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Osteoarthritis

Osteoarthritis

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Published by: api-3822433 on Nov 26, 2009
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03/18/2014

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Osteoarthritis
By: Sue Renfrow, RN, BSN
Osteoarthritis

* A form of Degenerative Joint Disease (DJD)
* A common disabling joint disorder (problems with hips, knees, ankles)
*Osteoarthritis is the most prevalent activity limitation among the elderly leading to disability
*Affects 16- 20 million people in U.S.

Causes

*Idiopathic- Primary
*No prior event or disease
* Aging

*Secondary
*Resulting from previous joint or inflammatory disease
*Congenital diseases ( Legg-Cave\u2019-Perthes)
*Gout
*Obesity the more you weigh the harder it is on your joints

Clinical Manifestations

*Pain
*Stiffness/ swelling
*Functional Impairment/ asymetric
*Heberden\u2019s Nodes

Assessment/Diagnostic

*Physical assessment of musculoskeletal system
*Location and pattern of pain
*X-Rays- Show loss of joint cartilage, narrowing of joint space, osteophytes (bone Spurs)
*Labs-ESR, RH-rule out RA (RH 40 or less)

Medical Management

*Decrease weight
*Injury prevention
*Ergonomic modifications

Conservative:

-heat/cold
-avoid overuse
-supports for joints
-isometric, postural and aerobic exercise
-Physical/Occupational therapy

Pharmacological
*Tylenol, Acetaminophen (drug of choice) worry about liver damage

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