General measures Nicotine restriction (refraining from tobacco use). Avoidance of: Overloading of the joints, for example, by competitive and high-performance sports or long-lasting heavy physical loads, for example, in the profession (construction workers, especially floor layers). Conventional non-surgical therapy methods X-ray stimulation treatment (Orthovolt therapy) – for pain management in patients of middle age and … Heberden’s Arthrosis: Therapy
Skin and subcutaneous (L00-L99). Paronychia (nail fold inflammation; infection with staphylococci is most common). Infectious and parasitic diseases (A00-B99). Bacterial infection, unspecified Musculoskeletal system and connective tissue (M00-M99). Gout Psoriatic arthritis (inflammatory disease of the joints, based on psoriasis). Rheumatoid arthritis (synonym: chronic polyarthritis) – most common inflammatory disease of the joints.
The following are the most important diseases or complications that may be contributed to by Heberden’s osteoarthritis: Musculoskeletal system and connective tissue (M00-M99). Functional limitation/stiffening of the finger end joints. Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) Chronic pain
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) [Please note: Heberden’s arthritis usually occurs symmetrically]. Skin (Normal: intact; [Heberden’s nodes (partially reddened nodes at joints); abrasions/sores, redness, hematomas (bruises), scars]) and mucous membranes. Joint (abrasions/sores, swelling (tumor), … Heberden’s Arthritis: Examination
It is usually a visual diagnosis; the presence of Heberden’s nodes is characteristic. 2nd-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Uric acid – if gout is suspected. Renal parameters – creatinine, urea. Arthritis … Heberden’s Arthrosis: Test and Diagnosis
Therapeutic target Reduction of pain and thus increase of mobility. Therapy recommendations Analgesics (painkillers) or anti-inflammatory drugs/drugs that inhibit inflammatory processes (non-steroidal anti-inflammatory drugs, NSAIDs; e.g., acetylsalicylic acid, ibuprofen, diclofenac). See also under “Further therapy“. Supplements (dietary supplements; vital substances) Usually, medications from the above groups are taken in combination with chondroprotectants/cartilage-protecting agents (e.g., glucosamine … Heberden’s Arthrosis: Drug Therapy
It is usually a visual diagnosis; the presence of Heberden’s nodes is characteristic. Optional medical device diagnostics-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification Radiographs of the affected joints (gold standard); in the late stage, the following radiologic signs may be seen. Osteophytes (degenerative bone changes). Narrowing … Heberden’s Arthrosis: Diagnostic Tests
Stiffening (arthrodesis) of the finger end joint (end joint fusion) in cases of very pronounced symptoms despite conservative therapy.
The following symptoms and complaints may indicate Heberden’s arthritis: Leading symptoms Partially nodular swelling/reddened nodules (Heberden nodes: bicuspid, cartilaginous-bony growths on the extensor side of the base of the finger distal phalanges) ulnar and radial (“located on the side of the forearm facing the ulna (ulna) or radius (radius)”) of the finger distal joints in … Heberden’s Arthrosis: Symptoms, Complaints, Signs
Pathogenesis (disease development) Heberden’s arthrosis results in the formation of prallelastic nodules, called mucoid cysts (vesicle-like protrusions), on the extensor side of the finger end joints. As it progresses, there is formation of nodular cysts, and later deformity, malalignment (deviation to the thumb side), loss of strength, and limitation of motion. Etiology (causes) The exact … Heberden’s Arthrosis: Causes
Medical history (history of illness) represents an important component in the diagnosis of Heberden’s arthrosis. Family history Is there a history of frequent bone/joint disease in your family? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Are you experiencing pain? If yes, when does the pain occur? Where is the pain localized? A … Heberden’s Arthrosis: Medical History
