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OSTEOARTHRITIS IN 2010

OSTEOARTHRITIS IN 2010. Corey M. Hatfield DO Rheumatology MUSC . What is Rheumatology? . The term rheumatology originates from the Greek word rheuma , meaning "that which flows as a river or stream," and the suffix -ology , meaning "the study of."

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OSTEOARTHRITIS IN 2010

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  1. OSTEOARTHRITIS IN 2010 Corey M. Hatfield DO Rheumatology MUSC

  2. What is Rheumatology? • The term rheumatology originates from the Greek word rheuma, meaning "that which flows as a river or stream," and the suffix -ology, meaning "the study of." • Rheumatology is a sub-specialty in internal medicine and pediatrics, devoted to the diagnosis and therapy of conditions and diseases affecting the joints, muscles, and bones. • Clinicians who specialize in rheumatology are called rheumatologists.

  3. What is Rheumatology? • Rheumatologists deal mainly with clinical problems involving joints, soft tissues, certain autoimmune diseases, and the allied conditions of connective tissues. • Essentially, we medically treat diseases, disorders, etc., that affect the musculoskeletal system. This includes many autoimmune diseases, as these conditions often cause rheumatic issues.

  4. What is Rheumatology? • Illnesses we treat: • Systemic lupus Erythematosus • Rheumatoid arthritis • Scleroderma • Inflammatory myositis • Sjogren’s syndrome • Gout/pseudogout

  5. What is osteoarthritis? • It is a slowly progressive joint disease typically seen in middle-age to elderly people • It occurs when the joint cartilage breaks down, causing the underlying bone to fail

  6. Distribution • It typically affects • Hands • Spine • Hips • Knees

  7. Symptoms • Joint pain • Stiffness • Swelling • Cracking noises with joint movements • Decreased function

  8. Who gets osteoarthritis? • Typically occurs in patients age 40 and above • It affects people of all races and gender

  9. What are risk factors for osteoarthritis? • Older age • Family members with OA • Obesity • Joint trauma or repetitive use of joints

  10. How is OA diagnosed? • History of typical symptoms • Physical examination • Imaging studies may be useful to tell the extent of disease or to help rule out other joint problems

  11. How is osteoarthritis treated? • The goal of treatment is to reduce pain and improve function of the affected joints. • This can be achieved with a combination of: • Physical measures • Drug therapy • Injections • Surgery

  12. Physical Measures • Exercise • Physical & Occupational therapy • Support devices • Thermal therapy

  13. Medications • Topical drugs can be applied directly on the skin overlying the affected joints • Capsaicin cream • Lidocaine • Diclofenac gel/patches

  14. Medications • Oral pain relievers are commonly used as first line treatment • Acetaminophen (Tylenol) • Nonsteroidal anti-inflammatory drugs (NSAIDs) • For more serious pain, stronger medications, such as narcotics, may be required

  15. Injections • Corticosteroids • Hyaluronic acid derivatives have proven effective for some patients • Hyalgan • Synvisc/Synvisc-One • Orthovisc

  16. Surgery • Arthroscopy and/or joint replacement is considered when: • The joint is seriously damaged • The patient is in intractable pain • Experiencing significant loss of function

  17. Holistic/Alternative Therapies • Spa/massage • Acupuncture • Chiropractic manipulation • Supplements

  18. Supplements • Many over-the-counter nutritional supplements have been used for treatment of OA, but most lack good research data to support their effectiveness and safety • Among the most widely used are glucosamine/chondroitin sulfate, calcium and vitamin D, and omega-3 fatty acids • To ensure safety and avoid drug interaction, consult your doctor or pharmacist before using any of these agents, especially in combination with prescribed drugs

  19. Living with osteoarthritis • There is no cure for OA, but you can manage how it impacts your lifestyle • Giving proper positioning and support to the neck and back during sitting or sleeping • Adjusting furniture, such as raising a chair or toilet seat • Avoiding trauma and repetitive motions of the joint, especially frequent bending

  20. Living with osteoarthritis • Adding regular exercise to your daily activities will improve muscle strength • Exercises that increase strength of the quadriceps muscles (the front thigh muscles) also can help decrease knee pain and reduce subsequent disability associated with osteoarthritis • Working with a physical or occupational therapist can help you learn the best exercises and choose appropriate assistive devices for your joints

  21. Living with osteoarthritis • Weight loss in obese people can reduce pain and progression of OA • Achieving and keeping an ideal weight will make a difference in your overall comfort levels

  22. Points to Remember • OA is the most common form of arthritis and can occur together with other types of arthritis • Evaluation by your doctor will help confirm the diagnosis and develop an appropriate treatment plan for your condition • The goal of treatment in OA is to reduce pain and improve function • At present, there is no available therapy that can reverse the damage of OA in the joint, but many studies are underway

  23. THANK YOU Questions?

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