Wednesday, July 3, 2013

What types of arthritis are most likely to strike at age 17-18 in males?

Q. I know that Ankylosing spondylitis commonly occurs during 17-20 years? Are there any different form of arthritis that is more likely to attack a male of this age range? Like Gout or any other?

Also, can gout affect spine?

A. Yes Ankylosing Spondylitis would be the most likely.

All types of arthritis that are caused by an autoimmune diseases can occur at this age. These include Psoriatic Arthritis, Reactive Arthritis, Sjogren's Syndrome, Lupus, Rheumatoid Arthritis, Enteropathic Arthrits and Stills Disease.

But most common would be AS.

Gout affects people in their middle ages. No gout does not affect the spine. AS, Psoriatic Arthritis, Reactive Arthritis and Enteropathic Arthritis affect the spine.


How to relieve arthritis of the arms during the night time?
Q. My mom suffers from severe arthritis from her hands all the way to her elbows, she can't sleep comfortably. Is there a way to relieve these symptoms so that she can get a good nights sleep??
Maybe a heated sleeve??

A. A sling with padding in it possibly.

Is is possible for arthritis to be caused by a injury that caused a bacterial infection?
Q. My husband had a knife barely nip his knee while at work and within hours it caused a really bad bacterial infection and was treated with anitibiotics. He was very healthy until the injury and week after the accident he started to have pain in the are where he was injured and it is slowly spreading throughout his body. He has been consulting with a Specialist however I want to make sure this is not work related.
He has been seeing a Rhemotologist however my concern is that this was caused by the injury as he was very much healthy prior to the injury.

A. yes, it is possible to have arthritis after a joint (knee) infection. it is called septic arthritis where the infection and the inflammatory process that comes along with it destoy the cartilage (arthritis is loss of cartilage).

however, in your husband's case, it would be farily unlikely. the initial knife injury has to be fairly deep, so it would enter the knee joint (not just cutting some superficial tissue). but...if the infection in the superficial tissue got very very bad, it can potentially enter the knee joint and create a septic joint.

a septic joint/knee is very painful and painful to move. and for the most part would require surgical treatment as antibiotics, even IV, just don't get into the joint that well. most doctors, even non orthopedists, should be able to recognize it easily.

i suppose that the infection could have been blood borne and started to seed multiple joints; but again less likely and he would have gotten pretty sick (septic).

therefore...when multiple joints are involved, we get the rheumatologist involved. there is wide spectrum to rheumatological processes and many of them can cause multiple joint pain.

good luck

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