Arthralgia

From WikiMD
Jump to navigation Jump to search
Arthralgia
SpecialtyLua error in Module:WikidataIB at line 711: attempt to index field 'wikibase' (a nil value).

Arthralgia (from Greek arthro-, joint + -algos, pain) literally means joint pain.[1][2] Specifically, arthralgia is a symptom of injury, infection, illness (in particular arthritis), or an allergic reaction to medication.[3]

According to MeSH, the term "arthralgia" should only be used when the condition is non-inflammatory, and the term "arthritis" should be used when the condition is inflammatory.[4]

Causes

The causes of arthralgia are varied and range, from a joints perspective, from degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints, such as bursitis.[5] These might be triggered by other things, such as infections or vaccinations.[6]

Add to table below: Chikungunya fever. “Chikungunya” is Maconde (a local Tanzanian language) for "he who bends" and describes the huddled up body posture caused by the intense arthralgia which normally accompanies the acute infection.

Cause Mono- or
polyarticular
Speed of onset
Rheumatoid arthritis Polyarticular [7] Weeks-months[8]
Systemic lupus erythematosus Polyarticular[7] Months[9]
Viral arthritis Polyarticular[7]
Ehlers-Danlos Syndrome [10]
Reactive arthritis Polyarticular[7]
Rheumatic fever Polyarticular[7]
Lyme disease Polyarticular[7]
Gonococcal arthritis Polyarticular[7]
Drug-induced arthritis Polyarticular[7]
Ligamentous laxity Polyarticular[7]
Osteoarthritis Monoarticular[7]
Gout attack Monoarticular[7] Hours[11]
Pseudogout Monoarticular[7]
Behcet's Disease Monoarticular[7]
Physical trauma Monoarticular[7] Immediate
Septic arthritis Monoarticular[7] Hours[11]
Hemarthrosis Monoarticular[7]

Diagnosis

Diagnosis involves interviewing the patient and performing physical exams. When attempting to establish the cause of the arthralgia, the emphasis is on the interview.[2] The patient is asked questions intended to narrow the number of potential causes. Given the varied nature of these possible causes, some questions may seem irrelevant. For example, the patient may be asked about dry mouth, light sensitivity, rashes or a history of seizures.[2][12] Answering yes or no to any of these questions limits the number of possible causes and guides the physician toward the appropriate exams and lab tests.

Treatment

Treatment depends on a specific underlying cause. The underlying cause will be treated first and foremost. The treatments may include joint replacement surgery for severely damaged joints, immunosuppressants for immune system dysfunction, antibiotics when an infection is the cause, and discontinuing medication when an allergic reaction is the cause. When treating the primary cause, pain management may still play a role in treatment.[13] The extent of its role varies depending on the specific cause of the arthralgia. Pain management may include stretching exercises, over the counter pain medications, prescription pain medication, or other treatments deemed appropriate for the symptoms. Capsaicin, a substance found in chili peppers, may relieve joint pain from arthritis and other conditions. Capsaicin blocks the actions of substance P, which helps transmit pain signals, and capsaicin triggers the release of pain-blocking chemicals in the body known as endorphins. Side effects of capsaicin cream include burning or stinging in the area where it is applied. Another topical option is an arthritis cream containing the ingredient, methyl salicylate (Bengay).

See also

References

  1. "Arthralgia Definition". MedicineNet.com. Archived from the original on 11 October 2007. Retrieved 2007-09-20.
  2. 2.0 2.1 2.2 Joe G. Hardin. "Arthralgia". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
  3. James R Philp. "Allergic Drug Reactions - Systemic Allergic Drug Reactions". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
  4. "MeSH". Retrieved 2007-12-23.
  5. Joe G. Hardin. "Table 161.1. Some Common Regional Rheumatic Syndromes". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
  6. Loris McVittie. "Information from CDC and FDA on the Safety of Gardasil Vaccine". supplement to your biologics license application (BLA) for Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant (GARDASIL), to include arthralgia, myalgia, asthenia, fatigue, and malaise in the Adverse Reactions section of the package insert. Retrieved 2008-07-21.
  7. 7.00 7.01 7.02 7.03 7.04 7.05 7.06 7.07 7.08 7.09 7.10 7.11 7.12 7.13 7.14 7.15 Table 6-8 in:
  8. Diagnosis lag time of median 4 weeks, and median diagnosis lag time of 18 weeks, taken from: Chan, K. W.; Felson, D. T.; Yood, R. A.; Walker, A. M. (1994). "The lag time between onset of symptoms and diagnosis of rheumatoid arthritis". Arthritis and Rheumatism. 37 (6): 814–820. doi:10.1002/art.1780370606. PMID 8003053.
  9. Doria, A.; Zen, M.; Canova, M.; Bettio, S.; Bassi, N.; Nalotto, L.; Rampudda, M.; Ghirardello, A.; Iaccarino, L. (2010). "SLE diagnosis and treatment: When early is early". Autoimmunity Reviews. 10 (1): 55–60. doi:10.1016/j.autrev.2010.08.014. PMID 20813207.
  10. "Ehlers-Danlos syndrome - Symptoms and causes". Retrieved 10 February 2018.
  11. 11.0 11.1 Page 740 (upper right of page) in:
  12. "Table 159mptomatic Extraarticular Features of the Connective Tissue Diseases and the Spondyloarthropathies". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
  13. "Pain Management". Arthritis Action UK. Arthritis Action. Archived from the original on 13 February 2016. Retrieved 16 October 2015.
Wikipedia

External links

Template:Diseases of the musculoskeletal system and connective tissue Template:Pain

W8MD weight loss logo

Ad. Tired of being overweight?. W8MD's insurance Weight loss program can HELP*
Wellness | weight loss portal | Weight loss tips | W8MD's medical weight loss | Lose weight New York City

Philadelphia weight loss | Lose weight King of Prussia | Weight Loss NYC | Brooklyn weight loss | Advertise

Quick links: Medicine Portal | Encyclopedia‏‎‏‎ | Gray's Anatomy‏‎ | Topics‏‎ |‏‎ Diseases‏‎ | Drugs | Wellness | Obesity‏‎ | Metabolic syndrome | Weight loss*
Disclaimer: The entire contents of WIKIMD.ORG are for informational purposes only and do not render medical advice or professional services. If you have a medical emergency, you should CALL 911 immediately! Given the nature of the wiki, the information provided may not be accurate, misleading and or incorrect. Use the information on this wiki at your own risk! See full Disclaimer.
Link to this page: <a href="http://www.wikimd.org/wiki/Arthralgia">Arthralgia</a>

  • Individual results may vary for weight loss from our sponsors.