It is a type of autoimmune condition that may affect the eyes, the urethra and the joints, leading to the inflammation of these regions.
This is a rare disease and generally affects around 5 out of 100,000 individuals in the 18-60 age group. Individuals affected by this condition usually exhibit signs and symptoms 1-3 weeks after being exposed to a trigger factor of the infection responsible for its occurrence. The condition, as aforementioned, arises as a response to an infection developing in some other region of the body – frequently the urinary tract, genitals or intestines. A hereditary association has also been suspected and a few genes are supposed to increase the risk of developing this condition. The condition may have a hereditary association as many individuals affected by this disease have a type of molecule on the cellular surface that can be genetically inherited. Blood tests may show an elevated sedimentation rate, the pace at which the red blood cells (RBCs) settle to the bottom of a tube. In some cases, the bacteria that are responsible for the development of this disease can still be detected in the blood of affected individuals.
The risk of development of Reactive arthritis is increased due to the genetic acquiring of the HLA-B27 antigen. The antibody called Rheumatoid factor is frequently detected in the bloodstream of Rheumatoid arthritis patients. Physicians may use a needle to extract a fluid sample from within a joint that has been impacted.
Patients are suspected to have gout in case of presence of uric acid crystals in the fluid. Although Reactive arthritis is triggered by an infection in some other area of the body, the infection does not affect other joints. Joint x-rays can reveal any of the characteristic symptoms of reactive arthritis, such as cartilage damage, soft tissue inflammation or deposition of calcium in the point of attachment of the tendons to the bones.
Physicians may also analyze other body fluids, such as throat mucus, urine or genital secretions of patients to check for infections. The aim of treatment is to alleviate the symptoms and cure the infection responsible for this disorder. In case of an infection, physicians are likely to prescribe patients with antibiotic medications. Physical therapy may help relieve painful sensation, maintain muscular strength and help in better movement of the affected joint.
The symptoms of the disorder are often apparent after an intestinal infection by a bacterium that is responsible for food poisoning.
The term “Post-streptococcal Reactive arthritis” was originally applied to children who exhibited the symptoms of Reactive arthritis. The condition may resolve in a few weeks, but may also persist for a few months in some cases.
Up to half of all Reactive arthritis sufferers have a recurrence of the symptoms after the resolution of the initial condition.
Take a look at these assistive images to know how Reactive arthritis affects the physical appearance of its sufferers. If you or any of your friends or family members is exhibiting the symptoms of Reactive arthritis, consult a physician immediately.
Reactive arthritis is an autoimmune condition which is developed as a result of an infection in another part of the body. In short, the trigger infection would be cured but the patients show symptoms of Reactive arthritis. The inflammation in urethra in Reactive arthritis is yet another irritating one for the person affected. Usually, the joints which are known as weight bearers, like the knees, the hips and the ankles are affected by inflammation. Other symptoms of reactive arthritis are abdominal pain, rashes on the skin, white painless rashes inside the mouth, thickening of nails, crumbling of nails, fever which is of mild nature ( a temperature between 370-380C), ulcers in the mouth, pain in the abdomen, feeling tired or having fatigue and bouts of diarrhea. Reactive arthritis means that you develop inflammation in joints after you have had an infection in some other part of the body. Reactive arthritis is an autoimmune disease in which joints are swollen and painful, brought on by an infection elsewhere in the body (cross-reaction).
Reactive arthritis occurs due to cross-reactivity to infection in intestines, urinary tract or genitals.
The bacteria responsible for reactive arthritis are usually Salmonella, Shigella, Campylobacter, Chlamydia and Yersinia. The joints that tend to get inflamed in reactive arthritis are knees, wrists, ankles and feet. The white of the eye could be inflamed (conjunctivitis) or the coloured part of the eye could be inflamed (iritis). If bacterial infection is still present, you may need to take an antibiotic depending on the bacterial organism responsible. It is also suggested to apply heat pack and ice pack alternately three days after the injury to bring relief to the pain due to pulled muscle. According to the prescription given by the doctor, the antibiotic dosages as well as pain killers have to be administered for the rapid healing of the injuries. A bandage that is elastic in nature has to be wrapped around the pulled muscle by compressing it.
Doing warm-ups before any workout is a very good habit for muscle slackening and calming down of muscles to some extent. Pessimism, self-pity, and lack of faith may be just a few symptoms of a condition called attachment disorder, which begins in childhood and becomes a part of one's personality in adulthood if unchecked. Also known as a Reactive Attachment Disorder, attachment disorder in adults is a problem that begins in the most impressionable years of childhood and manifests itself over time into adulthood in a much severe form.
The treatment of this disorder is very sensitive and may take a long period of time, depending on how receptive the adult is to this kind of therapy. Disclaimer: This Buzzle article is for informative purposes only and does not, in any way, seek to replace the advice of an expert.
Wear and tear is not the only cause of back pain and arthritis, some is due to bacterial infection, and reactive spondylitis, or Reiter’s syndrome, is one example of this.
Reiter’s disease is sometimes referred to as a seronegative spondyloarthropathy as it belongs to a number of conditions that cause inflammation in the spine. Reactive arthritis symptoms usually arise one to three weeks after infection and can persist for three to twelve months. It is thought that those who develop reactive arthritis following bacterial infection have a specific genotype involving human leukocyte antigen B27. Those most likely to develop reactive arthritis are men between 20-40 years old, although this may be due to the increased number of men (nine times more than women) acquiring sexually transmitted infections which trigger reactive spondylitis.


Inflammation of the urogenital tract, the eyes, and the joints are the major symptoms of reactive spondylitis caused by bacterial infection, with mouth ulcers, skin rashes, penile discharge, prostatitis, and even fertility problems possible in some patients.
The diagnosis of reactive spondylitis or reactive sacroiliitis may involve a blood test to detect the HLA-B27 gene but this is far from conclusive. Treating reactive spondylitis may involve a rheumatologist, physical therapist, and general practitioner working together.
In most cases however, physical therapy, involving stretching and strengthening exercises for the back, neck, and other joints remains the most effective therapy for reactive arthritis.
This is actually a group of conditions clustered together and arises in response to some infection. Patients may not know about the triggering infection as it may give rise to mild or no symptoms at all. This is a non-contagious disorder although the bacteria that are responsible for its occurrence can be sexually transmitted or spread through intake of contaminated food. Although women may also develop this disease, they generally exhibit more moderate symptoms.
However, one does not surely develop the disease due to the presence of this genetic marker, known as the Human Leukocyte Antigen B27 (HLA-B27) although it can elevate the risk of development of the disorder in case of exposure to a particular bacteria. The proteins known as anti-nuclear antibodies are usually found in individuals with autoimmune or connective tissue disorders. Patients are suspected of having Septic arthritis, which can lead to acute joint damage, if the joint fluid is found to be infected. The skin sores and eye problems usually do not need any treatment and the issues resolve on their own.
Pain-relievers and Non-steroidal anti-inflammatory drugs (NSAIDs) may be administered for relieving joint pain. Patients engaged in jobs that demand heavy lifting or putting excessive stress on the back may need to make changes or even change their profession.
Most children, as well as women, are found to develop an intestinal form of Reactive arthritis.
However, many sufferers can manage these difficulties with symptomatic treatment and return to normalcy within 2-6 months following the onset of the disease.
Faster medical attention and treatment can address the disorder in its initial stages and prevent the worsening of its signs. In short, it is a result of cross-reactivity. This disease can commence when a person comes in contact with bacteria and the infection following the bacterial contact can start the disease. It is actually a reaction of the immune system against the bacteria that the inflammation in joints and eyes occur. Inflammation usually affects the joints, the eyes, the urinary system, the genital system or the gastrointestinal system. There will be pain or burning sensation while urinating, tendency to urinate often, urinating more than usual, blood in the urine and discharge of a fluid from penis or vagina are the main symptoms of the infection of the urinary system. Apart from these, pain in the lower back and pain at the heels can cause the patient undergo difficulty while walking.
For the inflammation, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, naproxen and indomethacin are effective. TNF blockers like etanercept and infliximab are helpful to counter the inflammation in some people.
A pulled muscle is generated when the individual has not done sufficient warm up exercise before starting any workout. Pulled muscle usually results when the person is doing strenuous work or extensive exercise. The heating bags can be used at the time of healing as they will help in improving the flexibility of the muscles and in allowing the muscles to regain their original form. Regular and periodical following of proper medicine is essential for the recovery of the pulled muscle. The stretching of the muscles will reduce the swelling very rapidly.The stretching exercises have to be done to make the muscles stronger such that they can be helpful in allowing the person to carry out the normal work. The swelling of the pulled muscle can be reduced by elevating the leg or hand that has the injury. The reason for this may be neglect by parents, separation from parents due to death or divorce, or physical or sexual abuse during childhood.
People who suffer from this disorder also face difficulty in giving and receiving love and affection from others.
This confusion leads to general lack of concentration and a disability to hold their attention towards any activity for long.Adults who suffer from attachment disorders most often experience fear and sadness.
To be able to confront the fact that one is suffering from this disorder is itself a very challenging task.
Cooper on Back Pain and Difference in Leg LengthStephen Hedley on Diam Implant for Spinal StenosisDo You Need a Lower Epidural Steroid Dose if You Have Diabetes? Get detailed information about the causes, symptoms, diagnosis, treatment options and more of this disease. However, only a few individuals who are exposed to these bacteria may develop the disorder.
Both males and females are at equal risk of developing Reactive arthritis as a response to food-borne infections.
Those suffering from Reactive arthritis are often detected with an elevated sedimentation rate. If the joint inflammation is acute and persists for an extended duration, a strong anti-inflammatory corticosteroid may be injected into the affected region.
In rare cases, patients may be detected with issues in the aortic heart valve or an abnormal cardiac rhythm. Back pain and arthritis are some symptoms that recur most often although eye inflammation and urogenital swelling are also found to recur. This kind of arthritis is seen in people who are in their 30s or 40s. Even though the bacteria are wiped out of the body, the symptoms of arthritis prevail for a long time.
The infection may not even come to your attention because even mild and asymptomatic infection can cause the disease. Sometimes, the arthritis is migrating, that is, as one involved joint becomes normal, another is affected. If inflammation of urethra occurs (urethritis), then you can have burning sensation when passing urine and frequency of urination can be increased. If arthritis is severe, corticosteroids are indicated, either orally or injected directly into the affected joints.
You may also need some form of physiotherapy, such as strengthening exercises for muscle groups around the affected joints and range-of-motion exercises. In 15-50% of the people there can be a relapse of the symptoms, with repeated attacks over many years.


If the person pushes the muscle too harder or if the muscle gets twisted into a wrong direction, it results in pulled muscle. Due to continuous involvement in strenuous work outs and athletic events, athletes mostly suffer from pain due to pulled muscle. Instead of using ice directly on the swollen region, it is always safe to keep ice pack or cold pack. Excessive energy and strength are necessary to make the muscle healthy and fit so that it can come to normal state.
Adding Epsom salt to hot water and using the water for taking bath would speed up recovery of the pulled muscle. Due to these circumstances, children slowly develop feelings of detachment, in that they fail to form long and lasting relationships and find trusting even their close ones difficult.If not checked at the right time, this continues into adulthood, and ultimately becomes a serious psychological disorder. They deeply desire love and affection, but are unable to portray these desires effectively. As such, therapy, along with the love and support of someone close to the sufferer, will adequately help in treating attachment disorder in adults. However, males are at greater risk of developing the disorder due to bacteria that are sexually transmitted.
In most people, the signs of the disorder generally come and go and eventually resolve within a span of a year. This suggests that reactive arthritis may be caused by overstimulation of autoimmune response or it may be due to deposition of bacterial antigens in the joints. This article discusses about some of the healing methods that are established for pulled muscle. The national institute of Health has suggested that ice pack can be applied for about 10 to 15 minutes, once in every hour after the injury.
The pulled muscles must be relaxed and the person has to rest sufficiently to bring relief to the pain and heal faster. Fortunately, treatment is possible to a certain extent through counseling and is extremely important at the earliest, simply because it is relationships that form the important bonds in life and every effort should be made to nurture and maintain them.
Anger is displayed through destructive, cruel, and hostile behavior, and such persons may often argue with those who don't agree with them.
Negative experiences in childhood lead them into denial and they fail to understand emotions such as love and attachment.
Heart failure can occur if the aorta is involved, leading to breathlessness and fluid accumulation in ankles and feet. From the second day of the injury, the frequency of the ice pack usage could be changed to once in three to four hours.
Moreover, the symptoms of this disorder may become severe enough to lead to dangerous, self-destructive behavior.SymptomsIn adults, attachment disorder may be characterized by one or more of the following symptoms.
It is important to note that in order to identify the presence of the disorder, more than two to three symptoms should be evident, which ought to be continuously monitored.
They require advanced therapeutic methods that involve a nurturing touch, restructuring of emotions, and treatment to break through the barriers of the mind and to get them to reveal all those trapped emotions. The presence of just one symptom or a symptom for a short period of time may not be sufficient evidence for the presence of this condition. Furthermore, it is important that such individuals receive the necessary support from a friend or family member while undergoing therapy.
Several times, this friend may be asked to attend therapy with them to be able to generate feelings of trust.
The movement of the bones is caused by muscles which pull on tendons that are attached to bone. Between the cartilage of two bones which form a joint, there is a small amount of thick fluid called synovial fluid.
About 1 in 100 people who have a gut infection with one of these bacteria also develop reactive arthritis. This is likely to be because both conditions can be transmitted sexually rather than HIV infection acting as a trigger for reactive arthritis.
An infection within a joint is different and is called septic arthritis (see separate leaflet called 'Septic Arthritis' for more details). This is because they are most at risk of urethral infection from sexually transmitted diseases. We are all at risk of getting a gut infection from food poisoning which may trigger a reactive arthritis. So, this gene seems to make you more likely to develop reactive arthritis if you have a triggering infection. For example, you may have had a bout of diarrhoea and vomiting a couple of weeks previously which you may even have forgotten about. Urethritis can cause a discharge which you may see coming from the penis in men, or from the vagina in women. Note: The triggering infection may be an infection of the urethra, which causes urethritis. You should avoid having sex (including oral sex) until you and your partner have completed treatment and follow-up for any genital infection that has been found. But, if a stool sample shows that a germ is still present then treatment may be advised to clear it.
Once the arthritis is triggered, it will usually run its course well after any infection has gone.
However, some studies suggest that long-term treatment with antibiotics may help to reduce the length of the arthritis in some cases, particularly if chlamydia is the triggering infection. The use of long-term treatment with antibiotics in reactive arthritis is currently being investigated.
But as soon as you can, it is important to get the affected joints moving and exercising again. If joint inflammation persists for six months or more, you are at risk of joint damage which may cause long-term pain and disability. This may be a reaction to a new infection, or symptoms may just flare up for no apparent reason. So, if you have had one episode of reactive arthritis, you should take particular care to protect against sexually transmitted diseases and food poisoning which may trigger a further episode. But, the term Reiter's syndrome has stuck and: Some people use the term Reiter's syndrome for all cases of reactive arthritis.



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