Rheumatoid polyneuropathy with rheumatoid arthritis of knee
ICD-10 M05.56 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of knee.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), characterized by peripheral nerve damage due to systemic inflammation. The knee joint, a hinge joint formed by the femur, tibia, and patella, is commonly affected in RA, leading to synovitis, joint effusion, and pain. Patients may present with symptoms such as weakness, numbness, and tingling in the lower extremities, alongside typical RA manifestations like joint swelling and stiffness. The pathophysiology involves autoimmune-mediated inflammation that damages both the synovial tissue and peripheral nerves, resulting in functional impairments. Clinically, patients may experience significant movement limitations, particularly in flexion and extension of the knee, impacting their mobility and quality of life.
Imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion and strength.
Surgical interventions such as arthroscopy or knee replacement due to severe joint damage.
Documenting the extent of joint damage and functional limitations is crucial for surgical candidacy.
Regular monitoring of inflammatory markers (e.g., ESR, CRP), assessment of disease activity using tools like DAS28.
Management of systemic symptoms and adjustment of DMARDs or biologics based on disease progression.
Documenting systemic involvement and response to treatment is essential for ongoing management.
Functional assessments to determine mobility limitations and rehabilitation needs, including assistive device evaluations.
Rehabilitation programs focusing on improving joint function and reducing pain.
Assessing the need for adaptive equipment and home modifications to enhance patient mobility.
Used for knee joint effusion management in RA patients.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic considerations for joint management and rheumatologic implications for inflammation control.
Key symptoms include weakness, numbness, tingling in the extremities, and joint pain, particularly in the knees. These symptoms arise from both the inflammatory processes of rheumatoid arthritis and the direct effects on peripheral nerves.
