Condition Info - BotMed Application

ConditionName

Osteoarthritis (OA)

ConditionDescription

Symptoms

Weigh bearing joints affected; Hand less affected;
Chronic; noninflammatory; symmetrical or not symmetrical;
Lower extremity joints, proximal and distal interphalangeal joints, first carpometacarpal joint;
DIP>PIP>MCP; Heberden’s – DIP; Bouchard’s – PIP;
Crepitation of joints;
Effusion (rare);
Stiffness for short time (<15m);

Affects articular cartilage: hips, knees, ankles, wrists, shoulders;

Pain worsen with activity, better with rest;

PhysicalFindings

Scour test

ClinicalTests

Normal Labs: ESR; 
CBC; Antinuclear AB;
Rheumatoid factor;

Most accurate: radiography of affected joints 

xRay: joint space narrowing, osteophytes, dense subchondral bone, bone cysts

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Loss of articular cartilage.

ProgressionFromCondition

Chronic, slowly progressive, erosive damage to joint surface.

TreatmentOptions

Capsaicin cream;
Hyaluronic acid injections;

Joint replacement;

Activity modification;
Weigh loss, moderate exercises;

Glucosamine and chondroitin;

PharmOptions

Acetaminophen: best initial analgesic
NSAIDs if Tylenol doesn’t work

WebLink

https://www.merckmanuals.com/en-ca/professional/musculoskeletal-and-connective-tissue-disorders/joint-disorders/osteoarthritis-oa