Week 4: Home

Question 1

Osteoarthritis (General)

Answer 1

• Cartilage damaged (fibrillation)/smaller joint space/bone on bone contact.
• Cysts develop beneath bone.
• Osteophytes (bone spurs) develop on the surface.
• Ligaments inflamed and degenerate.

Question 2

Osteoarthritis (Tx)

Answer 2

• Radiography can detect it
• NSAIDS.
• Direct injection into the joint
• Arthroscopic surgery to remove damaged tissue.
• Total arthroplasty. (Hip & Knee only)

Question 3

OA (Hand)

Answer 3

• Bumps/lumps on fingers
• Crepitus (cracking and clicking)
• Bone spurs, swelling, redness, weakness.

Question 4

OA (Hand) (Tx)

Answer 4

• Anti-inflammatory and pain-relieving medications
• Injecting cortisone
• Splint/Brace
• Hot/Cold Therapy

Question 5

OA (Feet)

Answer 5

• Tenderness/pain
• Warmth, joint stiffness, swelling, bone spurs, trouble walking or weight bearing

Question 6

OA Feet (Tx)

Answer 6

• Pads/arch support in shoes
• DME
• ROM Activities

Question 7

OA (Hip)

Answer 7

• Unilateral Pain (Groin/Upper leg pain)
• Lack ROM
• Spasms
• Muscle Atrophy (Abd & Ext)

Question 8

OA Hip (Tx)

Answer 8

• Exercise, can improve pain.
• Endurance exercises/HEP
• Heat, ice, ultrasound, E-stim and massage.
• Gait with DME
• Prevent contracture by avoiding prolonged inactivity.

Question 9

OA (Knee)

Answer 9

• Lack of ROM
• Spasms on hamstrings lead to Knee Flex. deformity/contracture.
• Genu valgus due to quad weakness and atrophy.
• Leg may appear larger
• Knee may lock or “give way.“

Question 10

OA Knee (Tx)

Answer 10

• Exercise for strengthening quadriceps.
• Stretching hamstrings & PROM of the patella.
• Use of heat, ice, ultrasound, E-stim and massage.
• Gait training DME
• Prevent contracture by avoiding prolonged inactivity.

Question 11

Septic Arthrities

Answer 11

• Knee joint affected/infection
• Acute tenderness/ inflammation/loss of function
• Unilateral pain

Question 12

Septic Arthrities (Tx)

Answer 12

• Porgressive HEP
• Endurance Activities
• Rest if damaged

Question 13

Hemophilic Arthritis

Answer 13

• hemarthrosis (bleeding in the joint)
• Blood in Synovial Fluid causes deterioration
• Sudden onset pain after injury
• Cyst formation in bone
• Damaged synovium

Question 14

Hemophilic Arthritis (Tx)

Answer 14

• Blood drainage
• Low impact Exercises
• Similar to other OA (Tx)

Question 15

Gout (Crystal Arthritis)

Answer 15

• Uric acid in blood creates sharp crystal shaped inside joint
• Tachycardia/fever
• Fatigue/extreme pain

Question 16

Gout (Tx)

Answer 16

• Medication
• Lifestyle changes
• Less meat (Red Meat)