Presentation
At the time of presentation, the patient already underwent 6 joint replacement surgeries. Family history was unremarkable. [ncbi.nlm.nih.gov]
Entire Body System
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Pain
The dynamics of the pain system (i.e., the adaptive responses to pain) has been widely studied, but mainly from experiments on healthy subjects, whereas less is known about the dynamics of the pain system in chronic pain patients, where the pain system [ncbi.nlm.nih.gov]
Early improvement in pain predicts pain response at endpoint in patients with fibromyalgia. J Pain. 2011;12(10):1088–94. View Article PubMed Google Scholar Moore RA, Derry S, Straube S, Ireson-Paine J, Wiffen PJ. [doi.org]
Avoid moves that cause pain in your joints. Heat and cold. Both heat and cold can relieve pain and swelling in your joint. Heat, especially moist heat, can help muscles relax and ease pain. [mayoclinic.org]
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Falling
Falls People with osteoarthritis experience as much as 30 percent more falls and have a 20 percent greater risk of facture than those without OA. Having OA can decrease function, weaken muscles and make it more likely that someone has a fall. [arthritis.org]
People with OA have risk factors such as decreased function, muscle weakness and impaired balance that make them more likely to fall. Side effects from medications used for pain relief can also contribute to falls. [physio-pedia.com]
Risk of Falls and Fall Injuries Adults with arthritis were about 2.5 times more likely to have two or more falls and suffer a fall injury in the past 12 months compared with adults without arthritis. 4 Top of Page References Barbour KE, Helmick CG, Theis [web.archive.org]
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Fatigue
The central activation ratio ( P .001, Cohen d -1.74) and fatigue index ( P .003, Cohen d -0.95) were lower among patients only early after ACLR. [ncbi.nlm.nih.gov]
But those with arthritis commonly discover that if they don’t exercise regularly, they’ll pay the price in pain, stiffness, and fatigue. [health.harvard.edu]
Presence of symptoms affecting the whole body (systemic) Frequent fatigue and a general feeling of being ill are present. Whole-body symptoms are not present. For more information, see the topics Rheumatoid Arthritis and Osteoarthritis. [uwhealth.org]
Common symptoms include morning pain and stiffness for more than an hour, fatigue, occasional fever, feelings of malaise, and inflammation of the joints in the wrists and fingers, as well as the neck, shoulders, elbows, hips, knees, ankles, and feet, [newsmax.com]
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Walking with a Cane
A cane takes weight off your knee or hip as you walk. Hold the cane in the hand opposite the leg that hurts. Gripping and grabbing tools may make it easier to work in the kitchen if you have osteoarthritis in your fingers. [mayoclinic.org]
Some examples include: Cushioning shoe inserts can ease the pressure put on the hip joint when walking. Using a cane can provide extra stability. [arthritis-health.com]
Walking sticks or canes can be useful in reducing the pressure on your ankle, knee, and hip joints while walking. A walking stick can also improve your confidence to walk if you feel less stable walking. [oarsi.org]
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Difficulty Walking
Symptoms People with osteoarthritis in the foot or ankle experience, in varying degrees, one or more of the following: Pain and stiffness in the joint Swelling in or near the joint Difficulty walking or bending the joint Some patients with osteoarthritis [foothealthfacts.org]
Lipscombe, Osteoarthritis-related difficulty walking and risk for diabetes complications, Osteoarthritis and Cartilage, 10.1016/j.joca.2016.08.003, 25, 1, (67-75), (2017). [doi.org]
Musculoskeletal
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Arthritis
[…] excluding rheumatoid arthritis. [doi.org]
Inflammatory bone spur formation in psoriatic arthritis is different from bone spur formation in hand osteoarthritis. Arthritis Rheumatol. 2014; 66 (11):2968–75. [ PubMed ] [ Google Scholar ] 32. [ncbi.nlm.nih.gov]
From Wikidata Jump to navigation Jump to search form of arthritis caused by degeneration of joints degenerative arthritis degenerative joint disease hypertrophic arthritis osteoarthrosis osteoarthrosis and allied disorder edit English osteoarthritis form [wikidata.org]
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Knee Pain
[…] covariates, including bilateral knee pain and ambulatory physical activity. [ncbi.nlm.nih.gov]
The aim of this study was to evaluate the temporal effects of acupuncture on chronic knee pain due to knee osteoarthritis by means of a meta-analysis. [doi.org]
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Osteophyte
Growth of osteophytes is one of the best indicators of disease progression. Fractured osteophytes result in intra-articular loose bodies. [emedicine.com]
Objectives: To identify molecular differences between chondrocytes from osteophytic and articular cartilage tissue from OA patients. [ncbi.nlm.nih.gov]
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Joint Stiffness
The absolute reduction in finger joint stiffness for the exercise group, compared with the control group, was 7% (3% to 10%). [ncbi.nlm.nih.gov]
Finger joint stiffness Four studies assessed participant‐reported finger joint stiffness and provided post‐treatment/short‐term data on 368 participants ( Figure 6 Analysis 1.4 ). [doi.org]
People with osteoarthritis also commonly complain of joint stiffness when there is stormy weather approaching (i.e., changes in barometric pressure). [verywellhealth.com]
Early signs include joint stiffness, which can often be worse in the morning or at the end of the day. Creaking or cracking can often be an indicator of joint issues which can lead to OA. Joints may appear swollen. This pain can worsen over time. [sparc.ie]
The result is joint stiffness, pain, and inflammation. [panadol.ie]
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Joint Swelling
Pronunciation Specialty Rheumatology, orthopedics Symptoms Joint pain, stiffness, joint swelling, decreased range of motion Classification D ICD-10: M15-M19, M47 ICD-9-CM: 715 OMIM: 165720 MeSH: D010003 DiseasesDB: 9313 SNOMED CT: 227588009 External resources [en.wikipedia.org]
Patients were classified as having clinical OA if on examination there was hard tissue enlargement involving at least 2 of 10 selected joints, swelling of fewer than 3 metacarpophalangeal joints, and hard tissue enlargement of at least 2 distal interphalangeal [ncbi.nlm.nih.gov]
In contrast, a joint with osteoarthritis will have, to varying degrees: Damage to the joint’s cartilage as it becomes less elastic and more brittle Bony spurs growing around the edge of the joint Swelling of the joint due to inflammation Inadequate lubricating [oarsi.org]
These extra bits of bone, which feel like hard lumps, can form around the affected joint. Swelling. This might be caused by soft tissue inflammation around the joint. [mayoclinic.org]
Symptoms People with osteoarthritis in the foot or ankle experience, in varying degrees, one or more of the following: Pain and stiffness in the joint Swelling in or near the joint Difficulty walking or bending the joint Some patients with osteoarthritis [foothealthfacts.org]
Neurologic
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Sciatica
(This recommendation contrasts with the recommendation that people with low back pain and sciatica put a pillow between their knees. For such people, using a pillow relieves the stress on the lower back and hip [see Sciatica].) [msdmanuals.com]
Muscle-related Pain Piriformis Syndrome Muscle Pain - Muscle Strain Poor Hip Core DOMS - Delayed Onset Muscle Soreness Cramps Core Stability Deficiency Systemic Diseases Rheumatoid Arthritis Fibromyalgia Osteoporosis Referred Sources Sacroiliac Joint Pain - SIJ Sciatica [physioworks.com.au]
View Article PubMed Google Scholar Dahm KT, Bruberg KG, Jamtvedt G, Hagen KB: Advice to rest in bed versus advice to stay active for acute low back pain and sciatica. Cochrane Database Syst Rev. 2010, 6: CD007612. [doi.org]
Workup
An 81-year-old woman with bilateral severe knee OA was initially seen and evaluated in an outpatient physiatry clinic after multiple previous workups of her ongoing knee pain. [ncbi.nlm.nih.gov]
At the University of Michigan Department of Rheumatology, we do a full workup to determine what kind of arthritis you have in order to determine an effective treatment plan. [uofmhealth.org]
The primary provider will be able to evaluate to see if further workup is needed. A diagnosis usually can be made based on specific symptoms, a thorough physical examination and x-ray results. [aans.org]
See Workup for more detail. [emedicine.com]
X-Ray
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Joint Space Narrowing
Eventually, cartilage loss manifests as joint-space narrowing. Primary osteoarthritis is most commonly seen in the hands. [emedicine.com]
[…] outcomes, joint space narrowing in index and in contralateral knee. [doi.org]
We report one such case in a 30-year-old woman with synovial osteochondromatosis of the hip and progressive osteoarthritis caused by femoroacetabular impingement with joint-space narrowing. [ncbi.nlm.nih.gov]
Treatment
(the treatment A) was alternatively changed with the treatment that included combination of the basic treatment and religious support provided by religious physiatrist and physiotherapist (the treatment B) or combination of the basic treatment and pastoral [ncbi.nlm.nih.gov]
Prognosis
Additionally, with the complicating role of surgical intervention in prognosis, “prognosis” will be difficult to investigate in the future. [doi.org]
For example, the prognosis for hip osteoarthritis may be different than the prognosis for hand osteoarthritis. [emedicinehealth.com]
Etiology
This article introduces a novel imaging technique of 4D CT that aims to identify kinematic features that may be associated with the etiology of TMJ-OA. [ncbi.nlm.nih.gov]
Epidemiology
Methods Systematic reviews were conducted to source age-specific and sex-specific epidemiological data for hip and knee OA prevalence, incidence and mortality risk. [doi.org]
[…] and Epidemiology, Erasmus MC, Rotterdam, the Netherlands. 10 deCODE genetics/Amgen, Reykjavik, Iceland. 11 Department of Orthopaedic Surgery, Akureyri Hospital, Akureyri, Iceland. 12 Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 13 [worldcat.org]
[…] of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, PR, Brazil. [ncbi.nlm.nih.gov]
Mansmann: Department of Medical Informatics, Biometry and Epidemiology, University of Munich, Marchionistrasse 15, D-81377 Munich, Germany. Dr. [annals.org]
Pathophysiology
Our understanding of the pathophysiology of hip osteoarthritis (OA) has improved significantly in the last decade. [doi.org]
CONCLUSIONS: Plain radiographs and MRI examinations performed during follow-up suggested that the pathophysiology of the patient's knee OA and joint pain may have been primarily due to bone alterations. [ncbi.nlm.nih.gov]
One important component of osteoarthritis pathophysiology is subchondral bone sclerosis. [dx.doi.org]
Prevention
To emphasize disease modification and prevention, we describe a multi-disciplinary systems-based approach encompassing biology, mechanics, and structure to define pre-osteoarthritic disease processes. [ncbi.nlm.nih.gov]
Rutjes, Jüni, da Costa, Nüesch, and Reichenbach: Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland. Dr. [annals.org]