Osteoarthrtis (OA)

• Class will start at 6.10

OA RA
OA
• Degenerative disease
• Articular cartilage destruction====will lead to decrease joint space===there will be friction in the
joint=====pain, swelling and osteophyte formation.

7 risk factors:
Age
Sex (women>men)
Genetics
Obesity
Physical inactivity
Injury
Joint stress (occupation- kneeling, squatting, climbing stairs)
X-ray-4 features
• Decrease joint space
• Osteophyte
• Subchondral cyst
• Subchondral sclreosis
Why pain?

• -Bone-destruction/wear and tear

• -Soft tissue
• -Inflammation
• -Muscle spasm===state of partial contraction of the muscle.
Periarticular muscle will try to protect internal damage of the tissue
What subjective questions help you to
diagnose the case?
• 1. Pain most days in last month
• 2. Pain over the last year
• 3. Worse with activity
• 4.Relieved with rest
Common areas

• Knee
weight bearing,
Q angle factor
Varus
(Varus) Vulgus
tests indicates knee OA
• Crepitus
• Flexion contracture-knee joint will be in flexion position, you can not
extend fully
• Abnormal gait- pt won’t be able to take weight on affected
side==painful gait/antalgic gait. Decrease stance time on affected side
and decrease swing time on good side.
• Swelling- Swipe test
• Blocking sensation=loose body
RX
• Traction (manual )
• Open kinetic chain exercise-Non weight bearing quadriceps
strengthening (2 components, proximal fixed and distal free and non
weight bearing)
• Isometric exercise
HIP OA
• -Walk with Trendelenburg
• -Groin
• Flexion deformity
• -MR,FL,EX, Abd
How strengthen ms would reduce symptoms
of OA?