Osteoarthritis

Question 1

Stiffness

Answer 1

<20min in the morning

Question 2

Management: conservative

Answer 2

Weight loss and aerobic exercise (non-weight bearing)
Occupational therapy - walking aids

Question 3

OA management: pharmacological

Answer 3

1st line - paracetamol or topical NSAIDs (knee/hand OA)
2nd line - oral NSAIDs/COX-2 inhibitors, opioids, capsaicin cream and intra-articular corticosteroids

Question 4

Intra-articular steroids

Answer 4

Temporary (weeks) relief, used for cover in important events
Associated with systemic side effects

Question 5

OA surgical management

Answer 5

Hip
- cemented hip replacement