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Rationales
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, Symptoms of OA Deep, aching joint pain, occurring especially after exercise or weight-bearing;
relieved with rest.
Joint pain during cold weather
Stiffness when arising in the morning
Crepitus of the joint during motion
Joint swelling
Altered gait
Limited range of motion
Muscle weakness around arthritic joints.
Over time, pain is present even when you are at rest
Pain that is worse when you start activities after a period of no activity.
Goals of Treatment of OA increase the strength of the joints
maintain or improve joint movement
reduce the disabling effects of the disease
relieve pain
the treatment depends on which joints are involved
Lifestyle Recommendations for OA Exercise helps maintain joint and overall movement.
Water exercises
Applying heat and cold
Eating a healthy, balanced diet
Getting rest
Losing weight if you are overweight
Protecting the joints
Diagnosis & Treatment of OA a physical exam may show:
-joint swelling (bones around the joints may feel larger than normal)
-limited ROM
-tenderness when the joint is pressed
-normal movement is often painful.
*no blood test are helpful in diagnosing OA
*an x-ray of affected joints will show a loss of join space.
*in advanced cases, there will be a wearing down of the ends of the bone and
bone spurs..
Medications for OA OTC pain relievers: Tylenol
NSAIDS: asprin, ibuprofen, and naproxen
Celebrex (a COX-2 inhibitor) may work as well as other NSAIDs
Corticosterioids injected right into the joint- relief lasts only a short time.
Supplements: glucosamine and chondroitin sulfate
Capsaicin (Zostrix): skin cream may help relieve pain; relief usually begins within 1-
2 weeks.
Artificial joint fluid can be injected into knee. May relieve pain for 3-6 months.
Prognosis: Prevention of OA weight loss can reduce the risk of knee OA in overweight women.