Degenerative JOINt Disease/ Osteroarthritis Flashcards
1
Q
what is it
A
articular carticalge deterioration
non inflamm non systemic
osteocytes form resulting in narrow joint space
on our big bones that bear weight hips knees cervical lumbar spine
2
Q
Signs and symptoms 5
A
immobility pain - worse at end of day (cheif co) muscle spasm and pot inflammation stiff in AM <30 mins crepitus- grading sounds
3
Q
Risk factors 5
A
increase age obesity previous joint damage deformity/ genetic suscp female gender (more oftem)
4
Q
MAnagment 6
A
weight reduction (IBW)- press Heat or ice Joint rest ortotic devices (slpit or knee brace) TENS (elctro) music therapy PT or OT
5
Q
Diagnostic
A
ESR and C react protein - slight elev r/t syosis
xray- structural changes
6
Q
Meds - pain and sympt
meds
A
acetominphen(main), NSAIDs COX-2 inhib for clients at risk for GI bleed/ may monitor GI bleed opiods intra articular steriods capsaicin- topical analgesics GLucosamin and chondrotin Viscosuplement - short term gel lube
7
Q
Surgery managment 2
A
osteotomy- alter disrbution of weight within joint- cut and reshape
arthroplasty-joint replacemtn componets replaced with artificial
8
Q
difference between RA and OA
A
OA is local, big joints, not gender specific
pain worse in pm
9
Q
Onset age OA
A
45-90 yrs
