A Male patient married age 44 years Bussiness man by occupation having standing duty (3-4hrs)continuosly with Cheif complaints-: 🌺Pain in Fingers joint of left hand From 3 years 🌺Stifness of joints from 3 years🌺Difficulty in movement of fingers at joints From last 1 year 👇History of present illness Patient was apperAntly allright 3 years back.After that he started with having pain in small joints.pain was Mild,on and off kind And increases durimg night .Along with that he Also complaints about having stiffness in movement of fingers and mrng stiifness was also present.patient feels difficulty in movements of small joints (fingers) ,then in elbow joints also . on examination swelling was Seen in joints of fingers,foot and elbow of both sides.A small rhematic nodule was also present near little finger. Also other skin related allergic conditions are seen over Lower abdomen region.And patient also told that he was suffreing from gatric acidity problem since 6-7 years and varicose vein since 5-6 years. There is no history of alcohol,tobacco, sleep wake cycle was normal ,patient was aware of time,place and person. No history of any operation or trauma in past No history of any autoimmune disease,DM,BP,thyroid,etc. Family history not signifcant. Vital signs - mild pallor presnt ,edema present around joints.other than that eveyrhing was normal(bp,pulse,RR,no clubbing and icterus). 🌺lab.test - blood test -Hb- 13-15g/dl Other blood test tjings were normal. Serum protiein level- high Rhematoid factor - increased C reactive protein - increased Ccp present 🌺x- ray- defotmity in index finger metacrpopjarangeal joint . Drugs- patient has now taking Dmard group of drugs along with steriods and vit.supplemts- vit. B12 and b9. But still patient has no relief!!! Pain has now increased at biggger joints elbow and knee with all day weakness,malaise,tired eyes,pain in cervical joints,difficulty in picking up obejectsetc. So till know you will be knowing that this aclear cut case of rhematoid arthrits. Now i wanna help from your side.?🙏🙏 Plzz tell me 1.what should be the chocie of diet in this case? 2.is there any other sort of treatment which should be implemented? 3. What were you do ,to treat this kind of patient when comes to your clinic. 4.any physical excersicse and homepathy medicine you would prefer?
