OSTEOARTHRITIS Flashcards
T/F Unlike rheumatoid arthritis, osteoarthritis is not generally considered an inflammatory disease. Usually, it affects individual joints without systematic effects.
TRUE
What are risk factors for osteoarthritis?
Female Obesity Heredity Trauma Neuromuscular dysfunction Metabolic disorders
What are signs and symptoms of osteoarthritis?
Pain related to use Pain worsens throughout the day Minimal morning stiffness Decreased range of motion Joint instability Bony enlargement Restricted movement Crepitus Variable swelling and/or instability
What percentage of people over the age of 70 have osteoarthritis?
75%
Which joints are mainly affected by osteoarthritis?
Hands Feet Hips Knees Spine The joints most commonly affected in the hands are the carpometacarpal joint at the base of the thumb and the PIPs and DIPs of the fingers.
What are the non pharmacologic treatment for osteoarthritis?
The goal of OA treatment is disability prevention by pain reduction and continued mobility. Routine exercise (essential) Patient education (essential) Weight loss Physical therapy
What are the pharmacologic treatments for osteoarthritis?
Acetaminophen
NSAIDs: can be used instead of Tylenol if there are liver issues or if some inflammation is present
Intra-articular steroid injection: if inflammation is present
Hyaluronate injection: a viscous solution that helps relieve knee pain in some cases
Surgical procedures: can be explored with orthopedics if all conventional therapies have been utilized
What is first line medication for treatment of osteoarthritis
Tylenol up to 3g/day