OA

Question 1

Presentation of AO

Answer 1

Joint pain and stiffness

Wear and tear of the joint

Question 2

What are the symptoms like during the day

Answer 2

Worse in the morning and improve with activity

Question 3

In AO how long does the morning stiffness last for

Answer 3

30 mins or under (RA is over 1 hour)

Question 4

1st line?

Answer 4

Topical NSAIDs (esp for knee, but can be used in other joints)

Example: ibuprofen 5% gel

Question 6

2nd line

Answer 6

Oral NSAID - ibuprofen

Question 7

What is patient cannot use both topical or oral NSIADs

What is the nest treatment

Answer 7

Paracetamol OR weak option (codeine) - for short term management

Question 8

Provide councelling on topical NSAID

Answer 8

Avoid contact with eye, inflamed or broken skin

ADR: angioedema, broncospasm, rash

Question 9

What is a rash occurs

Answer 9

Discontinue

Question 10

People with which condition should avoid NSAIDs

Answer 10

Asthma

Question 11

What non-pharmacological interventions would you recommend

Answer 11

Weight reduction
Local muscle strengthening

Question 12

Would other cream maybe suggested if patient cannot use NSAIDs

Answer 12

Capsaicin cream