Thursday, July 5, 2007

Treba Mi Plp Za Mat Lab

REMARKS BY DR. BRAVO JAIME

" writhing" Françoise Naudet. www.dicart-net.fr

Having Joint Hypermobility is an advantageous quality when produced no joint pain or problems due to weakness in the tissues. When symptoms occur, it becomes a disease called Joint Hypermobility Syndrome (JHS). For me, hypermobility is like fi fever, is indicating that something is wrong and that is that the tissues are fragile due to a defect inherited collagen. Collagen is a protein that forms the matrix of all tissues, is "steel construction." Hence, due to the weakness of the tissues is that they are common musculoskeletal problems such as joint pain, ankle sprains, strains, joint subluxations, muscle tears, meniscus tears, back pain, disc disease in young people , etc. as well as symptoms of other organs as early varices, hemorrhoids, cysts of all types, hernias, reflux, irritable bowel syndrome, diverticulosis, my peeps, strabismus, cerebral aneurima, spontaneous rupture of the lung, etc. Also due to failure of collagen appears wearing of the joints (osteoarthritis) at a young age, since the cartilage is weak. I tell my patients that their cartilage "are not Michelin" and that lasted less than normal. In these patients with SHA Osteoporosis is common in young people. We have found in 19% of JHS patients under 30 years old, men and women in our recent study presented at the European Cogreso Rheumatology in Barcelona (June 2007). Another probl ema very important and common is chronic fatigue, dizzy and sometimes faint (Dys), which is seen in this study 64% of women and 40% of men younger than 30 years. The person appears to be weak, non-profit, no interest in participating in anything, is due to low blood pressure and has very good treatment. By walking slowly (in a Mall) or stand in a queue, you feel faint and be like "if they ran out of batteries." Mistaken for depression, fibromyalgia when in fact it is due to the SHA.

The SHA exists in the 10 to 15% of the population in most countries, but in Chile we've found in 40%. It seems that besides being highly prevalent in Chile, is also in other Latin countries. Is autosomal (not sex-linked) dominant, indicating that 50% of the children suffer. This altered gene, which causes the disease, it come to us from Spain, where also the prevalence of disease is high.

We believe that a disease that affects 40% of Chileans and can attack any organ or system is a serious health problem that is not known and not diagnosed. It is necessary that people with this disease or their family members join in a common effort to inform their physicians and policy makers the importance of the problem, to raise funds for the study and dissemination of these knowledge. Without going any further, this is the cause of the high frequency of musculo-skeletal injuries in children and pass the Chilean deportitas injured. It is also the most common cause of joint pain inany polyclinic rheumatology. Together we will succeed ...

I suggest you see my Web page, which I check every week: · http://www.reumatologia-dr-bravo.cl/ review articles especially the section "Patient Information"


· Joint Hypermobility Syndrome (JHS)

· When
suspect SHA
· Importance of diagnosis of SHA

· pain in joint hypermobility

· Dysautonomia (chronic fatigue, dizziness and fainting)

· treatment
SHA
· Osteoporosis en el SHA



COMENTARIOS
* revised aquí tus preguntas y Anota y comentarios sobre la hiperlaxitud articular

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Hypermobilité Articulaire et Syndrome d'Hypermobilité Articulaire (SHA): Aspects psychologiques



What Joint hypermobility is that?
This is an exaggerated increase the mobility of joints due to altered collagen. It affects about 10-15% of the population. It is more common in women than in men and more common during childhood and decreases with age. The hypermobility is not a problematic condition. For some people, it is an advantage when doing artistic activities or of certain sports. The medical problem occurs when the hypermobility is accompanied by symptoms such as frequent pain in the joints (arthralgia), dislocation, subluxation, tendonitis, skin disorders, rectal or uterine prolapse, early arthritis, etc.. When this happens, then it is called joint hypermobility syndrome (AHS).


What is the joint hypermobility syndrome (AHS)?
is hypermobility associated with symptoms (discomfort in the musculoskeletal and others). It would be the tissue containing collagen and form the support structures of the body (joints, tendons, cartilage, bone, etc..) Which, being more flexible and weak, are more likely to be injured. It is a chronic syndrome, still poorly understood by patients and health professionals, despite the fact that he is the most common inherited disorders of collagen fibers (HDCT) (a group of genetic diseases that affect the matrix protein of connective tissue, which include Ehlers-Danlos syndrome, Marfan syndrome, osteogenesis imperfecta and SHA). It is estimated that approximately 25% of rheumatology consultations in Spain, and although it is considered a syndrome Benin in terms of prognosis compared with other connective tissue diseases, it can be disabling for those affected, mainly because it is a major source of pain.

Why a psychological intervention is relevant in joint hypermobility syndrome?
For several reasons. The first is the close relationship between hypermobility articular and anxiety. According to studies by Dr. Bulben Hospital del Mar de Barcelona, \u200b\u200bwe know that patients with hypermobility are 6 times more likely to suffer from anxiety disorders such as panic attacks, agoraphobia, social phobia, that people not hypermobile. We think there is a shared genetic basis between hypermobility and anxiety, as these forms of anxiety have a biological substrate (endogenous) more recognizable than other forms of anxiety, which are more related to psychosocial factors. One study actually found a cytogenetic abnormality common to both phenomena. The demonstration of a genetic relationship between joint hypermobility and anxiety has significant implications in the context of psychiatry and the wider health, having opened a new path, which allows us to detect and treat those most vulnerable to suffer anxiety disorders through signs and symptoms of hypermobility.
The second reason is that the main complaint of people with joint hypermobility syndrome is chronic pain. Although there is a biological basis for pain, individual differences, the way we process information, beliefs, etc. .. have influence the way we live hypermobility syndrome, playing a role in the development and maintenance of negative emotions, and even the perception of pain. In this sense, cognitive-behavioral intervention is highly recommended to help patients identify, understand and change those aspects that affect the perception of pain and negative emotions. Also
the intervention of a psychologist is necessary in view of certain specific anxieties that arise in patients, some patterns of inappropriate behavior (such as over-or under-activity), and emotional impact caused pair the mauvaise qualité de la vie.

BAEZA-VELASCO Carolina
psychologue Clinicienne, MA, Ph D (c) Montpellier-France
cabinet: 06.72.69.01.78