Reactive or allergic arthritis occurs as a manifestation of the body’s general reaction to a pathogen. The disease affects the joints (acute, subacute inflammation), being benign.
The risk group includes children prone to allergies, or those who have suffered food poisoning or infectious diseases. Common allergens include medications, food, pollen, and animal dander.
But not all children, even those at risk, develop reactive arthritis. An additional important factor is genetic predisposition.
The main distinguishing feature of this arthritis is that it is reversible. However, relapses are possible, and when the body is repeatedly exposed to the same allergen, the severity of the symptoms increases.
Why does reactive arthritis occur?
The main reason is pathogens that have entered the body. But if you examine the joint fluid in the acute period, you will not be able to detect bacteria or antibodies in it. This fact is explained by the following phenomenon: blood leukocytes, aimed at fighting bacteria, begin to combine with them, forming immune complexes that mistake joint cells for foreign bodies that need to be destroyed. Thus, a malfunction in the immune system leads to inflammation of the joints.
The causative agents of the disease are transmitted by airborne droplets and airborne dust, during birth from the mother. Domestic animals are also carriers.
Causes of wandering pain
When all the muscles, bones and joints of the whole body hurt, the search for the causes begins with a visit to the doctor. But in order to know which doctor to go to, you need to take into account the presence of chronic diseases, previous infections or a predisposition to the development of various pathologies.
All provoking factors may be common and characteristic of a specific localization of the symptom. Most often, the causes of wandering pain throughout the body are systemic disorders and pathologies:
- physical overload and muscle strain;
- previous acute respiratory viral infections or infectious poisonings;
- postural disorders and spinal diseases;
- muscle inflammation due to hypothermia;
- constant stress and neuroses;
- various chronic diseases (diabetes mellitus, rheumatism, arthritis, etc.).
These are the most common causes of the symptom. It is possible to determine why the muscles of the whole body hurt only by conducting instrumental diagnostics and examination. Before going to the doctor, you need to assume a provoking factor that may cause pain. To do this, you need to take into account its localization and manifestations.
How does the disease manifest itself?
Reactive arthritis makes itself felt 1-3 weeks after the pathogen enters the body. Common precursors are acute respiratory, intestinal and urogenital infections.
General symptoms:
- Severe pain appears in the joint.
- The patient begins to limp sharply or cannot use the affected joint at all.
- Swelling, often redness and a local increase in temperature occur in the affected area.
- The general temperature rises.
- Weakness and loss of appetite are observed.
The appearance of more specific symptoms depends on the bacteria that have entered the body. Based on them, the main pathogen is determined.
For example:
- Urogenital infection is often accompanied by chlamydial infection. Clinical signs of cystitis and urethritis appear in boys, vulvovaginitis and vulvitis in girls.
- Intestinal bacteria aggravate common symptoms. Thus, the body temperature rises to 38 degrees or more, all joints begin to ache, the accumulation of a large amount of fluid in the joint area leads to its pronounced deformation, which leads to impaired mobility, and the adjacent tendons also hurt.
Main symptoms
Arthritis is not a separate disease, but various inflammatory processes in the joints. It can be a consequence of autoimmune tissue damage, occur after an infection, against the background of an allergic reaction and in other conditions. Here are six main signs that can detect arthritis:
- Pain is a key symptom of joint inflammation. Intensifies at night, during physical activity, after hypothermia.
- Redness of the skin around the joint.
- Swelling of the skin and soft tissues around the affected organ.
- An increase in local temperature - the skin over the joint becomes hot.
- Stiffness in the joint. In the initial stages of arthritis development, the range of motion decreases slightly. Over time, the disease progresses, and the joint completely loses mobility.
- Crunching is a late sign of arthritis. It occurs when cartilage, the layer between the bone structures of the joint, is destroyed. The crunching indicates that the disease is progressing and a complication is developing - arthrosis.
This is what a joint affected by arthritis looks like.
Symptoms of arthritis often occur after injury, physical activity, or hypothermia. This links joint inflammation to the specific cause of the disease and helps the doctor determine the correct treatment tactics.
Difficulty of diagnosis
It lies in the fact that the general symptoms are very similar to those of other types of arthritis. And at an appointment with a rheumatologist at our clinic, many patients and their parents forget to say that shortly before they suffered an infectious disease or had an allergy. Therefore, the primary task of our specialists is to find out a complete and accurate picture of the diseases that the child has been suffering from for 1-2 months in order to prescribe the correct tests and carry out treatment.
The main diagnostic methods are:
- Visual inspection of the affected joint.
- Blood and urine analysis. The disease is determined by leukocytes, antibodies to urogenital infections, the number of which exceeds the norm.
- Stool analysis is necessary to identify/exclude infections in the intestines.
- In some cases, an analysis of synovial fluid and a biopsy of the synovial membrane of the joint are prescribed.
- To confirm the diagnosis, the doctor may prescribe an X-ray examination or magnetic resonance imaging.
Seronegative spondyloarthritis, burning sensation in muscles and joints.
Alexander
793 views
April 28, 2020
Hello! I'm Alexander, I'm 35 years old. On 12/2017, continuous headaches and squeaking in the ears began. It lasted about a week until dizziness began. I went to a neurologist and was prescribed anti-inflammatory injections, B vitamins, and antidepressants. After the first injections I felt significantly better. After a course of treatment, there was no trace of headaches left. 1.5-2 years earlier, constant aching pain in the right heel, mushy stools, low temperature of 35.7-36.2 degrees, and severe night sweats were noticed. Sometimes there are ulcers on the mucous membrane in the mouth (as if a capillary bursts and a blood spot, up to 7 mm in size, forms under the mucous membrane. At the end of May, I noticed that in addition to the heel, the right Achilles tendon began to ache and at night the hands and arms themselves began to go numb. Flying pains appeared in the small joints of the hands and feet. The therapist prescribed Nise ointment. In August, I went to the Ergaki nature reserve for 4 days. After the 2nd day of walking around the reserve (about 10 km a day), my knees hurt, the right one hurt much worse and increased in size. Upon returning home went to the emergency room, did an x-ray, they said that there were no injuries and that it was synovitis. Then there was physical treatment and some pills. The swelling subsided within a week. But the discomfort and burning sensation in the knee remained. In November, the right heel and the right heel began to hurt more severely. tendons, plus the left heel began to hurt. I took pictures of the heel and hands. There was a “spur” on the heel. They gave an injection of Diprospan in the heel. The pain went away. In December, panic attacks appeared, I called an ambulance several times. ECG is normal. Increased heart rate and increased blood pressure. Hand tremors. In January 2021, numbness in the arms, pain and burning in the small joints of the arms and legs, headaches, pain in the heel (worse in the morning), pain in the right knee, a rare burning sensation on the inside of the left elbow joint near the vein, pain in the right calf muscle ( inside, pinpoint), pain in the lower back radiating to the groin. Headaches were sometimes accompanied by a burning sensation from the temporal region to the middle of the ear. Crunches appeared in the joints. Pain in the ankle area. by April 2021, the pain intensified, plus a tingling sensation was added throughout the body, as if wearing a rough woolen sweater on a naked body. Plus there was a burning sensation in the biceps of both arms and the inside of the elbow. The headaches became worse and more frequent. Sleep has worsened. A pressing pain appeared again in the right hypochondrium. The infectious disease specialist recommended taking Nemazol 1 t2 times a day for 5 days. The rheumatologist diagnosed seronegative spondyloarthritis. from September 2021 to April 2021 I take sulfasalazine 2 tons 2 times a day all the time. celecoxib 200 mg 2 r per day for a duration of 1 to 2 weeks at intervals of 1-2 weeks until December 2021. From December to April 2021 I take sulfosalosin constantly, celecoxib was replaced by Arcoxia 90 mg 1 t 1 r per day taking at intervals from 5 to 14 days. Pain in the heel and knee joints began to appear, but the burning intensified, plus a burning sensation in the shoulders appeared and a burning sensation in the arms from the shoulder to the elbow intensified. The time intervals between burning sensations have decreased. Numbness in hands increased. added a feeling of goosebumps under the skin inside the knees and on the back in the lumbar region and in the stomach, in the arms, a feeling of current, weakness in the muscles of the arms, with a slight touch to the elbow there is a shooting in the arm to the hand. I try not to rest my elbows on a hard surface, it hurts to stand on my knees on the carpet, morning stiffness, cracking joints appear and disappear, there are no visual changes in the joints, there are no obvious rednesses either. sleep has worsened 2-6 hours a day, blood pressure is often high. I feel irritable and sometimes take afobazole. the temperature is almost always low, from 35.5 to 36.2°. rarely, there is a period of time of several hours when nothing hurts or bothers. Tingling and burning throughout the body. When bending the left arm at the elbow all the way, plus trying to tense the biceps muscles, the tingling sensation intensifies. Sometimes headaches are accompanied by blurred vision. The burning sensation is similar to the burning sensation from abrasions (it happened that I did not notice the abrasion, mistaking the burning sensation from it for the burning sensation that I often have). I noticed that after taking blood from a vein, a burning sensation in this place persists for a long time. Lately I have been feeling weak in my muscles. In March 2021, I had stool tested and opisthorchiasis was discovered; earlier in 2021, giardiasis was also discovered, and treatment was given. From the tests: PCR smear examination 11/16/18 Ureaplasma, chlamydia, mycoplasma NEGATIVE. 07/17/19 Anti toxoplasma IgG 15.6 positive Anti toxoplasma IgM 0.046 not detected Toxoplasma quality. DNA DOES NOT DETECT HLA-B27 negative Hepatitis B, C negative, HIV negative. Uric acid is sometimes higher than normal, sometimes the upper limit, rheumatoid factor is negative, ANCA IgG, ELISA PANEL VASCULITIS not detected; AT to NUCLEOSOME IgG is normal. MRI of the cervical, thoracic, lumbosacral spine and coccyx (10/21/19) Conclusion: MRI picture of degenerative-dystrophic changes in the cervical, thoracic and lumbosacral spine. Herniated discs C5/C6 0.3 cm, protrusion c4-c5 0.2 cm, hernia TH6/TH7 0.3cm; TH8/TH9 MRI OF THE SACRIOLIAC JOINT 12.12.19 On a series of MR tomograms of the sacrum and sacroiliac joints (T1 SE cog STIR cor, T2 TSE t The intensity of the signal from the bone marrow is heterogeneous due to moderate dystrophic changes. The articular auricular surfaces are smooth. The joint spaces not narrowed, symmetrical. The signal from the cartilaginous component of the joints is not changed. Conclusion: Based on the MRI picture, no data were obtained for pathological changes in the sacrum and sacroiliac joints. Ultrasound of the ABDOMINAL ORGANS 11.27.19 PROTOCOL OF ULTRASOUND EXAMINATION CONCLUSION Hepatomegaly. Ductal changes in the liver : Diffuse changes in the liver. Diffuse changes in the pancreas. Question: Is the diagnosis of seronegative spondyloarthritis correctly made? Is there any point in additional tests or clarification of the diagnosis? Is it necessary to change the treatment, replace or add drugs? Because in my opinion it is ineffective. Do I need to follow what or diet? Is it necessary to treat opisthorchiasis in the near future? (due to coronavirus there are many problems with treatment and face-to-face consultations) And is it possible to interrupt treatment?
Age:
35
Chronic diseases:
Apart from this one, I don’t think so
The question is closed
spondyloarthritis
pain, burning in joints and muscles
Features of treatment
The treatment process for reactive arthritis in our clinic takes place simultaneously in three directions:
- Painful symptoms are relieved. Non-steroidal anti-inflammatory drugs are used to relieve pain. When the pain is severe and the prescribed medications do not help, intra-articular administration of hormonal medication is permissible. They act quickly, but they can be used no more than once a month and in the absence of bacteria in the synovial fluid.
- Treatment of infections that provoked the onset of the disease. The selection of medications, dosage and duration of treatment is carried out depending on what pathogen was detected.
- Elimination of consequences caused by the disease. To stop the harmful processes that were started by reactive arthritis, pathogenetic treatment is used, and immunomodulators are prescribed. This therapy is necessary only when the disease becomes protracted.
For the most effective treatment, we recommend contacting our clinic when the first signs or suspicions of reactive arthritis appear.
Why does a burning sensation appear on my right hand?
A burning sensation in the elbow joint of the right hand indicates heavy physical labor, heavy lifting. Painful sensations in the elbow joint indicate the presence of cholecystitis, biliary colic. In most physical activities, it is the right hand that is involved, as a result one of the tendons becomes inflamed.
When visiting a doctor in a clinic, you should tell what movements increase the pain, when the pain subsides, and what its nature is. If the burning sensation is strong, it is inflammation; if it is paroxysmal, it is an injury.
