Joint pain

2018 ◽  
Author(s):  
Pippa Watson
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Joint Pain ◽  
Inflammatory Arthritis ◽  
Morning Stiffness ◽  
Early Morning ◽  
Joint Line ◽  
Joint Effusion ◽  
Joint Tenderness ◽  
Soft Tissue Swelling

When a patient complains of pain confined to a joint or joints, they are said to have arthralgia. If, in addition, there is swelling of the joint, tenderness of the joint line to palpation, and limitation of movement, the patient is said to have an arthritis. It is important to establish if an arthritis is inflammatory or non-inflammatory, as this affects the differential diagnosis. Soft tissue swelling of the joint, the presence of a joint effusion, increased temperature of the joint, erythema of overlying skin, and early morning stiffness of at least 30 minutes duration are signs of an inflammatory arthritis.

scholarly journals Lipoma of the Thumb: Spindle Cell Subtype

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnny El Rayes ◽  
Roula Bou Sader ◽  
Elie Saliba
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Spindle Cell ◽  
Excisional Biopsy ◽  
Spindle Cell Lipoma ◽  
Cell Subtype ◽  
Soft Tissue Swelling ◽  
Palmar Aspect

We report hereby the case of a 61-year-old man who presented with a soft-tissue swelling on the palmar aspect of the thumb. A detailed clinical examination followed by ultrasonography and excisional biopsy confirmed a spindle cell lipoma. Lipomas are rare in the hand and exceptional in the fingers, and we report, to our knowledge, the first spindle cell lipoma in the thumb to help in the differential diagnosis of a similar swelling.

scholarly journals Hydatid cyst of the cranial vault

2009 ◽  
Vol 3 (10) ◽  
pp. 807-810 ◽  
Author(s):  
Faten Limaiem ◽  
Selma Bellil ◽  
Khadija Bellil ◽  
Ines Chelly ◽  
Amina Mekni ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Intracranial Pressure ◽  
Soft Tissue ◽  
Literature Review ◽  
Hydatid Cyst ◽  
Osteolytic Lesion ◽  
Cranial Vault ◽  
Raised Intracranial Pressure ◽  
Hydatid Cysts ◽  
Soft Tissue Swelling

Only 0.5 to 2% of hydatid cysts are localized in the skeleton and of these, 3 to 4% are found in the skull. In this paper, the authors report a case of primary hydatidosis involving the cranial vault revealed by a bulging mass of the forehead and symptoms of raised intracranial pressure that occurred in a 22-year-old woman who came from a rural area. Through this case and literature review, the authors analyse the epidemiological, clinical and radiological aspects of skull hydatidosis. They conclude that hydatid cyst should be considered in the differential diagnosis of any soft tissue swelling or osteolytic lesion in the scalp of patients living in endemic areas.

scholarly journals Treating of Joint Pain - Arthritis through YOGA

2021 ◽  
pp. 283-288
Author(s):  
Amit Telang ◽  
Subramaniam Seshan Iyer ◽  
Kunal Saoji ◽  
Vasant Gawande
Keyword(s):  
Connective Tissue ◽  
Chronic Diseases ◽  
Joint Pain ◽  
Inflammatory Arthritis ◽  
Early Stage ◽  
Early Morning ◽  
Cartilage Tissue ◽  
Normal Amount ◽  
Entire Life

Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. Although there's no cure for arthritis, treatments have improved greatly in recent years and, for many types of arthritis, particularly inflammatory arthritis, there's a clear benefit in starting treatment at an early stage. Cartilage is a firm but flexible connective tissue in your joints. It protects the joints by absorbing the pressure and shock created when you move and put stress on them. A reduction in the normal amount of this cartilage tissue cause some forms of arthritis. Yoga is giving new lease of life to many, so to tackle chronic diseases it is providing remedies which will be effective for your entire life. It is delivered to many people by PATANJALI. Yoga can give support to patients having arthritis through its numerous relevant postures (asana’s) which can be done very simply. Yoga does not send a message that if you do it regularly you will be relieved from a particular ailment. If it is performed each day it will add vital energy for smooth life even if you are suffering from any long term ailment. In this article we will be providing 5 postures (asana’s) which can be performed at any time in the day but early morning will always be preferred (empty stomach) to get good result. Secondly this postures must be implemented after due consultation with your physician. If your physician disapproves don’t do these postures as it will be harmful for your body.

scholarly journals OP0217 IS METACARPOPHALANGEAL-JOINT PAIN AS AN EARLY SYMPTOM OF PATIENTS AT RISK FOR PROGRESSION TO INFLAMMATORY ARTHRITIS EXPLAINED BY MRI-DETECTED SUBCLINICAL INFLAMMATION? – A LARGE OBSERVATIONAL STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 130.2-130
Author(s):  
Q. Dumoulin ◽  
X. Matthijssen ◽  
F. Wouters ◽  
A. Van der Helm - van Mil ◽  
E. Niemantsverdriet
Keyword(s):  
At Risk ◽  
Physical Examination ◽  
Joint Pain ◽  
Inflammatory Arthritis ◽  
Multivariable Analysis ◽  
Metacarpophalangeal Joint ◽  
Subclinical Inflammation ◽  
Joint Tenderness ◽  
Definition Of

Background:Pain in metacarpophalangeal (MCP)-joints in patients presenting with clinically suspect arthralgia (CSA) is one of the clinical features by which patients are considered at risk for progression to inflammatory arthritis (IA). As such this symptom is characteristic for CSA and therefore part of a list of clinical parameters determined by an EULAR-taskforce to identify a more homogeneous group of patients within CSA (the EULAR definition of arthralgia suspicious for progression to RA). MRI-detected subclinical inflammation is known to be present in patients with CSA. In general, arthralgia in CSA can be explained by this subclinical inflammation, however to date, the association of subclinical inflammation with pain in MCP-joints specifically is not clear. Subsequently, it is unknown whether this association differs pertinently when investigated with self-reported pain, or with pain in the form of tenderness at physical examination.Objectives:This study will investigate whether MCP-pain and MCP-joint tenderness are associated with MRI-detected subclinical inflammation in patients with CSA, and more specifically those who have progressed to IA.Methods:Between April 2012- February 2019, 602 patients were consecutively included in the Leiden clinically suspect arthralgia (CSA)-cohort. Follow-up ended when patients developed clinically apparent IA (determined at physical examination), or else after 2-years (median follow-up time 25 months). MCP-joints were assessed for self-reported joint pain by the patient using a mannequin and subsequently for joint tenderness by physical examination. Baseline unilateral MRIs of the MCP (2-5)-joints were scored by two readers, blinded for clinical data, on subclinical inflammation (synovitis, tenosynovitis, osteitis). Associations between MCP-pain or MCP-joint tenderness and MRI-detected subclinical inflammation were studied at patient level by logistic regression analyses, entering the mentioned MRI-detected features separately (univariable) and together (multivariable).Results:33% of 227 patients with self-reported MCP-pain had MRI-detected subclinical inflammation and 38% of 226 patients with MCP-joint tenderness had MRI-detected subclinical inflammation. Self-reported MCP-joint pain was univariable associated with subclinical inflammation and synovitis in particular (OR 2.00, 95% CI: 1.21-3.30, OR 2.87, 95% CI: 1.29-6.39). In multivariable analysis this MCP-pain was associated with synovitis (OR 2.54, 95% CI: 1.12-5.77). MCP-joint tenderness was univariable associated with subclinical inflammation, and synovitis and tenosynovitis in particular (OR 1.84, 95% CI: 1.29-2.63, OR 1.76, 95% CI: 1.10-2.81, OR 1.69, 95% CI: 1.12-2.55, respectively). In multivariable analysis, tenosynovitis remained significant (OR 1.54, 95% CI: 1.00-2.36). Of all patients with self-reported MCP-joint pain who developed IA, 50% had MRI-detected subclinical inflammation. For MCP-joint tenderness this was 61%. Patients with MCP-joint tenderness without subclinical inflammation who developed IA, developed clinical arthritis at a joint that was not scanned (85%), hence they may have had subclinical inflammation that was not imaged. The other 15% did develop arthritis in an MCP-joint, suggesting that subclinical inflammation developed after CSA-onset.Conclusion:Arthralgia in the MCP-joints is associated with subclinical inflammation in CSA, in particular with synovitis and tenosynovitis. The prevalence of subclinical inflammation is highest for tender joints at physical examination; this can be acknowledged when applying the EULAR definition of arthralgia suspicious for progression to RA.Disclosure of Interests:None declared

scholarly journals A rare location of primary extrahepatic hydatid cyst in the soft tissue

2020 ◽  
Vol 7 (6) ◽  
pp. 2012
Author(s):  
S. Uma Shanker ◽  
U. V. Sai Sreenivas ◽  
N. Swathanthra
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Hydatid Cyst ◽  
Cystic Lesion ◽  
Rare Condition ◽  
Lumbar Region ◽  
Soft Tissue Swelling ◽  
Rare Location ◽  
Multiple Cyst

Hydatid cyst or cystic echinococcosis in human is rare disease caused by tapeworm Echinococcus granulosa. Hydatid cyst of soft tissue is a rare condition and we had a case of large hydatid cyst in lumbar region. This is a case of 48 years old female presented to us during October 2018 with a large diffuse swelling over the left lumbar region which was gradually grown over the last 2 years without pain. The diagnosis of hydatid cyst was not sure even in CT scan but it was in our differential diagnosis. It is confirmed during surgery after seen the multiple cyst removed from the large cystic lesion. No recurrence even after 15 months of follow up. Presence of hydatid cyst in soft tissue is usually rare and its diagnosis is not expected clinically when it presents as a soft tissue swelling. We need to confirm it during surgery or by presence of typical germinal membrane under microscope.

scholarly journals Plain X-Ray and MRI Evaluation of Painful Hip Joint

2020 ◽  
Vol 8 (2) ◽  
pp. 31-35
Author(s):  
S. Althaf Ali ◽  
Dwara Manojna Devi
Keyword(s):  
Articular Cartilage ◽  
Soft Tissue ◽  
Metastatic Disease ◽  
Hip Joint ◽  
Joint Pain ◽  
Plain Radiograph ◽  
Joint Effusion ◽  
X Rays ◽  
X Ray ◽  
Hip Disease

Background: Hip joint pain is a frequent problem in current practice and can be due to different causes since the investigations are invariably used to diagnose the source of the injury. The primary examination is accompanied by MRI, which is a valuable instrument in hip disease evaluation since it requires a detailed study of articular cartilage, epiphysis, joint fluids, bone marrow and extra-articular soft tissue which may be impaired by hip disease. Subjects and Methods: In a total of 60 individuals who had hip joint pain and subsequently had plain radiographs accompanied by the hip joint MRI was studied in a prospective cross-sectional analysis. The data is interpreted and the results of basic X-rays are compared to the MRI. Results: Of the 70 cases the males (67%) are commonly affected than females (33%). The majority of the patients fall under the age group of 31-40 years (28.33%). In our study, we find the commonest pathology for the hip joint pain is AVN of femoral  head 20 cases (28.57%), followed by joint effusion 15 cases (21.42%), Osteoarthritis 13 cases (18.57%), TB hip 10 cases (14.28%), Perthes 4 cases (5.71%), DDH 4 cases (5.71%) and metastatic disease 4 cases (5.71%). Of the twenty AVN cases, only 6 (30%) are found on a plain x-ray whereas all 20 (100%) are detected on MRI. Similarly, out of 15 cases diagnosed as joint effusion, only 5cases (33.33%) are detected on plain radiograph, but all the 12 cases (100%) are detected on MRI. The remaining 100% pathologies are observed on X-ray and MRI; moreover, MRI helps to improve the identification of articular cartilage, epiphysis, and additional soft tissue articular anomalies. Conclusion: MRI is a better way to identify joint effusion and synovial proliferation. Unlike standard x-rays. In proven cases with clear radiography such as Perthe’s and metastatic disease, Hip MRI helps to enhance disease staging, clinical implication, and soft tissue expansion.

scholarly journals A Survey of Therapeutic Ultrasound Use by Physical Therapists Who Are Orthopaedic Certified Specialists

2007 ◽  
Vol 87 (8) ◽  
pp. 986-994 ◽  
Author(s):  
Rita A Wong ◽  
Britta Schumann ◽  
Rose Townsend ◽  
Crystal A Phelps
Keyword(s):  
Physical Therapy ◽  
Soft Tissue ◽  
Physical Therapists ◽  
The United States ◽  
Survey Instrument ◽  
Joint Effusion ◽  
Future Research ◽  
Tissue Inflammation ◽  
Soft Tissue Swelling ◽  
Soft Tissue Inflammation

Background and Purpose For many years, ultrasound (US) has been a widely used and well-accepted physical therapy modality for the management of musculoskeletal conditions. However, there is a lack of scientific evidence on its effectiveness. This study examined the opinions of physical therapists with advanced competency in orthopedics about the use and perceived clinical importance of US in managing commonly encountered orthopedic impairments. Subjects Four hundred fifty-seven physical therapists who were orthopaedic certified specialists from the Northeast/Mid-Atlantic regions of the United States were invited to participate. Methods A 77-item survey instrument was developed. After face and content validity were established, the survey instrument was mailed to all subjects. Two hundred seven usable survey questionnaires were returned (response rate=45.3%). Results According to the surveys, the respondents indicated that they were likely to use US to decrease soft tissue inflammation (eg, tendinitis, bursitis) (83.6% of the respondents), increase tissue extensibility (70.9%), enhance scar tissue remodeling (68.8%), increase soft tissue healing (52.5%), decrease pain (49.3%), and decrease soft tissue swelling (eg, edema, joint effusion) (35.1%). The respondents used US to deliver medication (phonophoresis) for soft tissue inflammation (54.1%), pain management (22.2%), and soft tissue swelling (19.8%). The study provides summary data of the most frequently chosen machine parameters for duty cycle, intensity, and frequency. Discussion and Conclusion Ultrasound continues to be a popular adjunctive modality in orthopedic physical therapy. These findings may help researchers prioritize needs for future research on the clinical effectiveness of US.

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