WordNet
- united or combined; "a joint session of Congress"; "joint owners"
- marijuana leaves rolled into a cigarette for smoking (同)marijuana cigarette, reefer, stick, spliff
- a disreputable place of entertainment
- junction by which parts or objects are joined together
- (anatomy) the point of connection between two bones or elements of a skeleton (especially if it allows motion) (同)articulation, articulatio
- provide with a joint; "the carpenter jointed two pieces of wood" (同)articulate
- affecting or involving two or more; "joint income-tax return"; "joint ownership"
- fasten with a joint
- fit as if by joints; "The boards fit neatly"
- involving both houses of a legislature; "a joint session of Congress"
- separate (meat) at the joint
- cause emotional anguish or make miserable; "It pains me to see my children not being taught well in school" (同)anguish, hurt
- a symptom of some physical hurt or disorder; "the patient developed severe pain and distension" (同)hurting
- a bothersome annoying person; "that kid is a terrible pain" (同)pain in the neck, nuisance
- a somatic sensation of acute discomfort; "as the intensity increased the sensation changed from tickle to pain" (同)pain_sensation, painful sensation
- emotional distress; a fundamental feeling that people try to avoid; "the pain of loneliness" (同)painfulness
PrepTutorEJDIC
- 『関節』 / 『継ぎ目』,接合箇所,合わせ目 / 継ぎ目と継ぎ目の間の部分,節 / (二つの部分を継いだり支えたりするのに用いる)継ぎ手,ジョイント / (枝や葉の)つけ根,節 / (骨付きの)肉の大切り身 / 《俗》安酒場,とばく宿,アヘン窟(くつ) / 『共同の』,共有の;連帯の,連合の / 両院合同の;二院制議会の両院の / …‘を'継ぎ合わせる;…‘を'継ぎ目(関節)でつなぐ / …‘を'継ぎ目で分ける;〈鳥・肉など〉‘を'関節で切り分ける
- 〈C〉〈U〉(肉体のある部分の)『苦痛』,『痛み』 / 〈U〉(精神的な)『苦痛』,心痛 / 《複数形で》骨折り,苦労,努力 / 〈C〉不快感,いやな感じ;うんざりさせるもの,やっかい者 / (肉体的・精神的に)…‘に'苦痛を与える(受動態にできない)
- 《補語にのみ用いて》腹を立てて / 《補語にのみ用いて》(心が)鐘ついて / 不愉快な,気まずい
- とうちゃん(papa)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/06/12 09:23:51」(JST)
[Wiki en表示]
Arthralgia |
Classification and external resources |
ICD-10 |
M25.5 |
ICD-9 |
719.4 |
DiseasesDB |
15237 |
MedlinePlus |
003261 |
MeSH |
D018771 |
Arthralgia (from Greek arthro-, joint + -algos, pain) literally means joint pain;[1][2] it is a symptom of injury, infection, illnesses (in particular arthritis) or an allergic reaction to medication.[3]
According to MeSH, the term "arthralgia" should only be used when the condition is non-inflammatory, and the term "arthritis" should be used when the condition is inflammatory.[4]
Contents
- 1 Diagnosis and causes
- 2 Causes of arthralgia
- 3 Treatment
- 4 References
Diagnosis and causes
Diagnosis involves interviewing the patient and performing physical exams. When attempting to establish the cause of the arthralgia, the emphasis is on the interview.[2] The patient is asked questions intended to narrow the number of potential causes. Given the varied nature of these possible causes, some questions may seem irrelevant. For example, the patient may be asked about dry mouth, light sensitivity, rashes or a history of seizures.[2][5] Answering yes or no to any of these questions limits the number of possible causes and guides the doctor toward the appropriate exams and lab tests.
The causes of arthralgia are varied and range, from a joints perspective, from degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints, such as bursitis.[6] These might be triggered by other things, such as infections or vaccinations.[7]
Causes of arthralgia
Cause |
Mono- or
polyarticular |
Speed of onset |
Rheumatoid arthritis |
Polyarticular [8] |
Weeks-months[9] |
Systemic lupus erythematosus |
Polyarticular[8] |
Months[10] |
Viral arthritis |
Polyarticular[8] |
|
Ehlers-Danlos Syndrome |
[11] |
|
Reactive arthritis |
Polyarticular[8] |
|
Rheumatic fever |
Polyarticular[8] |
|
Lyme disease |
Polyarticular[8] |
|
Gonococcal arthritis |
Polyarticular[8] |
|
Drug-induced arthritis |
Polyarticular[8] |
|
Osteoarthritis |
Monoarticular[8] |
|
Gout attack |
Monoarticular[8] |
Hours[12] |
Pseudogout |
Monoarticular[8] |
|
Physical trauma |
Monoarticular[8] |
Immediate |
Septic arthritis |
Monoarticular[8] |
Hours[12] |
Hemarthrosis |
Monoarticular[8] |
|
Treatment
Treatment depends on a specific underlying cause. The underlying cause will be treated first and foremost. The treatments may include joint replacement surgery for severely damaged joints, immunosuppressants for immune system dysfunction, antibiotics when an infection is the cause, and discontinuing medication when an allergic reaction is the cause. When treating the primary cause, pain management may still play a role in treatment. The extent of its role varies depending on the specific cause of the arthralgia. Pain management may include stretching exercises, over the counter pain medications, prescription pain medication, or other treatments deemed appropriate for the symptoms. Capsaicin a substance found in chili peppers may relieve joint pain from arthritis and other conditions. Capsaicin blocks substance P, which helps transmit pain signals, and it triggers the release of chemicals in the body called endorphins, which block pain. Side effects of capsaicin cream include burning or stinging in the area where it is applied. Another topical option is an arthritis cream containing the ingredient, methyl salicylate (Ben Gay).
References
- ^ "Arthralgia Definition". MedicineNet.com. Archived from the original on 11 October 2007. Retrieved 2007-09-20.
- ^ a b c Joe G. Hardin. "Arthralgia". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ James R Philp. "Allergic Drug Reactions - Systemic Allergic Drug Reactions". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ "MeSH". Retrieved 2007-12-23.
- ^ "Table 159mptomatic Extraarticular Features of the Connective Tissue Diseases and the Spondyloarthropathies". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ Joe G. Hardin. "Table 161.1. Some Common Regional Rheumatic Syndromes". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ Loris McVittie, Ph.D. "Information from CDC and FDA on the Safety of Gardasil Vaccine". supplement to your biologics license application (BLA) for Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant (GARDASIL), to include arthralgia, myalgia, asthenia, fatigue, and malaise in the Adverse Reactions section of the package insert. Retrieved 2008-07-21. [dead link]
- ^ a b c d e f g h i j k l m n Table 6-8 in: Elizabeth D Agabegi; Agabegi, Steven S. (2008). Step-Up to Medicine (Step-Up Series). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-7153-6.
- ^ Diagnosis lag time of median 4 weeks, and median diagnosis lag time of 18 weeks, taken from: Chan, K. W.; Felson, D. T.; Yood, R. A.; Walker, A. M. (1994). "The lag time between onset of symptoms and diagnosis of rheumatoid arthritis". Arthritis and rheumatism 37 (6): 814–820. doi:10.1002/art.1780370606. PMID 8003053. edit
- ^ Doria, A.; Zen, M.; Canova, M.; Bettio, S.; Bassi, N.; Nalotto, L.; Rampudda, M.; Ghirardello, A.; Iaccarino, L. (2010). "SLE diagnosis and treatment: When early is early". Autoimmunity Reviews 10 (1): 55–60. doi:10.1016/j.autrev.2010.08.014. PMID 20813207. edit
- ^ http://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/basics/definition/con-20033656/
- ^ a b Page 740 (upper right of page) in: Schaider, Jeffrey; Wolfson, Allan B.; Gregory W Hendey; Louis Ling; Carlo L Rosen (2009). Harwood-Nuss' Clinical Practice of Emergency Medicine (Clinical Practice of Emergency Medicine (Harwood-Nuss)). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-8943-5.
Musculoskeletal disorders: Arthropathies (M00–M19, 711–719)
|
|
Arthritis
(monoarthritis /
polyarthritis) |
Inflammation
(Neutrophilia)
|
Infectious
|
- Septic arthritis
- Tuberculosis arthritis
- Reactive arthritis (indirectly)
|
|
Noninfectious
|
- Seronegative spondyloarthropathy: Reactive arthritis
- Psoriatic arthritis
- Rheumatoid arthritis: Juvenile idiopathic arthritis
- Adult-onset Still's disease
- Felty's syndrome
- Crystal arthropathy: Gout
- Chondrocalcinosis
|
|
|
Noninflammatory
|
- Osteoarthritis: Heberden's node
- Bouchard's nodes
|
|
|
Other |
- hemorrhage
- pain
- Osteophyte
- villonodular synovitis
- Pigmented villonodular synovitis
- Joint stiffness
|
|
|
|
noco (arth/defr/back/soft)/cong, sysi/epon, injr
|
|
|
|
|
Pain and nociception
|
|
By region/system |
HEENT |
- Headache
- Neck
- Odynophagia (swallowing)
- Otalgia (ear)
- Toothache
|
|
Chest pain |
Cardiovascular system |
|
|
Respiratory system |
|
|
Breast |
|
|
|
Musculoskeletal |
- Arthralgia (joint)
- Bone pain
- Myalgia (muscle)
- Muscle soreness: Acute / Delayed onset
|
|
Neurologic |
- Congenital insensitivity to pain
- HSAN
- Type I
- II congenital sensory neuropathy
- III familial dysautonomia
- IV congenital insensitivity to pain with anhidrosis
- V congenital insensitivity to pain with partial anhidrosis
- Neuralgia
- Pain asymbolia
- Pain disorder
- Paroxysmal extreme pain disorder
- Allodynia
- Chronic pain
- Hyperalgesia
- Hypoalgesia
- Hyperpathia
- Phantom pain
- Referred pain
|
|
Abdominal pain |
Urogenital |
- Dysuria
- Pelvic pain
- Dyspareunia
- Testicular pain
|
|
Gastrointestinal |
|
|
|
Back |
|
|
|
Tests |
- Cold pressor test
- Dolorimeter
- Hot plate test
- Tail flick test
|
|
Related concepts |
- Anterolateral system
- Pain management
- Pain scale
- Pain threshold
- Pain tolerance
- Posteromarginal nucleus
- Substance P
- Suffering
- OPQRST
- Philosophy of pain
- Cancer pain
- Drug-seeking behavior
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
|
noco/auto/cong/tumr, sysi/epon, injr
|
|
|
|
|
UpToDate Contents
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English Journal
- Guarana (Paullinia cupana) Improves Anorexia in Patients with Advanced Cancer.
- Palma CG1, Lera AT2, Lerner T3, de Oliveira MM3, de Borta TM3, Barbosa RP3, Brito GM3, Guazzelli CA3, Cruz FJ1, Del Giglio A4.
- Journal of dietary supplements.J Diet Suppl.2016 Mar 3;13(2):221-31. doi: 10.3109/19390211.2015.1008612. Epub 2015 Feb 19.
- PURPOSE: Anorexia is prevalent in cancer patients with advanced disease. In this pilot phase II, open label, nonrandomized trial, we evaluated the efficacy and safety of guarana (Paullinia cupana) in patients with cancer and weight loss.METHODS: We included advanced cancer patients with decreased ap
- PMID 25695932
- Tendon Transfers and Salvaging Options for Hallux Varus Deformities.
- Gradisek BP1, Weil L Jr2.
- Clinics in podiatric medicine and surgery.Clin Podiatr Med Surg.2016 Jan;33(1):85-98. doi: 10.1016/j.cpm.2015.06.008. Epub 2015 Aug 11.
- Hallux varus is an infrequently encountered deformity of the first ray characterized by a medial deviation of the hallux on the first metatarsal head at the first metatarsal phalangeal joint. Iatrogenic flexible hallux varus often requires surgical repair to create a functional, pain-free, shoeable
- PMID 26590727
- Validation of the 'FeMorph' software in planning cam osteochondroplasty by incorporating labral morphology.
- Masjedi M1, Mandalia R1, Aqil A1, Cobb J1.
- Computer methods in biomechanics and biomedical engineering.Comput Methods Biomech Biomed Engin.2016 Jan;19(1):67-73. doi: 10.1080/10255842.2014.986654. Epub 2014 Dec 6.
- Impingement resulting from a cam deformity may cause pain, limit the hip joint range of motion (RoM) and lead to osteoarthritis. We have previously developed FeMorph software to quantify and plan corrective surgery and predict hip RoM post surgery. This study aimed to validate the software and evalu
- PMID 25483882
Japanese Journal
- 最新原著レビュー 症候性femoroacetabular impingementの頻度調査
- 運動療法 (特集 骨粗鬆症の診断と治療update) -- (骨粗鬆症の治療)
- 人工膝関節置換術患者における活動,参加に関与する諸要因の関係
★リンクテーブル★
[★]
- http://dictionary.reference.com/browse/pain
- physical suffering or distress, as due to injury, illness, etc.
- a distressing sensation in a particular part of the body
- mental or emotional suffering or torment
- pains,
- laborious or careful efforts; assiduous care
- the suffering of childbirth.
[★]
[★]
- 関
- arthralgia、polyarthralgia
[★]