Abstract
Objectives: Estimate the prevalence of nonarticular (soft tissue) rheumatism in a rural population of Bangladesh. Methods: The survey was carried out in eight villages of Sonargaon upazila of Narayanganj district about 30 kilometers from Dhaka. All subjects of both genders (5217) of ?15 years old of 8 villages were evaluated. Door to door survey was done to cover missing cases. Trained field workers identified subjects with musculoskeletal pain using Bengali version of the COPCORD (Community Oriented Program for the Control of Rheumatic Disease) questionnaire. Positive respondents were examined by trained internist and rheumatologists for definite non articular rheumatic disorders. COPCORD guideline was used for diagnosis. Results: MSK pains (positive respondent) were 1260 (24.2%) in out of 5217 (male 2556, female 2661). Among of them definite soft tissue rheumatic diseases were identified in 439 (male 102 and female 337). Major occupations were house wives (54.7), weavers (18%), and peasants (5.1%). Definite point prevalence of nonarticular rheumatism was 8.41% (male 3.7%, female 11.09%). The most common diseases were fibromyalgia (3.95%), repetitive strain injury (2.3%), nocturnal muscle cramp (0.59%), myofascial neck pain (0.48%), planter fasciitis (0.46%). Conclusion: Prevalence of nonarticular rheumatism is common in this rural community. Fibromyalgia is the leading disease. DOI: http://dx.doi.org/10.3329/jom.v13i2.12752 J Medicine 2012; 13 : 165-169
Highlights
Prevalence of nonarticular rheumatism is common in this rural community
Nonarticular rheumatism refers to a group of musculoskeletal (MSK) pain syndrome that results from pathology of extraarticular and extraosseous periarticular structures like soft tissue & their synovial sheaths, entheses, muscles & fascia
A major point conceptually is that pain from nonarticular rheumatism is not due to pathology of structures within the joint proper
Summary
Nonarticular rheumatism refers to a group of musculoskeletal (MSK) pain syndrome that results from pathology of extraarticular and extraosseous periarticular structures like soft tissue & their synovial sheaths, entheses, muscles & fascia. A major point conceptually is that pain from nonarticular rheumatism is not due to pathology of structures within the joint proper. Chronic widespread musculoskeletal pain has been subjected to several epidemiological studies during the last decade and approximately 10% of the general populations report such complaints.[1] Chronic widespread musculoskeletal pain is the clinical hallmark of fibromyalgia. 1. Medical Officer, Rhematology wing, Department of Medicine, BSMMU, Shahbag, Dhaka. 2. Professor of Rheumatlogy and Chairman, Dept. Professor of Rheumatlogy and Chairman, Dept. of Medicine, BSMMU, Shahbagh, Dhaka
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