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Soft tissue problems associated with rheumatic disease

C S Burckhardt1, K D Jones, S R Clark

  • 1School of Nursing, Oregon Health Sciences University in Portland 97201, USA.

Lippincott'S Primary Care Practice
|February 6, 1998
PubMed
Summary
This summary is machine-generated.

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This article reviews common rheumatic soft tissue problems like bursitis and fibromyalgia, emphasizing self-management strategies for pain relief and function. Early diagnosis and a combination of treatments are key to recovery and preventing recurrence.

Area of Science:

  • Rheumatology
  • Primary Care Medicine
  • Musculoskeletal Disorders

Background:

  • Rheumatic diseases and soft tissue issues are frequent reasons for primary care visits.
  • Commonly encountered soft tissue problems include bursitis, tendinitis, carpal tunnel syndrome, myofascial pain syndrome, and fibromyalgia.

Purpose of the Study:

  • To describe the symptoms, causes, and treatments for five common soft tissue rheumatic problems.
  • To highlight the importance of accurate diagnosis differentiating soft tissue from joint issues and inflammatory from non-inflammatory syndromes.

Main Methods:

  • Review of symptoms, causes, and treatments for bursitis, tendinitis, carpal tunnel syndrome, myofascial pain syndrome, and fibromyalgia.
  • Emphasis on structured history, physical examination, and definitive diagnosis.

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  • Focus on self-management principles for pain relief and function maintenance.

    • Main Results:

    • Effective management hinges on distinguishing soft tissue from joint problems and inflammatory from non-inflammatory conditions.
    • Self-management strategies are crucial for pain relief, maintaining function, and preventing recurrence.
    • A multimodal approach including medications, physical therapy, biomechanical aids, exercise, and cognitive-behavioral techniques aids recovery.

    Conclusions:

    • Accurate diagnosis is essential for effective management of rheumatic soft tissue problems.
    • Patient self-management, focusing on pain relief and function, is a cornerstone of treatment.
    • Integrated treatment strategies, including conservative measures and cognitive-behavioral techniques, promote return to normal functioning.