RHEUMATOID ARTHRITIS/ SYNOVITIS / BURSITIS
Rheumatoid arthritis is an autoimmune inflammatory disorder that affects the joints, bone marrow, skin, eyes, lungs, heart, blood vessels and nerve tissues. The condition develops when the body immune system mistakenly attacks own body's tissues, affecting the thin membrane lining of the joints causing inflammation of the synovial membrane. This can lead to bone erosion and joint deformity. Joint stiffness, tenderness, swelling and fatigue are the major symptoms associated with rheumatoid arthritis.
Synovitis is a chronic joint condition developed when the synovial membrane produces excess fluids due to the inflammation of the synovial membrane. Bursitis is a condition caused by the inflammation of the bursa sac causing pain and swelling.
Rheumatoid arthritis is diagnosed by examining the affected joints or organs and checking on the symptoms by performs various diagnosing tests which may include an X-rays or blood tests (RA Factor, Anti- CCP, ESR, and CRP). MRI and ultrasound scans enable the specialist to understand the severity of the arthritis condition affected in the body. Depending on the severity of joint damage and factors such as age and overall health condition of the patient, the doctor may recommend Drugs called DMARDS (Disease Modifying Anti-Rheumatoid Drugs),Steroid Injections, or Surgery to remove the inflamed synovium, tendon repair or total joint replacement.
Alternative treatment methods at Beth Yehuwdah Arthritis Centre, Pullad & Daystar Clinic, Alappuzha:
Neural & Soft Tissue Infilteration Therapy (NESTIT)
Low Dose Steroid Infilteration/ Neural & Soft Tissue Infilteration Therapy (NESTIT): Steroid tablets and injections of the group Corticosteroids, (which are very different from Anabolic steroids misused by some athletes) have been repeatedly proven medically for the last 70 years in the successful treatment of inflammatory conditions due to its potent anti-inflammatory effect. Though corticosteroids are very effective in reducing inflammation, they carry numerous potential side effects, which are undesirable. To circumvent this problem, and in order to utilize the potent anti-inflammatory effects of steroid injections, at the same time taking appropriate measures to considerably lower its side-effects, Dr Tejaz Koshy John in 2010 while working as an Orthopaedician in his private clinic in Guyana, South America developed NESTIT. NESTIT stands for (Juxta) Neural and Soft Tissue Infilteration Therapy. It consists of injecting small amounts of diluted anti inflammatory steroid solution indirectly near (juxta) nerve CCPs- (chronic constricting points) in the lower back/ hip/ neck/ shoulder regions, in order to reduce juxtaneural and perineural inflammation, as well as in certain soft tissue sites including but not limited to trigger points (painful muscle “knots”)/ myofascial syndrome and/or enthesitis (inflammation of soft tissue-bone junctions) and/or sites of nerve inflammation (neuritis/ radiculitis) and/or bursitis (inflammation of fluid filled cushions called bursa) and/or additional sites causing pain referrals (referred pain) to distant sites; in order to obtain a reduction in inflammation and pain in the concerned joint/ region/ limb. It is preferably given for those patients who have Rheumatoid Arthritis, Inflammatory Arthritis, Synovitis, Inflammatory Low Back Pain, Spondyloarthropathy & Nerve and Nerve root irritation. It is not a substitute for DMARDS (Disease modifying anti rheumatoid drugs), however when given with low dose DMARDS, in Dr Tejaz John’s clinical experience it may result in significant reduction of local inflammation, pain and improvement of joint function in most cases, also indirectly reducing side effects of high dose DMARDS.
In Dr Tejaz John’s clinical experience, the patient benefits of Low Dose Steroid Infilteration/ Neural & Soft Tissue Infilteration Therapy (NESTIT) treatment are:
At Beth Yehudah Arthritis Centre, Pullad and Daystar Clinic, Alappuzha we tailor customized treatment plan to treat patients suffering from Rheumatoid arthritis. To know more about Rheumatoid arthritis treatment plans and treatment cost, book an appointment now.Authored by Dr TEJAZ KOSHY JOHN
MBBS, MS Ortho (Christian Medical College, Ludhiana), Joint Replacement Fellowship (HOSMAT Hospital, Bangalore), Orthopaedic Trauma Fellowship (Hebrew University Hospital, Jerusalem, Israel)Read More