Systemic connective tissue diseases (collagenoses)

Rheumatoid arthritis (RA)

polyarthritis, hand/foot deformities, cervical instability (caution with manual techniques).

Systemic lupus erythematosus (SLE)

arthralgia, myopathy, vasculitis, osteonecrosis (steroids).

Systemic sclerosis (SSc)

contractures, Raynaud's, digital ulcers; need for tissue protection and occupational therapy.

Sjögren's syndrome

myalgia, peripheral neuropathic symptoms; management of dryness (energy, endurance).

Mixed connective tissue disease (MCTD), undifferentiated CTD

combined signs of RA/SLE/SSc.