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Osteoarthritis: Degenerative Joint Disease

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Osteoarthritis What is osteoarthritis? Osteoarthritis is a type of degenerative joint disease that typically affects the weight-bearing joints and produced pain. The common joints that are affected include the knees, hips, back, and hands. This condition is most commonly seen in individuals with advanced age. Osteoarthritis is one of the most commonly diagnosed joint diseases seen in primary care clinic. Although it is not a fatal condition, it can lead to impaired mobility and decreased quality of life. Some patients with severe osteoarthritis may even require surgery to improve their functionality and pain levels. Since this is such a common condition and may affect the quality of life, it is important to become educated about its …show more content…

They should especially be avoided in the elderly, as their use is associated with increased risk for fall and hip fracture. Very severe cases of osteoarthritis that do not respond to weight reduction, activity modification, physical therapy, and medications may require back or joint surgery. Surgery is usually indicated as a last resort in patients with minimal joint function that impairs their quality of life and ability to perform their daily activities. Summary: • Osteoarthritis is an extremely prevalent degenerative joint condition that frequently affects the weight bearing joints such as the back, hips, and knees. • The condition is most commonly seen in the elderly, overweight/obese individuals, people with a previous history of joint injury or surgery, and smokers. • The most common symptoms include joint pain, swelling, and mobility. • In severe cases, the muscles around the joint shrink due to underuse. • The diagnosis of osteoarthritis is typically confirmed with joint …show more content…

• Occasionally, your doctor will recommend joint braces or mobility devices such as canes, walkers, and wheelchairs. • Medical treatment includes the use of medications such as Tylenol, Advil, Aleve, Naprosyn, Celebrex, and Mobic. • Some patients may benefit from corticosteroid injections into the joint – Kenalog • In severe cases, your doctor may prescribe opiates such Codeine, Norco, Tramadol, Oxycodone, or Percocet – this should be used at the lowest dose and for the least amount of time possible • NSAIDs and opiates should generally be avoided in the elderly • Surgery may be recommended for patients with severe osteoarthritis that does not respond to medications and interferes with the quality of life and the ability to perform daily activities. References: 1. Sinusas K1. Osteoarthritis: diagnosis and treatment. Am Fam Physician. 2012 Jan 1;85(1):49-56. 2. Seed SM, Dunican KC, Lynch AM. Osteoarthritis: a review of treatment options. Geriatrics. 2009 Oct;64(10):20-9. 3. Zhang Y, Jordan. Epidemiology of Osteoarthritis. Clin Geriatr Med. 2010 Aug; 26(3):

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