Orthopaedic Conditions- Osteoarthritis

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Osteoarthritis also known as degenerative arthritis or the 'wear and tear' arthritis is a joint disease caused by cartilage loss in a joint. It usually develops gradually, over time. Several different joints can be affected, but osteoarthritis is most frequently seen in the hands, knees, hips, feet and spine. 

This disease is normally seen in women. Osteoarthritis develops when changes in cartilage, later lead to breakdown of cartilage. Changes will be slow and unnoticeable in some people, whereas in others, the pain and inflexibility will gradually worsen until the disease process finishes. 

Any joint in the human body can be affected by Osteoarthritis the most commonly affected areas are the hips, knees, finger joints, thumb joints and lower spine. The shoulders, elbows, wrists, ankles, and toe joints are less commonly affected. In many cases, just a few joints develop symptoms with one or two becoming the most troublesome. In rare cases, Osteoarthritis affects many joints at the same time. 

There two main types of Osteoarthritis:

  • Primary: More generalized osteoarthritis that affects the fingers, thumbs, spine, hips, and knees.
  • Secondary: Osteoarthritis that occurs after injury or inflammation in a joint

Hip Osteoarthritis:

Degenerative joint disease involves cartilage of the hip and inflammation of the soft tissue linings. Osteoarthritis may be diagnosed by your history and physical examination or by an X-ray. An X-ray may not be helpful since early stages of arthritis may not be seen on X-ray while moderate to advanced stages of arthritis are recognizable on physical exam. 

Hip osteoarthritis may have certain symptoms like, Aching, pain, stiffness, swelling and sometimes a grinding sensation. You may also feel uncomfortable on Walking, squatting, climbing stairs, or putting your shoes and socks on due to pain or stiffness. 

In order to beat the hip osteoarthritis, you can help yourself by doing,

  • Medication: Talk to your health care provider or consult the Healthwise Handbook. It may take 10-14 days for you to notice the benefit of anti-inflammatory medication.
  • Move Your Hip Often: Arthritic joints feel better with gentle midrange movement and worse with long periods of immobility.
  • Supportive Shoes: with good arch supports and cushions. Non- prescription orthotics may be advised to support your feet. Avoid high heels. Avoid standing or walking on cold concrete surfaces for prolonged periods.
  • Maintain Ideal Body Weight: to place less stress on the hip(s). Gentle water exercise or bicycling may promote weight loss while improving mobility of the hip.
  • Exercise Do the exercises listed on the back of this form to maintain range of motion, decrease pain, stretch muscles that are tight and strengthen muscles that are weak.
  • A Cane may be recommended to decrease weight bearing on the joint and allow you to walk without limping.

For further, clarification regarding the treatment procedure you can contact Dr.Mohan and team. 

Knee osteoarthritis 

Knee osteoarthritis (OA) is a common chronic joint pain condition of the knee. Deterioration of this joint can have a significant impact on activity. X-rays alone are not an indication that surgery must be done. The main problem connected with knee arthritis is deterioration of cartilage. 

Knee osteoarthritis pain is frequently worse following activity, especially overdo of the affected knee. Stiffness can deteriorate after sitting for prolonged periods of time. As knee osteoarthritis progresses, symptoms usually become more serious. Pain can become continuous rather than only when weight-bearing. 

Every condition has a distinctive pattern of pain and limitation. Osteoarthritis symptoms normally progress and worsen over time. Symptoms can, however, vary based on activity level or even the weather, making symptoms somewhat inconsistent. 

Most normally, knee arthritis symptoms include pain with activity (walking and stair negotiation), stiffness or limited range of motion, swelling, and tenderness (more commonly over the inside or medial aspect of the knee). Moving from sitting to standing can be painful. Occasionally, episodes of the knee 'giving way' can occur. 

Treatment procedure: 

Treatment goals for many knee conditions include reducing inflammation, restoring range of motion, and improving strength and function. Osteoarthritis treatment should follow this plan. 

As arthritis is an inflammatory condition, anti-inflammatory medications can be helpful in reducing this inflammation (consult your doctor regarding medications). Utilizing ice therapy can also be helpful to reduce both pain and swelling. 

In significant cases, cortisone injections to help reduce inflammation are warranted. Generally no more then three cortisone injections are recommended within a one year period of time. Overuse of cortisone injections can have a negative effect on joints, increasing the speed of joint degeneration. 

Rather than medication, there are some non-surgical methods:

  • Local intraarticular injections of steroids or viscosupplements
  • Exercise / physical therapy
  • Weight loss if overweight
  • Knee brace or support
  • Joint protection techniques
  • Heat and cold

Dr, Mohan, an orthopedic surgeon, has well experience knowledge on Orthopedic condition is here to help you in all ways. 

Ankle osteoarthritis 

As you age, your chance of increasing osteoarthritis, which is caused by wear and tear, increases. The joint damage connected with osteoarthritis causes swelling, pain, and deformity. Here is information about how osteoarthritis affects the foot and ankle and information you can use to help you manage this unbearable condition. 

Most cases of ankle osteoarthritis are connected to an earlier ankle injury. The injury may have occurred years before there is evidence of osteoarthritis in the ankle. Injury can damage the cartilage directly, or it can vary the mechanics of the ankle joint (how the joint works). 

Main symptoms of ankle osteoarthritis are:

  • Pain and stiffness in the joint
  • Swelling in or near the joint
  • Difficulty walking or bending the joint

Osteoarthritis can be treated non-surgically i.e. by Oral medications, Orthotic devices, Bracing, Immobilization, Steroid injections and Physical therapy. 

When the osteoarthritis becomes unbearable and failed to improve with non-surgical treatment, then, the orthopedic would suggest for a surgery. Dr. Mohan can help the patients with his wide area of knowledge about orthopaedic conditions.

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