osteoarthritis…

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osteoarthritis, osteoarthritis, hypertrophic osteoarthritis, osteoarthrosis, degenerative joint disease, djd, oa, arthritis, osteoarthritis, osteoarthritis, most common joint disorder, the chronic disease causes the cushioning, cartilage, between the bone joints to wear away, pain, stiffness, cause new pieces of bone, bone spurs, to grow around the joints, the time, the cause of osteoarthritis, oa) is unknown, primarily a disease, due to aging, metabolic, genetic, chemical, mechanical factors, play a role in its development, symptoms of osteoarthritis usually appear in middle age, present in everyone by the age of 70. before the age of 55 it occurs equally in both sexes, after 55 it is more common in women, cartilage, the affected joint becomes rough, wears, degenerates, as the disease gets worse, cartilage disappears, bone rubs on bone, bony spurs, develop around the joint, oa is classified, primary, secondary, primary oa occurs, type of injury or identifiable cause, secondary oa is osteroarthritis, due to another disease, underlying condition, most common causes, secondary oa, metabolic conditions, acromegaly, problems, anatomy, bow-legged, injury, inflammatory disorders, septic arthritis, gradual, subtle onset of deep aching joint pain, worse after exercise, weight bearing, relieved by rest, joint swelling, limited movement, morning stiffness, grating, the joint, motion, joint pain in rainy weather, no symptoms, a physical exam, limited range of motion, grating of a joint, motion, joint swelling, tenderness, an x-ray of affected joints, loss, the joint space, in advanced cases, wearing, the ends, the bone, bone spurs, goals of treatment, to relieve pain, maintain, improve joint mobility, increase the strength, the joints, minimize the disabling affects, specific treatment depends upon the affected joints, medications, most common type of medication used to treat osteoarthritis, nonsteroidal, anti-inflammatory drugs, nsaids, common pain relievers that reduce pain, swelling, types include aspirin, ibuprofen, motrin, advil, nuprin, naproxen, aleve, naprosyn, naprelan, anaprox, nsaids work well, long-term use, cause stomach problems, ulcers, bleeding, in april 2005, drug manufacturers of nsaids to, warning label on their product that alerts users of an increased risk, cardiovascular events, gastrointestinal bleeding, medications, treat oa include, cox-2 inhibitors, coxibs, coxibs block an inflammation-promoting enzyme, cox-2, this class of drugs was initially believed to work, traditional nsaids, fewer stomach problems, numerous reports of heart attacks, stroke have prompted the fda to re-evaluate the risks, benefits, the cox-2s, rofecoxib, vioxx, valdecoxib, bextra, have been withdrawn, market following reports of heart attacks, patients taking the drugs, celecoxib, celebrex, was still available, time of this report, labeled, strong warnings, lowest possible dose, the shortest duration possible, the drug is appropriate, safe, steroids, medications are injected, joint, reduce inflammation, pain, supplements, helped by over-the-counter remedies, glucosamine, chondroitin sulfate, evidence that these supplements, in controlling pain, not appear to grow new cartilage, artificial joint fluid, synvisc, hyalgan, medications can be injected, knee, may temporary relief pain, up to six months, lifestyle changes, exercise helps maintain joint, overall mobility, ask health care provider to recommend an appropriate home exercise routine, water exercises, swimming, heat, cold treatments, protection, the joints, use of self-help devices, rest, all recommended, good nutrition, careful weight control, weight loss, overweight individuals, reduce the strain placed on the knee, ankle joints, physical therapy, physical therapy, useful to improve muscle strength, motion at stiff joints, therapists have many techniques, treating osteoarthritis, therapy, does not make feel better after 3-6 weeks, likely, not work at, surgery, surgery to replace, repair damaged joints needed in severe, debilitating cases, surgical options, arthroplasty, total, partial replacement, the deteriorated joint, an artificial joint, see knee arthroplasty, hip arthroplasty, arthroscopic surgery to trim torn, damaged cartilage, wash out the joint, osteotomy, change, in the alignment of a bone to relieve stress on the bone, joint, arthrodesis, surgical fusion of bones, in the spine, arthritis resources, movement, become very limited, treatment generally improves function, oa, leading cause of disability in industrialized nations, decreased ability to walk, decreased ability to perform activities of daily living, personal hygiene, house chores, cooking, adverse reactions to drugs used, surgical complications, have symptoms of osteoarthritis, weight loss, reduce the risk of developing knee osteoarthritis in overweight women, harris ed, budd rc, genovese mc, firestein gs, sargent js, sledge cb, kelley's textbook of rheumatology, 7th ed, w, b, saunders, food, drug administration, fda announces series, class of marketed non-steroidal anti-inflammatory drugs, nsaids, national press office, april 7, press release p05-16, food, drug administration, fda issues public health advisory recommending limited use of cox-2 inhibitors, national press office, december 23, 2004. talk paper t04-61.