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5 Cards in this Set
- Front
- Back
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Clinical manifestations-
Morning stiffness that gets better with Mobility later on in the day pain swelling gelling tenderness effusion muscle wasting/ atrophy altered biomechanics ( joint Instability) deformity decline in function Disability |
Charecteristic features
Herbeden nodes (DIP) wrist and hand DJD(splinting/orthotics) Thumb CMC joint (splinting) HIP,Knee DJD(THR,TKA if severe ) spine DJD (Cervical spondylosis) |
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Genu varum/ genu valgum
deformities(Wedge osteotomies) |
OA- Management
acute stage- Rest if ( rubor/tumor/calor/dolor) Cold/warm compress splinting/bracing Subacute stages (if no rubor /tumor/calor/dolor) Gentle ROM graded mobilisation graded strengthening joint conservation techniques Rest amidst burst of activities Modified mobility tasks assistive devices/bracing Objective and purposeful activities as tolerated |
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Isometrics
static quads SA quads (VM) LA quads(RF) SLR (quads and hip flexors) |
Aquatic exercises
Isotonic exercises recumbent cycling Brisk walking aerobics |
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Late stages-
progressive symptoms seen If conservative measures failed after lifestyle changes diet modification wt management Medical management NSAIDS/ Inhibs COX 2 Intra- articular Injections corticosteroids Hyaluronic acid Then a Definitive Surgical evaluation and approach is necessary |
TKA
THR |
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Effective Pre-op teaching and Therapy
will Improve Post-operative outcome |
Specific Post-Op Protocols are followed
on case based approach by most surgeons |
