What is the treatment for rheumatic heart disease?
Treatment depends in large part on how much damage has been done to the heart valves. In severe cases, treatment may include surgery to replace or repair a badly damaged valve. The best treatment is to prevent rheumatic fever. Antibiotics can usually treat strep infections and keep rheumatic fever from developing.
Is sciatica linked to rheumatoid arthritis?
Rheumatoid arthritis and sciatica Sciatica is not a medical diagnosis. It can be caused by a variety of conditions, including those associated with RA, such as spondylolisthesis. To relieve sciatica, the underlying cause(s) must be treated.
Can a rheumatologist treat back pain?
Severe or persistent back pain is often treated by a rheumatologist or an orthopedic surgeon. A rheumatologist is an expert in autoimmune diseases such as rheumatoid arthritis and ankylosing spondylitis, whereas orthopedists treat joint and muscle injuries and osteoarthritis.
What is secondary prophylaxis for rheumatic fever?
Continuous antimicrobial prophylaxis provides the most effective protection from recurrences of rheumatic fever….Secondary Prevention of Rheumatic Fever.
| Agent | Dosage | Evidence rating* |
|---|---|---|
| Penicillin V potassium | 250 mg orally twice daily | 1B |
What is the best medicine for rheumatic heart disease?
Antibiotic therapy has sharply reduced the incidence and mortality rate of rheumatic fever/rheumatic heart disease. To reduce inflammation, aspirin, steroids, or non-steroidal medications may be given. Surgery may be necessary to repair or replace the damaged valve.
Which valve is most commonly affected by rheumatic heart disease?
Rheumatic heart disease most commonly affects the mitral valve (which has only two leaflets; Figure 2) or the aortic valve, but any valve can be affected, and more than one can be involved.
Do Rheumatologists treat sciatica?
There are more than 100 types of rheumatologic diseases, including musculoskeletal pain disorders; back and neck pain, tendinitis, bursitis, nerve impingements (sciatica, cervical radiculopathy, carpal tunnel syndrome); osteoarthritis; autoimmune diseases such as rheumatoid arthritis, psoriatic arthritis.
How do you permanently cure sciatica?
Although the pain may be severe, sciatica can most often be relieved through physical therapy, chiropractic and massage treatments, improvements in strength and flexibility, and the application of heat and ice packs.
Does rheumatologist treat sciatica?
What kind of doctor treats nerve and muscle pain?
Neurologists are specialists who treat diseases of the brain and spinal cord, peripheral nerves and muscles. Neurological conditions include epilepsy, stroke, multiple sclerosis (MS) and Parkinson’s disease.
Why is aspirin given in rheumatic fever?
Treatment for patients with rheumatic fever Treatment of the acute inflammatory manifestations of acute rheumatic fever consists of salicylates and steroids. Aspirin in anti-inflammatory doses effectively reduces all manifestations of the disease except chorea, and the response typically is dramatic.
What is the drug of choice in the treatment of rheumatic fever?
The manifestations of acute rheumatic fever (including carditis) typically respond rapidly to therapy with anti-inflammatory agents. Aspirin, in anti-inflammatory doses, is the drug of choice.
What are the treatment options for acute carditis?
Patients with severe carditis, congestive heart failure and/or pericarditis are best treated with corticosteroids as these are more potent anti-inflammatory agents than salicylates. Salicylates may be sufficient for cases with mild or no carditis. The treatment must be continued for 12 weeks.
What are the treatment options for sciatica?
If your pain doesn’t improve with self-care measures, your doctor might suggest some of the following treatments. The types of drugs that might be prescribed for sciatica pain include: Once your acute pain improves, your doctor or a physical therapist can design a rehabilitation program to help you prevent future injuries.
Does rheumatic carditis resolve with adequate prophylaxis?
It is likely that the majority of patients with the milder forms of rheumatic carditis would resolve with adequate prophylaxis, 2324404142464748 and it is not certain if the additional detection of nonclinical echocardiographic carditis will be of prognostic significance.
Does detecting Echo-detectable rheumatic carditis change the management strategy?
Detecting echo-detectable rheumatic carditis is costly and probably will not change the management strategy significantly because prophylaxis is initiated in both groups, that is, in those with or without carditis. An echocardiogram could be better utilized at the time of discontinuation of prophylaxis.