Call for Caution in Using the Pain DETECT Questionnaire for Patient Stratification Without Additional Clinical Assessments: Comment on the Article by Soni et al
Arthritis&Rheumatology, Volume 71, Issue 7, Page 1201-1202, July 2019.
A 50-year-old female with history of rheumatoid arthritis presented with a large nodule on right medial knee. The lesion had been present for several years and was progressively growing causing her pain. Recently the lesion had begun to ulcerate and drain a yellow liquid. The patient was on methotrexate 20 mg weekly, hydroxychloroquine 200 mg daily, and prednisone 5 mg daily for her rheumatoid arthritis. On her right medial knee, she had a 6.8 cm soft, slightly compressible, yellowish nodule. The lesion was surgically resected under local anesthesia and the defect primarily repaired.
Psoriasis is a chronic, systemic, inflammatory disease involving skin, nails, and joints. Nail psoriasis may lead to many difficulties in daily activities including work and impairment in quality of life and may also be the cause of severe pain, anxiety and depression. A 66-year-old woman with a history of seronegative arthritis receiving methotrexate presented with severe ungual dystrophy affecting all 20 nails. Clinical examination revealed subungual hyperkeratosis, salmon patches, periungual erythema, onycholysis and nail crumbling.
We describe the case of a 37-year-old man with a 20-year history of psoriatic arthritis. The patient presented with abdominal pain, watery diarrhea with mild hematochezia, and a reported 24-pound unintentional weight loss over the past five months. Of note, the patient began treatment with etanercept five months earlier after discontinuation of infliximab for his psoriatic arthritis symptoms. Colonoscopy with terminal ileum intubation revealed active colitis and intestinal biopsy results showed marked ulcerations and non-caseating granulomas, indicative of CD. Etanercept was subsequently discontinued and the patient was st...
SUPPLEMENTS have been shown to provide a wide-range of health benefits, particularly in alleviating the symptoms associated with arthritis. Growing evidence points to the useful application of an ancient remedy in reducing symptoms associated with rheumatoid arthritis.
Publication date: Available online 19 August 2019Source: World Journal of Acupuncture - MoxibustionAuthor(s): Xiu-feng GU, Fei WANG, Yan-yan ZHANGAbstractObjectiveTo compare the therapeutic effect difference among dog-day moxibustion on herbs, ordinary moxibution and routine western medication in treating knee-joint osteoarthritis of yang deficiency and congealing cold type.MethodsA total of 90 patients with knee-joint osteoarthritis of yang deficiency and congealing cold type were divided into dog-day moxibustion group, ordinary moxibution group and western medication group according to the registration order, and there w...
Sammy Margo, a physiotherapist in North London, and Dr Rod Hughes, a consultant rheumatologist, give the lowdown on gadgets and remedies for the pain. We then rated them.
ConclusionPain improved considerably in both arms over 60 months. While ITT analysis revealed no statistically significant differences in TKR use, greater TKR utilization in those receiving APM merits further study.
Conditions: Chronic Pain; Low Back Pain; Fibromyalgia; Upper Extremity Dysfunction; Complex Regional Pain Syndromes; Phantom Limb Pain; Rheumatoid Arthritis; Carpal Tunnel Syndrome; Repetitive Strain Injury Intervention: Device: Karuna Labs Virtual Reality Software Sponsor: Karuna Labs Inc. Enrolling by invitation
ConclusionsIn our study, based on clinical practice, a sustained VLDA was achieved in 17.5% and a sustained remission according to the DAPSA criteria in 30% of patients with PsA.
(Natural News) There is a system within the human body that regulates pain and modulates the immune system. This little-known system of the body is a major gateway for regulating inflammation in the cells. This body system is often left out of human anatomy textbooks. This system is like a door that connects the nervous...