Inflammatory Rheumatism


inflammatory rheumatism is a term which expresses many problems that cause inflammation in soft tissues and joints. Many of these problems are rheumatismal diseases such as rheumatism due to psoriasis, ankylosing spondylitis, rheumatoid arthritis. With rheumatismal diseases there occurs inflammation in muscles and in soft tissues that support the organs and other structures of our body


Many diseases are autoimmune that means the body’s immune system attacks to own cells and tissues. Also, the genetical structure plays a significant role in the progression of the disease. Surely the genes alone are not determinative. Along the change depending on the disease, factors such as smoking, infections, lifestyle, stress, hormones also are effective for the disease to advance. Some rheumatismal diseases such as accumulation of uric acid in gout occur by the accumulation of crystals in joints.


In inflammatory rheumatismal diseases, besides pain, swelling, temperature increase and sensitivity in the joints, morning involvement is a characteristic symptom of the disease. In many inflammatory rheumatismal diseases there is systemic involvement which affects the whole body. Depending on the type of the disease there are be additional symptoms such as skin rashes, eye inflammation, hair loss, dry mouth and eyes, fever.


The patient's symptoms, the background of the disease and physical examination evidence are so important for diagnosing. Laboratory investigations, x-ray and other imaging methods need to be done for determining the type of the disease and confirming symptom while excluding other diseases. In the exact diagnosis of the disease, regular examination and doctor control shouldn't be hindered.

One of the most common diseases among these diseases is rheumatoid arthritis. Involvement is seen often in the little joints of wrists and ankles. At the beginning, the complaints are few and show increase from time to time and involvement occurs in both left and right joint areas of the body. The complaints show varieties day after day and depending on the person. At first, the patients may feel very tired. One of the important complaints in early diagnosis is the morning involvement. Morning involvement means hardness in hands and feet usually after the rest and in the morning whose complaint is reduced by a move. The involvement may last a few hours in inflammatory rheumatism. However, In non-inflammatory rheumatism, the involvement is short-term. Many symptoms can accompany such as hardness and joint pain in the joints, joint swelling, fever, decreased joint movements, weight loss, dryness in the mouth and eyes, numbness and tingling in the hands. Lung, eye, blood vessels and skin involvement may occur apart from joints. If the disease is left without treatment causes injury in the joints and as a result loss of function. Therefore, early diagnosis and treatment are very important for preventing permanent damage development.

Another common disease is ankylosing spondylitis. Other than this in other joints and in other parts of the body such as heart, affection may occur. The severity of the disease may vary depending on the person. In most patients, there are complaints about the ache in waist and hip areas as well as a backache in spinal disc herniation. Some patients complain about periodical mid-level hip and backache and inconvenience. In some patients, there is spinal ache which lasts very long and wakes the person up that lasts longer especially in the morning. Patients may have periods without complaints in a year. Depending on the severity of the disease, patient education, drug treatments, physiotherapy and rehabilitation applications are done.

Early diagnosis and treatment is very important in inflammatory rheumatic diseases. Besides the physiotherapy, laboratory investigations, radiography and other imaging methods are applied in the diagnosis of this disease. Rheumatismal diseases require a long examination, revisal, treatment and monitoring process while diagnosing and regulating the disease. Diseases may start with mild pain and swelling complaint and may pass to a more severe disease period where the pain increases and many joints are affected. For this reason, it is required for the patients not to hinder their monitoring.