The sooner any disease is found and treated, the better the effect will be. Dr. Jiang reminded patients that morning stiffness is the first symptom of rheumatoid arthritis. When getting up in the morning, the patient will find that the joints are inflexible, and the morning stiffness will be alleviated or disappeared after getting up. At the same time, the patient will also have joint swelling and pain, and may also have symptoms such as fatigue, fatigue and fever. In addition, Tongkang orthopedic experts also reminded the majority of sub-health people that if they have a family history of rheumatoid arthritis and have joint stiffness, pain and swelling for more than 6 weeks, especially middle-aged and elderly people, they should go to the hospital in time and don't delay treatment like ordinary arthritis. Following the doctor's advice is the best way for patients to recover themselves. Senior experts from Chongqing Tongkang Orthopedic Hospital have been studying the treatment methods of traditional Chinese medicine for a hundred years. After several years, they have explored a good treatment scheme for arthritis by combining advanced technologies at home and abroad. The hospital expert group used a unique combination of traditional Chinese and western medicine needle knife treatment, plus acupuncture, microwave, manipulation and other physical therapy to treat both the symptoms and root causes. And according to each patient's own quality, different medical programs are formulated to improve the immune function of patients, relieve pain and improve joint function for patients with rheumatoid arthritis, and the effect is good. At present, many patients have experienced the "five-step balanced therapy" of Tongkang Orthopedics, which not only relieved the pain in a short time, but also brought good news to these patients who have been troubled by rheumatoid diseases for many years. 1. Pain with fever, you may have infectious arthritis. Whether due to trauma or unknown reasons, pain and stiffness are developing rapidly. Maybe you are experiencing the onset of rheumatoid arthritis. After a short sit-in or a night's sleep, you may feel pain and stiffness in your arms, legs or back, and you may suffer from osteoarthritis or other joint diseases. 4. Children with pain or rash in armpits, knees, wrists and ankles, or fluctuating fever, loss of appetite and weight loss may suffer from juvenile rheumatoid arthritis. 1. At present, the diagnostic criteria of rheumatoid arthritis are usually adopted by American Rheumatology Association 1987: (1) morning stiffness lasts 1 hour (every day), and the course of disease is at least 6 weeks; (2) Three or more joints are swollen for at least 6 weeks; (3) Wrist joint, metacarpophalangeal joint and proximal phalangeal joint are swollen for at least 6 weeks; (4) Symmetrical joint swelling, at least 6 weeks; (5) There are subcutaneous nodules; (6) X-ray changes of hands (at least osteoporosis and joint space stenosis); (7) Rheumatoid factor positive (titer >; 1:20)。 Those who meet the above 7 items are typical rheumatoid arthritis; Those who meet the above four items must be rheumatoid arthritis; Those who meet the above three items are possible rheumatoid arthritis; People who meet less than two of the above criteria and have more than two of the following criteria (a. morning stiffness; B. Continuous or repeated joint tenderness or pain during exercise for at least 6 weeks; C. joint swelling has occurred now or in the past; D. subcutaneous nodules; E. erythrocyte sedimentation rate is accelerated or C-reactive protein is positive; F. iritis) is suspected of rheumatoid arthritis. Pathological activity stage ① Acute activity stage: acute inflammation of joints is the main manifestation, with obvious morning stiffness, pain, swelling and dysfunction, severe systemic symptoms, often accompanied by low or high fever, ESR exceeding 50mm/h, white blood cell count exceeding normal, moderate and severe anemia, rheumatoid factor positive and high titer. ② Subacute active stage: morning stiffness, joint swelling and pain and dysfunction are obvious, but the systemic symptoms are not obvious. A few people may have low fever, abnormal erythrocyte sedimentation rate but not more than 50mm/h, normal white blood cell count, moderate anemia and rheumatoid factor positive, but the titer is low. ③ Chronic protracted period: Arthritis symptoms are mild, which may be accompanied by different degrees of joint stiffness or deformity, slightly higher or normal erythrocyte sedimentation rate, and rheumatoid factors are mostly negative. ④ Stable phase: The symptoms of arthritis are not obvious, and the disease is in a static phase, which can leave deformity and produce different degrees of dysfunction. Third, the progressive stage of the disease (that is, the radiological diagnosis stage) ① Soft tissue swelling around the joint and mild osteoporosis near the joint; ② The joint space is narrow and fuzzy, and osteoporosis is obvious; ③ In addition to osteoporosis, there are obvious cartilage and bone destruction, joint deformities such as subluxation and ulnar deviation; ④ It is the same as the third stage of ankylosis. Classification of functional activities: Grade I: Joint function is complete and general activities are barrier-free. Grade II: joint discomfort or obstacle, but still able to complete general activities. Grade III: Functional activities are obviously limited, but most of them can take care of themselves. Grade ⅳ: unable to take care of themselves or stay in bed. V. Classification method of main symptoms and signs of diseased joints: Class O: no pain, tenderness, swelling and morning stiffness. Grade I: no activity, mild pain during activity; The patient complained of pain during oppression; Joint swelling, but it has not exceeded the bony process near the joint; The morning stiffness time is within 1 hour. Grade II: Pain during inactivity, aggravated during activity; When pressing, he not only complains about pain, but also has a fear expression or retracts his joints; The swelling is obviously flush with the bony process, and the soft tissue depression disappears; The morning stiffness time is within 1-2 hours. Grade ⅲ: severe pain, and joint activity is obviously limited due to pain; The patient refused to be examined by the doctor for tenderness; The joint is highly swollen, higher than the nearby bony processes; The morning stiffness lasts more than 2 hours. Imaging theory of intransitive verb rheumatoid arthritis: the erosion of bone and cartilage is the characteristic of rheumatoid arthritis, and joint erosion can appear very early and progress fastest in the early stage. 47 patients with rheumatoid arthritis whose course of disease is less than 1 year have been followed up. Taking the X-ray films of hands and feet as the monitoring index, it was found that the bone injury progressed fastest in the follow-up 1 year. The observation of the other group, including 128 patients with early RA (course of disease < 1 year), showed that the progress of imaging was positively correlated with the degree of joint damage at the time of initial diagnosis, that is, the patients with early bone erosion made rapid progress. Magnetic resonance imaging has been used to evaluate prognosis. Some observations show that the synovial membrane volume of joints measured by MRI is directly proportional to the progress of bone destruction of joints. However, whether the results of a single joint can be used to infer the involvement of the whole body joint needs more clinical data. Clinical diagnosis of patients with advanced rheumatoid arthritis is not difficult because there have been many joint lesions and typical deformities. However, the early stage of the disease and cases involving a few joints are often difficult to diagnose. At present, the diagnostic criteria of rheumatoid arthritis vary from country to country. 1958 The American Rheumatology Association put forward the revised diagnostic criteria, which were adopted by many countries. The following is the introduction: (1) morning stiffness. (2) At least one joint is painful or tender during exercise. (3) swelling of at least one joint (hypertrophy or exudation of soft tissue rather than hyperosteogeny, as seen by the doctor). (4) At least one other joint is swollen (examined by a doctor, the interval between two joints should not exceed 3 months). (5) Symmetrical joint swelling (as seen by doctors) invades the same joint on both sides of the body (if it invades the proximal interphalangeal joint, metacarpophalangeal joint or toe joint, it is not necessary to be completely symmetrical), and the involvement of the distal interphalangeal joint cannot meet this standard. (6) Bone protuberance or subcutaneous nodule near the joint (visible by the doctor). (7) Standard X-ray findings (except hyperosteogeny, there must be osteoporosis near the affected joint). (8) Rheumatoid factor is positive. (9) Mucin in synovial fluid has poor coagulation. (10) has the following three or more synovial lesions: obvious villous hyperplasia; The synovial cells on the surface proliferated in a palisade shape; Obvious chronic inflammatory cells (mainly lymphocytes and plasma cells) infiltrated to form lymph nodes; Dense cellulose deposition in the surface layer or matrix; Focal necrosis (1 1) The histological changes of subcutaneous nodules should be characterized by necrosis in the central area, palisade proliferation of surrounding macrophages and infiltration of chronic inflammatory cells in the outermost layer. Typical rheumatoid arthritis: Its diagnostic criteria need the above 7 items. In (1)-(5), joint symptoms must last for at least 6 weeks. Confirmation of rheumatoid arthritis: the diagnosis needs the above five items. In (1)-(5), joint symptoms must last for at least 6 weeks. It may be rheumatoid arthritis: its diagnosis needs the above three items, at least 1 in (1)-(5). Its joint symptoms must last for at least 6 weeks. Suspicious rheumatoid arthritis: the diagnosis needs the following two items, and the duration of joint symptoms should be no less than 3 weeks: ① morning stiffness. (2) Tenderness and pain during exercise (as seen by doctors), intermittent or lasting for at least 3 weeks. ③ History or discovery of joint swelling. ④ Subcutaneous nodules (see doctor). ⑤ ESR increased rapidly and C-reactive protein was positive. ⑥ Iritis (unless it is in children with rheumatoid arthritis, its value is doubtful). Prevention 1, strengthening exercise and strengthening physical fitness. It is of great benefit to take part in physical exercise regularly, such as health gymnastics, Qigong, Tai Ji Chuan, broadcast gymnastics, walking and so on. People who insist on physical exercise are physically strong, have strong disease resistance, seldom get sick, and their ability to resist the invasion of cold and dampness is much stronger than those who have never exercised. 2. Avoid the invasion of pathogenic wind, cold and dampness. Be cold-proof, rain-proof, moisture-proof, keep your joints warm, and don't wear wet clothes, shoes and socks. Summer is hot, don't be greedy for cold dew, drink cold drinks, etc. The climate in autumn is dry, but the autumn wind is cool and the weather turns cold, so we should prevent it from catching cold. It's freezing in winter, so keeping warm is the most important thing. 3. Pay attention to the combination of work and rest, eating and living, and the combination of work and rest is the main measure of health care. Clinically, although the condition of some patients with rheumatoid arthritis is basically controlled, they are in the recovery period of the disease, which is often aggravated or recurred due to fatigue. Therefore, work and rest should be combined, and exercise and rest should be moderate.