Lecture 22 Osteoarthritis and Principles of Management Flashcards
1
Q
Name Bimechanical factors of OA
A
Abnormal anatomy Intra-articular fracture Ligament rupture Meniscal injury Occupation- farmers, football players Persistent heavy physical activity Elite running Obesity
2
Q
Name 3 things effects of inflammation in OA
A
Synovial hypertrophy
Subchondral changes
Joint effusion
3
Q
What biochemical mediators are elevated in OA
A
IL-1B
TNF-a
MMPs
4
Q
What are features of a clinical diagnosis of OA
A
45+ years Activity-related joint pain No morning stiffness or stiffness that lasts no longer than 30 minutes Rapid deterioration of symptoms Hot, swollen joint
5
Q
What are differential diagnosis of OA
A
Gout
Other inflammatory arthritis
Septic arthritis
Malignancy
6
Q
What is the holistic assessment of person with oA
A
Social- hobbies, duties Occupational Mood Quality of sleep Support network Pain assessment Attitudes to exercise
7
Q
What are the non-pharmacological treatments of OA
A
- Thermotherapy
- Electrotherapy
- Aids and devices
- Manual therapy
8
Q
What are the pharmacological treatments of OA
A
- Oral analgesia: paracetamol, NSAIDs
* Topical treatments: NSAIDs, capsaicin (knee, hand)
