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Vietnam Military Medical University, West District (2025)

31/10/2022

Rheumatoid arthritis in people with diabetes

Diabetes mellitus is a systemic disease that causes not only metabolic problems but also many musculoskeletal problems. Arthritis in people with diabetes leads to disability and reduced quality of life. Early assessment and management of rheumatic diseases in patients with diabetes can prevent pain and reduce morbidity and mortality in this group of patients.

1. Limitation of joint movement
Limited range of motion occurs in small joints of the limbs that are more noticeable than in larger joints. However, there is growing evidence that reduced mobility in larger joints, including the hip and shoulder joints, also occurs in people with diabetes.

It is reported that men and women with diabetes are 5.0 to 5.9 times more likely to develop ankylosing spondylitis than those without diabetes. Because of the systemic effects of diabetes complications on collagen tissues, limited mobility can affect every joint in the body, not just the hands, feet, and shoulder joints.

2. Arthritis charcot
Charcot Osteoarthritis, first described by French neurologist Jean-Martin Charcot. It is a progressive degenerative joint disease of the foot and ankle that causes deformity of the ankle joint, affecting walking if left untreated.

Charcot osteoarthritis is also seen in other diseases, but it is more common in patients with diabetes. Men and women are equally affected. The prevalence of the disorder increased with the duration of DM treatment and in the 50-69 year age group.

Initially, there is acute inflammation with red, hot, painful swelling in the feet; Usually found in the midfoot. Fever, pain, and leukocytosis can be alarming for osteomyelitis. It is thought that repeated microtrauma to the foot causes bone disease and trauma. Another proposed hypothesis (neurovascular hypothesis) is that vasodilation causes increased perfusion of this region.

Early diagnosis can prevent unfortunate consequences such as amputation. The disease occurs more frequently in patients with poor glycemic control, and diabetes control is an important part of treatment.

The treatment of Charcot arthritis is based on the stage of the disease. Immobilizing the leg with splints and rest can prevent overloading of the foot joints, can reduce inflammation during the acute phase, and help avoid minimal deformity of the joint. Bisphosphonates have been used therapeutically. It has been shown that the administration of a single 90 mg infusion of pamidronate for 6 months followed by 70 mg of alendronate weekly reduces symptoms, corrects bone markers, and reduces pain. Surgery is not the first treatment option and will be considered in people with chronic foot ulcers.

17/10/2022

☘️Small Collagen Joint Case of Military Medical Academy☘️
1. Uses:
👉Fortify kidney and liver, improve health and increase flexibility for bones and joints.
Supplement collagen to stabilize the structure of joint cartilage.
👉🏻Prevent cartilage degeneration, joint pain and chronic diseases caused by the aging process.
👉🏻Improve symptoms of back pain, tired knees and reduced mobility.
👉🏻Support the treatment of chronic bone and joint diseases such as rheumatoid arthritis, spondylolisthesis, spondylolisthesis, disc herniation, etc.
👉🏻Relieves symptoms of numbness in the limbs due to pinched nerves
2. Target users
👉People with spine spines, spinal degeneration, disc herniation.
People with arthritis, rheumatoid arthritis, osteoarthritis, joint effusion.
People who often suffer from pain due to advanced age, acute injury or vigorous exercise.
People with shoulder pain, neck fatigue, shoulder pain due to office work and little exercise.

17/10/2022

5. Sciatica
Sciatica is a term that describes pain that radiates from the buttocks down along the path of the sciatic nerve. Causes of sciatica include:

Herniated disc: This is the most common cause, the protrusion of the disc puts pressure on the sciatic nerve causing pain.
Lumbar spondylosis: Degeneration causes bone spurs to invade the intervertebral foramen, where the sciatic nerve exits the spine, bone spurs large enough will affect the sciatic nerve and cause pain. Sometimes degeneration that narrows the spinal canal is also a cause of pain.
Spondylolisthesis: When the vertebrae slip, it narrows the intervertebral foramen, causing impact on the sciatic nerve causing pain.
In addition, other causes of sciatica are trauma, inflammation...

6. Spinal degeneration
Spinal degeneration begins after the age of 30, the older the age, the faster the degeneration process. Degeneration affects both cartilage, subchondral bone and synovial membrane, in which articular chondrocytes and subchondral bone are of primary importance. In the spinal system, there are 3 areas where degeneration often occurs and depending on the location, there are different symptoms of spondylolisthesis:

Cervical spondylosis: patients with cervical degeneration will have symptoms such as pain in the neck (back of the neck), pain in the shoulder area, and may spread to the arm. Even severely ill people may experience numbness down the knuckles or pain spreading to the top of the head, tinnitus, or eye sockets...
Lumbar spondylosis: a common manifestation is frequent pain in the lower back. As the disease progresses, the patient may experience numbness along the buttocks down to the legs, and even pain in the feet.
Thoracic spondylolisthesis: less common than the above two cases, patients often present with back pain, pain pulling in front of the chest, even causing chest tightness and difficulty breathing.

7. Osteoporosis

Osteoporosis is a metabolic disorder of the skeleton that reduces bone strength leading to an increased risk of fracture. Bone strength is reflected through two factors: bone mass and bone quality. The cause of osteoporosis can be due to hormonal changes, age, medication... Especially in women, the rate of bone loss during menopause is from 1 to 3% per year, lasts from 5 to 3 years. 10 years after menopause.

Osteoarthritis is one of the common diseases of Vietnamese people and causes serious complications that seriously affect the quality of life of patients, especially those in middle age, the elderly, people with high poor resistance. However, most bone and joint diseases can be detected and diagnosed very early, so regular health checkups are essential.

Center for Orthopedic Trauma & Sports Medicine - Vinmec Times City International Hospital specializes in treating injuries and conditions related to the musculoskeletal system and ligaments.

The center has expertise in surgery and treatment of diseases:

Partial or complete replacement of artificial bones and joints;
Replacement of hip, knee, elbow;
The first and only reversible shoulder joint replacement in Vietnam;
Arthroscopic surgery to regenerate and repair damage to ligaments and meniscus;
Bone cancer, bone and soft tissue tumors of motor organs;
Intensive Rehabilitation in Sports Medicine;
Mobility analytics to diagnose, monitor, and improve performance for athletes; diagnose and support patient recovery.
The center is applying modern and cutting-edge technologies to treatment such as 3D imaging and 3D printing of bones and artificial joints, 3D-printed and personalized assistive technology, manufacturing technology. Creation and application of artificial bones and joints with new materials and precise surgical techniques by Robot.

17/10/2022

2. Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disease, affecting the whole body, especially causing arthritis, presenting with swelling, heat, redness, stiffness and limited range of motion. Any joint can be affected, but the small joints of the hands and feet are most common. In addition to joints, other organs can also be damaged such as the heart, lungs, skin, and eyes. The joint damage that rheumatoid arthritis causes usually occurs on both sides of the body.

Rheumatoid arthritis is an autoimmune disease, so there is currently no cure. However, clinical studies show that symptoms are more likely to be relieved when treatment is started early with drugs called DMARDs (disease-modifying antirheumatic drugs).

3. Herniated disc
A herniated disc is a condition when the nucleus pulposus of the spinal disc deviates from its normal position, through the ligaments, pressing on the nerve roots, causing numbness and pain. The cause of disc herniation is due to factors such as: genetics, wrong posture at work, movement, natural degeneration, accident, spinal trauma. In fact, it is common to experience pain that radiates from the lower back down the legs (sciatica) due to a herniated disc in the lumbar spine being the most common.

4. Spina bifida
Spina bifida is a condition in which the bone on the vertebral body, cartilage discs or ligaments around the joint is developed due to the degeneration of the cartilage and bone discs, the sharp face of the joint and the spines that grow and press on the nerve causing pain.

Most patients do not feel any symptoms at first. However, when the disease begins to get worse, the spines rub against other bones or surrounding soft tissues such as ligaments and nerve roots, then new pain gradually appears.

Some of the symptoms of spina bifida are:

Pain often occurs in the neck and lower back, especially when the patient stands or walks.
In severe cases, numbness in the neck spreads through the arms, pain in the back, down the legs.
Pain increases with walking or heavy exercise. Pain increases with movement and decreases with rest, thus leading to limitation of motion in these areas.

17/10/2022

1. Osteoarthritis
Osteoarthritis is a condition in which the joint cartilage and subchondral bone are damaged, with an inflammatory response and decreased joint fluid. The cause of osteoarthritis is mainly due to old age, besides there are also favorable factors such as: genetics, obesity, frequent micro-trauma in joints, rheumatoid arthritis, infection match or have a history of strong trauma to the joint such as: fall, work accident, sports accident...

Symptoms of osteoarthritis include:

Pain around the joint: in the areas around the degenerative joint often appear dull pain, at first the patient just needs to rest, the pain will decrease, but when the disease worsens, the pain lasts and is intense. than.
Stiffness: Morning stiffness is a common symptom in patients with osteoarthritis. The most obvious manifestation when the patient wakes up, it is difficult to move the degraded, painful joints, after about 30 minutes, it can return to normal.

Deformed joints: It is possible that the degenerative joint area will be enlarged or the muscles will be atrophied.
Restriction of activities: activities of daily living are limited, such as bowing the head to the ground, turning the neck back.
There are many treatments for osteoarthritis such as:

Non-drug treatment: patients are guided to lose weight if they are overweight, and teach effective methods of combating knee osteoarthritis; Physical therapy treatment to relieve pain, correct bad posture and maintain muscle nutrition at the joint edge, treat associated muscle and tendon pain, prevent knee damage from being overloaded.
Drug treatment: anti-inflammatory pain relievers (oral, topical, injected into the knee joint), slow-acting anti-rheumatic drugs (Glucosamine sulfate and chondroitin sulfate, Diacerein, piascledine,...).
Surgical treatment: Treatment under arthroscopy (resection, planing, joint washing), drilling to stimulate bone formation, cartilage cell transplantation, joint replacement surgery.

13/10/2022

Characteristics of pain due to osteoarthritis

Osteoarthritis is a common form of arthritis, causing pain and affecting the health status of patients. This condition occurs when the protective cartilage that cushions the ends of bones is damaged or damaged. Osteoarthritis needs to be treated promptly, to avoid long term disability.

1. What is Osteoarthritis?
Osteoarthritis is a chronic disease that damages the cartilage and tissues surrounding the joints. Articular cartilage is composed of a cushion covering the surface of the bone, has a protective role, reducing friction in the joint. However, when articular cartilage or discs are degraded and weakened, inflammatory symptoms will appear, and at the same time, mucus will decrease in joints. Therefore, when the patient moves, there will be pain and stiffness in the joints.

13/10/2022

☘️Small Collagen Joint Case of Military Medical Academy☘️
1. Uses:
👉Fortify kidney and liver, improve health and increase flexibility for bones and joints.
Supplement collagen to stabilize the structure of joint cartilage.
👉🏻Prevent cartilage degeneration, joint pain and chronic diseases caused by the aging process.
👉🏻Improve symptoms of back pain, tired knees and reduced mobility.
👉🏻Support the treatment of chronic bone and joint diseases such as rheumatoid arthritis, spondylolisthesis, spondylolisthesis, disc herniation, etc.
👉🏻Relieves symptoms of numbness in the limbs due to pinched nerves
2. Target users
👉People with spine spines, spinal degeneration, disc herniation.
People with arthritis, rheumatoid arthritis, osteoarthritis, joint effusion.
People who often suffer from pain due to advanced age, acute injury or vigorous exercise.
People with shoulder pain, neck fatigue, shoulder pain due to office work and little exercise.
3. Contraindications
Do not use the product for the following people:
People who are hypersensitive to any of the ingredients in the drug.
👉People with diabetes, rheumatic heart disease, liver failure and severe kidney failure
4. User Manual
☘️ Take the drug by mouth, can be taken before or after eating.
Dosage:
👉🏻Use 2 capsules / 2 times / day
👉🏻Each course lasts from 2 to 3 months 👉🏻 Need to use the drug regularly and repeat the course from 2 to 3 times a year if necessary.
❤️ Text or "." Please comment below to order advice

13/10/2022

Handing over of promotion and commission decisions in 2022

VMMU – In the morning of May 24, the Party Standing Committee of VMMU held a conference to announce and hand over promotion decisions from major to lieutenant colonel and commion decisions to the cadres and officers of the university as well as postgraduate students. Associate Professor, Doctor, Major General Nguyen Xuan Kien, Director of VMMU, attended and gave the decisions to the recipients.

Accordingly, there were 203 cadres and officers of VMMU to be promoted or commissioned in this conference, in which, 59 officers were promoted to lieutenant colonel and 09 cadres were commissioned by the Ministry of National Defence. In addition, VMMU also handed over promotion decisions to 134 junior officers and a major first-stage pay grade promotion decision to 01 officer. There were also 83 postgraduate students who were early promoted due to their partipation in the Covid 19 pandemic prevention campaign.

In his congratulatory speech and assigning tasks to the cadres and officers who received the promotions, the University’s Director emphasized that this promotion showed the concern of the party committee, leaders in cadre affairs, especially the affair of dispatching, appointing, promoting, raising pay grade and this promotion is also the results of the constant effort of each individual. The Director wished that, in the upcoming time, with the mindset of “the higher the rank, the heavier the responsibility”, all the cadres and officers who received promotion this time would continue to be clear of their responsibility and build up a good motivation, understand throughoutly and strictly follow the resolutions and directives of the Party, the law of the Government, raise their aware of the situation, understand their given responsibility and mission, actively study and increase their overall ability to meet the requirements of their position and responsibility, build up solidarity among members of the party committee, commanders and their units, promote the roles and responsibility of building a strong and clean party committee and a comhensively strong unit.

Vietnam Military Medical University

31/10/2022

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