Osteoarthritis Degenerative Joint Disease

According to Goodman and Fuller (2009) Osteoarthritis is divided into 2 classifications: Primary and secondary. Primary OA is a disorder of unknown cause which in the cascade of joint degeneration it is believed to be a related defect in the articular cartilage. Secondary OA has a known cause, which may be trauma, infection, hemarthrosis, osteonecrosis, or some condition Primary Osteoarthritis (OA) is the most common joint disorder in the world and often affects the knee and hip joints (Rubak, Svendsen, Soballe, & Frost, 2013). For patients with primary hip OA, pain and disability are the most important indications for total hip replacement (THR) (Rubake et al., 2013, p.486) Primary symptoms of OA include joint pain, stiffness, and limitation of movement. Disease progression is usually slow but can

This study has a number of limitations. The respondents that took part in the study were not asked if they were familiar with any of the existing clinical practice guidelines for the management of knee OA or whether their choice of treatment was influenced by any of the existing clinical practice guidelines for knee OA. Particularly since most of these guidelines are accessible and are within the public domain. For instance, within the field of rheumatology, a number of clinical practice guidelines are in existence [2, 12-17] and most of these guidelines are continually been reviewed and updated in the light of new findings emerging from research on the effectiveness of various modalities and approaches to the management of knee OA. The evaluation

X-rays can be used for the diagnosis of osteoarthritis; the images would reveal damage and other changes related to osteoarthritis. With osteoarthritis of the knees, the patient would experience progressively increasing pain, stiffness, and they would have a decrease in daily functions. Patients experiencing these symptoms can be eligible for a total knee replacement.

Many times, the physician will move the joint around and may have client preform range of motion to help analyze signs and symptoms. The physician will determine whether what testing would be best to get accurate diagnosis. An X-ray may be ordered to determine if there is any other difficulty with joint that may have same symptoms as ligament and meniscal injury. An MRI is more precise to determine if there is any further injury to ligament or menisci. Another test that may be done is arthroscopy. This is used to see inside the knee and can be used help trim or repair the injury/tear.

The use of ultrasound therapy prior to client engagement in functional activity will increase tissue extensibility, increase collagen deposition, increase blood flow, increase sensory/motor nerve conduction velocity, and decrease muscle spasms. The use of paraffin therapy prior to client engagement in functional activity will decrease pain, joint stiffness and increase range of motion in the hands. Both of these modalities have a great impact on clinical practice to more efficiently and effectively treat clinical conditions.

1. What are the indications for ultrasound? a. Acute and post-acute conditions b. Soft tissue healing and repair c. Scar tissue d. Joint contracture

Osteoarthritis indicates joint disorders, characterized by symptoms of pain and stiffness. It includes metabolic processes of destruction and reparation. Osteoarthritis is classified as primary (idiopathic) or secondary, according to the American Academy of Orthopaedic Surgeons. primary OA of the knee is a process of degeneration of the articular surface occurs without an obvious underlying abnormality. The manifestations of OA arise from high stresses on the normal joints or normal stresses on weakened joints, increasing in severity and frequency with age. The most commonly affected joints with osteoarthritis are large, weight-bearing joints, such as the knee and hip, and also smaller joints in the hands, feet. Unfortunately, treating articular

Osteoarthritis is a chronic joint disease, the degeneration of the joint cartilage and the underlying bone. Usually osteoarthritis is mostly found in the knee, hip, and hand. This disease is more common in people over the age of fifty and is also more likely in women than men. This disease generally develops over several years. Symptoms can often remain stable for long periods of time during this period of time.

The knee is a hinge joint which is needed for movement. The joint is made by the femur and the tibia, and also contains the patella which acts as a shield for the joint. In knees with osteoarthritis, the cartilage on the ends of the bones deteriorates, causing the bones to rub against each other. X-rays can be used for the diagnosis of osteoarthritis; the images would reveal damage and other changes related to osteoarthritis. With osteoarthritis of the knees, the patient would experience progressively increasing pain, stiffness, and they would

To diagnose osteoarthritis, the doctor will collect information on personal and family medical history, perform a physical examination and order diagnostic tests. Further tests such as X-rays or blood tests are not usually necessary to confirm a diagnosis of osteoarthritis, although they may be used to rule out other possible causes of the symptoms, such as rheumatoid arthritis or a fractured bone. X-rays can also allow doctors to assess the level of damage to the joints but this is rarely helpful as the extent of damage visible on an X-ray isn’t a good indicator of how severe the symptoms really are.

Patients from Pinnacle Orthopedics will be used for this research study. Patients with osteoarthritis, patellar tendonitis and chondromalacia patella will be selected. I will summarize my research study to patients and ask them to complete the two tests. The sample size is about 20 patients. There will be three sub groups for the three types of knee pains. Each sub group will have roughly 7 patients.

Originally ultrasound in physical therapy was used mainly for treatment of soft tissue injuries, acceleration of wound healing, and resolution of edema as well as softening of scar tissue (Haar, 2007, p. 113). However, with ultrasound being one of the most popular therapeutic modalities, more research has been conducted into what else the modality could be beneficial towards. In recent years there has been research done on ultrasound being used for things such as bone healing and enhancement of drug uptake. Previously ultrasound has been known for contraindications in treatment of injuries such as fractures, however the modality is being studied for possible benefits if used at low intensities. Due to this recent research ultrasound as a therapeutic modality is being looked at more for non-thermal aspects versus the traditional thermal usage.

Some people think about the risks and contraindications of ultrasonic caviation treatment that is done by the amazing and innovative cavitation machines. For them, the positive thing is that there are no side effects to ultrasonic cavitation therapy, yet contraindications to this treatment include pregnancy and the menstruation intervals along with some other problems that include some hereditary diseases, blood pressure, renal deficiency, high cholesterol, certain scars, skin diseases in the area subjected to treatment and some other

Treatment of OA aims to reduce pain to a tolerable level as well as improve function of the affected area. Often, this is possible with a combination of physical activity, medical care, or as a last resort, surgery. Weight loss and exercise are useful in OA. Studies have shown For every 10 lbs lost over 10 years, the chance of developing knee OA is cut 50 percent. Working out regularly, can build muscle strength, and increase mobility to stiffened areas, as well as decrease the chance of impairment due to OA. Assistive devices such as orthotics may help in daily activities. A heat therapy such as a spa tub can temporary relieve OA

Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.