Osteoarthritis
=Degenerativejointdisease/degenerativearthritisDefinition
- Wearandtearofjointsurfacecartilage- Eventualinvolvementofbonystructuresandsofttissues- Maybeagerelatedoroccuraftertrauma/injurytoajoint- Commonlyaffectsknees,hips,handsandspine
Diagnosis
- History- Jointexamination- X-ray- NoMRIrequired
TypicalSymptoms
- Painwithactivitiesthatinvolveweight-bearing(walking,running,jumping,squatting)
- Jointswelling- Decreasedrangeofmotion- Stiffnesswithinactivity- Catchingandclickingofjoint(‘crepitus’)- Oftensymptomscomeandgo
Years
Resource:TheArthritisSocietywww.arthritis.ca
Dr.StephanieMullin Updated2017
2000SouthlandDriveSW Tel:403.251.9535Calgary,ABT2V4S4 Fax:403.251.9595
Treatment
1. Achieveormaintainahealthyweight
2. Activitymodificationa. Avoidexcessweightbearingactivitiesb. Chooselowimpactexercisesmoreoften
(swimming,cycling,deepwaterfitness,walking,elliptical,rowing)
3. Physicaltherapya. Rangeofmotionb. Strengtheningc. Stretching
4. FunctionalAidsa. Properfootwear–supportiveshoesb. Orthoticsc. Kneesleeveorpatellarstabilizingbraced. Unloaderkneebrace-medialorlaterale. Walkingsticks,cane,walker
5. Supplements–littlebenefita. Glucosamine
i. 500mg3timesperdayOR1500mg/daytotal
+/-Chondroitinb. Other–MSM,Bioflex,Vitamins,
JointEase…noevidence,$$$
SelfManagementProgramwww.arthritis.ca/asmp
6. Analgesicmedication-MAINTENECEa. Acetaminophen(Tylenol)
i. 2tabletsextrastrength=1000mgtwiceadayMAXupto3timesperday
ii. TylenolArthritis650mg1to2tabletsupto3timesaday
b. Prescriptioni. Opioids(i.e.codeine,oxycodone)ii. Non-opioidanalgesics(Tramadol)
7. Anti-inflammatorymedication-FLARESa. Ibuprofen(Advil,Motrin)b. Alevec. Prescription
i. i.e.Voltaren,Naproxen,Arthrotec,Celebrex
8. Topicalmedicationsa. Anti-inflammatorygel(Diclofenacx%)
ordrops(Pennsaid)b. Capsaicincream
9. Injectionsa. Steroid/Cortisone–forswellingb. Viscosupplement-hyaluronicacidderivative
i. Lubricationforthejointii. i.e.Synvisc,Monovisc,Durolane
10. Surgerya. Arthroscopyb. Correctivealignmentsurgeryc. Totalorpartialjointreplacement(Arthroplasty)
