Osteoarthritis (DJD) Flashcards
What is OA?
Degradation of the articular cartilage and osteophyte formation
What is the typical onset of OA?
Usually develops slowly in response to mechanical stress
What joints does OA usually affect?
Hip and knee usually
Usually unilateral
Signs and symptoms of OA:
Joint pain and tenderness radiating from Synovium, Subchondral Bone, and Osteophytes
Pain worsens at rest after prolonged activity
Limited ROM and morning stiffness (30 min) that subsides with activity
Mild swelling around the joint
Clicking or grinding of joint surfaces
Risk of OA increases with high levels of what?
C-Reactive proteins
C-Reactive proteins are indicative of what?
Generalized inflammation in the body
General Interventions for OA
Patient education (how to protect the joints, and management symptoms)
Pain management
Non-weight bearing movement for stiffness
Rest & correction of biomechanical stresses
Assistive and supportive devices
Resistance exercises: partial arcs, multi-angle isometrics, isokinetics
Aquatic physical therapy
Stretching & joint mobilization
Balance activities improves joint position sense
Aerobic conditioning important for general health and weight loss
Why is strengthening surrounding muscles indicated for OA?
Stronger muscles will protect the joint, avoid painful ROM
Why is aquatic therapy indicated for OA?
Deep water decreases WB on joints which reduces pain
Interventions for Knee OA
Strengthening, low impact aerobic exercises and neuromuscular education
NSAIDs and tramadol prescription from MD
What is contraindicated for knee OA?
DO NOT USE ACUPUNCTURE
Interventions for hip OA
Manual therapy improves hip mobility and function
Functional gait and balance training
Flexibility, strength and endurance training
