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     W  ASHINGTONORTHOPAEDICCENTER 

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    !"#$ &' &$(

     !"#$"%#%& means oint inammation.'()*"#$"%#%& "# $%& '(#$ )(''(* +(,' (+arthritis. t occurs to some extent in mostpeople as the age. t can egin earlierhowever as the result of oint inur or-"#&.#& .*- #('&$"' +(, ,&.#(*# $%.$are less clear. ips and nees are most

    commonl aected ut shoulders handsand other oints can also e involved.

    he maor prolem from this condition issimpl wearing out of the smooth glidingcartilage on the surface of the oint. hisis seen on xras as a decrease in spaceetween the one surfaces since the cartilageitself is clear on xras. his can ultimatelprogress to the point where there is one onone. n addition to narrowing of the ointspace the od responds to the excessive

    stress forming roader on surface whichwe see on xras as one spurs.

    lthough extensive research is ongoingthe exact cause and means of preventingosteoarthritis is still unnown. reatment is-",&)$&- /,"'.,"01 .$ ,&0"&2"*3 $%& #1'/$('#of arthritis which can cause a vicious ccle ofweaness and immoilit that interfere withdail activities and ualit of life.

    !"#$ )#* +, -.*,(

    4 2.,"&$1 (+ +(,%-*#%).& ma e helpful.cetaminophen can provide sustantialpain relief. e careful however not to tae'(,& $%.* 5 3,.'# (+ .)&$.'"*(/%&* 6$7(extrastrength talets four times per da.e aware that other medications macontain acetaminophen. here are man

    nonsteroidal antiinflammator medicationsaspirins iuprofen or naproxen as well asprescription antiinflammatories which mahelp relieve pain and improve function. hemost common riss are stomach irritationthough some are less liel to cause this. medications such as lucosaminehondroitinor heral supplements ma also e helpful.arcotic medications are less commonl usedecause of their riss and side effects.

    here are man inds of /)0%-*1 +(,%-*#%).&

    capsaicin spercreme c ot and otherswhich ma ease smptoms to improve function.

    3"*-(& ma provide support or improvealignment. 4*.( can often e ver usefulin unweighting the oint while still permittingnormal activities. esorting to a wheel chair isdiscouraged as this allows muscles to ecomeweaened the oints to ecome stiff and theones to ecome rittle and diminish thelielihood of regaining the ailit to wal.

    56("-%&( to strengthen the muscles aroundthe oint has een proven to improvefunction and decrease pain and protect the oint. lexiilit and conditioning exercisesare also ver helpful in reducing smptoms.

    n general exercise which minimies theimpact loading pounding experienced the oints such as swimming or iccling ispreferred ut an exercise is etter than none.

    7(%8$# 4).#")1  is also extremel valuale in

    decreasing the stress on the oints. ach stepresults in three times the od weight throughthe hip and nee. herefore each poundgained or lost has a tremendous influence onthe stress experienced the oints.

    t is advisale to use good supportive wellpadded shoes or impact asoring &$)( %.&("#& for an waling or running on hard surfaces.

    4)"#%&).( 9.:(-#%).& decrease inflammation.

    he have een proven to provide significantrelief in a maorit of people with arthritis pain.

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