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11 Cards in this Set

  • Front
  • Back
What is Osteoarthritis?

Most common form of arthritis.


OA develops as a wear and tear on the joints breaks down the cartilage in the joint causing bone to rub on bone.

Etiology of Oteoarthritis

classified as either idiopathic or secondary.


-Idiopathic OA has no identifiable cause but most scientists believe it is caused by both mechanical and molecular factors.


-Secondary OA is caused by an underlying condition, such as injury, congenital malformation, metabolic, endocrine, or neuropathic disease

Risk Factors

Older age(80% of individuals over 55) before age 45 more men but after age 45 more women


Obesity


Diabetes


Hypothyroid


Gout


Paget disease


Joint injuries from sports, accidents, repetitive use

What are some Preventions of OA?

-Maintain ideal body weight and participate regularly in a moderate exercise program.


-Both inactivity and excessive exercise can lead to premature breakdown of the joint cartilage.


-Good posture and proper body mechanism

Complications of Osteoarthritis

Joint Pain


degeneration


stiffness


unsteady gait


effects of medication all increase the risk of falling



Collaboration for Osteoarthritis

Treatment of OA requires multidisciplinary care from nurse, primary care physicians, rheumatologists, physical and occupational therapies

Diagnostic Test for Osreoarthritis

Physical examination


X-ray


MRI


ultrasound


Blood test


Joint fluid analysis- to detect inflammation and the presence of bacteria or uric acid crystals



Pharmacologic Therapy

Many OTC medications are effective for treatment of mild to moderate pain.


Tylenol


COX-2 inhibitor celecoxib


NSAIDS are generally well tolerated but can produce cardiovascular and GI effects


Opioid analgesics such as codeine, tramadol, or hydrocodone


Topical creams, rubs, sprays

Nonpharmacologic therapy

OA includes heat and cold application


use of assistive devices


weight reduction


rest


education


exercise


coping


Orthotics