Understanding Reactive Arthritis

This video contains a detailed and simplified explanation of reactive arthritis. We discuss the pathophysiology, presentation, features, investigations and management of reactive arthritis.

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DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not YouTube videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

[ireneb]

OMG! I am so, SO GRATEFUL for your generous sharing!!! Wow!! So much more useful than all the expensive specialist appointments I've been attending for a couple of years now!! Thanks again (from Down Under, Australia!)

[Paul-dvdr]

Good video. I was diagnosed with this 40 years ago (aged 19). I had one flare-up of the knee about 5 years later but it was aspirated and no further complications. That flare-up was after a period of eating poorly/unhealthily.

[houstonwarren]

I am HLA-B27 Positive and Reiter's Syndrome diagnosed since 2004. I've been taking Enbrel since 2005 with perfect results. As far as the joints go...mine is bilateral (both knees and wrists with some individual vertebrae in the spine and neck occasionally if I stay off Enbrel too long (like 4 weeks). Enbrel is not prescribed for Reiter's/Reactive arthritis because big pharma will not spend the money to do the study on such a small population of patients but it works flawlessly for me. Without it I am bed ridden. With it I can bench 225 and squat 225 t 50 years old. Just sayin'

[carrieo]

Patient here. I presented with only ”can't climb a tree.” Looking back I wish I had been given a course of antibiotics because it could have helped. For me, the swelling and pain came on quite rapidly in one knee. Seven Weeks later inflammation spread to hips and shoulders, right knee. The pain was excruciating. I’m female. I presented with no other symptoms. Now six years later I am still trying to find a biologic that will work past 14 months. Note, there are no pamphlets to give to your patients on this disease and not much information online either. We seem to fall in the cracks between RA and Psoriatic Arthritis. My doctors are good people but not one of them explained to me exactly what was happening to my body. This disease, if chronic will change a person's life dramatically. It would have helped me, in the beginning, to know the information presented in this video.

[kathrynludrick]

My nephew, in his 30's, just came down with this. He had a UTI about a month ago. Multiple joints affected, his knees being the worst. In a lot of pain and can barely walk. Fortunately, he was seen by VA doc and started on Prednisone.

[dr.vicnelvictorianelima]

Thank you so much. Currently preparing for final medical school exams and this has proved so useful for my internal medicine revisions. Thank you

[alicesummers]

These videos are so helpful and great for revision! Thank you!!

[truongngo]

Excellent precise video. You are excellent at explaining medical concepts. Will recommend this to medical students

[iamtheraseo]

Love your videos and explanation are great and well paced. Please keep them coming.

Would really love to see some MCQ based questions at the end. It is a useful way to reiterate the core points on the topic.

[GabrielMSandulescu]

I have this since 2019, nobody figured it out until February 2022 when I went to a rheumatology control. Yersinia IgG was positive. In 2019 prostatitis was present as well as joint pain and diarrhea. No fever. Besides that I had lipomas growing very fast. In 2022 i had very bad joint pain in my arms so from there they have start searching for bacterial infection because the blood analysis were perfect, still searching for my treatment, I'm on my third antibiotic scheme. Hope this works...

[janithperera]

If only Med school Profs were as good as you in practical teaching. Love you're vids

[sauravpal]

Thank you. Very helpful videos. Loved the whole arthritis series!

[littlemermaid]

I googled the names of all my issues and this came up. Back in January I think I ate bad kale because I had diarrhea for a week after that I got diagnosed with to diverticulitis. After that I got a UTI and I kept getting tests with an infection but no one knew what it was. I had to have ankle surgery in February and then I had all these issues because of that surgery and the recovery. I fell at the end of May on the left side of my body, opposite of my surgery spot and then in July I started getting out of nowhere left knee pain, lower back pain now upper back pain and elbow pain, and I wake up with swollen eyelids every day without even eating salty foods.
It all makes sense. I must’ve eaten some thing with salmonella and all of this happened. I have gotten tested for the STD stuck in closet and I am clean. I am going to the doctor to let her know what I think I have because it’s not normal. I have never felt so strange in my life. Not only was the ankle surgery intense but now this. My quality of life has diminished greatly. Thank you for the information.

[Babesinthewood]

I have this right now after simply using a wooden dental pick to clean my gums. I used the tooth pick on monday evening which caused an infection that spread rapidly to my throat and on Wednesday, today, I can’t walk, spent the night in the ER, and I can only walk with the aid of crutches, but just barely, it’s so painful. However, my father is a doctor so he diagnosed me immediately and I took an antibiotic as soon as I had the rapid spreading throat infection.

[Dana-cvku]

I'd appreciate your input here, so in 2018 I had hip joint pain (not swollen) and it still hurts now especially when I sleep on that side, and this year I had anterior uveitis. Do you think there's link between the two, I tested for STD before having joint pain but only cold sores is positive. Thanks

[BallyBoy]

3:12 mark - "Can't see, pee, or climb a tree" - I love this paha! Thanks, this will come in handy.

[katdimitriadis]

Oh my god, what a great video. The GP I just saw was useless at explaining what you explained amazingly well. Not everyone can teach I guess.

[DaisyCar]

I’ve been told I have this. It’s in my hands, wrists, knees, shoulders and elbows. Incredibly painful and I have newborn twins to look after!

[PowderChaser]

I just bought the book for kindle, great work!

[DrFarahBangash]

Amazing and informative channel for medical students 👍🏼👍🏼👍🏼👍🏼