chronic pain and disorders Flashcards
(37 cards)
what is osteoarthritis
- wear and tear arthritis
- non inflammatory, slowly progressive
what is OA caused by
deterioration of articular cartilage in synovial joints and vertebrae
-wearing of articular cartilage until bone to bone
what type of joints does OA affect
weight bearing joints
- not systemic
- hands, hips, knees, spin
is OA symmetrical or unsymmetrical
unsymm
joint pain is caused by what in OA
grating of bone, bone spurs(osteophytes), sclerosis of joint
who is affected by OA
older age 40+ repeated injuries overweight genetics manual labor
Signs and Symptoms of OA - OSTEO
O
outgrowths boney
- heberden (distal join - top joint by finger nail)
- bouchard (proximal joint - closest to knuckle)
Signs and Symptoms of OA - OSTEO
S
Sunrise Stiffness less than 30 minutes
-pain and stiffness worse at the end of the day
Signs and Symptoms of OA - OSTEO
T
Tenderness on joint site - bone spurs (osteophytes)
-no warmth or redness
Signs and Symptoms of OA - OSTEO
O
only joints not systemic
What is RA
rheumatoid arthritis
due to immune system attacking the synovium (within the joint)
What does RA affect
joints and other systems
Most common places for RA
fingers wrists neck shoulders elbows knees ankle feet
is RA symmetrical or unsymmetrical?
symmetrical
if right wrist has it, so does left wrist
How is RA systemic?
fever, anemia, hear, lungs
Causes of RA
unknown
affect woman more than men
Age range for RA
20 - 60
What happens when you have RA
WBC attack synovium and inflame
What is the inflammation called in RA
synovitis
joints are red, warm, soft, boggy
Side effects of OA
extreme stiffness
limited mobility
pain
Signs and Symptoms of RA - Seven S’s
1 - sunrise stiffness
Sunrise Stiffness > 30min
Signs and Symptoms of RA - Seven S’s
2 - what does the joint look and feel like
Soft, tender, warm joint
Signs and Symptoms of RA - Seven S’s
3-What happens to joint
swelling in joint
Signs and Symptoms of RA - Seven S’s
4-symmetry
symmetrical
