Saturday 14 May 2022

Arthritis: Secondary Condition in Cerebral Palsy

Arthritis often start early in adult with cerebral palsy in comparison to normal population. It may cause pain and stiffness in joints. But the, adult with cerebral palsy can be treated by pain management, preventative strategies, surgery, and other treatment for arthritis.


What is arthritis?

Arthritis means inflammation of joint. It present with swelling, difficulty in moving the joints, joint pain, and tenderness of one or more joints. It can affect our body joints like knees, hips, elbows, and knuckle.

 

Arthritis can occurs due to variety of reason and so it is named according to aetiology & presentation.  The most common type of arthritis is osteoarthritis, often affecting people with cerebral palsy. Mostly this is seen in older adults as it is caused by deterioration in the joint cartilage.

The cartilage gives cushioning with inside the joint, so while that wears down, the result is ache, swelling, and stiffness. 

 

Risk elements for arthritis in cerebral palsy include a family history of arthritis, being older, overweight, sever spasticity, limb deformity and injuring a joint.

 

The symptoms of arthritis are usually continual and progressive, and the remedy for this is to alleviate the ache and swelling and enhance motion within the joints.

 

How does cerebral palsy cause arthritis?

cerebral palsy adult can develop osteoarthritis. The risk factor include joint deformity, spasticity, dystonia abnormal gait pattern, over weight etc.  As a child with cerebral palsy age enters adulthood, chances of fatigue & joint pain increases..

 

Cerebral palsy has different phases of abnormalities in the neuromuscular system that cause unusual movements in joints, overuse or compression of joints, and excessive wear on joint cartilage. As a result, it leads to osteoarthritis.

 

Knee arthritis is most common in people with cerebral palsy. However, the joints not involved in walking can also get affected. Besides this, muscle imbalance across a joint is common in cerebral palsy. That may cause uncommon shoulder or elbow joint movements, which leads to premature wear on the cartilage. Spinal degenerative arthritis are common in dystonic cerebral palsy which can cause numbness in limb and sometime weakness that occurs due to compression over nerve.


Symptoms

However, people with cerebral palsy will not develop the symptoms of arthritis until they become adults. Parents as well individual with CP must know the signs of arthritis that make better results as early intervention.

 

The symptoms that include osteoarthritis are-

 

  • Pain in joints while or after movement (commonly in hips, knees, hands)
  • Stiffness in joints
  • Tenderness of joints while touched
  • Reduced flexibility that causes it hard to bend down or climb stairs
  • Grating inside the joints while moving
  • Hard lumps around the skin of joint

Treatment and Prevention of Arthritis

Prevention of joint arthritis is not completely possible but its intensity can be reduced by exercises, weight reduction, proper limb alignment and tone management. The treatment of arthritis depends on specific cause. The treatment is possible by the medications, physical therapies, or joint replacement surgery.

Some people with cerebral palsy develop arthritis which can be prevented by early diagnosis and treatment of cerebral palsy in childhood. That will make them enjoy their life with minimal pain.

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