Joint pain: rheumatism, arthritis & Co.


The most common causes and the best treatment

Almost everyone knows one of the following situations: When walking or climbing stairs, pain suddenly occurs, everyday movements become a torment or the exercise in the gym, which is always performed in the same way, suddenly becomes painful. Joint pain is widespread and is often dismissed as common pain for long periods of time, hoping that it will go away on its own. We recommend waiting no longer than 2-3 weeks to see a doctor. Joint pain has different causes and in many cases belongs to professional treatment - so do not hesitate and seek medical advice as soon as possible.

Did you know that ...

  • joint pain is known in the population under the term rheumatism, but there are 450 different clinical pictures?
  • the human body consists of more than 200 joints?
  • a distinction can be made between real and unreal joints?

Causes of joint pain

Sport

Particularly during sports, mild muscle and joint pain is a recurring occurrence due to intense stress on individual parts of the body. If joint pain occurs due to excessive exercise, we recommend that you first take it easy on the stressed joints for several days. If the pain does not subside, you should consult a doctor.

Diseases

Here it is important to pay attention to the accompanying symptoms. Is it joint pain that occurs together with fever and can be traced back to a flu-like infection? Do you notice accompanying symptoms such as redness of the painful area, stiff joints or grinding noises? Consult a doctor to find out the causes of the illness.

Joint wear

Excessive stress on the joints or a sports accident can lead to wear and tear of a joint. In technical language, the term arthrosis is used for this. In osteoarthritis, the cartilage layer at the respective joint is destroyed so that it rubs directly against the bone. The clinical picture of arthrosis will be explained in detail later.

Health tip #1


Regular exercise promotes blood circulation and is therefore important to prevent or relieve joint pain. Chronic joint pain can also be reduced by a balanced diet (avoidance of pro-inflammatory foods, focus on minerals, vitamins & trace elements).

The most common clinical pictures at a glance

Arthritis

  • Inflammatory disease of the joints
  • Affects mainly hand, knee, shoulder, foot & hip joints
  • Causes: unknown
  • Symptoms: Swelling & redness of the joints
  • Relief/Cure: Arthritis can be weakened with anti-inflammatories, but not cured
  • Earliest possible treatment needed

Osteoarthritis

  • Wear & tear & age-related change in the joint.
  • Causes: Overuse, previous injury, previous arthritis disease, joint misalignment or malalignment, genetic factors, advanced age; also favored by unhealthy lifestyle, obesity, lack of exercise, etc.
  • Symptoms: Pain on exertion that subsides on relief.
  • Approx. 2/3 of all people aged 65 and over are affected, but with symptoms of varying severity.

Chronic polyarthritis

  • Inflammatory disease of joints, but also of tendons, bursae, organs, nervous system, etc.
  • Causes: unknown; probably transmitted by heredity, but only the combination with other triggers is likely to lead to the onset of the disease
  • Counts among the autoimmune diseases in which the patient's own immune system plays an essential role

Fibromyalgia

  • Most common soft tissue rheumatic disease
  • Predominantly affects women
  • Symptoms: pain at tendon insertion points, often accompanied by symptoms such as digestive disorders, cardiac arrhythmia and sleep disturbances

Ankylosing spondylitis

  • More men than women are affected
  • Disease begins in young adulthood (disease peak between 20 and 30 years of age)
  • Symptoms: back pain, inflammation of the sacroiliac joints, formation of bone spurs in the spine, restricted breathing range, inflammation of joints, tendon attachments or organs

Health tip #2

To prevent joint pain, focus on sports that are easy on the joints. These include, for example, cycling, walking/walking or swimming.

Treatment of Arthrosis


Univ.-Doz. Dr. Martin Nuhr, MSc. explains the treatment at the NUHR Medical Center:

It is important in the medical clarification to find out whether it is a wear-related or inflammatory disease of the joint. And it is also important to find out whether changes in the joint cause problems for the patient in question or not. Because it is clear that from the age of 37 onwards, corresponding signs of wear and tear can be seen in the respective imaging, which, however, do not require immediate therapy without the occurrence of complaints. The following questions must be clarified: Are there overloads in the sense of a lack of muscular stability as well as overweight? Can previous injuries in this joint be ascertained? Or are joint deformities or malpositions recognizable?

In the case of joint arthrosis, a multi-layered approach to therapy is necessary. On the one hand, major causes of premature joint wear or joint pain must be treated. Such as a misalignment in the joint or weight bearing through dietary measures. On the other hand, muscular weakness must be counteracted by means of individually designed muscle building training. It is also clear that effective pain therapy should be initiated in the form of therapies such as ultrasound, electrotherapy and aquatherapy. Only when the pain has been reduced to a tolerable level or the inflammation is no longer present can targeted muscle building training begin. The goal is to train the patient in a sufficient, muscle-strengthening program, which he or she should continue to practice independently and consistently at home.

It is also important that muscle building - i.e. muscular strengthening - is carried out with the greatest possible protection of the joint cartilage. This can be achieved primarily in the form of underwater remedial gymnastics, but also with targeted muscle strength training in medical training therapy. As always, the therapies must be precisely tailored to the respective complaints and also to the respective patient, and the cooperation of different medical professional groups such as physicians, physiotherapists, sports scientists, therapeutic masseurs, medical-technical specialists, are a prerequisite for successful treatment.

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