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OSTEOARTHRITIS (MANAGEMENT (Analgesia (Regular paracetamol ± topical…
OSTEOARTHRITIS
MANAGEMENT
Exercise to improve local muscle strength and general aerobic fitness (irrespective of age, severity, or comorbidity).
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Glucosamine and chondroitin products are not recommended, although patients may try them if they wish (can be bought over the counter).
Try heat or cold packs at the site of pain, walking aids, stretching/manipulation or tens.
Joint replacement (hips, or knees) is the best way to deal with severe oa that has a substantial impact on quality of life.
SIGNS AND SYMPTOMS
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Generalized disease
There may be joint tenderness,
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‘Nodal oa’ (typically dip, pip, cmc joints, and knees in post-menopausal females)
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Assess effect of symptoms on occupation, family duties, hobbies, and lifestyle expectations
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usually primary (generalized), but may be secondary to joint disease or other conditions (eg haemochromatosis, obesity, occupational)
