Synapse Physiotherapy | Physio Center | Rehab Malaysia

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Synapse Physiotherapy

Introduction

Both arthritis and rheumatism are terms commonly associated with joint pain and inflammation, often used interchangeably. However, they refer to distinct conditions affecting the musculoskeletal system. Understanding their differences is crucial for diagnosis and treatment. Physiotherapy plays a pivotal role in managing these conditions by reducing pain, improving mobility, and enhancing quality of life. Let’s explore the key differences between arthritis and rheumatism and how physiotherapy can help manage these conditions.

What is Arthritis?

Arthritis is a broad term used to describe more than 100 different conditions affecting the joints. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.

1. Osteoarthritis (OA):

   – Often referred to as “wear and tear” arthritis, osteoarthritis results from the breakdown of cartilage in the joints over time. It primarily affects weight-bearing joints such as the knees, hips, and spine.

   – Symptoms include joint pain, stiffness, swelling, and reduced range of motion.

   – OA is more common in older adults but can also develop in younger individuals due to injury or repetitive stress.

 2. Rheumatoid Arthritis (RA):

   – Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disease where the immune system mistakenly attacks the synovium (the lining of the joints). This leads to chronic inflammation and can affect multiple joints simultaneously.

   – RA often causes symmetrical joint pain, typically in smaller joints such as those in the hands, wrists, and feet, but it can also affect other organs like the lungs, heart, and eyes.

   – Symptoms include joint pain, swelling, fatigue, and prolonged morning stiffness.

   – RA can occur at any age and may lead to joint deformity over time.

What is Rheumatism?

Rheumatism is an umbrella term historically used to describe various painful conditions that affect the joints, muscles, and connective tissues. Today, the term is less commonly used in medical diagnosis, and more specific conditions are identified, such as:

1. Rheumatoid Arthritis (RA):

   – As mentioned earlier, RA is an autoimmune form of arthritis, and it falls under the category of rheumatism.

 2. Fibromyalgia:

   – A rheumatic condition characterised by widespread muscle pain, fatigue, and tenderness in soft tissues. It does not involve joint inflammation like arthritis, but it causes significant discomfort and mobility issues.

 3. Polymyalgia Rheumatica:

   – A condition that causes stiffness and aching in large muscles, particularly around the shoulders and hips. It primarily affects older adults and is linked to inflammation, although the cause is unclear.

In essence, rheumatism can refer to a range of musculoskeletal conditions, including arthritis, but the term is less precise. Arthritis refers specifically to joint inflammation, whereas rheumatism can encompass both joint and muscle-related conditions.

Key Differences Between Arthritis and Rheumatism:

1. Scope:

   – Arthritis: Primarily affects the joints, leading to inflammation, pain, and degeneration.

   – Rheumatism: Refers to a broader spectrum of conditions that affect both joints and soft tissues, including muscles and tendons.

 2. Types:

   – Arthritis: Specific types like osteoarthritis, rheumatoid arthritis, gout, and psoriatic arthritis.

   – Rheumatism: Can include conditions like fibromyalgia, polymyalgia rheumatica, and even rheumatoid arthritis.

 
3. Inflammation vs. Pain:

   – Arthritis: Typically involves joint inflammation as a defining feature.

   – Rheumatism: May or may not involve inflammation but generally results in pain, stiffness, or discomfort in muscles and joints.

How Physiotherapy Can Help with Arthritis and Rheumatism

Physiotherapy is a key component of managing both arthritis and rheumatic conditions. It focuses on relieving pain, restoring function, and improving mobility, often helping patients avoid or delay the need for surgery or long-term medication use.

1. Pain Management

– Manual therapy techniques such as joint mobilization, soft tissue massage, and stretching help reduce pain by relaxing muscles and improving joint mobility.

– Modalities like ultrasound, electrical stimulation, and heat or cold therapy can provide relief from pain and inflammation.

2. Improved Mobility and Range of Motion

– Arthritis and rheumatism often lead to stiffness and reduced range of motion in affected joints and muscles. Physiotherapists design personalised stretching exercises to maintain or improve joint flexibility.

– Strengthening exercises focus on stabilising joints and reducing the stress on affected areas by building muscle around them. This is particularly important for weight-bearing joints like the hips and knees in osteoarthritis.

3. Joint Protection Strategies

– Physiotherapists educate patients on joint protection techniques and proper body mechanics to reduce stress on joints during daily activities. This includes using assistive devices (like canes or braces), modifying movements, and improving posture to prevent further joint damage.

4. Balance and Coordination Training

– Conditions like rheumatoid arthritis can affect balance, increasing the risk of falls. Physiotherapy incorporates balance and proprioception exercises to improve stability and coordination, helping to reduce this risk.

5. Managing Fatigue and Improving Endurance

– Many patients with rheumatoid arthritis and rheumatic conditions experience significant fatigue. A physiotherapist can guide patients through graded exercise programs that improve cardiovascular fitness and stamina without exacerbating symptoms.

 6. Aquatic Therapy

– Water-based exercises are particularly beneficial for patients with arthritis and rheumatism. The buoyancy of water reduces the load on joints, allowing patients to perform exercises more comfortably and safely.

7. Post-Surgical Rehabilitation

– For patients undergoing joint replacement surgeries or other interventions related to arthritis, physiotherapy is essential for post-operative recovery. It helps restore strength, flexibility, and function after surgery.

Frequently Asked Questions (FAQs)

Arthritis specifically targets joint inflammation, while rheumatism is a broader term that includes conditions affecting both joints and soft tissues, such as muscles and tendons.

Yes, physiotherapy is highly beneficial for managing both conditions by reducing pain, improving joint mobility, and helping patients regain strength and balance.

The most common types are osteoarthritis, which results from cartilage breakdown, and rheumatoid arthritis, an autoimmune condition affecting joint lining.

No, rheumatism is a general term, while rheumatoid arthritis is a specific autoimmune disease that falls under the broader category of rheumatic conditions.

Physiotherapy techniques include joint mobilisation, soft tissue massage, stretching exercises, and the use of modalities like ultrasound and heat or cold therapy.

Conclusion

While arthritis and rheumatism share overlapping symptoms, they refer to different sets of conditions affecting the joints and musculoskeletal system. Understanding the differences is essential for effective diagnosis and treatment. Physiotherapy is a highly effective, non-invasive treatment option for managing both conditions, helping patients reduce pain, maintain mobility, and improve their overall quality of life. Through personalised exercises, pain relief techniques, and joint protection strategies, physiotherapists play a crucial role in managing the daily challenges of arthritis and rheumatism.

Produced by MYSense

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Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

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Neurological Conditions

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Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.