Osteoarthritis is just one degenerative disease of this is joint capsule and fundamental to bones, characterized by a steady but very slow progression of degeneration and disintegration of the cartilage that covers another of the bones.
Unlike osteo-arthritis, osteoarthritis does not endeavor periods of remissions and there won't systemic symptoms. It is less crippling in comparison to the rheumatoid arthritis. It is affecting mainly the knee, in vogue and spine joints. Its effects is crippling provided that the hip joint is anxious.
Incidence
The disease starts as early as the middle 30's and moves forward gradually. It becomes more pronounced in the middle age and old creation. It affects more women than men.
Aetiology
i. Pain trauma (repeated)
ii. Aging - Affects quite a lot of people who are 50 years and above
iii. Heredity
iv. Obesity - To have increase weight on could joints
v. Sex - Commoner the women than men. Signs of the disease may can obvious during menopause and the signs become increased during this time period if they have ended up there
vi. Poor posture
vii. Excessive use of certain joints
Pathophysiology
Osteoarthritis generally are a product of aging. The infection progresses slowly and affects mostly the joints out of your spine, hip and elbow. The cartilage degenerates and for becomes soft and will wear away. The bone edges act as thin and ragged and will able to spring in finding shape after normal use on.
The fibrillar component out of your joint break down (though collagen is retained) causing small structure to occasionally break rewards thereby causing severe discomfort. The synovial membrane progressively becomes thickened. There is ossification associated with the fibrous tissue around the size of his joint. There is however no ankylosis out of your joint. The changes covering the joint cause pain and limitation of movement of the affected joint.
Signs and symptoms
i. Pain extremely popular joint. Particularly affected are seen as the spine, knee, hip featured, etc. Pain is aggravated from exercise.
ii. Stiffness of the joint especially in the mornings
iii. Grating of from the joint when moved
iv. Mild swelling due to fluid accumulation in ones own joint
v. Wasting of posterior tibial muscle (atrophy)
vi. Limitation of walk may occur
vii. Bony enlargement of the joint may also occur
Diagnosis
Laboratory tests are likely normal. But X-ray of the affected joints reveals:
i. Hardening of the joint (sclerosis)
ii. Cartilage loss
iii. New bone formation
Management
Osteoarthritis lacks cure but a lot a unique approach is to reduce the pain being by simply the patient.
i. Losing fat: Obese patient should be encouraged for weight loss so as to reduce the strain on the seam.
ii. Patient should continue to keep good posture
iii. Apply heat to affected joints
iv. Surgery must be used advocated to fix the joint in permanent listing (Arthrodesis).
Drug therapy
Drug therapy is really like Rheumatoid arthritis.
Nursing management
Nursing management is the same as for Rheumatoid arthritis.
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