Most diseases are chronic. There is slight pain and tenderness in the local area, muscle spasm, and then joint activity is limited. After that, the upper and lower muscles of the joint showed disuse atrophy, which led to spindle swelling of the joint.
The treatment of tuberculous arthritis can use anti-tuberculosis drugs such as streptomycin, sodium p-aminosalicylate, remifentanil and rifampicin. If there are drug resistance or side effects, ethambutol, kanamycin, ethionine, etc. Can be used. Some anti-tuberculosis treatments last for several years. Pay attention to the side effects (hearing damage) caused by streptomycin and kanamycin. Because this kind of hearing impairment is first of all the high-pitched damage, it is difficult to notice in daily life.
Because the bone in the lesion is easy to be damaged, it can be fixed locally, or a special device can be installed to prevent the foot from directly touching the ground.
Because it is difficult to cure the disease with only anti-tuberculosis drugs, surgery can be done to remove the focus. Arthrodesis is an effective method widely used, but it will bring inconvenience to work and life because the joints can't move. Joint plastic surgery is to completely remove the tuberculosis focus of the joint and restore the joint function as much as possible on the basis of anti-tuberculosis drug treatment.