{"id":132,"date":"2015-02-14T12:13:00","date_gmt":"2015-02-14T12:13:00","guid":{"rendered":"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/?p=132"},"modified":"2022-04-06T13:04:45","modified_gmt":"2022-04-06T13:04:45","slug":"osteoarthritis-a-major-cause-of-pain-in-the-elderly","status":"publish","type":"post","link":"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/osteoarthritis-a-major-cause-of-pain-in-the-elderly\/","title":{"rendered":"Osteoarthritis a major cause of pain in the elderly"},"content":{"rendered":"\n<p>Osteoarthritis is the most common joint disease affecting elderly population. Almost 15-20% of people more than 55 years of age can have symptomatic knee OA. It commonly affects knee or hip joints and presents as joint pain and crepitus in the knee.It is also the leading cause of disability worldwide.<\/p>\n\n\n\n<p><strong>What is OA?<\/strong><\/p>\n\n\n\n<ul><li>OA is the most common joint disease affecting human beings and an important cause of disability<\/li><li>Knee and hip joints are commonly affected<\/li><li>There is a focal loss of cartilage<\/li><li>Body attempts to form a new bone- osteophyte<\/li><li>Inflammation of joints covering called synovitis<\/li><li>Leads to pain and joint swelling<\/li><\/ul>\n\n\n\n<p><strong>OA in Males &amp; Females<\/strong><\/p>\n\n\n\n<ul><li><strong>IN FEMALES<\/strong><br>More extensive involvement More symptoms Increased prevalence of knee and hand joint<\/li><li><strong>IN MALES<\/strong><br>Hip Involvement Secondary OA<\/li><\/ul>\n\n\n\n<p><strong>Symptoms<\/strong><br><\/p>\n\n\n\n<ul><li>Persistent knee pain originates from capsules, synovium, periosteum, ligaments etc.<\/li><li>Pain increases when standing, climbing up the staircase or walking<\/li><li>Difficulty in squatting for toilet<\/li><li>Catch like sensation while climbing down the staircase or knee locking<\/li><li>Night pain in knees can be disturbing<\/li><li>Morning stiffness of knee lasting for 5 \u2013 30 min<\/li><\/ul>\n\n\n\n<p><strong>Common risk factors for osteoarthritis of knee &amp; hip<\/strong><\/p>\n\n\n\n<ul><li>Age greater than or equal to 50 years <\/li><li>Obesity (knee osteoarthritis)<\/li><li>Being female (especially for knee osteoarthritis)<\/li><li>Family history<\/li><li>History of immobilization<\/li><li>Injury to the joint<\/li><li>Prolonged occupational or sports stress<\/li><\/ul>\n\n\n\n<p><strong>What goes wrong?<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"921\" height=\"376\" src=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/what-wrong-img.png\" alt=\"\" class=\"wp-image-139\" srcset=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/what-wrong-img.png 921w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/what-wrong-img-300x122.png 300w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/what-wrong-img-768x314.png 768w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/what-wrong-img-585x239.png 585w\" sizes=\"(max-width: 921px) 100vw, 921px\" \/><\/figure><\/div>\n\n\n\n<p><strong>Management of osteoarthritis<\/strong><\/p>\n\n\n\n<h4 class=\"has-text-align-center\"><strong>PHARMACOLOGICAL THERAPY<\/strong><\/h4>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"885\" height=\"532\" src=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/manage-osteoarthritis-img.png\" alt=\"\" class=\"wp-image-141\" srcset=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/manage-osteoarthritis-img.png 885w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/manage-osteoarthritis-img-300x180.png 300w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/manage-osteoarthritis-img-768x462.png 768w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/manage-osteoarthritis-img-585x352.png 585w\" sizes=\"(max-width: 885px) 100vw, 885px\" \/><\/figure><\/div>\n\n\n\n<h4 class=\"has-text-align-center\"><strong>NON-PHARMACOLOGICAL THERAPY<\/strong><\/h4>\n\n\n\n<p><strong>Visco Supplementation<\/strong><\/p>\n\n\n\n<ul><li>Intrarticular hyaluronan injection provides symptomatic relief by 60-70% to knee osteoarthritis patients<\/li><li>Chondrocyte transplant have been shown to regenerate near normal hyaline cartilage but are not routinely recommended<\/li><\/ul>\n\n\n\n<p><strong>Surgical Management<\/strong><\/p>\n\n\n\n<p>Joint replacement must be considered in any patient presenting with end-stage joint disease<br>with persistent pain not responding to conventional treatments.<\/p>\n\n\n\n<p>Total Knee Replacement (TKR) is opted by patients who are older and have weakness and<br>impaired extension of knee. These patients have severe difficulty in doing daily chores like<br>climbing up staircase and getting up from chair.<\/p>\n\n\n\n<p>Total Hip Replacement (THR) and Total Knee Replacement (TKR) have improved quality of life<br>and decreased morbidity of OA.90% of patients have excellent long-term results.<\/p>\n\n\n\n<p><strong>The other surgical options for TKR are<\/strong><\/p>\n\n\n\n<ul><li>Loose body removal<\/li><li>Osteotomy<\/li><li>Arthrodesis<\/li><li>Arthroplasty<\/li><li>Synovectomy<\/li><\/ul>\n\n\n\n<p><strong>Recent advances in OA<\/strong><\/p>\n\n\n\n<ul><li>Tetracycline<\/li><li>10-methyl adenosine<\/li><li>Chondrocyte stem cell transplantation<\/li><li>Joint lavage<\/li><\/ul>\n\n\n\n<h4><strong>ADULT CARE<\/strong><\/h4>\n\n\n\n<p><strong>Association of OA<\/strong><\/p>\n\n\n\n<ul><li>Age more than 55 years<\/li><li>Trauma to joints<\/li><li>Underlying disease of knee such as rheumatoid arthritis<\/li><li>Obesity precedes OA<\/li><li>Female sex<\/li><li>Occupational knee bending,prolonged squatting<\/li><li>Symptomatic OA increases with age<\/li><\/ul>\n\n\n\n<p><strong>FACT<\/strong><\/p>\n\n\n\n<p>Knee OA is common in India while hip OA is common in western population.<\/p>\n\n\n\n<p><strong>Genetic basis of OA<\/strong><\/p>\n\n\n\n<ul><li>Herberden nodes in families<\/li><li>65% concordance in twins<\/li><li>Associated with HLA A1, B8 @ HFE gene mutation<\/li><\/ul>\n\n\n\n<p><strong>Why arthritis hurts?<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"641\" height=\"853\" src=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/pain-img.jpg\" alt=\"\" class=\"wp-image-154\" srcset=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/pain-img.jpg 641w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/pain-img-225x300.jpg 225w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/pain-img-585x778.jpg 585w\" sizes=\"(max-width: 641px) 100vw, 641px\" \/><\/figure><\/div>\n\n\n\n<ul><li><strong>Damage to the joint tissues<\/strong><br>May result from disease process or from injury,stress or pressure to the joints<\/li><li><strong>Inflammation<\/strong><br>Damaged joints swell up and become inflamed adding pressure to your nerves.<\/li><li><strong>Fatigue<\/strong><br>Can make your pain seem worse and harder to handle.<\/li><li><strong>Stress or Depression<\/strong><br>A result from the inability to move and do the activities you enjoy. Stress and depression can make managing pain and arthritis more difficult.<\/li><\/ul>\n\n\n\n<p><strong>Signs<\/strong><\/p>\n\n\n\n<ul><li>Swelling and pain in knee or hand joints<\/li><li>Areas affected &#8211; area of maximal we ight load. Commonly affected joints &#8211; Knee, Hip &amp; Thumb base<\/li><li>Bowing of knees seen in 50% of individuals suffering from OA<\/li><li>Crepitus &#8211; sensation of bone rubbing against bone, on movement<\/li><li>Restricted movement<\/li><li>Deformities<\/li><li>Spine pain\/backache,hip pain<\/li><li>Elbows\/ankles\/PIP are rarely involved in OA<\/li><li>Hand joints OA<br>&#8211; Herberden\u2019s node<br>&#8211; Bouchard\u2019s nodes<\/li><li>Spinal OA<br>&#8211; Lumbar spondylosis<br>&#8211; Cervical spondylosis<\/li><\/ul>\n\n\n\n<p><strong>Investigations<\/strong><\/p>\n\n\n\n<ul><li>X-ray of knees in standing position<br>&#8211; Joint space narrowing<br>&#8211; Osteophytes<br>&#8211; Subchondral bone sclerosis<br>&#8211; Deformities, loose bodies<\/li><li>CT scan for axial joints (spine)<\/li><li>Ultrasound is used for assessing periarticular structures<\/li><li>MRI \u2013 cartilage evaluation<\/li><\/ul>\n\n\n\n<p><strong>How to diagnose?<\/strong><\/p>\n\n\n\n<p>Diagnosis is essentially clinico radiological<\/p>\n\n\n\n<ul><li>50% of OA by radiograph are clinically symptomatic<\/li><li>Early OA can be diagnosed by MRI of knee-cartilage defects or meniscal damage<\/li><\/ul>\n\n\n\n<p><strong>Orthotics used in OA<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-medium\"><img loading=\"lazy\" width=\"163\" height=\"300\" src=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/or-oa-163x300.jpg\" alt=\"\" class=\"wp-image-146\" srcset=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/or-oa-163x300.jpg 163w, https:\/\/newsletter.kokilabenhospital.com\/its-precious\/wp-content\/uploads\/sites\/3\/2022\/04\/or-oa.jpg 295w\" sizes=\"(max-width: 163px) 100vw, 163px\" \/><\/figure><\/div>\n\n\n\n<p><strong>Shoes, Cane,  Knee braces, Paraffin baths, Hot packs<\/strong> to relieve muscle spasm whereas <strong>Ice packs<\/strong> when knee is influenced<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Osteoarthritis is the most common joint disease affecting elderly population. Almost 15-20% of people more than 55 years of age can have symptomatic knee OA. It commonly affects knee or&hellip;<\/p>\n","protected":false},"author":1,"featured_media":133,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[21],"tags":[24,22,23],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Osteoarthritis a major cause of pain in the elderly - Best Multispeciality Hospital in Mumbai, India \u2013 Kokilaben Hospital<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/newsletter.kokilabenhospital.com\/its-precious\/osteoarthritis-a-major-cause-of-pain-in-the-elderly\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Osteoarthritis a major cause of pain in the elderly - Best Multispeciality Hospital in Mumbai, India \u2013 Kokilaben Hospital\" \/>\n<meta property=\"og:description\" content=\"Osteoarthritis is the most common joint disease affecting elderly population. 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