What is rheumatism

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The word "rheumatism" is used interchangeably with the word "rheumatology" and both refer to that branch of medicine that deals with diseases and disorders of the joints, the bones and the muscles. In more simplistic terms, it is similar to the orthopedic specialty in that it is related to the musculoskeletal system but differs from it in that rheumatism doctors, or rheumatologists, do not do surgeries. </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">The word <i>rheumatism</i> the way many patients perceive it in the Middle East: Many patients in our countries think that "rheumatism" is the chronic disease that causes pain in the joints of elderly people especially the knees and the back joints that is caused by or that increases by cold weather and humid conditions. And even if a young person complains of persistent pains in any joints, common people explanation in such cases would be that he/she got the known rheumatism of the old age but at a younger age. This concept is a completely wrong. We really don't know how or when it started and how it managed to diffuse so strongly in the culture of lay people and to persist and survive despite many attempts by rheumatologists to correct it. </font> </span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">In short, rheumatism (or rheumatology) is a word or term that does not refer to any specific disease.  It is the name of a specialty that encompasses many rheumatic diseases that can affect the joints, the muscles and the bones at any age from childhood to old age. And the common question that patients usually ask the rheumatologist "Doctor, do I have rheumatism" is just like going to the urology doctor and asking him "Doctor, do I have urology?"</font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">Causes of rheumatic diseases: there are several different causes for the many different rheumatic diseases. Bad posture habits as when sitting for long hours in front of a computer or overusing the joints and muscles as in certain sports and occupations are the causes of most patient complaints and disorders. Hyperactivity of the immune system that makes the body's defense cells, in addition to attacking the microbes that enter the body, attack the joints and muscles with antibodies is the cause of a group of disorders known as autoimmune disorders as rheumatoid arthritis and systemic lupus erythematosus. Aging of the cartilage of joints can lead to osteoarthritis of the joints most famous in the knees and spine. Disorders of sleep in addition to psychological factors are thought to result in a condition called fibromyalgia. Deposition of crystals of urate (salt of uric acid) in joints can cause a bodily reaction of intense inflammation called gouty arthritis. </font> </span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> Duration of a rheumatic disease: some rheumatic disorders can last for only a few days as some types of tendinitis while others can last for many years or for the lifetime of the patient just like diabetes and hypertension as rheumatoid arthritis while others visit the joints on and off as gout. </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; text-indent: 36.0pt; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">Who is affected by a rheumatic disease: anybody can be affected by a rheumatic disease. Each of the many different rheumatic diseases that exist tends to have a predilection to certain age groups or to a certain sex. But in short, for every age from birth till old age and for each sex, there is a certain rheumatic disease(s) that tends to occur. </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <div class="MsoNormal" align="center" dir="LTR" style="margin-bottom:0cm;margin-bottom: .0001pt;text-align:center;line-height:150%;direction:ltr;unicode-bidi:embed"> <span style="font-size: 10.0pt; line-height: 150%; font-family: Arial,sans-serif; color: #282A55"> <hr size="1" noshade style="color:maroon; height:1px"> </span></div> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <font color="#333300" size="1"><br> </font> <b><span style="font-family: Verdana ; color: #333300"><font size="1"> <a name="How_the_rheumatologist_diagnoses_his_patient:___">How the rheumatologist diagnoses his patient:  </a> </font></span></b></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">By good listening to the patient's history (history is the patient's description of his symptoms and how they had started and what aggravates and alleviates them and whether someone else in the family was suffering of similar problems and also whether the patient was receiving any medications for his symptoms). History taking gives the rheumatologist more than 70% of the information he needs to diagnose diseases. Examining the patient then ranks second to history taking in its importance for diagnosis and lastly the labs and the imaging investigations that the doctor might request if needed. </font></span> </p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <div class="MsoNormal" align="center" dir="LTR" style="margin-bottom:0cm;margin-bottom: .0001pt;text-align:center;line-height:150%;direction:ltr;unicode-bidi:embed"> <span style="font-size: 10.0pt; line-height: 150%; font-family: Arial,sans-serif; color: #282A55"> <hr size="1" noshade style="color:maroon; height:1px"> </span></div> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <font color="#333300" size="1"><br> </font> <b><span style="font-family: Verdana ; color: #333300"><font size="1"> <a name="How_the_rheumatologist_treats_his_patient:__">How the rheumatologist treats his patient: </a> </font></span></b></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">1.</font></span><span style="line-height: 150%; font-family: Verdana ; color: #333300"><font size="1">    </font></span><span style="font-family: Verdana ; color: #333300"><font size="1">1. By educating the patient about his disease, that is, by explaining to the patient the reasons for his symptoms or disease and also about the medicines prescribed and how they work and after how long in addition to giving the patient an idea about any possible side effects or precautions he should take while receiving those medicines.  </font> </span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="line-height: 150%; font-family: Verdana ; color: #333300"> <font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">2.</font></span><span style="line-height: 150%; font-family: Verdana ; color: #333300"><font size="1">    </font></span><span style="font-family: Verdana ; color: #333300"><font size="1">Giving the patient the necessary instructions that are indicated for the management of his disease. This includes instructions for posture, movement and for carrying out daily activities as well as dietary instructions if needed. </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="line-height: 150%; font-family: Verdana ; color: #333300"> <font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">3.</font></span><span style="line-height: 150%; font-family: Verdana ; color: #333300"><font size="1">      </font></span><span style="font-family: Verdana ; color: #333300"> <font size="1">Rehabilitation: rehabilitation means helping the patient regain a lost function due to his illness or at least helping him regain as much of that lost function as possible. This is accomplished by more instructions, assistive devices and by physiotherapy sessions. Physiotherapy sessions include working with appliances (as ultrasound, short wave, microwave, LASER) and doing therapeutic exercises which, if done properly, are extremely effective and even more specific in effect than medicines in the management of postural disorders. </font></span> </p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="line-height: 150%; font-family: Verdana ; color: #333300"> <font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">4.</font></span><span style="line-height: 150%; font-family: Verdana ; color: #333300"><font size="1">      </font></span><span style="font-family: Verdana ; color: #333300"> <font size="1">The prescription of medications which are optional in some disorders (as in postural syndromes where instructions are more important) and form an important part of the management plan in other disorders (as autoimmune disorders). </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="line-height: 150%; font-family: Verdana ; color: #333300"> <font size="1"> </font></span></p> <div class="MsoNormal" align="center" dir="LTR" style="margin-bottom:0cm;margin-bottom: .0001pt;text-align:center;line-height:150%;direction:ltr;unicode-bidi:embed"> <span style="font-size: 10.0pt; line-height: 150%; font-family: Arial,sans-serif; color: #282A55"> <hr size="1" noshade style="color:maroon; height:1px"> </span></div> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> </font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <b><span style="font-family: Verdana ; color: #333300"><font size="1"> <a name="Examples_of_disorders_and_diseases_for_which_you_need_to_see_a_rheumatologist:_">Examples of disorders and diseases for which you need to see a rheumatologist:</a></font></span></b></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">Low back pain and neck pain and any joint or muscle pain, sciatica</font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> Rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis</font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1"> Fibromyalgia, gout, osteoporosis, osteoarthritis, rheumatic fever, calcaneal spurs</font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px; "> <span style="font-family: Verdana ; color: #333300"><font size="1">Many sports injuries, tendinitis, bursitis</font></span></p> <p class="MsoNormal" dir="LTR" style="text-align: justify; direction: ltr; unicode-bidi: embed; margin: 0 20px"> </p> </td> </tr> <tr> <td colspan="2" bgcolor="#001700"> <p align="center" style="margin-top: -4px; margin-bottom: -4px"> <br> <font color="#CCCC66" size="1"> <a style="text-decoration: none" href="../../GeneralPagesEnglish/ContactHatemEleishiEnglish.htm"> <font color="#CCCC66">Contact Dr. Hatem</font></a>    </font> <a style="text-decoration: none" target="_blank" href="../../GeneralPagesEnglish/YourFeedbackEnglish.htm"> <font color="#CCCC66" size="1">Send us your feedback</font></a></p> <hr width="50%" style="height: 1px; color:#CCCC66"> <p align="center" style="margin-top: 0; margin-bottom: 0"> <font size="1" color="#CCCC66">Last updated: 05/14/2013</font></p> </td> </tr> </table> </div> <p align="center" style="margin-top: 0; margin-bottom: 0"> </p> <span style="font-size: 9.0pt; font-family: 'Times New Roman',serif"> <p> <font size="1"><  </font> </p> <div id="OneStatTag"><table border='0' cellpadding='0' cellspacing='0'><tr><td align='center'> <font size="1"> <script type="text/javascript">  </script> <noscript> <a href="http://www.onestatfree.com"><img border="0" src="http://stat.onestat.com/stat.aspx?tagver=2&sid=446496&js=No&" ALT="tracker"></a> </noscript> </font> </td></tr><tr><td align='center'><div style="COLOR:black;display:none;FONT-FAMILY:'Verdana';"><a href="http://www.onestatfree.com" style="text-decoration:none;"> <font size="1">tracker</font></a><font size="1"><br></font></div></td></tr></table></div> <font size="1"> > </font> </span> <p> </p> </body>