Osteoarthritis Flashcards
Who does it typically affect?
Women over 50 (women 3 times more likely to get it than men)
OA can be classified into what?
Primary (generalised) or secondary to another joint disease or condition (obesity, occupational, haemachromatosis)
Where does localised disease mainly affect?
The hip or knee
What are symptoms of localised disease?
Pain and crepitus on movement, worse at the end of the day, background pain at rest, stiffness for 30 mins after rest, joint gelling, joint instability
Which joints are usually affected by primary (generalised) disease?
DIP joints, thumb carpo-metacarpals, knee joints
What are the symptoms of primary disease?
Heberdens nodes, bouchards nodes, tenderness, derangement, bony swelling, decrease range of movement, mild synovitis
What might OA affect in terms of a persons lifestyle?
Ability to work, carry out duties, hobbies and life expectations
What test is done?
Plain XR
What would you see on the XR (use LOSS)
Loss of joint space
Osteophyte formation
Subchondral cyst formation
Sub articular bone sclerosis
List all the factors predisposing an individual to OA…
FMH, gender, sport with repetitive movement, occupation (manual), childhood joint disorders, pre existing joint disease, obesity, trauma
What is the core treatment (non-pharma)?
Exercise to increase local muscle strength, general aerobic exercise, weight loss
What is the normal analgesia therapy used?
Regular paracetamol and topical NSAIDs,
If paracetamol and topical NSAIDs are in effective what would you use?
Codeine, oral NSAID and PPI
What expensive treatment is as affective as NSAIDs but more expensive?
Hylaronic acid/steroid injections
What other non-pharma management is useful to employ?
Multi disciplinary help, including physios, OTs, walking aids, hot and cold packs
