Joint Disorder (Osteoarthritis & Rheumatoid Arthritis Flashcards
a slowly progressive non-inflammatory disorder of the synovial joint
Osteoarthritis
Expected to increase greatly as the population ages
Osteoarthritis
More common in elderly
Osteoarthritis
What is osteoarthritis?
- a slowly progressive noninflammatory disorder of the synovial joint
- Expected to increase greatly as the population ages
Causes of osteoarthritis
-medications (stimulate collagen; corticosteroids)
- inflammation
-diabetic neuropathy
-joint instability
-trauma
digesting enzymes in joint synovium
stimulate collagen
what is stimulate collagen
digesting enzymes in joint synovium
Pathophysiology of osteoarthritis
-aging (cartilage destruction)
-genetics
-decreased estrogen at menopause
- obesity
-occupational
describe the type of occupational that could lead to osteoarthritis
job that require frequent kneeling
Clinical Manifestations of Osteoarthritis (specifically joints )
-joint pain
-pain with rest or sleep (advanced)
-joint stiffness
joint pain occurs in
-groin
-buttock
-outside of the thigh or knee
After periods of rest or static position
joint stiffness
joint stiffness resolves within
joint stiffness relieves within 30 minutes
grating sensation due to lose particles of cartilage
crepitation
What is joint stiffness
-after periods of rest or static position
-resolves within 30 minutes
-crepitation
what are the 2 nodes in the clinical manifestations of osteoarthritis
-Heberden’s nodes
-Bouchard’s nodes
distal interphalangeal (DIP) joints
Heberden’s nodes
due to osteophyte formation and loss of joint space
Heberden’s nodes
Describe the heberden’s nodes
-distal interphalangeal (DIP) joints
-due to osteophyte formation and loss of joint space
proximal interphalangeal (PIP) joints
Bouchard’s nodes
Describe the Bouchard’s nodes
proximal interphalangeal (PIP) joints
What’s the difference between heberden’s nodes and bouchard’s nodes
Heberden’s nodes is distal interphalangeal joints while the bouchard’s nodes is proximal interphalangeal joints
Diagnostics of osteoarthritis
-Bone scan
-MRI
-CT Scan
-ESR
What are the management of osteoarthritis?
-Rest and joint protection
-Heat and cold application
- Nutritional therapy & exercise
Rest and joint protection in the management of osteoarthritis
not more than a week to prevent stiffness
Heat and cold application in the management of osteoarthritis
-cold for acute inflammation
- heat therapy for stiffness
Nutritional therapy in the management of osteoarthritis
-weight control
- movement therapies (yoga, tai chi)
Surgical management of osteoarthritis
Reconstructive joint surgery
Medical Management of Osteoarthritis
-Aspirin
- Capsaicin cream
-NSAIDS
- Acetaminophen
- Opioids
- Disease Modifying Osteoarthritis Drugs (DMOADs)