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Arthritis-Types, Symptoms and Treatment

In Dr. Koshes’ continuing education courses for massage therapists “he reviews commonly diagnosed musculoskeletal conditions with protocols for treatment. In his class he discusses two major classifications of arthritis; Rheumatoid Arthritis/Rheumatoid Arthritis Variants and Osteoarthritis.

Rheumatoid Arthritis/Rheumatoid Arthritis Variants include Rheumatoid Arthritis, Scleroderma, Sjogrens Syndrome, Ankylosing Spondylitis and Systemic Lupus Erythematosis (SLE). These types of arthritic conditions are thought to be autoimmune in nature producing a bodywise destruction of their own tissues, i.e.., cartilage and soft tissues. The patients can be young or elderly. Symptoms can include migratory joint pain that will involve multiple joints. These joints are usually warm to touch and swollen. These types of arthritic conditions can cause extreme joint deformities in the later stages.

Osteoarthritis is also referred to as degenerative arthritis, arthritis of wear and tear and/or old age arthritis. The patient is usually elderly and will present with one joint involvement, most commonly in a weight-bearing joint. The patient’s history will most often reveal an earlier trauma to that joint which has resulted in the excessive wearing changes within the joint. Symptoms can include pain/ache/stiffness usually involving one of the weight bearing joints. These symptoms are usually worse in the morning hours and ease as the day progresses. The joints involved are normally not warm to touch and deformities as less severe than with the rheumatoid type of arthritis.

This massage therapy certification teaches that treatment initially for degenerative arthritis should include “PRICES” which stands for; protection of the injury, rest of the injury, ice, compression, elevation and support for the injury. For Rheumatoid arthritis heat application even in the initial stages is used rather than ice. In-office care protocol for both classifications of arthritis could include massage treatment, acupuncture, physical therapy, chiropractic, mild support bracing and/or exercise therapy. When joint destruction becomes excessive and the patient no longer responds to conservative care a referral for medical evaluation is appropriate.

Continuing Education Units for massage therapists.
For additional information on what you will learn in Dr. Koshes’ LMT CEU Classes including other online Massage Therapy continuing education courses contact Dr. Koshes on his website, www.koshes.com.




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Online Massage Therapist Education Providing
Continuing Education Units for Florida Massage Therapists

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