lec 9 - inflammatory arthritis

Question 1

arthritis or not?
- no pain with active or passive ROM

Answer 1

not - normal

Question 2

arthritis or not?
- pain inside the joint with both active and passive ROM

Answer 2

yes - articular arthritis

Question 3

arthritis or not?
- pain outside the joint with active ROM, no pain with passive ROM

Answer 3

not - MSK related (non articular)

Question 4

arthritis or not?
- no pain with active ROM, pain inside the joint with passive ROM

Answer 4

yes - articular (non-MSK related)

Question 5

what are the main tells of inflammatory arthritis

Answer 5

• stiffness in the AM lasting more than 30mins
• systemic symptoms (weight loss, fevers, night sweats)
• joint pattern fits with RA
• nodules, rashes, or other organ involvement

Question 6

what are the main tells of non inflammatory arthritis

Answer 6

• stiffness after inactivity that lasts a few mins
• no systemic symptoms
• joint pattern fits with OA
• no other features or organ involvement

Question 7

what is the order of joints affected in RA

Answer 7

distal to proximal
(small joints first)
symmetrical

Question 8

what are the most common risk factors for RA

Answer 8

genetic factors (responsible for most)
environmental factors - sex and hormones (more likely in women)

Question 9

what are the goals in the treatment of RA

Answer 9

• prevent or control joint damage
• preserve or prevent loss of function
• decrease pain and swelling

Question 10

what are the roles of non pharmacological treatments of RA (PT and exercise)

Answer 10

• decreases pain and stiffness
• improves ability to perform daily tasks and activities
• enables better sleep relasation
• strengthens muscles and tendons to take weight off of the joints
• helps maintain healthy weight and improves sense of well being
• decreases likelihood of medical complications