The Cure of Rheumatoid Arthritis and Related Conditions (Osteoarthritis, Bursitis, Frozen Shoulder, etc.) by Physical Medicine: A Result of Thirty Years' Study (Original Investigations)

1951 ◽  
Vol 147 (15) ◽  
pp. 1505
Keyword(s):  
Rheumatoid Arthritis ◽  
Frozen Shoulder ◽  
Physical Medicine

scholarly journals The relation between cardiovascular affection and erosive articular changes in patients with rheumatoid arthritis

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M H Hassabelnabi ◽  
N Y Assaf ◽  
H F Zidan ◽  
G M M Abushanab
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Power Doppler ◽  
Premenopausal Women ◽  
Joint Disease ◽  
P Value ◽  
Physical Medicine ◽  
Bone Erosions ◽  
The Mean

Abstract Background rheumatoid arthritis is currently regarded as independent cardiovascular risk factor. Accelerated atherosclerosis considered as an extra-articular manifestation of RA that occurs as a result of interaction between traditional CV risk factors and inflammatory activity of joint disease. Both atherosclerosis and RA have in common inflammatory mediators. Objectives the presented study aimed to find the relation between cardiovascular affection and erosive articular changes in RA. Subjects and Methods The presented study included 40 patients’ men and premenopausal women that were diagnosed with rheumatoid arthritis fulfilling the 2010 ACR/EULAR classification criteria for rheumatoid arthritis recruited from the physical Medicine, Rheumatology, and Rehabilitation outpatient clinics of Ain Shams University, patients underwent laboratory investigation, carotid duplex, musculoskeletal ultrasound and echocardiography. Results Among 40 RA patients, 16 (40%) had erosions in both hands and 24 (60%) without erosion with no statistically significance difference between both sides of hand and feet, only 3 patients (7.5%) had active erosion exhibited by power Doppler. The presence of erosion positively correlated with the mean CIMT (p-value < 0.001) with mean 0.827±0.149, The presence of carotid plaques as a marker of advanced atherosclerosis showed statistically significant value with erosions (p = 0.001). There was positive relation between erosions with disease duration (p-value < 0.001), and negatively with DAS-28 (p = 0.083). Out of 33 patients with positive RF, 16 patients had erosions with statistically significant value (p = 0.017). Conclusion Since the presence of bone erosions was highly associated with higher mean CIMT, consequently, we recommend that when finding bone erosions in rheumatoid arthritis patient, good monitoring should be given to cardiovascular risk factors with early and proper treatment to limit the progression of erosions and protect against atherosclerosis and its complications.

scholarly journals Adhesive Capsulitis of Shoulder (Frozen Shoulder) among the Diabetic Patients with Rheumatic Complaints

2020 ◽  
Vol 32 (1) ◽  
pp. 67-69
Author(s):  
Kazi Abdulah Al Mamun ◽  
Md Nurullah ◽  
Md Anwar Husain ◽  
Farjana Mansur ◽  
Md Shah Alam
Keyword(s):  
Soft Tissue ◽  
Elderly People ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Age Group ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism ◽  
Medicine Today

Introduction: Adhesive capsulitis of shoulder is the most common soft tissue rheumatism among the diabetes patients with rheumatic complaints but the etiology is still unknown. To detect the incidence of adhesive capsulitis (frozen shoulder) among diabetic patients with rheumatic complaints. Materials and Methods: All patients having diabetes with rheumatic complaints attended in the department of Physical Medicine and Rehabilitation, BIRDEM and BSMMU, Dhaka during the period June 2003 to November 2003 were included in this study. Results: After discarding unsatisfactory samples, 273 samples were assayed for study. Out of 1665 patients 273 (16.40%) had adhesive capsulitis. Out of 273 patients 145 (53.12%) were female and 141 (51.65%) were housewives and of 206 (75.45%) patients was in age group 41-60 years. Conclusion: The incidence of adhesive capsulits of shoulder among diabetic patients female is more than male. It is found that housewives and elderly people are mostly sufferer with this disease. Medicine Today 2020 Vol.32(1): 67-69

scholarly journals Effect of low dose Methotrexate in newly diagnosed Rheumatoid arthritis case

2021 ◽  
Vol 9 (1) ◽  
pp. 34-37
Author(s):  
Fauzia Sobhan ◽  
Khaza Moiz ◽  
Naima Siddiquee ◽  
Aditi Debnath ◽  
Fazlul Haque ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Low Dose ◽  
Disease Activity Score ◽  
Joint Disease ◽  
Newly Diagnosed ◽  
Physical Medicine ◽  
Disease Modifying Antirheumatic Drugs ◽  
Medical College ◽  
Dose Methotrexate

Rheumatoid arthritis is a painful debilitating joint disease with the proliferation of the synovium and progressive erosion of cartilage and bone. Methotrexate (MTX) has been used for the treatment of Rheumatoid Arthritis (RA) for about 3 decades. It is most effective and commonly used Disease Modifying Antirheumatic Drugs (DMARDS) because it improves symptoms, signs, disease activity and functions. This study was done from January 2016 to December 2016 for a period of 1 year under Physical Medicine and Rehabilitation department, Jalalabad Ragib-Rabeya Medical College (JRRMC), Sylhet. Here we treated the patients with low dose methotrexate. Study was done to see the effect of low dose MTX in newly diagnosed RA patients by clinical examination and DAS 28. DAS stands for disease activity score and 28 joints that are examined in this assessment. The result concluded low dose MTX improves the symptoms, signs, disease activity and functions of the patients. Bangladesh Crit Care J March 2021; 9(1): 34-37

scholarly journals Diseases Pattern in The Department of Physical Medicine & Rehabilitation in A Tertiary Care Hospital

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Muhammad Alamgir Mandal ◽  
Mohammad Moniruzzaman ◽  
Khurshid Mahmood ◽  
Md Jahidul Islam ◽  
Kazi Shihab Uddin
Keyword(s):  
Cervical Spondylosis ◽  
Tertiary Care ◽  
Frozen Shoulder ◽  
Medical Rehabilitation ◽  
Care Hospital ◽  
Physical Medicine ◽  
Lumbar Spondylosis ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

Background: The field of Physical Medicine and Rehabilitation focuses on the restoration of health and function and reintegration of the patient into the community, Providing services (outdoor & indoor patients) of physical medicine & rehabilitation (PMR) department was started in 2015. Since establishment, department of Physical Medicine is providing services as outdoor basis regularly.Aim & Objectives: The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital.Methods: This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Khwaja Yunus Ali Medical College Hospital (KYAMCH), Sirajganj for the period of one year from 1st January, 2016 to 31st December, 2016.Results: Total eighteen hundred sixty five (n = 1865) patients were studied, of which 46.21% were male and 53.78% were female. The mean age was 34.64 ± 5.36 years; maximum patients (25.14%) belong to 31-40 years of age. Maximum patients (78%) were come from out of Sirajgonj District specially North Bengal. Regarding disease pattern, 21.60% were PLID, 10.99% stroke, cervical spondylosis 11.15%, lumbar spondylosis 11.52%, frozen shoulder 10.83%, low back pain 9.49%, osteoarthritis 8.25%, facial palsy 0.43% rheumatoid arthritis 5.47%, seronegetavive Spondyloarthopathy 0.26%, GBS 0.10% acute neck sprain/strain 5.68% and others 4.18%.Conclusion: A large scale multi-centered study should be performed in the country. A uniform data system should be constructed for Medical rehabilitation in Bangladesh. Maximum patients were having PLID, Cervical spondylosis, lumbar spondylosis, Stroke & Frozen shoulder.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 33-37

scholarly journals Role of Phonophoresis in Management of Adhesive Capsulitis (Frozen Shoulder)

2014 ◽  
Vol 13 (2) ◽  
pp. 21-27
Author(s):  
Sunam Kumar Barua ◽  
Sohely Rahman ◽  
Prashanta Kumar Chakrabarti ◽  
Zahangir Alam
Keyword(s):  
External Rotation ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Medical College Hospital ◽  
Physical Medicine ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Group A ◽  
Group B

This prospective study was performed in the department of Physical Medicine, Dhaka Medical College Hospital (DMCH), Dhaka for a period of 6 months to see the effect of phonophoresis (Ultrasound therapy with Naproxen gel) on adhesive capsulitis. During this period 240 (4% of total patients) patients were diagnosed as adhesive capsulitis of shoulder in outpatient department, Physical Medicine, Dhaka Medical College Hospital. Sixty patients were selected for the study and divided them into two groups. In group A, patients were treated with phonophoresis and exercises in contrast with group B patients who were treated with same exercises without phonophoresis for same duration. Patients in both groups were followed up weekly for consecutive six weeks. The mean age of the patients in this study was 51.73 ± 10.01 year, with a range of 35 to 70 years. Out of sixty patients 31 (51.7%) were male and 29 (48.3%) were female. The male: female ratio was 1.07: 1. Among 60 patients, 27 (45%) were housewives, 20 (33.3%) service holders (official job), 4 (6.7%) businessmen, 1 (1.7%) teacher and 8 (13.3%) retired persons. In this study 53.3% patients had right shoulder involvement and rest of them (46.7%) had left sided involvement. Pain was improved just after initiation of treatment and it was completely alleviated in group A patients after 6th week, on the contrary although pain was increased after 1st week of treatment thereafter it was gradually decreased but it was not completely alleviated in group B patients at the end of the study. All sorts of range of motions (abduction, internal rotation on abduction, external rotation on abduction) of affected shoulder were improved more rapidly in group A compared to group B patients. Shoulder pain and disability index (SPADI) were significantly reduced in group A compared to group B patients.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21057

scholarly journals Physical medicine in rheumatoid arthritis

1963 ◽  
Vol 6 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Gordon M. Martin ◽  
Edward W. Lowman ◽  
William H. Kammerer
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Medicine

scholarly journals Pattern of Musculoskeletal Disorders in Adult Diabetics patient

2019 ◽  
Vol 48 (1) ◽  
pp. 5-12
Author(s):  
Shaila Sharmin ◽  
Fatema Newaz ◽  
Syed Mozaffor Ahmed ◽  
Abu Shahin ◽  
Md Israt Hasan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Musculoskeletal Disorders ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Physical Medicine ◽  
Osteoarthritis Of Knee ◽  
Physical Medicine And Rehabilitation ◽  
Group A ◽  
Group B ◽  
Flexor Tenosynovitis

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to find out the direct relation with metabolic control. This study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for five years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically significant (p<0.05) but other musculoskeletal disorders were not statistically significant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. This study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more benefited. Bangladesh Med J. 2019 Jan; 48 (1): 5-12

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