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Osteoarthritis (Signs & Symptoms (Distribution (DIP + PIP, Bony, hard,…
Osteoarthritis
Signs & Symptoms
Pain worse w/ activity
Morning stiffness < 30 min
Decreased ROM
Joint instability
Bony enlargement
Crepitus
Distribution
DIP + PIP
Bony, hard
Carpometacarpal joint MC
Risk Factors
70 y/o
Female
Obesity
Hereditary
Trauma
Neuro dysfunction
Metabolic d/o
Radiographic Features
Joint space narrowing
Marginal osteophytes
Subchondral cysts
Bony sclerosis
Management
Increase endurance and strength
Weight loss
Heat/cold modalities
Pharm
Nonopioid analgesics
Acetaminophen 1st line
COX-2 inhibitors
Tramadol
Topical agents
Intra-articular agents
Intra-articular steroids
Joint lavage
Hyaluronate injections
Opioid analgesics
Codeine
Oxycodone
Morphine + fentanyl patch
Severe pain
Severe ankylosing spondylitis
NSAIDs
Start w/ low doses
Unconventional therapy
Secondary OA from Diabetic Neuropathy
MTPs 2-5 + 1st bilaterally
Midfoot
Underlying Causes
Pseudogout