Osteoarthritis

Question 1

What is it

Answer 1

Degenerative joint disease, breakdown of cartilage and change bone structure.
Osteophytes.
Capsular fibrosis

Question 2

Features

Answer 2

Joint pain, worsens with activity,
Stiffness - morning less than30 minutes,
Crepitus - grinding,
Swelling
Boney enlargements - osteophytes
Distal interphalangeal (DIP) joint
Proximal Interphalangeal (PIP) joints

Question 3

Epidemiology

Answer 3

Woman
Women after menopause,
Knee most common then - hand, hip and spine
Obesity
Leading cause of disability

Question 4

Age

Answer 4

50+

Question 5

Risk

Answer 5

Age,
Female ,
Obesity ,
Repetitive motion ,
Heavy lifting

Question 6

Presentation

Answer 6

Pain,
Stiffness- LESS than 30 mins in morning
Hand - bony growths
Aggravated by long standing/ sitting
Reduced ROM
Herbanden nodes, very common in post menopausal woman

Question 7

Prognosis

Answer 7

Lifestyle changes,
Physical therapy ,
Anti-inflammatory medications
Severe - corticosteroids
Introducing natural anti inflammatory foods e,g turmeric, ginger