Osteoarthritis Flashcards
Which components of the joint are involved in OA
All
What types of pain are involved in OA?
Nociception, peripheral sensitisation, and central sensitisation
What are the most important interventions for OA?
Weight loss
Exercise
Patient education
CBT
What medications are evidenced based?
NSAIDs
Duloxetine
NGF inhibitors? (nerve growth factor)
Intra-articular therapies - glucocorticoids
What is the caution with NGF-inhibitors
Accelerated joint destruction and need for arthroplasty
How long do intra-articular glucocorticoids therapeutic effect last?
~2 months average
Is fish oil evidence based for OA?
No
Which analgesics should be avoided?
Paracetamol
Opioids
Gabapentinoids
Glucocorticoids
What is the role of arthroscopy in OA
There is none