OA/RA

Question 1

What are the main risk factors for developing OA?

Answer 1

Genetics
History of joint injury/surgery
Participation in some sports
Occupation
Obesity
Sex
(Genetic History of POOS)

Question 2

What are the SIGNS of OA? (4)

Answer 2

• Monoarticular/oligoarticular, asymmetrical involvement
• Local tenderness
• Limited motion with passive/active movement
• Bone proliferation/synovitis

Question 3

What are the SYMPTOMS of OA? (6)

Answer 3

• Pain
• Deep aching
• Stiffness in joint
• < 30 mins duration
• Weather
• Limited joint motion

Question 4

What are the THREE most common locations affected by OA?

Answer 4

Hip, hands, knees

Question 5

What is the difference between PRIMARY and SECONDARY OA?

Answer 5

Primary = IDIOPATHIC, more common
Secondary = Associated with a KNOWN CAUSE (inflammation, trauma, metabolic/endocrine disorders, congenital factors)

Question 6

Name some differences in OA compared to RA?

Answer 6

Older age for OA
Localized in joints for OA
In larger/weight-bearing joints for OA
Brief stiffness in OA
Joint pain only with USE in OA
Unilateral in OA
NO AutoAb in OA

Question 7

What are the STRONGLY RECOMMENDED NON-RX treatments for OA? (5)

Answer 7

• Exercise
• Self-management programs
• Tai chi (knee/hip)
• Weight loss
• Assisted devices (canes, knee braces, hand orthoses)

Question 8

What are the CONDITIONALLY RECOMMENDED NON-RX treatments for OA? (3)

Answer 8

• Cognitive behavioral therapy
• Yoga (knee)
• Thermal interventions

Question 9

What are the NON-RX treatments for OA to AVOID?

Answer 9

**Transcutaneous electrical stimulation (TENS)
- Massage therapy
- Manual therapy with exercise (ie. lymphatic drainage)

Question 10

What are the STRONGLY RECOMMENDED RX treatments for OA? (3)

Answer 10

• Oral NSAIDs
• Topical NSAIDs (knee)
• intraarterial steroids (knee/hip)

Question 11

Oral NSAID doses for OA treatment should be as _____ as possible for as ______ duration as possible.

Answer 11

Dose should be as LOW as possible for as SHORT duration.

Question 12

What are some AEs of oral NSAIDs?

Answer 12

**Ulcers/gastric bleeding
- Nausea
- Dyspepsia
- Increased risk of hypertension, stroke, myocardial infarction
- AKI, sodium deficiency

Question 13

Topical NSAIDs are strongly recommended for ___ OA and conditionally recommended for ___ OA

Answer 13

Strong rec = KNEE OA
Conditional rec = HAND OA (may come off from regular use of hands)