Osteoarthitis Flashcards
(12 cards)
osteoarthisi is
where the cartialge on teh end of teh bone break down causing severe pain on movemen
pain in osetathis is seen
not in the morning for for less thna 30 min
for a few minetes
during or immedialty after exercise
factors that increase risk of osetatharis are
abnomal anatomy
intra artiualr fracure
liagmanet rupture
meniscal injury
persistant heavy physcial activity
elite running
obesity
inflmation with oa is
synovial hypertorpy
subchondal change
joint effusion
chemcail changes in osteoathrisi are
il - 1b, tnf a and mmps after joint microtama
nice first line treametn for oa is
holistic and weight loss / exercixe
simple analagsia
medial treamtes of oa is
thermotehrapy, electo thamry, aids and devisice ( ie boots) and meanula theapry
intra ariclar steroisd
pharmolocial tremas of oa is
oral analgesia e.g. paracetamol, nsaids
topical treatments e.g. nsaids, capsain
little evides for opiodes
surgical referral for joint replace for oa is
when it impacts qol
where there is a refferal letter
where it is refractro to non surgical treatments
most fcommon joint to be effected is
the thumb base
clincal signs are
heberdens noes in the dip joins
bouchard nodes in pip joint
squaor at base of the thumb