Osteoarthritis Flashcards
Most common joint dx
Osteoarthritis
What are risk factors for osteoarthritis
age
gender
genetic predispostion
occupational and recreational activites
What is pathophysiology of osteoarthritis
chondrocyte fails between cartilage formation and destruction
- loss cartilage joint
What is clinical presentation osteoarthritis
pain worse with activity brief morning stiffness and gelling of joints bony enlargement crepitus on motion limited joint motion
what is osteoarthritis dx
symptoms
physical exam
radiography
What are txt goal osteoarthritis
educate patient relieve pain and stiffness maintain or improve joint mobility limit functional impairment preserve joint integrity maintain or improve QOL
What non-pharmacologic txt osteoarthritis
pt ed strenghen and range of motion exercises use of assistive devices joint protection weight loss surgery
What is first line txt for mild to moderate osteoarthritis pain
acetaminophen
What is alternative to nonselective NSAIDs for osteoarthritis pain
nonacetylated salicylates
What should consider for moderate to severe pain or pain unresponsive to APAP for osteoarthritis pain
nonselective NSAIDs
What is an alternative to nonselective NSAIDs or to consider for patients with high GI risk or low CV risk for osteoarthritis pain
COX-2 inhibitors
What are alternatives to oral agents for osteoarthritis pain
Intraarticular corticosteroids
intraarticular hyaluronic acid
What is not recommended for knee osteoarthritis pain
topical capsaicin
glucosamine sulfate +- chondroitin
What are recommended for the nonpharm mgmt knee and hip OA
cardiovascular (aerobic)/resistance exercise
aquatic exercise
lose weight
What is recommended for the initial mgmt knee and hip OA
acetaminophen oral NSAIDs Topical NSAIDs (knee only) Tramadol Intraarticular corticosteroid injections
