The causes of carpal tunnel syndrome

Carpal tunnel syndrome is more common in women than men. And more common in the age between 30 to 60 years. When inflammation or tumor occurred in any of the tissues carpal tunnel, they click on the middle nerve, which leads to a sense of pain and numbness and tingling in the fingers and the hand which is part of the nerve that its replenishment. And also happens to put pressure on the median nerve by the use of hand labor in the wrong way, leading to continued pressure on the median nerve and carpal tunnel syndrome.
There are several reasons leading to the occurrence of carpal tunnel syndrome as a result the pressure on the nerve Central

    Frequent use of hand and do repetitive movements of the hand and wrist on an ongoing basis. So spread the carpal tunnel syndrome in those who work so requires, such as typing on a computer keyboard, embroidery, playing handball, musicians, commercial, mechanical, handball players.

May be the result of a broken wrist.
Some diseases lead to the occurrence of carpal tunnel syndrome as they lead to a tumor in the carpal tunnel tissues and thus pressure on the median nerve. And such as diabetes, rheumatoid arthritis, Rheumatoid Arthritis, thyroid hormone deficiency Hypothyroidism.
Spread occurrence of carpal tunnel syndrome during the last months of pregnancy. And usually disappear after delivery.And sometimes are carpal tunnel syndrome for no apparent reason.

What is carpal tunnel

Carpal Tunnel Carpal tunnel is a narrow tunnel in the wrist and a component of the bones of the wrist and carpal ligament browser Transverse Carpal Ligament. Where are the bones of the wrist and carpal ligament browser wall of the tunnel. And contains the tunnel on the middle nerve Median Nerve and ligaments and tendons that are covered with thin membranes.

 And works to protect the carpal tunnel nerve within the middle (central nerve passes through the tunnel). And the function of this nerve is the transfer of sensation in part of the palm and fingers all except Pinky (shown in the picture part of the hand and fingers fueled by the Central nerve).

 And if there is inflammation or swelling in any of the tissues carpal tunnel, they click on the middle nerve, which leads to a sense of pain and numbness and tingling in the fingers and the hand which is part of the nerve that its replenishment. And the so-called carpal tunnel syndrome.

Carpal tunnel syndrome and no cause for concern, with the treatment of pain disappear and return things to normal. But at the same time should not be tolerated in the treatment for a long time until the symptoms do not become permanent and are difficult to recover from

Facility for tennis player

Facility for the tennis player is a common condition of incidence of the disease 1 to 3%. And tear caused by an unexpected and inflammation of the muscles and tendons surrounding the facility arm (elbow) when visibility marrow. And is not limited only to tennis players, the percentage of infection as a result of playing tennis less than 5% of cases. But it was an annex to the tennis player because it is considered a significant problem for some tennis players.


And men are more affected facility for the tennis player from the women. And the infection is often at the age of 30 to 50 years. And is more prevalent in the right arm where the arm that the most widely used. And can also be infected with both arms.

Treatment of reactive arthritis - Reiter's syndrome

Treatment of reactive arthritis - Reiter's syndromeTreatment of arthritis

    NSAIDs non Sterodah Nonsteroidal antiinflammatory drugs: usually start treatment with anti-inflammatory painkillers Sterodah third parties such as aspirin, indomethacin. The most important side effects of these drugs is the disorder of the digestive system and may lead to a stomach ulcer so it must be taken with food.
    

    Corticosteroids Corticosteroids: help reduce inflammation. And tablets are used orally or by injection cartilage.


    Sulphasalazine Sulfasalazine: give good results in cases of chronic arthritis.
    

    Inhibitors of the immune system, such as methotrexate. Used in the form of tablets or injections. And lead to immune system suppression. And resorted to in cases of very severe infections, and chronic. And you need to follow continuously the number of blood cells and liver function tests through continuous.
Inflammation of the eyeUsing a drop of anti-inflammatory for the treatment of conjunctivitis. In severe cases of inflammation of the iris can be used for topical cortisone injection.
Inflammation of the skin around the penisUses a cream containing cortisone.
Treatment of the bacteria that cause the occurrence of diseaseWhen you detect the presence of bacteria in the digestive tract or urinary antibiotic use is appropriate to eliminate them.

Symptoms and diagnosis of reactive arthritis - Reiter's syndrome

Symptoms of Arthritis

    Inflammation in the joints of the knee, ankle, foot, wrist: leads to pain, heat, redness, swelling, and stiffness in the joints.Sometimes inflammation occurs in the joints of the fingers of the hand and foot Vttorm fingers and become like the sausage and sausage fingers calledAnd inflammation may occur in the spine leading to pain and hardening of the back or neck.Inflammation of the cartilage may also occur, especially when inflammation of the cartilage at the sternum corresponding to involvement in healthInflammation of the tendons: all the muscles of the body related to bone by tendons at the end of the muscle. In the case of Reiter's syndrome may occur to those sore tendons, leading to pain during the exercise of any activity or sport.Many patients infected with only articular inflammation without other symptoms.
Other symptoms

    Conjunctivitis Conjunctivitis
    And is the membrane that lines the inner surface of the eyelids and covers the white part of the eye. And lead to redness and irritation and swelling of eye lids. It happens at the beginning of the disease, and may be intermittent which appears and then disappears and returns again.

Urinary tract infections Urinary tract inflammationUsually occurs in inflammation of the urethra (the urethra). And lead to a burning sensation during urination or discharge from the end of the penis Sididip. And may occur in inflammation and peeling skin around the penis. Also may occur in inflammation of the bladder and prostate, leading to a sense of the need to urinate frequently.

Small blistersShow a small blisters filled with fluid and sometimes blood in the skin of the soles of the hands or soles of the feet.


    Inflammation of the intestine
    Which leads to diarrhea, the presence of pus or blood with fecal matter.
Diagnosis of reactive arthritis - Reiter Syndrome DiagnosisThe disease is diagnosed through:

    Medical examination: medical doctor finds detects the presence of inflammation of the joints associated with inflammation of the eye, and the reproductive system, urinary, or digestive system. And ask the doctor about the medical history of the patient to know the likelihood of previous infection bacterial infection in the genital tract, urinary, or digestive system.

    Blood test to measure the erythrocyte sedimentation rate ESR: indicate the high speed sedimentation to the presence of inflammation in the body.

    Blood test for the presence of the gene responsible for disease Ritter HLA-B27 gene marker blood test.

    X-ray of the spine or other joints.

    Analysis and farm stool: You may receive bacteria that cause inflammation of the digestive system.

    Analysis of farm and Paul: You may receive bacteria that cause inflammation of the urinary tract.

What is Reiter's syndrome?

Reiter's syndrome is a chronic inflammation of the joints. And includes three major components: arthritis, conjunctivitis, and inflammation of the reproductive system or urinary or digestive system.
The disease affects all ages but is more prevalent in the age of 30: 40 years.
And the so-called reactive arthritis disease that occurs as a result of the interaction of the immune system to the presence of bacterial infections in the genital tract, urinary, or digestive system. Some people have a genetic susceptibility to the wrong response to the immune system when exposed to certain types of bacteria leads to inflammation of the joints. And the disease causes inflammation of the members of other joints such as the eye, mouth, skin, kidneys, heart, lung.
Interactive causes of arthritis - Reiter's syndrome CausesThere is a specific gene and inheritance leads to abnormal response of the immune system and Reiter syndrome. When someone carries this gene and exposed to infection to a specific type of bacteria leads to immune response in an abnormal manner and the onset of the disease.
And the disease occurs after a bacterial infection of the reproductive system. And more types of bacteria that occurs after the disease is chlamydia. And the disease occurs after infection Baldessantarya also get the digestive system where the type of bacteria such as Salmonella Salmonella, Cigila Shigella, and Alcambjelobkter Campylobacter. And usually appear arthritis 1-3 weeks after the beginning of the bacterial infection.

Log in disease - Calve - Perth

Disease Log in - Calve - Perth, is the name given to the necrosis Great idiopathic osteonecrosis Bmchach femoral head capital epiphysis, has been named the disease the names of three doctors who described the disease, and it happens because of poor blood supply to the femoral head, and have twice the blood supply idiopathic , which is more common in male children, usually on one side of the body, and about 10% of cases, familial familial, and the most important symptoms are distinctive be the pain, hip joint, and disorder gait gait disturbance, and beginning to be gradual, and progress is slow, which is self-limited disease, but when the disease has Émd left with a severe distortion of the femur and the right pelvic bone, and prepare for a secondary degenerative arthritis, and the goal of treatment is to make the sequelae of the disease milder.


The hip jointIs the joint that connects the femur bone pelvis, and consists of the detailed two-part, two femoral head, which is in the shape of the ball, and another part is the cavity of the pelvis called the right, and that the detailed spherical acetabular ball and socket joint allows movement of the leg in the trends of multiple for the body.

There Pinhabat long bones - during periods of growth - parts be responsible for bone growth, which is composed of special types of cartilage, cartilage, or separating these parts and the leg bone cartilaginous disk.
For the femur the head of the femur of these parts is responsible for its growth, and called Mshasha femoral head, which is located within the joint capsule, and blood vessels that feed the region are going next to the neck of the femur, may cause interruption of the supply of blood to the femoral head - for reasons incomprehensible - in the event of malfunction of these vessels, causing illness Log in - Calve - Perth.
Bone always done by the two operations are the construction and demolition, and construction through the cells Albanian of bone osteoblasts, and is destroyed by cells Naqdh of bone osteoclasts, and once the bone, the shape and structure of their portability permanent form and re-shape, and under these two processes solve the bone replaces the bone eroded , and during periods of growth to benefit from this patient Log in - Calve - Perth, where the survival of the femoral head within the cavity of the right to help in the reconstruction of the head round the same rotated cavity right, who works as a template for re-formation of the femoral head, but after puberty and stunted growth of bone, the process of forming and re-shape mutate, and be responsible for replacement of bone where the bone eroded only, without deposition of bone in other places are allowed to change the form of the bone, and therefore require patients Log in - Calve - Perth to stabilize the joint in a situation where the femoral head within the right or to the surgery to restructure the joint angle is kept the survival of the femoral head within the cavity of the right.
Have advised the expert work of the surgery before puberty to install the femoral head within the right, to speed healing, and the speed to allow the child to walk and movement, as an alternative to other means that require comfort for long periods in bed, and also requires restricting the movement of the child to stabilize the joint.Disease always include Mshasha femoral head, and in 15-20% of patients disease Log in - Calve - Perth the infection on both sides of the body bilateral.

Spread of the diseaseIn the United States there is one disease, injury Log in - Calve - Perth every 1,500 children younger than 15 years.

Mortality and morbidity

    Log in disease - Calve - Perth is a self-limited disease, in other words, the disease have a limited path, or stop at the borders of offer, which may end after 2-3 years when you do not treat, and when treatment is less than the period of the disease and also complications.

    The fate of the disease varies from case to case.
Relationship of the disease RaceCaucasians Caucasians are infected, including more than among those who are of other races.

Sex-related diseaseThe infection is 4-5 times higher among males injuries among females.

Age-related diseaseLog in disease - Calve - Perth common vision in people aged 3-12 years, on average at the age of 7 years.

Symptoms

    The symptoms of the disease existed before the child complains that a few weeks, because in most cases the child does not complain with the onset of the disease only when asked.

    Be a gradual onset of the disease, and be slow to offer.

    Hip pain hip, groin or inguinal region, which can spread to the thigh.

    Mild or intermittent pain on the front of the thigh or the knee, must therefore be drawn to the need to examine a child when there is no apparent reason last of the pain in these areas.

    In most cases are discovered when the disease is noted parents - or one of those interested in children - a limp limp in children, causing them to seek medical advice.

    There is usually no history of a bruise.
Tags


    Have a limited range of motion, especially the movement of rotation of the inside of the thigh, and keep the movement of the thigh to the outside, and that usually means there is inflammation of the cartilage, and there may be a gathering of liquid cartilage, which is called infiltration.

    Be a painful gait.

    Atrophy of the muscles of the thigh as a result stemming from the disease.

    Bouts of muscle contraction and spasm of the thigh.

    May occur not equal to the length of the legs as a result of atelectasis.

    There may be atrophy of the affected side of the thigh, and the surroundings is less than the non-infected, and as a result of non-use.

    Short stature, due to delayed bone age in children with disease Log in - Calve - Perth.

    When the work rotation of the hip in and out during the patient lying on his back going guarding guarding, or muscle contraction, especially when the rotation of the inside work.Log in the cause of disease - Calve - Perth is still not clear, however, no acceptable explanation for the disease which is as follows:

    Cut off blood supply to the femoral head epiphysis NA.

    Occurrence of bone infarction, especially cortical bone under the cartilage (due to be coagulation arteries feeding the femoral head), while the articular cartilage continues to grow (and the continued growth in the meniscus is because it derives its nutrition from the synovial fluid inside the joint).

Back to educate occur (blood vessel) revascularization and begin to form new bone.
When revascularization and new bone is, the proportion of patients have the disease arises Log in - Calve - Perth, while other patients have going development and growth of super-natural.
Log in disease - Calve - Perth when there is no break under the cartilage, and this is a result of physical activity, and not the result of direct contusion of the region.
Epiphyseal growth plate changes epiphyseal growth plate fracture occurs as a result under the cartilage.


    There is no evidence that the disease is hereditary, and therefore does not represent a danger to the children of parents infected with this disease.
TestsLaboratory testsLaboratory tests include:

    Full blood count Complete Blood Count.

    Sedimentation rate of erythrocyte sedimentation rate, which may increase in case of an infection.