managment of osteoarthritis

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					MEDICAL MANAGEMENT OF
   OSTEO ARTHRITIS
   Asgar Ali Kalla
   Professor of Rheumatology
   University of Cape Town
Osteoarthritis
= joint failure
                   OBESITY
 Risk of OA with obesity
BMI > 30       4 fold greater risk of OA
Weight reduction – lowers risk of OA
5 Kg weight loss – 56% reduction in risk of knee
  OA if BMI > 25
         TREATMENT OF OA
• Confirm diagnosis – exclude tendonitis or bursitis
  adjacent to joint)
• Initial treatment
   •   Muscle strengthening exercises and reconditioning
       walking program
   •   Appropriate footwear
   •   Weight loss
   •   Local heat/cold and topical agents
   •   Paracetamol
  OA: Management Summary
          (cont’d)
• Second-line approach
  •   NSAIDs if paracetamol fails
  •   Intra-articular agents or lavage
  •   Opioids
  •   ?Glucosamine
• Third-line -SURGERY
  •   Arthroscopy
  •   Osteotomy
  •   Total joint replacement

				
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posted:3/31/2008
language:English
pages:32