Costochondritis Is Not The Same As Tietze Syndrome
Costochondritis is often confused with Tietze syndrome, a similar but less common disorder that typically involves swelling of the second or third rib that can last for months. According to the American Family Physican review, Tietze syndrome typically affects people who are younger than 40 and is considered rare, while costochondritis is more common and can affect children, teens, and adults, says Gewanter. In fact, he says, the rib cages of kids are extra flexible, so that increases the opportunity to irritate the costochondral junctions. Local swelling is typically present with Tietzes, while it is not with costochondritis, though the RA advocate ONeill notes inconspicuous swelling with her costochondritis. In reality, whatever you want to call it, both conditions are treated in essentially the same way, says Gewanter. Tietze syndrome can subside without treatment, but over-the-counter pain medication may be used.
About The Shoulder Joint
The shoulder is made up of three bones: the humerus , the clavicle , and the scapula . There are two joints in the shoulder that help it to move: the acromioclavicular joint and the glenohumeral joint.
The acromioclavicular joint is located where the highest point of the scapula meets the clavicle. The glenohumeral joint is the ball and socket joint between the scapula and humerus.
A combination of muscles and tendonscalled the rotator cuffkeep the arm centered into the shoulder socket. The joints of the shoulder are protected by the synovium, which also lubricates them and makes them easier to move.
Damage to the shoulder joints is often caused by inflammation or injury to the cartilage of the shoulder joint. Cartilage breakdown can affect both the glenohumeral joint and the acromioclavicular joint.
- Fatigue, fever, or weight loss, resulting from severe shoulder inflammation
- Crepitusgrinding, clicking, or cracking notices of the joints
- Lock-up of the shoulder because the surfaces lining the joint are no longer smooth or slide in certain positions
- Pain aggravated by activity
Shoulder involvement tends to be worse in people who have long-term RA and who are older at the onset of the disease. As shoulder involvement worsens, movement of the shoulder gets harder and there may be significant pain. Night pain is common and makes it harder to sleep.
What Can Ra Do To The Shoulder
In addition to causing pain, RA in the shoulder can be problematic in other ways. One of the most difficult things to deal with is the limited range of movement you may experience. The limit to your movement is why you may find it hard to swing a golf club or pick up the groceries like you once did. Even if you have the pain under control with the use of pain medication, the stiffness and inflammation may prevent you from doing everything you once did.
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Details Of Frozen Shoulder Symptoms
- Inability to sleep on the affected side due to pain
- Movement so restricted that dressing is difficult, and other things as well like hair care such as shampooing.
- Pain will often decrease once the motion becomes quite restrictive, but pain will bite when the patient makes a sudden movement beyond the confinements of the stiffness.
This is because of microscopic tearing of the scar tissue.
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Pain Between Shoulder Blades: Causes And Treatments
By Geoff McKinnenCertified Sleep Coach
Shoulder blade pain, also called interscapular pain, is common, though the cause ranges widely, from minor tweaks to medical emergencies. Shoulder pain is characterized by dull, aching, burning, or shooting
Shoulder blade pain, also called interscapular pain, is common, though the cause ranges widely, from minor tweaks to medical emergencies. Shoulder pain is characterized by dull, aching, burning, or shooting sensations. You may also have difficulty using the affected arm or the feeling of a pulled muscle.
Typically, shoulder blade pain is mild and goes away on its own, however, certain conditions potentially cause chronic or severe shoulder pain. This article discusses the numerous causes of shoulder pain, possible treatment options, and how you can prevent future shoulder pain.
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Rheumatoid Arthritis Medication Treatment Goals
Pinpointing how to subdue an overactive immune system has stumped doctors for decades. Seventy-five years ago, one of the only rheumatoid arthritis treatments for patients was a weekly injection of gold into the gluteal muscle. Today, there are a plethora of treatment options.
Current treatments give most patients good or excellent relief of symptoms and let them keep functioning at or near normal levels, reports the website of the American College of Rheumatology.2
Since there is no cure for the disease, the aim of treatment is to reduce pain and halt joint breakdown. The goal is to not only control symptoms, but to prevent further damage and deformities, Dr. Chi said.
Many rheumatoid arthritis treatment drugs fall into a bucket labeled disease modifying antirheumatic drugs . While most patients receive some form of a DMARD, no single drug is a guaranteed solution as patients react to the drugs differently. Scientists designed some of the drugs to fight against certain immune cells, while other drugs reduce immune mediators or block immune cell functions. Patients may be treated with a DMARD in combination with nonsteroidal anti-inflammatory drugs or low-dose corticosteroids, which reduce swelling and pain.
Common first line DMARDs include methotrexate, leflunomide, hydroxychloroquine and sulfasalazine.
If first line medications dont work, rheumatologists can pull out a list of second line medications called biologic response modifiers or biologics.
Exercise For Arthritis In The Neck
If youre experiencing neck pain due to arthritis, your doctor may recommend physical therapy. Physical therapy for neck arthritis entails doing specific exercises to help strengthen and stretch weak or strained muscles. Physical therapy can improve range of motion. Sessions and programs vary in length and frequency and are tailored to your condition.
The foundation of what were trying to do in physical therapy for the neck is often to help improve posture and the way people move, says Dr. Milani. Exercises in physical therapy tend to be focused on strengthening muscles of the back and neck, which puts less strain on structures of the cervical spine.
Youll do exercises during physical therapy and get instructions on ones to do at home.
Regular Physical Activity at Home
You may feel like you dont want to move when your neck hurts. But being inactive may increase stiffness, which can cause you to lose even more mobility. Aches and pains tend to respond better to continued movement than rest, says Dr. Milani. Exercise is often the foundation of treatment.
Exercises that involve stretching, strengthening, and improving range of motion can help reduce pain and keep your neck limber. You want to move gently and smoothly when doing neck exercises, not jerk your neck or make sudden movements. You may feel discomfort at first. Stop if any exercise increases your neck pain.
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How Do Doctors Diagnose Shoulder Ra
Your doctor may ask you about your symptoms and examine your shoulders. Even if youâve already been diagnosed with rheumatoid arthritis, the doctor may want to do imaging tests â like X-rays or ultrasound â on your shoulders to look for signs of RA.
When RA affects the shoulders, it usually leads to more bone erosion and changes in the shoulder joint, Bose says. Symptoms of shoulder RA can also look like other conditions that bring on swelling and pain, like tendinitis and bursitis. When itâs hard to tell if itâs RA or something else, certain blood tests can look for markers of inflammation.
How Shoulder Arthritis Is Diagnosed
The first sign of shoulder arthritis is pain in the general area, although the type of pain and the timing may vary. For instance, some people may feel a deep kind of pain in their shoulder joint, while others may feel a radiating pain around the side of their neck.
Limited range of movement is another symptom of worsening shoulder arthritis.
If youve had an outstanding injury in your shoulder area or have been feeling stiffness or an ache that isnt going away, the first step is to talk with your doctor. They will most likely check the affected area for muscle weakness, tenderness, range of movement, and a grating sensation inside the joint when it is moved.
The next step will most likely consist of shoulder X-rays so your doctor or specialist can take a look at your bones and see if any changes have occurred.
Lastly, your doctor may inject a local anesthetic into the joint where the pain seems to be radiating. If the pain is temporarily relieved, a diagnosis of arthritis is likely.
Shoulder arthritis is treatable. Talk with your doctor about the best treatment for your specific condition. Depending on your diagnosis, symptoms, and disease progression, your doctor may recommend:
If your doctor recommends surgery for shoulder arthritis, there are a number of surgical interventions available. Depending on your condition, these treatments include:
What Are The Different Types Of Arthritis
Arthritis is a broad term that describes more than 100 different joint conditions. The most common types of arthritis include:
- Osteoarthritis, or wear and tear arthritis, which develops when joint cartilage breaks down from repeated stress. Its the most common form of arthritis.
- Ankylosing spondylitis, or arthritis of the spine .
- Juvenile arthritis , a disorder where the immune system attacks the tissue around joints. JA typically affects children 16 or younger.
- Gout, a disease that causes hard crystals of uric acid to form in your joints.
- Psoriatic arthritis, joint inflammation that develops in people with psoriasis .
- Rheumatoid arthritis, a disease that causes the immune system to attack synovial membranes in your joints.
Is Degenerative Disc Disease The Same As Rheumatoid Arthritis
There is no one definitive answer to this question as the two conditions are not exactly the same, but there are some similarities between them. Degenerative disc disease is a condition where the discs in the spine begin to break down and degenerate, which can lead to pain, stiffness, and other symptoms. Rheumatoid arthritis is an autoimmune disease that causes joint inflammation and pain. While there are some similarities between the two conditions, they are not the same.
In a young and healthy back, rubbery discs between the vertebrae help to maintain their height and allow for bending and twisting. A degenerational disc disease is a condition in which the disc wears down causing pain. Most people can manage disc degeneration after age 40, but pain is not always present. In addition to reviewing the patients medical records, the doctor will perform a physical examination to diagnose spinal fluid degeneration. As a result of these treatments, the back muscles are strengthened and symptoms are relieved. Reduce the amount of back pain by modifying activities that aggravate it, but avoid becoming sedentary. By quitting and losing weight, you can reduce your chances of developing Type II diabetes.
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Rheumatoid Arthritis In Toes Symptoms
Chronic inflammation of rheumatoid arthritis can lead to a number of serious complications if poorly controlled. A frequently asked question, which joints are usually affected? The symptoms can vary, but smaller joints are often the first to be affected for example, joints that attach toes to your feet. The affected joints can be very stiff, painful, and get swelled.
What Are Neck Pain Symptoms
Other than neck pain itself, you may notice other symptoms that accompany the pain. Some of the more common symptoms of neck pain include:
- Neck muscle stiffness: Tight muscles in the back of the head or a muscle knot in the neck. This may spread to your shoulders, upper back and arms.
- Headache: Experiencing headaches in the occipital region is very common but can also extend to the top of the head, causing tension headaches from muscle tightness.
- Pain and/or weakness that shoots down the arm: This may be caused by muscle fatigue or nerve compression. Very often along specific nerve roots .
- Loss of neck mobility: Inability to turn your head and neck easily.
- Paraesthesias: A sensation of numbness and/or tingling in the arms, most often caused by nerve compression at the level of the spine, or as the branching nerves pass through tight, inflamed muscles.
If your neck pain is caused by nerve compression, you may experience the following symptoms:
- Weakness in the shoulder, arm or hand
- A feeling of numbness or pins and needles in arm, fingers or hand
- Sharp, burning pain near the pinched nerve that radiates outward
Some conditions, such as coronary artery disease or even lung tumors may mimic these conditions, notes Stewart G. Eidelson, MD. It is best to have a skilled physician perform a thorough physical examination when the symptoms described are present, he says.
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Talk With Your Doctor
If you have any ongoing symptoms of shoulder pain, its important to share them with your doctor so you can get the right diagnosis. Share with him or her as many details as you can about your symptoms, including when and how long they occur, what the pain feels like , and what you were doing when the pain started.
There are treatment options for both shoulder arthritis and bursitis, so pain relief may be as close as a visit with your doctor.
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How To Know If Your Shoulder Pain Is From Arthritis Or Bursitis
Two common shoulder problems are arthritis and bursitis. Your shoulders are packed with bones, muscles, tendons, and ligaments. Shoulder pain can develop from a variety of conditions that affect one, if not many, of these structures. While this can make it difficult to pinpoint the exact source of your shoulder pain, an accurate diagnosis and proper treatment are the keys to recovery. Arthritis and bursitis are two of the most common causes of shoulder pain however, they can be difficult to differentiate. The following article will help you determine if your shoulder pain is caused by arthritis or bursitis
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Rheumatoid Arthritis And Your Lungs
The most common RA-related lung complication is interstitial lung disease , a condition that causes inflammation and scarring of the lung tissue. This illness can be hard to detect but occurs when lung tissue becomes inflamed and eventually scarred.
Its unclear exactly how many people with RA develop it, but French researchers presenting an abstract at the American College of Rheumatology annual conference in November 2020 found that the prevalence of subclinical ILD was 18 percent in people who had RA for a dozen years. Other studies put the figure at over 50 percent.
This scarring makes it harder for oxygen in the lungs to enter the bloodstream and travel to other organs. The condition can cause breathlessness and coughing, but it can also be asymptomatic. If untreated, it can progress to pulmonary fibrosis, in which tissues are permanently scarred.
Research also shows that RA sufferers are at double the risk of chronic obstructive pulmonary disease, or COPD , in which the air sacs cant expand as easily and become clogged with mucus. There is no cure for COPD, although inhalers and steroids can help open airways.
Pleurisy is another condition with increased risk. Here, the pleura the tissue surrounding the lungs becomes inflamed, which can lead to fluid buildup at the base of the lungs.
People with RA may also develop nodules in the lungs, though they may not be bothered by them.
Most Rheumatologists And Public Health Experts Want People Living With Rheumatic Diseases Like Rheumatoid Arthritis To Get The Vaccine At The Soonest Opportunity
Learn more about our FREE COVID-19 Patient Support Programfor chronic illness patients and their loved ones.
If you live with rheumatoid arthritis, an inflammatory and autoimmune form of arthritis, you may understandably have many questions and concerns about getting the COVID-19 vaccine.
Heres the bottom line: Especially if you have rheumatoid arthritis, most rheumatologists and public health experts recommend you get the COVID-19 vaccine. In fact, guidance from the American College of Rheumatology states that autoimmune and inflammatory rheumatic disease patients should receive the vaccine when theyre eligible.
While getting the vaccine would ideally occur in the setting of well-controlled disease, you should get the COVID-19 vaccine as soon as possible regardless of disease activity and severity, with the exception of extreme cases say, in the intensive care unit.
Heres everything you need to know about getting the COVID-19 vaccine if you have rheumatoid arthritis.
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Typical Symptoms Of Spinal Osteoarthritis
The full range of symptoms that typically occur with spinal arthritis includes some combination of the following:
- The back and/or neck stiffness and pain tend to be worse in the morning , often called first movement pain.
- The pain will usually subside to a more tolerable level over the course of the day as the person carries on his or her activities.
- Pain and stiffness tend to get worse again in the evening.
- Pain that disrupts sleep is often an indicator of osteoarthritis.
- Swelling and warmth in one or more joints, particularly during weather changes .
- Localized tenderness when the joint or affected area of the spine is pressed.
- Steady or intermittent pain in a joint, which is often described as an aching type of pain. The pain may be aggravated by motion.
- Loss of flexibility of a joint, such as inability to bend and pick something off the floor.
- A crunching feeling or sound of bone rubbing on bone when the joint is moved , particularly notable in the neck.
- A sensation of pinching, tingling, or numbness in a nerve or the spinal cord, which can occur when bone spurs form at the edge of the joints of the spine and irritate the nerves.