Arthrtis and Its management Presentation by Dr Mahboob Ur Rahmanm Chairman MMI,Habib Physiotherapy complex Peshawar

2. Dr. Mahboob Ur Rahman
BSPT,PPDPT,EMBA
Chief Physiotherapist
HMC Peshawar/
Founder &Chairman
Mahboob School of
Physiotherapy Hayatabad.

3. Arthritis
 The word arthritis is composed of 2 words These are,“arthr”
means joint and“ itis” means inflammation
 Arthritis can affect babies and children, as well as people in
the prime of their lives”
 Arthritis is a general term for conditions that affect the
joints and surrounding tissues.
 Joints are places in the body where bones come together,
such as the knees, wrists, fingers, toes, and hips. There are
various types of Arthritis.
 The two most common types of arthritis are osteoarthritis
and rheumatoid arthritis.

4. Arthritis Types
 Rheumatoid Arthritis
 OsteoArthritis
 Infectious (Septic) Arthritis
 Juvenile arthritis

5. Osteoarthritis
 It is a degenerative joint disease. It develops in large &
weight bearing joints that are exposed to repeated
overuse due to nature of job or sport.
 Articular cartilage suffers from wear and tear due to
repeated use. Eventually the cushion that is provided
by cartilage is lost due destruction of the cartilage.
 As a result, the bones rub together, causing a grating
sensation.
 Joint flexibility is reduced, bony spurs develop, and
the joint swells. Usually, the first symptom of OA is
pain that worsens following exercise or immobility

6. OA cont
 Symptoms: pain in joints, limited Range of Motion,
tenderness/swelling, creaking joints, deformity
 Diagnosis: Physical Exam, X-Rays, Blood Tests
 Risk Factors: Age, Gender (female), previous joint injuries,
obesity, weak thigh muscles (for knee), contracting gout,
rheumatoid arthritis, or hemochromatosis
 Treatment usually includes analgesics, topical creams, or
nonsteroidal anti-inflammatory drugs (known as NSAIDs);
appropriate exercises or physical therapy; joint splinting; or
joint replacement surgery for seriously damaged larger
joints, such as the knee or hip.

7. Rheumatoid Arthritis
“A chronic autoimmune disease characterized by the inflammation of the synovial joints”
Has a symmetrical bilateral effect on joints
Results in joint deformity and immobilization
Multiple factors increase one’s risk

8. Symptoms
•Morning stiffness lasting more
than half an hour
•Simultaneous symmetrical joint
swelling
•Not relieved by rest
•Fever
•Weight loss
•Fatigue
•Anemia
•Lymph node enlargement
•Nodules
•Raynaud’s phenomenon

9. Diagnosis
 CBC
 Radiographs of involved joints
 CT/MRI scans
 Direct arthroscopy
 Synovial/Fluid aspirate
 Synovial membrane biopsy
 Arthrocentesis
)
No single test is specific to Rheumatoid Arthritis

10. X-Ray
X-rays are an important diagnostic test for monitoring the disease progression
Patients may reveal NO changes on an X-ray in the early stages

11. Management
 Rheumatoid Arthritis can be managed through
medication (NSAIDs, DMARDs, Corticosteroids
etc), Physical Therapy, Occupational Therapy,
Orthotics.

12. Physiotherapy in Rheumatoid Arthritis

19. Thanks