A large proportion of the musculoskeletal problems for which patients seek medical attention are related to periarticular structures and do not represent a true articular process or a more generalized systemic illness. Knowledge of the common nonarticular regional rheumatic disorders is important because of their high prevalence in primary care practice, the dependence on clinical findings for diagnosis, and the high cost that can result from unnecessary laboratory evaluations. The ability to recognize important patterns of pain and physical signs is essential to making a correct diagnosis; in most cases, radiographic and laboratory studies are not needed. Diagnostic studies should be utilized judiciously and must be interpreted in the light of existing clinical findings and prestudy suspicion for specific diagnoses.
Most regional rheumatic disorders temporarily respond to local measures, such as application of heat or cold, splinting, and injection of glucocorticoids. Nonsteroidal anti-inflammatory drugs (NSAIDs) or mild analgesic medications are often helpful therapeutic adjuncts.
Treatment: A suitable herbs to correct metabolism, poultices, herbomineral approach and most importantly LOC - Linked Organ Correction, tailored to the person is very effective.