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Osteoarthritis Management

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Osteoarthritis Management

Osteoarthritis management treatment involves a comprehensive approach to alleviate symptoms and improve the quality of life for individuals with this degenerative joint disease. It includes a combination of non-pharmacological interventions such as exercise, weight management, and physical therapy, aimed at improving joint function and reducing pain. Pharmacological options like analgesics and anti-inflammatory medications may be prescribed to manage pain and inflammation. In severe cases, surgical interventions like joint replacement might be considered. Early diagnosis and a personalized treatment plan are crucial for effectively managing osteoarthritis and minimizing its impact on daily life.

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Pharmacological options like analgesics and anti-inflammatory medications may be prescribed to manage pain and inflammation.

  • Osteoarthritis management treatment is multifaceted.
  • It aims to alleviate pain and improve joint function.
  • Weight management is essential to reduce joint stress.
  • Assistive devices can aid in daily activities.

What is trauma surgery ?

Trauma surgery is a surgical specialty that focuses on the treatment of injuries caused by accidents, falls, sports-related incidents, and other forms of trauma. It encompasses a wide range of injuries, from fractures to internal organ damage.

When is trauma surgery necessary ?

Trauma surgery is necessary when injuries are severe and require immediate surgical intervention to prevent further damage, control bleeding, repair fractures, or address internal injuries.

What types of injuries are treated by trauma surgeons ?

Trauma surgeons treat a variety of injuries, including broken bones, traumatic brain injuries, abdominal injuries, chest injuries, extremity injuries, and injuries to major blood vessels.

How do trauma surgeons prepare for emergencies ?

Trauma surgeons undergo specialized training to handle emergency situations. They are skilled in making rapid assessments, prioritizing care, and performing surgeries to stabilize patients.

What happens during a trauma surgery ?

During trauma surgery, the surgeon assesses the extent of the injury, stops bleeding, repairs damaged tissues, and restores stability to injured areas. Surgery may involve open reduction and internal fixation of fractures, wound repair, or exploratory procedures.

OSTEOARTHRITIS MANAGEMENT

➔ What is osteoarthritis?
➔ Which age group is affected?
➔ Risks Factor and Causes of osteoarthritis?
➔ What are the clinical features of osteoarthritis?
➔ How to diagnose Osteoarthritis?
➔ Management of Osteoarthritis?
➔ What is Osteoarthritis?

What is Osteoarthritis?

Arthritis is very common but is not well understood. Actually, “arthritis” is not a single
disease; it is an informal way of referring to joint pain or joint disease. Common
arthritis joint symptoms include swelling, pain, stiffness and decreased range of
motion. Severe arthritis can result in chronic pain, inability to do daily activities and
make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes.
These changes may be visible, such as knobby finger joints, but often the damage
can only be seen on X-ray.

Joint of predilection
Terminal inter-phalange joints:-

➔ Cervical & Lumber vertebra
➔ Knees
➔ Hips
➔ Sacroiliacs
➔ elbows

INCIDENCE OF ARTHRITIS

“US estimates show there are 20 million people with arthritis.
A number projected to grow to 40 million by 2020.”

“Estimates that do exist for Asia’s arthritis victims 150 Million in India At least 65
Million in China 10 million in Japan.”

Types of Osteoarthritis

1) Knee Osteoarthritis

Knee Arthritis also known as Knee osteoarthritis is a degenerative knee condition
where the articular cartilage of your knee joint gradually wears away, exposing the
underlying bone.
As your knee arthritis progresses, bony spurs also develop in and around your knee
joint in response to the change in load distribution and biomechanics.
Within your knee, there are two joints which can be affected by knee arthritis: the
tibiofemoral joint – the joint between your thigh bone (femur) and your lower leg
(tibia) and the patellofemoral joint (the joint between the kneecap and the femur
itself).

2) Hip Osteoarthritis

Hip Arthritis commonly describes the most common for of hip arthritis, which is
known medically as Hip Osteoarthritis.
Hip osteoarthritis is a joint disease that mostly affects your hip joint cartilage.
Articular cartilage is the hard slippery surface that covers the sections of bones that
move against each other in your hip joint.
Healthy articular cartilage allows your hip joint bones to smoothly and painlessly
glide over each other and also helps to absorb any shock forces not dispersed by
your hip muscles.

How to diagnose Osteoarthritis?

It’s important to get an accurate diagnosis if you think you have arthritis, as different
types of arthritis often need very different treatments. The diagnosis of osteoarthritis
is usually based on:
Your symptoms – how and when they started, how they’ve developed, how they
affect your life, and any factors that make them better or worse

A) physical examination – your doctor will check for:

a) Tenderness over the joint

b) Creaking or grating of the joint – known as crepitus
c) Bony swelling
d) Excess fluid
e) Restricted movement
f) Joint instability
g) Weakness or thinning of the muscles that support the joint.

B) Standing knee x-ray and patella x-ray

Management of Osteoarthritis? Preventive Management

Avoid over use of the joint
Avoid injury to knee
Walking, swimming, aquatic exercises and cycling are good for knees
Nutritional diet and milk and milk product are help full for the strength of bones and
joints.

Medicines Management

➔ Conventional medicine (IBUPROFEN, DICLOFENAC, INDOMETHACIN etc.)
➔ Cartilage Nourishing Agents
➔ Intra Articular Injections

Non Surgical Management

➔ Knee braces
➔ Quadriceps strengthening exercises

Surgical Management

➔ Role of Arthroscopy
➔ Role of Osteotomy
➔ Role of Total Knee Replacement

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