behind the breastbone, increased fatigue, shortness of breath, a feeling of heartbeat that occurs with the usual household loads.

Severe rheumatic carditis leads to an even weaker heart, while its dimensions increase significantly. Even in a state of rest, the patient experiences pain in the heart, there may be swelling on his legs. As a result of this form of the disease, heart defects( wrinkling of the heart valves) can develop.

Another consequence of rheumatism - chorea

Chorea - one of the consequences of rheumatism

Chorea - one of the consequences of rheumatism

Rheumatic carditis is not the only possible consequence of rheumatism that was not cured in time. Children also develop chorea, which is a defeat of the nervous system. As a result, the character of the child changes a little, it becomes capricious, irritable, untidy and absent-minded. Gait and handwriting change, memory and speech worsen, sleep disturbances may appear. However, in the early period of the disease this is all explained as indiscipline and capriciousness, and no one thinks about going to the doctor. Nervous parents begin much later, when the child begins involuntary twitching of the muscles of the hands, legs, trunk and face.

Chorea, like the rheumatic inflammation itself, eventually passes without a trace. So the most serious result of untreated rheumatism is rheumatic heart disease, which can lead to serious problems, even disability. That is why it is important to diagnose as early as possible and start treatment for this disease, good, everyone knows which doctor treats rheumatism.

The main task of treating rheumatism

The main task, which is put before the attending physician - suppression of streptococcal infection, which both causes the development of the disease itself, and causes its complications. If it comes to how to treat rheumatism, then usually one of the many antibacterial agents, most often penicillin, is chosen. At the same time, active antibiotic therapy lasts about two weeks, after which the patient receives an intramuscular injection of penicillin every five years for several weeks to prevent possible complications on the heart.

In recent years for the treatment of rheumatism, antibiotics of the "broad spectrum of action" in the form of tablets have been actively used. Such drugs( for example, erythromycin, ampicillin, oxacillin, etc.) have also shown their high effectiveness.

During the exacerbation for the removal of pain, various non-steroidal anti-inflammatory drugs are used. They act quickly and effectively eliminate pain and inflammation.

Rheumatism, despite its "secrecy" and danger, is perfectly treated with non-steroidal anti-inflammatory drugs and antibiotics, in most cases it is quite enough to completely eliminate the disease. But in rare cases this treatment does not give the proper effect, then the doctor has to prescribe corticosteroid hormones. In combination with antibiotics, these drugs can remove rheumatic inflammation in just a few days.

It should be noted that painkillers in the treatment of rheumatism are practically not used, because their effect in this case is only temporary, and they can not suppress inflammation. If the anesthetic relieves pain, then the inflammation is not lost anywhere, and the person, actively moving, causes additional harm to the sick joint.

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Symptoms, methods of treatment of muscular rheumatism

Muscle rheumatism is usually understood as a strong pain in muscles and joints. The disease is particularly susceptible to middle-aged people. Muscular rheumatism is accompanied not only by painful sensations, but also by the wear of the joints, inflammatory processes in the muscles, can cause rheumatic polymyalgia and other pathologies. However, modern medicine has a sufficient arsenal of funds that can significantly alleviate the condition of a sick person. The main thing is not to pull to the last, but at the first discomforting sensations to consult a specialist, get a diagnosis and start treatment.

Muscle rheumatism: forms of the disease

Rheumatism is associated with the process of destruction of muscle tissue. The disease is more susceptible to middle-aged and elderly people, more women. Usually the muscles of the following departments are affected:

  • of the cervical region;
  • lumbar region;
  • of the thoracic region;
  • shoulder section;
  • of the extremities( legs, arms).

There are 2 forms of muscular rheumatism:

  • acute;
  • chronic.

Acute rheumatism lasts several days. It begins, as a rule, with a rise in temperature, which sometimes reaches 40 degrees. At the same time there is a strong soreness, a feeling of tension in the affected muscles, when probed, they turn out to be strongly compacted( rigid).In addition, there may be volatility, that is, a sharp change in the localization of pain from one muscle group to another. If the muscles of the lower extremities are affected, a person begins to limp sharply, to fall on a sick leg, the gait becomes constrained, tense. Over time, when the muscle warms up and develops a little, the pain can go away on its own. However, rheumatism is characterized by exacerbations and aggravation of the situation. Therefore, it is better to immediately consult a doctor, since in the absence of treatment, the disease from the acute stage often turns into a chronic one.

The chronic stage is different in that the symptoms persist for several weeks or even months. In this case, the patient's condition can then improve, then again become aggravated. Among the reasons provoking an exacerbation, the following are distinguished: a sharp change of weather or climate, drafts, hypothermia, high humidity, cold season, dampness, stress, nervous overexertion. If the disease is not treated at this stage, it can remain for life.

Muscle Inflammation: Symptoms of

The main symptom of the disease is muscle pain( myalgia).In this case, pain can occur regardless of whether there is any effect on the muscle, and can appear precisely as a result of mechanical action( for example, when squeezing the muscle), while moving, in a certain position. The pains are more often blunt, aching in nature, sometimes patients complain of a pulling feeling in the muscle. Some patients characterize the experienced pain sensations as cutting, stitching, pinching, monotonous, some have a burning sensation.

muscle pain

Often the pain is observed not only in the affected muscle, but also in other places. For example, with rheumatism of the muscles of the cervical spine, pain can be given to the nape, ears, whiskey. Patients may complain that they have a sore neck as if it had blown. At the same time, neck movements are limited: a person can not fully turn his head to the left or to the right. With rheumatism of the lumbar muscles, the pain is not very intense, often aching, but with stretching muscles or contracting the pain becomes sharp. With rheumatism of the muscles of the thoracic region, a person can not breathe a full chest, the pain becomes sharp when inhaled and can be given to the scapula.

In addition to pain in the disease, there are other symptoms:

  • stiffness of movements in the area affected by rheumatism;
  • a pathological change in muscle tone( its decrease or increase);
  • change the appearance of the muscle( it atrophies, grows thin or, conversely, increases in volume, swells);
  • muscle loses its strength;
  • involuntary muscle contraction;
  • compaction, sometimes swelling of the diseased muscle;
  • sleep disturbances( insomnia or superficial, intermittent sleep);
  • weakness and a sense of emaciation;
  • in case of damage to several groups of muscles can increase body temperature.

There can be violations not only physical, but also neurological. So, patients with rheumatism can become irritable, sensitive to stress, weak, quickly tired, suffer from headaches. All these criteria allow the doctor to put a preliminary diagnosis of rheumatic inflammation of the muscles when examining the patient.

Rheumatism: causes of

Possible causes of muscular rheumatism can be conditionally divided into 3 types:

  • organic;
  • psychological;
  • professional.

In turn, for organic reasons are the following factors:

  • infectious diseases( common cold, tonsillitis, tonsillitis, influenza, etc.);
  • chronic diseases( metabolic disorders, diabetes mellitus);
  • autoimmune disorders( scleroderma, rheumatoid arthritis);
  • allergic reactions;
  • physical injuries, accompanied by a pain symptom;
  • physical overwork;
  • pathological changes in the central nervous system;
  • imbalance of the hormonal sphere.

Psychological reasons include the following factors:

  • mental trauma, stress, nervous disorders;
  • personal problems;
  • nervous overwork.

The psychological factor plays a special role. If for a long time a person experienced constant stress( for example, at work, in family relationships, personal problems, etc.), which adversely affected the general mood and well-being of a person( a person was in a state of depression, depression, depression),The likelihood that these psychogenic factors provoked the development of muscle rheumatism is very high.

The modern world requires from people an ever faster pace of life, more like a race. People are often forced to live against their own biorhythms inherent in nature. The result of this can be various sleep disorders: chronic insomnia, superficial sleep, lack of deep sleep - all these factors have the most negative impact on the entire human body and often cause muscle rheumatism. This is due to the fact that people who do not sleep well, do not stand out in the right volume of growth hormone, namely it is extremely important for strengthening tissues, including muscle.

Representatives of some professions, for whom he is a professional disease, are also susceptible to muscular rheumatism. The risk group includes drivers, pianists, violinists, that is those people whose activities are accompanied by regular action on a certain group of muscles.

Diagnosis: criteria for rheumatism

electroneuromyography in rheumatism

The doctor makes the final diagnosis based on a number of factors. First of all, these are complaints of the patient, with whom he consults a doctor for advice. The doctor is interested in such criteria of rheumatism as pain, duration, intensity, location of localization, and also character. In addition, it is important to gather information about the patient's chronic illnesses, which could provoke the development of the disease. Such an anamnesis helps to assess the patient's condition, it is irreplaceable in the diagnosis. It is very important not to make a mistake with the diagnosis, because there are many other diseases that occur with a very similar symptomatology. To make the correct diagnosis, in addition to subjective complaints of the patient, the doctor also includes other criteria and methods for diagnosing the disease:

  • electroneuromyography, which allows you to assess the state of the neuromuscular system, muscle and nerve activity;
  • general blood test( in particular, to exclude or confirm anemia);
  • blood test for hormones;
  • thyroid diagnostics;
  • analyzes for infectious diseases and diseases of the genitourinary system( endometriosis, inflammation of the bladder, tonsillitis, otitis, etc.);
  • assessment of the patient's psychological state;
  • diagnosis of concomitant diseases: diabetes mellitus, joint or coronary artery disease, which can accompany rheumatism( in this case, diagnosis of secondary fibromyalgia, which often occurs in the elderly).

Only complex diagnostics, often with the involvement of other narrow specialists, gives grounds for diagnosing and prescribing the correct treatment. In this case, the doctor approaches each patient strictly individually, taking into account such criteria as the age, sex of the patient, the causes and severity of the course of the disease, etc.

Methods of treating rheumatism

massage with rheumatism

It should be noted that there is no single method of treatment that would be effective against rheumatism,therefore, it is necessary to approach the solution of the problem in a complex manner. Modern medicine has the following methods of treatment.

Medication Approach

First of all, drug therapy begins with the appointment of antirheumatic, anti-inflammatory and antibacterial drugs. Medicines should be prescribed exclusively by a doctor. Do not engage in self-medication and independently choose a pharmacy medicine. Preparations against rheumatism have a wide spectrum of action: they relieve acute pain, normalize body temperature, if it is increased, normalize blood counts. The drug treatment lasts a long time. If the cause of rheumatism is the infection( in particular, streptococcus), it is extremely important to eliminate its foci in the human body. Often, rheumatism is caused by complicated dental granulomas, tonsillitis, sinusitis, otitis media, sinusitis, and the like. Effective antirheumatic therapy is impossible without active treatment of the underlying cause in the form of an infectious disease.

If the patient has sleep disorders, nervous disorders, psychological factors are present, the doctor can prescribe medications that help normalize sleep, mood. Such drugs are prescribed in the smallest doses.

Physiotherapy

A large therapeutic effect in the treatment of rheumatism has a compress and light heaters, hot cabinets, steam showers, hot air showers, etc. They are prescribed in both acute and chronic stages of the disease, because physioprocedures can significantly reduce pain and other unpleasant sensations.

Massage Therapy

Massage should be performed by a specialist who has experience with exactly patients with rheumatic patients, since the specificity of the effect on sick muscles with this massage differs from the usual.

Sanatorium treatment

Sanatorium treatment is usually prescribed to patients who were treated in a hospital. It is irreplaceable for those who suffer from a chronic form of the disease. It is important that the sanatorium is located as close as possible to the patient's permanent residence in order to avoid a sharp drop in the climate.

Psychological support of

This method includes consultations of a psychologist, participation in psychotherapeutic groups. The main goal is to teach a person to resist stress, relax. This is important for all patients regardless of the cause of the disease, because in all categories of patients without exception, psychological stress causes deterioration of the condition, exacerbation of the disease. In addition to psychological help, group meetings of people with the same diagnosis in a hospital environment are useful, where the doctor will tell you about the peculiarities of the disease, teach you how to live with him most fully, what to do in cases of exacerbation, etc. Patients on such sessions can share their experiences, fears, observations, which is also important for positive dynamics in the treatment process.

If the patient seeks help from a doctor at the beginning of the disease, he can be cured in a relatively short time, and rheumatism can pass without a trace.

Lifestyle of patients with rheumatism

regimen of the day for rheumatism

It is important for patients with rheumatism to follow a special way of life, regimen and diet.

  1. Mode. It is very important for patients with rheumatism to accustom their organism to the transition from cold to heat and vice versa. This can be achieved through hardening, which need to be dealt with gradually. To do this, perform a wipe: wet the towel with cold water and quickly pat all parts of the body, then dry it off. Begin with water at a temperature of 28 degrees and gradually lower to 17 degrees. Important and regular physical education.
  2. Therapeutic physical training. The most successful exercises for patients with rheumatism are walking with sticks or walking, biking, skiing, dancing( but not sporting), exercises in water( swimming, aqua aerobics).All exercises should be easy, smooth, not to cause unpleasant sensations and pain. To start classes you need in the room of physiotherapy exercises under the supervision of an experienced instructor.
  3. Special diet. The diet is designed in such a way that the body does not have a deficiency of vitamins and substances that are necessary for the construction of tissues and joints. Particular attention should be paid to protein and vitamin C. Thus, the diet should abound with vegetables, berries, fruits, herbs, legumes, cereals. But the consumption of table salt and fast carbohydrates in the form of flour products, potatoes and sugar must be limited.

All these activities together provide an excellent therapeutic effect, help to cure the disease or significantly improve the person's well-being.

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Joint rheumatism: symptoms, tests, medication management and prevention

Diagnosis of rheumatic joint damage involves laboratory analysis and instrumental research methods.

Laboratory tests are performed to identify signs of inflammation.

These analyzes include:

  • total blood test. Rheumatism may be indicated by reduced hemoglobin, elevated levels of leukocytes and ESR;
  • blood test for biochemistry. With rheumatism, there is an increase in the number of proteins specific for inflammation;
  • analysis of fluid located in the joint cavity. In inflammatory processes, the synovial fluid changes color, becomes turbid, it contains a large number of leukocytes.

The instrumental methods of research include:

  • arthroscopy - a study during which the doctor visualizes the joint cavity with a special device;
  • radiograph;
  • scintigraphy. In inflamed joints there is accumulation of a special substance - technetium. With the help of scintigraphy, you can determine how much of this substance is in the joint;
  • synovial sheath biopsy is a study in the course of which a piece of tissue taken from the affected area is studied under a microscope;
  • MRI - helps to identify the degree of joint deformity. This procedure is not carried out often because of the high cost;
  • ultrasound.
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Drug treatment for

The treatment of rheumatism usually takes a long time and lasts more than 2 months. First of all, patients are assigned bed rest, as well as a diet with a minimum salt content. To go to the patient it is impossible until the first symptoms of improvement of a status are not appreciable.

The medical treatment of the symptoms of joint rheumatism is as follows:

  • elimination of streptococcal infection in the initial stages;
  • strengthening of protective properties of the body;
  • removal of unpleasant symptoms.

The length of getting rid of streptococci, usually used antibacterial drugs. The most powerful effect on the infection in this case is provided by protected penicillin and augumentin.

In order to choose the right medicine the doctor can prescribe pulmonological seeding of the material. After getting the infection from the respiratory tract, it begins to grow in a special environment.

After some time, microbial colonies are placed with antibacterial drugs. If bacteria are sensitive to the drug, they begin to die. Thus, a test is conducted for the sensitivity of streptococcus to antibiotics.

In severe rheumatism, combined therapy may be necessary. In this case, several antibiotics are administered simultaneously. In addition to antibiotics, anti-inflammatory drugs are also used in the therapy of rheumatism, they not only relieve inflammation, but also stop pain.

When non-steroidal anti-inflammatory drugs such as diclofenac or ibuprofen appear in the affected area, non-steroidal anti-inflammatory drugs are prescribed. If the patient feels severe pain, the doctor may prescribe corticosteroid hormones. They eliminate unpleasant symptoms as soon as possible.

In special cases, a doctor can prescribe gamma globulins and drugs that depress the body's immunological responses.

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Complications of rheumatic joint damage

To treat rheumatism is necessary and the sooner, the better. This disease, if left to chance, threatens with serious complications that can affect the heart. Many patients who did not go to the doctor in time, developed carditis.

They were noted for stitching or drawing pains in the region of the heart, shortness of breath even with small physical exertion, various malfunctions in the work of the organ. According to statistics, 20% of carditis led to the development of cardiac duct defects.

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Specific and general prophylaxis

Any disease is easier to prevent than treat. Prevention of rheumatism is mainly aimed at strengthening immunity and timely treatment of infectious diseases. To prevent illness it is useful to play sports and temper the body.

People who often have angina or pharyngitis at the first signs of the disease should seek medical help.

All patients with rheumatism, regardless of the form in which it is exacerbated, should become registered. These people should visit a rheumatologist at least once every six months. The first 3 years after suffering rheumatism, a person is administered Bicillin-5 every month. After this time, patients twice a year, as a rule, in spring and autumn, during a period of exacerbation of various diseases, a course of anti-inflammatory drugs is prescribed and Bicillin-3 is administered intramuscularly every week or Bicillin-5 every month. In some cases, other antibiotics may be used.

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Rheumatism: treatment with folk remedies and medications

Tactics for treatment of severe symptoms of

If cardiovascular system, which is characterized by circulatory insufficiency, is detected, cardiac glycosides are prescribed by the doctor.

This can be strophantine - 0.05% solution, as well as digitalis - 0,03-0,075 g three times a day. Will help and korglikon - 0,06% solution, modern diuretics( eufillin or fonurit).

Treatment of rheumatic fever with antibiotics, in case of a chorea, involves the simultaneous use of a complex of B-group vitamins. Includes antirheumatic therapy and the intake of Bg( pyridoxine) vitamins 50 mg daily: course - 10 days. Assigned by a doctor and vitamin C - 1 ml of 5% solution for 10-15 ml of 20% glucose solution. The resulting preparation is administered intramuscularly. It is also necessary to use novocaine and antihistamines.

In the hospital, the sick child undergoes a therapeutic course on average 1.5-2 months. After this, a small patient is forwarded for 2-3 months to a sanatorium for stage treatment. Then the baby comes under the supervision of a cardiologist-pediatrician. Already in the clinic, a registration form is set up for him, which corresponds to Ns30.

Even with timely therapeutic methods, the prognosis for rheumatism remains serious, since after the first attack, heart disease is noted in 10-15% of children. With an early and active struggle for health, the prognosis is mostly favorable.

Treatment of rheumatism in adults

Reliably knows how to treat rheumatism only an experienced specialist in view of the fact that each case is individual and provides for an integrated approach to therapy.

Initially, all the forces are sent to suppress streptococcal infection, as well as the activity of the inflammatory process. A warning is given of the re-formation of the disease and the progression of the heart defect.

The implementation of the program for the recovery of the patient with rheumatism is carried out according to the principle of phasing:

  • inpatient therapy;
  • productive aftercare in a cardio-rheumatological sanatorium;
  • visit to the polyclinic for dispensary observation.

Medical treatment in the

hospital The therapeutic program for articular rheumatism consists of antimicrobial and anti-inflammatory effects. It also includes measures to restore immunological homeostasis, following rational balanced nutrition. Important in this period of physical exertion, timely surgical treatment of patients with heart defects.

When acute symptoms of rheumatism - and treatment should be carried out taking into account the decline in manifestations of pancarditis. During this period, glucocorticosteroids - prednisolone or methylprednisolone with a duration of 10-14 days are shown. Therapy is conducted under the strict control of clinical and instrumental indicators, including dynamic ECG observation.

Includes the treatment of rheumatism drugs of type diclofenac-diclourene, voltaren, diclobene. Reception is carried out orally - taking pills, or rectally - using candles. In any case, the preparation has a high anti-inflammatory activity corresponding to the efficacy of prednisolone.

A new generation of medications are specific NSAIDs. These include ambien, avertal, movalis, ketonal, nimesil, nemulid. Especially in this class of drugs, it is secreted celebrex( 200-400 mg).It has a characteristic anti-inflammatory and analgesic effect. It is harmless and will not affect negatively even the gastrointestinal tract.

Due to the active role of streptococcal infection, the diagnosis of rheumatic fever with antibiotic therapy is very important. Preparations for the selection of β-lactam agents:

  • penicillins( amoxicillin - 1.5 g for three doses);
  • phenoxymethylpenicillin - 1,5 g for three doses;
  • Benzathinpenicillin - intramuscular;
  • cephalosporins( cefadroxil - at a rate of 1 g for 2 divided doses).

With prolonged course of the disease or constantly recurring rheumatism, cytostatic immunosuppressants are shown: 6-mercaptopurine, chlorbutin, imarant( azathioprine), endoxane. The dosage of 6-mercaptopurine, imarant( aziotioprine) corresponds to 0.1-1.5 mg / kg of body weight, and chlorbutin is taken at 5-10 mg / day.

Preparations for the treatment of rheumatism:

  • anti-inflammatory drugs: hydroxychloroquine, chloroquine;
  • cardiac glycosides;
  • medications to improve myocardial metabolism: hawthorn flower extract, pumphane, tongin, phytorax, instenon, mildronate, molsidomine, taurine, trimetazidine;
  • potassium - and magnesoderzhashchie drugs: asparks, magnerot, panangin.

Diet

When the active phase of rheumatism is noted, a low-calorie diet with low fat and carbohydrates is recommended in bed rest. Liquid intake is reduced to 1 liter.

Nutrition for rheumatism virtually completely passes without the use of salt, but with a strong perspiration, experts consider it to be justified. The patient's diet should be rich in fruits and vegetables, freshly squeezed juices.

With rheumatism, meat and fish are boiled. At least once a week, the unloading diet is carried out - salad, potato, kefir, apple, dried fruits, curd-milk. Eat at this time in small portions . From the diet, exclude any strong broths, as well as sauces, salines, any bread, whole milk, white cabbage, cucumbers, grape juice, beans, carbonated drinks.

When the disease passes into the subacute phase, as well as from the first days of manifestation of mild inflammatory phenomena, the diet for rheumatism can be expanded. Only with the general satisfactory state of the body is it possible to include in the diet products such as eggs, fish, cottage cheese, meat, dairy products, rich inprobiotics.

Spa treatment: balneotherapy

The course of therapy based on the use of mineral waters, promoting the restructuring of hemodynamics, is called balneotherapy.

This method promotes an increase in cardiac output with a slight decrease in heart rate, as well as other positive manifestations of the functioning of the cardiovascular system.

In the treatment of rheumatism, balneotherapeutic resorts with sulfide, radon, carbon dioxide, sodium chloride, iodide-bromine, and also nitrite-siliceous waters are shown. Contraindicated balneotherapy with heart failure above stage 2A, and with aortic defects with a CH parameter higher than stage 1, serious heart rhythm disturbances.

With accompanying mitral-aortic defects of the main organ, radon baths favoring smoothly expressed hemodynamic reconstruction will be preferred. By impact, they, like carbon dioxide, create a positive effect on the disturbed heart rhythm. In the transition of rheumatism to the phase of remission, it is allowed to apply mud therapy in the form of applications to the zone of affected joints.

In the diagnosis of joint rheumatism with balneotherapy, it affects the immunological reactivity of the diseased organism. In parallel with it it is recommended to conduct medicamentous treatment, involve moderate physical exertion and apply climatotherapy in a sparing manner.

Dispensary observation

Preventive therapy and dispensary observation are approaches that play a major role in the management of patients diagnosed with rheumatism.

At the registration stage in the clinic, issues related to the patient's capacity for work are being addressed. With the participation of a cardiac surgeon, problems of operative correction of vices are discussed.

The tasks of clinical examination consist of the following items:

  • symptomatic therapy of existing circulatory disorders( concerns patients with heart defects);
  • adherence to medical measures aimed at complete removal of the active rheumatic process;
  • adherence to general health measures, hardening procedures, stages of physical exercises;
  • conducting secondary prevention of recurrence of the disease.

Therapy with folk remedies

Timely treatment with folk remedies rheumatism allows to significantly improve maneuverability in the affected joints. Treatment with the means made by the people, for centuries makes it possible to reduce the bright inflammatory manifestations. Passing home therapy, it is often possible to significantly alleviate the general state of health.

At the initial stage of the formation of rheumatism, parallel use of the means prescribed by the doctor and the methods of folk healing is permissible. In its entirety, this will help to overcome the disease quickly and effectively.

Recipes

Treatment of rheumatism at home can be done with birch leaves. At night, you should fill your wide trousers with birch leaves( preferably fresh, but allowed in the recipe and dry), put on yourself and go to bed.

The patient should strongly sweat. Soaked from sweat leaves are subject to replacement. You can do this procedure before sleep: only a few hours.

With the diagnosis of rheumatism - folk therapy, a very good result. To do this, take 1 tablespoon.salt, dissolve it in a glass of warm water, moisten with a cotton cloth and cover it with a sore spot. Wrapped up cellophane, warm scarf. You can also put a heating pad. Therapy with salt is absolutely harmless and very effective.

Effectively overcomes the rheumatism of joints with folk remedies based on needles. One of the best is considered a recipe using fresh May pine needles, filled to the top with 56% alcohol, and infused into a warm place for 21 days. Use tincture is recommended for 8 drops, on sugar three times a day for 0.5 hours before meals. Therapeutic course - 5-6 months.

The most effective and radical remedy of

Despite the stage at which rheumatism is located, treatment with folk remedies with the use of aconite will help to cure precisely.

To prepare a medicine, 1/4 pound root of the American variety, plants are poured vodka or alcohol and insist in a warm place for three days. For each night rubbing use 1 tsp.tincture to people with a weak heart, or 1 tbsp.those who have no problems with this.

This means increases the blood circulation so that you can immediately feel an extraordinary palpitation. If the limbs hurt, they are triturated alternately: one arm or one leg in one day, a friend in the other. The processed place is wrapped with a flannel and a warm kerchief. In the morning, after 2 hours, how was a bandage dipped in cold water with a cloth wiped the treated area.

Like in children, adult rheumatic therapy is a three-stage process, and it is important to pass each of them stably. Of course, to achieve an early and more lasting result, you can independently treat the disease of the house, using carefully folk remedies. However, this is possible only with the permission of the attending physician and with the elimination of possible side effects in a particular patient.

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