7: Osteoarthritis Flashcards
T/F Unlike rheumatoid arthritis, osteoarthritis is not generally considered an inflammatory disease. Usually, it affects individual joints without systematic effects.
True
T/F OA is not inflammatory. Therefore, there is joint pain but no swelling. Swelling is common with RA though, as it is inflammatory in nature.
False. Although swelling often occurs in the soft tissue surrounding affected joints, osteoarthritis is not inflammatory by nature.
T/F RA is more common than OA.
False. OA is the most common arthritis.
OA occurs with _____ loss.
Cartilage
On x-ray, you can see bone _____ and bone _____ in OA.
Bone spurs and bone cysts
Risk factors for OA (7)?
- Age: 75% of persons over age 70 have OA
- Female
- Obesity
- Heredity
- Trauma
- Neuromuscular dysfunction
- Metabolic disorders
Does OA have morning stiffness or pain later in the day?
Pain later in the day (after use).
Is there decreased ROM with OA?
Yes
T/F There are no bony enlargemennts with OA.
False
T/F Crepitus can be present with OA.
True
What joints are commonly affected by OA (5)?
- Hands
- Feet
- Hips
- Knees
- Spine
The joints most commonly affected in the hands are the _____ at the base of the thumb and the _____ and _____ of the fingers.
Carpometacarpal joint at base of thumb
PIPs and DIPs
The goal of OA treatment is _____ by pain reduction and continued mobility.
Disability prevention
What are nonpharm treatments for OA (5)?
- Routine exercise
- Patient education
- Physical therapy
- Weight loss
- Surgery (last resort)
What are pharm treatments for OA (4)?
- Acetaminophen: first-line treatment, up to 3 g/day.
- NSAIDs: can be used instead of Tylenol if there are liver issues or if some inflammation is present.
- Intra-articular steroid injection: if inflammation is present.
- Hyaluronate injection: a viscous solution that helps relieve knee pain in some cases.
