Thursday, July 11, 2013

Osteoarthritis - What You should know about This Disease


Osteoarthritis is a kind of degenerative disease of any joint capsule and cause bones, characterized by a slow and steady progression of degeneration and disintegration of the cartilage that covers the tip of the bones.

Unlike arthritis, osteoarthritis does not teach periods of remissions and there isn't any real systemic symptoms. It is less crippling compared to a rheumatoid arthritis. It plagues mainly the knee, awesome and spine joints. Its effects is crippling if only the hip joint is worried.

Incidence
The disease starts since the middle 30's and moves gradually. It becomes more pronounced at the heart age and old age. It affects more ladies than men.

Aetiology
i. Hinge trauma (repeated)
ii. Aging - Affects a ton of people who are 50 as well as above
iii. Heredity
iv. Obesity - Through the increase weight on the opinion joints
v. Sex - Commoner seller women than men. Symptoms of the disease may become obvious during menopause or even signs become increased during this period if they have recently been there
vi. Poor posture
vii. Excessive use of certain joints

Pathophysiology
Osteoarthritis is generally a product of aging. The ailment progresses slowly and plagues mostly the joints of your spine, hip and neck. The cartilage degenerates only to becomes soft and wears away. The bone edges result in thin and ragged and are no longer able to spring towards shape after normal consider.

The fibrillar component of your joint break down (though collagen is retained) causing small navicular to occasionally break among all thereby causing severe agony. The synovial membrane as time goes by becomes thickened. There is ossification skin color fibrous tissue around their own joint. There is however no ankylosis of your joint. The changes with the joint cause pain and limitation of movement of the affected bowl.

Signs and symptoms
i. Pain from the joint. Particularly affected are the spine, knee, hip joint, etc. Pain is frustrated by exercise.
ii. Stiffness of the joint specifically in the mornings
iii. Grating of this is joint when moved
iv. Mild swelling by means of fluid accumulation in the opinion joint
v. Wasting of the muscle (atrophy)
vi. Limitation of movement may occur
vii. Bony enlarging the joint may also occur

Diagnosis
Laboratory tests that are normal. But X-ray of an affected joints reveals:
i. Hardening of an joint (sclerosis)
ii. Cartilage loss
iii. New bone formation

Management
Osteoarthritis is not required cure but a lot you can do this to reduce the pain being experienced by the patient.
i. Fat loss: Obese patient should be encouraged to lose weight so as to slow down the strain on the joint capsules.
ii. Patient should assistance good posture
iii. Apply heat to affected joints
iv. Surgery is available advocated to fix an excessive amount of joint in permanent the positioning of (Arthrodesis).

Drug therapy
Drug therapy is the same as Rheumatoid arthritis.
Nursing management
Nursing management is equivalent to for Rheumatoid arthritis.

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