Osteoarthritis


What is it?

Osteoarthritis is the most common form of arthritis. Though it can occur in any joint, the disease most commonly affects hands, knees, hips, and the spine.

Who is at risk?

Osteoarthritis is more common in people who:

  • Are overweight.
  • Are 75 years or older.
  • Have a family history of osteoarthritis (especially in small joints of the hand).
  • Have experienced previous joint injury.
  • Have experiences wear and tear from activities that caused excessive stress on the joints.
  • Have other types of arthritis.

Symptoms

Osteoarthritis symptoms may vary in their severity, but typically include:

Joint pain

  • Individuals may experience a dull ache in affected joints. Other individuals may suffer sudden periods of intense, burning pain.

Stiff and tender joints

  • Affected joints may feel stiff and limit motion and flexibility.

Cracking and Creaking

  • Joints may make creaking sounds. Please note that healthy joints may also creak and this symptom alone is not indicative of osteoarthritis.

Deformed joints

  • In severe, progressed cases of osteoarthritis, joints may take on a deformed appearance.

Causes

Osteoarthritis is caused by the erosion of cartilage − a flexible connective tissue found at the joints between bones. Cartilage helps absorb shock from joints and allows for fluid joint movement; slow erosion of this protective tissue results in the symptoms described above.

Diagnosis

Diagnosis of osteoarthritis is made after taking into consideration medical history, physical exams, x-rays, and lab tests.

Treatment 

For osteoarthritis of the hips, shoulders, hands, feet, ankles, wrists, acromioclavicular joints, first carpometacarpal, and cervical, thoracic or lumbar facet joints we offer ultrasound guided diagnostic injections with local anaesthetic followed by therapeutic injections with cortisone or dextrose (prolotherapy), epidural injectionsautologous blood injectionsPlatelet rich plasma (PRP) injections,  medial branch nerve blocks, nerve blocks with sclerosing agent, chiropractic, physiotherapy, acupuncture, therapeutic exercises,  medication, psychotherapy, biofeedbackbraces and supportsTENS/MET devices, and orthotics depending on the location and severity of the patient’s pain.

For osteoarthritis of the spine we also offer Botulinum toxin injections and facet joint injections in addition to many of the services we provide for other types of osteoarthritis.

For osteoarthritis of the sacroiliac joints we offer the above treatments and sacroiliac joint injections as well.

For osteoarthritis of the knee we offer hyaluronic acid injections (viscous supplement) and many of the above mentioned treatments, as needed.

X-ray of a knee showing degenerative arthritis.

X-ray of a knee showing degenerative arthritis.

Sources: http://www.healthline.com/health/osteoarthritis

http://www.webmd.com/osteoarthritis/guide/osteoarthritis-symptoms-types

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