Rheumatoid arthritis (RA) is an autoimmune disease. This creates inflammation (Body’s response to injury)and results in warm, swollen, painful joints and stiffness. The condition can damage a wide variety of body systems including the skin, eyes, lungs, heart and blood vessels also.It is sometimes called as rheumatoid disease.
Rheumatoid Arthritis Progression
Stage 1: This is early stage rheumatoid arthritis. This stage involves initial inflammation in the joint and swelling of synovial tissue. This induces the clear symptoms of joint pain, swelling, and stiffness.
Stage 2: In the moderate stage, the inflammation of synovial tissue becomes severe and it causes cartilage damage. In this stage symptoms of loss of mobility and range of motion become more frequent.
Stage 3: At this stage it is considered severe rheumatoid arthritis. Inflammation in the synovium is now destroying not only the cartilage of the joint as well as the bone. The symptoms of this stage include increased pain, swelling, decrease in mobility and muscle strength. Physical deformities on the joint may start developing at this stage.
Stage 4: In the end stage of rheumatoid arthritis, the inflammatory ceases and joints stop functioning. Pain, swelling, stiffness and loss of mobility are still the primary symptoms in this stage.
Rheumatoid arthritis symptoms include
- Joint pain(Pain is joints of the feet, hands, and knees etc)
- Swollen joints
- Loss of range of motion
- Tender joints
- Loss of joint function
- Stiff joints
- Joint redness
- Joint warmth
- Joint deformity
- Chest Pain while taking Breath.
Causes and Risk Factors:-
1. It is an autoimmunedisease that occur when the body’s tissues are mistakenly attacked by their own immune system.
2. It can begin at any stage of life.
3. Any Age Group People can get affected from it.But it usually affect middle aged people.
4. It can be due to Harmonic change, Heredity.
5. Chronic inflammation of rheumatoid arthritis can cause permanent joint destruction and deformity.
Do’s and Don’t (Life Style Modification)
- Routinely Do gentle stretches that move your joints through their full range of motion.
- Keep your Posture of sitting, standing and moving correct.
- Balance the activities and take proper rest and don’t overdo any activity.
- Try Swimming or water exercises in a temperature controlled pool as it will help in gaining muscle strength.
- Avoid lifting heavy weights. Instead of lifting, slide objects.
- Never make hurried movements, sudden changes in position and rapid movements increase strain on joints and worsen arthritis.
GOALS OF PHYSIOTHERAPY:
- Prevention of deformity
- Prevention of stiffness
- Decreases swelling
- Increases ROM
- Improvement in pain through advanced modalities
- Reduces inflammation.
- Reduces spasm
- Reduces tightness.
- Strengthen Exercise to prevent reoccurrence
- Manual therapy for Alignment/Postural correction.
- Laser Therapy for Instant Pain Relief.
- Taping Technique for Instant Pain Relief and save time
- Life Style Modification
- Pain Oil for Instant Pain Relief.