Reiter's disease, ankle and foot
ICD-10 M02.37 is a billable code used to indicate a diagnosis of reiter's disease, ankle and foot.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that develops in response to an infection in another part of the body. It primarily affects the joints, particularly in the lower extremities, including the ankle and foot. Anatomically, the ankle joint comprises the tibia, fibula, and talus, while the foot consists of multiple bones including the metatarsals and phalanges. Clinically, Reiter's disease is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. Patients may present with swelling, pain, and stiffness in the ankle and foot joints, often leading to significant movement limitations. The pathophysiology involves an autoimmune response triggered by infections, commonly urogenital or gastrointestinal, leading to inflammation in the joints. Diagnosis is based on clinical presentation, history of preceding infections, and exclusion of other arthritic conditions. Treatment typically includes NSAIDs, corticosteroids, and disease-modifying antirheumatic drugs (DMARDs) to manage inflammation and pain.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility.
Patients may require surgical intervention for severe joint damage or persistent symptoms unresponsive to conservative management.
Documentation should specify which joints are affected and the severity of involvement, as this impacts treatment decisions.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms, necessitating a comprehensive evaluation of joint and extra-articular manifestations.
Consideration of potential systemic involvement, such as skin or eye symptoms, is crucial for accurate diagnosis and management.
Functional assessments should detail the patient's mobility limitations and rehabilitation needs, including any assistive devices required.
Rehabilitation may focus on restoring function and managing pain through physical therapy and exercise programs.
Documentation should reflect the impact of the disease on daily activities and quality of life.
Used for joint swelling and pain management in Reiter's disease.
Document the joint involved, indication for the procedure, and any therapeutic agents used.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the ankles and feet, along with possible urethritis and conjunctivitis. Patients may also experience stiffness and reduced range of motion in affected joints.
