Joint Problems  
Your musculoskeletal system is constructed of bones, muscles, and joints. The bones attach to each other at a joint, where strong tissues called tendons and ligaments help connect the bones. On the ends of each bone is a lining of smooth, protective cartilage and soft tissues (synovial membranes) that produce a liquid (synovial fluid). The cartilage and synovial membranes cushions and lubricates your bone so that they will not rub against each other. Joints are beautifully designed to let you move your body and support your weight as you go through life. But injury, some systemic diseases,age,drug abuse make your cartilage to deteriorate . The protective membranes and fluids in your joints begin to dry up. These changes may allow the bones to rub against each other painfully causing joint pain.Common joint complaints that we come across our practice are.

Rheumatoid arthritis-
Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints. It can affect any joint but is common in the wrist and fingers. More women than men get rheumatoid arthritis. It often starts between ages 25 and 55. You might have the disease for only a short time, or symptoms might come and go. The severe form can last a lifetime.Rheumatoid arthritis can affect body parts besides joints, such as your eyes, mouth and lungs. RA is an autoimmune disease, which means the arthritis results from your immune system attacking your body's own tissues.


Osteoarthritis is the most common form of arthritis. It causes pain, swelling and reduced motion in your joints. It can occur in any joint, but usually it affects your hands, knees, hips or spine.Osteoarthritis breaks down the cartilage in your joints. Cartilage is the slippery tissue that covers the ends of bones in a joint. Healthy cartilage absorbs the shock of movement. When you lose cartilage, your bones rub together. Over time, this rubbing can permanently damage the joint. Factors that may cause osteoarthritis include obesity, old age, Injury to joint .

Back pain/lumbago-
Roughly 70 to 85 percent of people has experienced back pain at some point in their lives. Many cases of lower back pain are the result of a muscle strain. The good news is that such back pain generally heals quickly in a few weeks or months.Back pain that lasts longer than three months is referred to as chronic back pain and may be indicative of an underlying condition like a inter vertebral disc prolapse (IVDP),herniated disc, spinal stenosis and degenerative disc disease.

Cervical spondylosis/Neck pain -
Cervical spondylosis is a disorder in which there is abnormal wear on the cartilage and bones of the neck (cervical vertebrae). It is a common cause of chronic neck pain. This includes the disks or cushions between the neck vertebrae and the joints between the bones of the cervical spine. There may be abnormal growths or "spurs" on the bones of the spine (vertebrae).These changes can, over time, press down on (compress) one or more of the nerve roots. In advanced cases, the spinal cord becomes involved. This can affect not just the arms, but the legs as well. People who are very active at work or in sports may be more likely to have them.

Chikunguniya polyarthritis /joint pain-
Chronic inflammatory poly-arthritis does occur following chikungunya infection. It involves large and small joints of hands and feet and is erosive and deforming. It generally has rheumatoid factor negative. AntiCCP antibody will be positive in majority. Synovial biopsy typically shows non-granulomatous chronic synovitis with infiltration with Lymphocytes and plasma cells.

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