Osteo artharitis
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Transcript of Osteo artharitis
OSTEOARTHRITIS
By,Pranav khawale,BNYS(2nd year)
CONTENTS
• Definition• Classification• Etiology• Risk Factors• Signs and Symptoms• Differential Diagnosis• Diagnosis• Treatment Options• Magneto therapy• References
DEFINITION
• Osteoarthritis is characterized by degenerative joint changes that cause – Pain– Tenderness– limited range of motion– Crepitus– Inflammation
CLASSIFICATION
• Primary OA : – The common joints affected are the weight bearing
joints– It commonly affects knees, hips, lumbar or cervical
spine
• Secondary OA :– It occurs in any joint that might have sustained
injury due to trauma or gout or inflammation, some years ago, which goes on produce wear & tear changes
ETIOLOGY
• Primary osteoarthritis appears to be caused by the cumulative effects of repetitive occupational or recreational joint use (with professions such as baseball pitchers, ballet dancers, dock workers)
• which leads to a destruction of the cartilage when individuals are in their 50s and 60s
• Degenerative changes are usually age-related, but may also occur as a result of fractures and other mechanical abnormalities
ETIOLOGY cont…
• There may also be a genetic predisposition• Secondary osteoarthritis is associated with an
underlying medical condition (e.g., Wilson's disease, acromegaly, hemochromatosis, hypoparathyroidism)
• which can often be treated, resulting in a resolution of the osteoarthritis
ETIOLOGY cont…
• Bony hypertrophy causing gross deformities • Limited range of motion • Subluxation (incomplete or partial dislocation)
Risk Factors
• Increasing age • Genetic predisposition • Obesity • Major trauma • History of inflammatory joint disease • Metabolic disorders (e.g., hemochromatosis, acromegaly,
calcium pyrophosphate deposition disease [CPPD]) • Congenital bone and joint disorders • Certain occupations (e.g., baseball players, ballet
dancers, dock workers)
Signs and Symptoms
• Morning stiffness or stiffness after inactivity for less than 15 minutes
• Joint pain, worsened by movement and improved with rest (in severe cases, constant pain)
• Soft tissue swelling • Bony crepitus (crackling noise with
movement)
DIFFERENTIAL DIAGNOSIS
• Rheumatoid arthritis • Septic arthritis • Bursitis • Neuropathy • Osteoporosis • Metastatic bone disease • Gout
DIAGNOSIS
• Laboratory Tests- – Erythrocyte sedimentation rate (ESR) – Urinalysis – Synovial fluid analysis to rule out CPPD, gout,
septic arthritis– Serum analysis to rule out RA factor.
DIAGNOSIS cont…
• Pathology/Pathophysiology – Irregular loss of cartilage, especially in weight-bearing joints – Joint space narrowing – Synovial inflammation (synovitis) – Bony sclerosis (eburnation) – Bone cysts – Increased number of osteophytes (spurs) at joint margins,
the radiologic hallmark of osteoarthritis – Periarticular muscle wasting – Areas of cartilagenous repair, but inferior repair tissue – Gross deformity, loose bodies, and subluxation
DIAGNOSIS cont…
• Imaging– X rays—to detect joint space narrowing as cartilage is lost,
bony sclerosis, bony cysts, osteophytosis – Arthroscopy—to diagnose osteoarthritis – Myelography—to evaluate patients preoperatively
TREATMENT OPTIONS
• Drug Therapies• Nutrition• Herbs• Homeopathy• Physical Medicine• Acupuncture• Massage• Magneto Therapy
MAGNETO THERAPY
• Magnetic belt • Magnet application on joint• Magnetized water• Magnetic charged oil massage
• Magnetic belt
MAGNETO THERAPY cont…
MAGNET APPLICATION ON JOINT
MAGNETIZED WATER
MAGNETIC CHARGED OIL MASSAGE
REFERENCES
• Fauci AS, Braunwald E, Isselbacher KJ, et al., eds. Harrison's Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill, 1998:1935-1941
• Kelly WN. Textbook of Internal Medicine. 3rd ed. Philadelphia, Pa: Lippincott-Raven; 1997:1121-1124
• Harsh Mohan – pathology book; 5 th Edition• Magneto therapy book
THANK YOU…