Rheumatoid Arthritis of the hand - Everything You Need To Know - Dr. Nabil Ebraheim
ฝัง
- เผยแพร่เมื่อ 30 ก.ย. 2024
- Dr. Ebraheim’s educational animated video describes the condition of rheumatoid arthritis, the etiology, signs and symptoms, the diagnostic tests and indications, and the treatment options and prognosis.
Rheumatoid Arthritis involves the synovium of the joints. The condition of rheumatoid arthritis will result in deformities. Rheumatoid Arthritis occurs in females more than males. There may be a hereditary component with Rheumatoid Arthritis. Rheumatoid Arthritis has spontaneous remissions and exacerbations. The disease can have a systemic nature.
Pain and stiffness of joints especially in the morning (morning stiffness). Rheumatoid Arthritis is typically polyarticular, bilateral and symmetrical and most commonly affects the hands and feet.
x-rays show periarticular erosions at the time of diagnosis. Osteopenia and minimal osteophyte formation favor the diagnosis of rheumatoid arthritis.
Pathogenesis
Rheumatoid Arthritis is an autoimmune disease. The disease has two components: immunological reaction. Increased degradative enzymes. The IgM (Rheumatoid factor) is produced by the plasma cell as ana antibody to the native IgG, which is altered in RA. 70% of patient with RA have rheumatoid factor positive. Leucocytes are attracted to the immune complex forming deposits over the inflammatory surface of the synovium. These leucocytes ingest fibrin and immune complex and is called the Rheumatoid cells. The leucocytes release lysosomal enzymes that cause acute inflammatory response and tissue necrosis as well as inflammatory mediators ( IL-1, IL-6, TNF alpha). The chondrocytes respond to stimulation by TNF- alpha, IL-1 and other inflammatory mediators causing cells to become activated and secrete more metalloproteinases which lead to cartilage damage. The synovium becomes hypertrophied (pannus), showing intimal hyperplasia and infiltration by plasma cells and lymphocytes.
Stages of Rheumatoid Arthritis
Early: acute: hot swollen tender joints (synovitis)
•MCP swelling
•Wrist swelling
•Flexor sheath synovitis
Complicated: digital vasculitis, ecchymosis, skin atrophy, nodules.
Advanced
•Swelling of MCP joints
•Lateral slippage of extensor tendon ruptures
•Ulnar deviation of fingers
•Xrays show destruction of MCP with subluxation, ulnar deviation and wrist destruction.
•Finger deformities: Mallet, boutonniere, Swan neck
The thumb is also involved. These changes occur due to proliferation, inflammation and hypertrophy of the synovium. Involvement of the distal radioulnar joint is usually associated with rupture of the extensor digiti minimi.
Rheumatoid nodules
25% of patients with RA will have subcutaneous nodules on extensor surfaces of elbow and forearm. Nodules are often multiple and seen along the ulnar margin of the forearm or pulp of the digits. Vasculitis is more common in patients with SC nodules, it is strongly seropositive disease (aggressive) with less favorable prognosis.
Treatment
•Synovitis: splint and medical treatment
•Joint space narrowing, bone erosions and osteopenia: synovectomy.
•Joint destruction/fixed deformity/ loss of hand function: surgery based on condition
Before operating on RA patients, x-ray of the cervical spine is needed because the patient may have subluxation of C1-C2.
Metacarpophalangeal joint arthroplasty of the fingers usually results in decreased extensor lag and improvement of the ulnar drift.
Become a friend on facebook:
/ drebraheim
Follow me on twitter:
#!...
I’m 18 and work with heavy equipment recently (with in last 1 month) my wrists ache and cracking a lot when I rotate them I can’t tell if I have this or if I’ve dislocated them my right wrist is much worse though. This is really worrying :(
what ended up happening ?
I am Classical homoeopathic physician Homoeopathy is a science which treats holistically...
Basic principle is all individuals are different so every individual is treated and given medicine totally different whether 2 individuals or more suffer from same disease...
Not only this any individual who is suffering from one or many diseases at a time only one medicine will b given on the basis of his constitution...
During case taking ( His medical history his family history his emotions intellect delusions fears hobbies choices manners sensitivity will power dreams physical general pathogonomic generals and peculiar symptoms and modalities all are taken into consideration to give his contitutional medicine...)
Thats why in homoeopathy every disease is curable whether it is genetic auto immune chronic etc...
I've just had a stem cell PRP (can't remember what it's called exactly jab in my knee). Next jab is in march. Not sure how effective this treatment will be, apart from emptying my bank account. Doc says it's our best hope for the cartilage and bones to regenerate new tissue, which should help stop the pain. A case of wait and see.
I'm guessing I have some kind of arthritis (hand/wrist) but past 2 mornings early A.M. pain is shooting deep in my hand/wrist swollen and just moving it hurts like crazy! Tried different movements but can't even make a fist or make my pinky touch my thumb that shit is the worst! I'll figure this out and leave feedback to help others for sure🙏🏽👊🏽 God bless 🙏🏽
thts pretty much of evrything about RA yeah !!! great video if u r medical student :-) (y)
Yep scary as hell if you're a sufferer.
I was diagnosed with RA at 19. DO NOT WAIT TO GET TREATMENT. I waited too long cause i didn't think it was serious and I started waking up with my hands crippled in the morning and feeling like they're gonna fall off due to immense pain. I'm 29 now, and I take 1 inflammatory drug (every day), 2 RA pills (every day), and 1 injection shot (once every two weeks). I'm doing really well now as long as i keep up with my medication!
How is your life going so far... are you able to workout sports etc? Feels like my dreams are about to be crushed
I was diagnosed with this a year before my lymphoma diagnosis. Several people I know have experienced this too. I wish you would change the music. It is too repetitive and I can't watch the video with sound.
hello sir, nice video on RA. my aunt was also suffering from this condition. she went to many hospitals but didn't get relief from any hospitals. at last, she visited planet Ayurveda they gave her an RA care pack and now she is fine. thanks to planet Ayurveda.
which type of medicine she is taking
very helpful, thanks so much!
Firstly let's change your diet to a raw food diet and reduce inflammation and swelling. And tighten up the DNA take sea vegetables and chilly pepper capsules and start to feel better. And more in control of the diet and pain a plant-based diet for detoxing and flushing body and gi tract. For start.
Right, I have root canals and heard they create RA. Trying to get meat out of diet and eat more natural no sweets/wheat. My top of elbow muscles hurt really bad.
@@pattimurphy5151 I think I have same problem with my elbow tip can u please share ur experience
My mom have pain in wrist and shoulder almost for 3 yrs her Dr prescribe her steroid medicine n took it almost for 2 yrs now she have dry mouth is that side effect of steroid because her sugar is negative and plz tell me how to control arthritis n what to eat thanx
Ever wonder if Myplasma Bacteria is somehow connected to Rheumatoid Arthritis?
EVERYTHING I NEED TO KNOW ! I AGREE BECAUSE I AM A ULTRASOUND DOCTOR ^^ . THANKS !
Cheers for the video content! Forgive me for butting in, I am interested in your initial thoughts. Have you heard about - Parlandealey Elbow Strength Process (should be on google have a look)? It is an awesome exclusive product for learning how to stop elbow pain without the headache. Ive heard some amazing things about it and my friend Sam at very last got cool results with it.
I have RA from last 12 years, Dr says now my 6 parts of the body are damaged. Can any one help me with solutions. I am just 29 year old. Need a help.
Physiotherapy is the best thing to cure arthritis.take sun light in early morning..Get some green vegetables healthy fruits..😊
Take patanjali medicine
Which all parts ? can you please tell me
To phir aap medicine le rhe hogena
@@vm4992 both wrist, both ankle, 1 finger, 1 elbow
No one believes my pain i have it for almost 4 years.
This is a very helpful video, thank you
Great video describing the effects of rheumatoid arthritis on the hands
I had 7 hand surgeries in less than two years. 😔
I also have deformed fingers but my doctor says any damage cause by r. A can't be cured nor he did my operation of fingers
Hey dna i need your help
im not sure if this is even it for me, i get negative blood works when i test for this but my fingers are swelling in their joints and are deforming with a ulnar drift or something, theres rarely any pain but its more of an ache when there is, i also think it could be related to something with my color bone, it seems to be going up towards my traps while going into my chest, x rays also shows or says it fine but this makes my neck spasm everytime it goes further, idk if its just me but ive been pretty terrified about it suddenly snapping and piercing my neck, theres definitly something wrong with me and i just cant seem to get doctors to find it, i cant seem to even find it
Please let me know of any results.
Bloodwork for RA is not diagnostic. Many people, like me, are seronegative. Go to a rheumatologist.
do you like the music???It's really annoying for me.Better no music at all,or put smth nice.
i had to turn off the volume.
👍👍👍👍
I wish there were some solutions, natural remedies coming along with this video.
Hello everyone I had a sprain five months back in upper wrist it turned into ganglion nd after that I consulted Ortho after 1 month of heavy medication still it's paining specially while using mobile phone my doctor is saying it is become early arthritis (age24) it will go by time can anyone help me how to get rid of this
Does anyone know if losing weight helps with RA
Awesome dr. I cant wait to meet mine..
Mine are early, few days ago was so scared, woke up to elbow. Wrist fingers in pain they kept curling up, feels like im alone, my husband just says except it an dont think of it.. hard not too
Good video describing the effects of rheumatoid arthritis on the hands, I have had a synovectomy and am waiting to have surgery to 6 knuckles in my hands
I would agree with you if it were written for the average layman. The wording in this video would probably only make sense to a doctor. It was Greek to me!
Amanda Herring
After 20+ years of living with rheumatoid arthritis I have come to learn a lot about it :)
Then that would hardly make you the "average layman". I'm in the earlier stages of the disease and am actually trying to learn something. This was useless.
Amanda Herring I understand what you mean, I just watched the video again but there are many good places to learn about RA, I know it can be scary when you are first diagnosed but these days the medication has come a long way, I know you may not be in the U.K. but this site is very good for info www.nras.org.uk/
Thank you so much for the link/resources!! You rock!
😭 I'm 20 ND bcz of arthritis my hand feet elbow even fingers like all join and muscles pain sooo much😭 before i was taking painclears and monthly 1 dose injection but it didn't help 😭 after that my friend suggest me homeopathic medicine but ntg happen idk what to do 😭 it's pain Soo much i can do heavy works .... Please help me
Pls leave gluten, dairy etc and switch to ayurveda and naturopathy treatments or functional medicine doctors. Homeopathy is too slow to cure a disease as aggresive as RA.
my hands look just like what is shown I'm 76 ....had this from age 49 .....its really bad!!!!
Great illustration & great video
Pls speak and explain kindly
My sister-in-law has this. Her hands look so bad, I don't know how she can do things. Good Informative Video. Thank You!
L. Kay Boyer helo I have arthritis full problem please tell Some medicine my number 9739894512
thanks alot informative video
I was diagnosed by both type of symptoms. then my uncle recommendme about planet ayurveda. now i have no any kind of symptoms. thanks to planet ayurveda for giving me relief from these symptoms.
Plz give me planet ayurveda contact number
Can you please tell me more about your recovery
excellent video
🌸🌸Thank you
I have the ulnar drift of my right knuckles and fingers but my left hand is normal not affected by RA. Had this deasese for 27 years but my hand and knuckles only started looking affected 4 years ago
I have the early stages :/
What have you done about it?
عشان تعرفوا أن الأعلام ف أيدين ملهاش لازمه، برنامج ردح، بالأوامر...
WTF
What are its treatments
İ pucnhed on wall 6-7 times not in one day but it got bigger what i need to do please help me!
this is very effective and great video and also so informative for the all over the people.........
+Muhammad Adnan ~~Free Yourself of the Swelling, Stiffness and Pain, and Live Your Life 150% Better by Banishing Your Arthritis in Just One Month!
Visit here ==> www.thearthritistreatment.tumblr.com
BEST VIDEO ON THE SUBJECT !!!
I've had RA my whole life. Now, I'm vlogging abt it. TY for helping me better explain what Arthritis is & does to my body.
Appreciate Video clip! Excuse me for chiming in, I would love your thoughts. Have you considered - Cenayden Stupendous Cure (just google it)? It is an awesome one of a kind product for pushing down your worrying cholesterol level minus the normal expense. Ive heard some awesome things about it and my friend Sam after a lifetime of fighting got great success with it.
@@paulrichard4945 please tell me how he got success.. with this disease
Paul Richard
Scam artist