Arthritic Conditions

Question 1

Degenerative Joint Disease

Answer 1

Degenerative process, multiple etiologies - mechanical changes, disease and/or joint trauma.

Characterized by: degeneration of articular cartilage, hypertrophy of subchondral bone and joint capsule of WB joints
Medications: NSAIDS, corticosteroids for inflammation
Interventions: joint protection, joint mechanics, endurance with aquatics

Question 2

Rheumatoid: Ankylosing Spondylitis

Answer 2

Progressive inflammation that starts in the axial skeleton - unknown etiology

Characterized by: back pain initially, morning stiffness, sacroiliitis - decreased lumbar lordosis and increased kyphosis of cervical and thoracic
Interventions: flexibility for trunk in all directions, endurance with aquatic, relaxation to maintain respiratory function

Question 3

Rheumatoid: Gout

Answer 3

Genetic - elevated serum uric acid, deposits into peripheral joints and organs

Characterized by: most frequently seen in the knee and great toe
Medications: NSAIDs, COX-2 inhibitors…
Interventions: injury prevention and reduction, early ID of condition with medical treatment

Question 4

Rheumatoid: Psoriatic arthritis

Answer 4

Chronic, erosive inflammation, associated with psoriasis

Question 5

Rheumatoid arthritis

Answer 5

Chronic, systemic disorder involving synovial tissues and articular cartilage

Characterized by: ulnar drift of PIP joints, swan neck of boutonniere deformities, nodes on dorsal PIP