Swelling of the foot of the right leg with arthritis
Very often arthritis of the foot is a real misfortunefor man. Pain in the legs, difficulty in walking and the inability to wear any other shoes, except for special orthopedic footwear, can all be considered a serious test of the spiritual and physical strength of the patient. After all, the health of the foot - one of the most complicated "designs" of our body - is the freedom of movement, and hence the quality of life.
Causes and predisposition to the disease
According to doctors, problems with the joints of the foot -a common phenomenon. And a significant part of these troubles is accounted for by arthritis, that is inflammation of the joints of the metatarsus, tarsus and toes *. The causes of arthritis, unlike other articular pathologies, are not always associated with age: the disease can occur equally in older people, and in very young.
* Plyus - five tubular bones of the foot, which are between the bones of the tarsus and phalanges of the fingers. Tarsus is a collection of small bones encased between the bones of the lower leg and the metatarsus.
The causes of arthritis of the foot can be many, but most of them can be attributed to one of the five pathologies:
Rheumatoid arthritis is an autoimmune disease. It arises because the immune system begins to perceive cells of the cartilaginous tissue of joints as foreign. In contrast to the rheumatic (infectious) variant of the disease, affecting mostly large and medium joints, rheumatoid arthritis prefers small joints of hands and feet. Suffer from him mostly middle-aged people (35-45 years), women are sick three times more often than men.
Gout is a pathology, the main cause of which -disturbance of uric acid metabolism and deposition of its salts (urates) in articular cavities. The predominantly metatarsophalangeal joints of the big toes suffer, forming a "bone" or "bump" at the base of the thumb. The neighboring joints may also be affected: interphalangeal, ankle, heel-ram, and others. Most often men are over 50 years old.
Osteoarthritis is a secondary inflammation that occurs against the background of a degenerative process (arthrosis) - destruction of the articular cartilage. The disease is typical for people of the older age group of both sexes.
Reactive arthritis is an immunopathology that develops after an infection. Most often young men aged 20-40 are ill.
Other forms of inflammation: post-traumatic, infectious and other, characteristic, however, not only for the joints of the foot.
Any arthritis of the joints of the foot has common symptoms - it is pain, swelling, redness, local fever and violation of the function of the affected joints. It is possible to change the gait.
1. Rheumatoid arthritis affects the connective tissue of the whole body. As for the articular apparatus, this ailment is chronic and always leads to deformations, that is, the foot ceases to be a full support of the body. Disease often becomes the cause of disability and often leads to a complete cessation of the patient's independent movement. Characteristic symptoms of rheumatoid arthritis of the foot:
- morning stiffness in small joints;
- fast fatigue and pain when walking;
- edema (thickening) and redness of the skin in the affected area;
- Primary defeat of symmetrical joints on both legs;
- long-term disruption of general well-being: the condition of the patient is similar to the disease with the flu (perhaps with a small fever).
The diagnosis of "rheumatoid arthritis" can only be performed by a doctor on the basis of special tests, the most important of which is the detection of a specific protein in a biochemical blood test.
2. Symptoms gouty arthritis the thumb of the foot has a paroxysmaland are characterized by sudden very severe pain in the affected area (usually this is the metatarsophalangeal joint in the region of the thumb). The attack usually begins at night, develops rapidly and lasts for several days or weeks (if not treated). Also for gout is characteristic:
- Rapid pain intensification, which can beunbearable and grow at the slightest touch or movement of the thumb, since crystals of uric acid salts (which accumulate in the joint cavity and cause an attack) have sharpened facets.
- Rapidly growing swelling and redness - the appearance of a characteristic "bump" at the base of the finger.
- Local temperature increase: the affected area of the body becomes hot to the touch.
Diagnosis of gout usually does not cause difficulties for the doctor, since its manifestations are quite typical. Confirms the diagnosis of a high level of uric acid in the blood.
3. Osteoarthritis, as it was said above, is arthritis developing against the background of arthrosis. Its manifestations are common signs of inflammation of the joints, of which we have already spoken.
4. When reactive arthritis the patient can almost always remember thatfor 3-4 weeks before the disease suffered an intestinal or genitourinary infection. This disease is characterized by common signs of joint inflammation and the involvement of periarticular tissues (ligaments, tendons, etc.).
5. Nonspecific inflammations joints of the foot (caused by various causes)characterized by typical for arthritis manifestations: pain, swelling, local redness and fever, impaired limb function. A common symptom of all forms of the disease is a violation of gait (because of pain).
The feet can swell (pictured)
How to treat arthritis of the foot? The correct methods of therapy for specific forms of the disease (rheumatoid, gouty) are known only to narrow specialists. Therefore, if you suspect a similar pathology, the patient is immediately sent for special tests that help to identify a specific protein or determine the level of uric acid. Based on the results of the tests and the available symptoms, the doctor will prescribe a course of complex therapy.
- To relieve autoimmune inflammation, oftenprescribe hormones in combination with non-steroidal anti-inflammatory drugs that can be injected directly into the joint cavity - this brings rapid relief.
- In case of an acute attack of gout, agents are used to neutralize and remove excess uric acid from the body.
- If an infectious variant of the disease is diagnosed - the treatment of arthritis stops necessarily begin with antibiotics.
- With all inflammatory diseases of the feet it is important to observe the exercise regime and not overload the diseased joints.
The diet is especially important for the treatment of gout: it is necessary to limit the products containing purines as much as possible (the one from which uric acid is synthesized). These are meat by-products (liver, kidneys, etc.), legumes, fish (especially salted), fat, smoked products, aged cheeses and alcoholic beverages. You should eat plenty of greens (except sorrel and rhubarb), vegetables, fruits and cereals from whole grains. Especially useful millet porridge, boiled on the water: it binds and displays excess salts. It is important to drink plenty of water and green tea.
In any form of inflammation of the jointsobserve a diet that is rich in calcium (dairy products, sesame paste), chondroitin (sea fish, jellies, salty dishes), minerals and vitamins. But from the excessive use of simple carbohydrates and fats is better to give up.
It will not be superfluous to help the early recovery of arthritis treatment with unconventional and folk remedies.
From folk recipes that you can applyat home, with chronic arthritis helps the foot baths with a strong solution of iodized salt, warming up the feet in hot sand, various warming compresses at night. In acute inflammation, especially purulent, thermal procedures are strictly contraindicated!
Foot baths are a tool that acts directly on the problematic part of the body
Inside use a decoction of lime, chamomile, St. John's wort: 1 teaspoonful - 1 tablespoon of herbs are brewed with a glass of boiling water, insisted and drunk during the day. The courses of phytotherapy in the treatment of chronic inflammation and gout can last up to 1 year.
Another effective folk remedy is a mixture of carrot and cabbage juice (in equal parts). Drink 1 glass a day.
Remember that non-traditional methods can not bethe only means of therapy: this is just an addition to classical treatment. Be sure to consult your doctor about all your self-treatment at home.
It is very important not to allow arthritis of the foot to slide, and then complications will be avoided, and the former mobility will be restored to its joints.