Osteoarthritis (hands/hips/knees) - Medtick

Osteoarthritis (hands/hips/knees)

What is it?

A condition that affects your joints.

  • The surfaces within your joints become damaged so the joint doesn’t move as smoothly as it should The condition is sometimes called arthrosis or osteoarthrosis.
  • Older terms are degenerative joint disease or ‘wear and tear’
  • When a joint develops osteoarthritis, some of the cartilage covering the ends of the bones gradually roughens and becomes thin and as a result there is cartilage loss, and the bone underneath thickens.

All the tissues within the joint become more active than normal – as if your body is trying to repair the damage:

  • The bone at the edge of your joint grows outwards, forming bony spurs called osteophytes.
  • The synovium (the inner layer of the joint capsule which produces synovial fluid) may thicken and make extra fluid. This causes your joint to swell.
  • The capsule and ligaments (tough bands that hold the joint together) slowly thicken and contract as if they were trying to make your joint more stable.
  • Sometimes your body’s repairs are quite good and the changes inside your joint won’t cause pain or problems.
  • In severe osteoarthritis, the cartilage can become so thin that it doesn’t cover the ends of your bones. Your bones rub against each other and start to wear away. The loss of cartilage, the wearing of bone and the bony spurs can change the shape of your joint, forcing your bones out of their normal position.

arthritisresearchuk.org


Diagnosis test


The knee is a complex structure consisting of bone, cartilage, muscle, tendon, ligament, synovial fluid and nerves.

  • Knee pain could be the result of a problem with any one of these components, or a combination of several.
  • The knee can take time to heal due to generally there is poor blood supply in that area, X-rays will show some obvious conditions, tendons and ligament damage is difficult to diagnose on x rays, further investigation i.e a MRI scan maybe required.
  • Each condition have different healing times, a specialist in that healthcare field will monitor your healing time and should guide you to obtain optimum healing time as this can can from individual to individual.

Tens machine
TENS is strongly recommended against in patients with knee and/or hip osteoarthritis.

Cause

Syndromes

Risk factors for osteoarthritis include the following:

Symptoms

General

  • Joint stiffness and pain?
  • Pain during movement which goes away at rest (there is normally no pain unless bone is broken)?
  • Morning stiffness and goes away quickly?
  • Pain is usually worse in the late afternoon or early evening?
  • Lumps and swellings of joint (water on the knee or fluid on the knee, is the abnormal accumulation of fluid in or around a joint)?
  • Brittle, soft weak bones, dental problems and/or prone to fractures or curved/bone legs and/or curved spine?
  • Night pain causing lack of sleep?

Hands and fingers:

  • Hand terminal joints affected not wrist?
  • Joint enlargement particularly the distal interphalangeal joints) and proximal interphalangeal joints of the hand?
  • Aching at the base of the thumb?
  • Small nodules and swellings that develop near the middle joint of the fingers are referred to as Bouchard’s nodes?
  • When the nodules are located at the fingertip, they are referred to as Heberden’s nodes?
  • Nodules at back of hand/fingers (myxoid cysts)?
  • Difficult to grasp objects or make a pinching motion?

Hips and/or knee:

  • Pain at front of knee(s) especially when getting up from chairs and walking up the stairs and exercising and/or walking downstairs?
  • Pain on the inside of knee(s)?
  • Pain on both side of kneecap?
  • Cracking, grinding, or popping sensation (the sensation is caused by irregular or rough surfaces of the joint—surfaces that normally would be smooth—or from debris within the joint)?
  • Joint instability?
  • Joint deformity or malalignment  normally one side mainly affected i.e. knee, hip?
  • Bone spur?

Complications /Information to beware of/General tips:

This condition can lead to:


This condition may show similar symptoms to:

Clinical Pharmacist, CP, April 2015, Vol 7, No 3;7(3):DOI:10.1211/PJ.2015.20068288

  • Baker’s Cyst – a collection of knee-joint fluid that pools in the back of the knee, most commonly as a result of arthritis. If a Baker’s cyst ruptures, the fluid may leak down into the calf region causing an aching pain in the calf, along with swelling.
  • Cervical osteoarthritis
  • Spinal osteoarthritis
  • Fibromyalgia
  • Gout
    • Gout is commonly distinguished from Osteoarthritis by a flare period followed by complete remission between flares.
    • However, long-term damage to joints associated with uncontrolled inflammation in gout (and Rheumatoid arthritis) may ultimately result in the development of Osteoarthritis in the affected joint, making it difficult to distinguish the types of arthritis by symptoms alone.
    • Furthermore, Osteoarthritis often co-exists with gout, resulting in chronic joint pain in the absence of active disease).

Clinical Pharmacist, CP, April 2015, Vol 7, No 3;7(3):DOI:10.1211/PJ.2015.20068288

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Osteoarthritis (hands/hips/knees) in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

    Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help (British National Health Service).

  • Medscape

    Latest medical news and expert commentary in your specialty as well as disease information.

  • Pharmaceutical Journal

    The Pharmaceutical Journal covers analysis, features, opinion, learning and careers articles, providing insight and knowledge about drugs, pharmacy practice, medicines use and healthcare policy in the context of the pharmacy profession and pharmaceutical science.

  • Healthline

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  • ChatGPT

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  • Medical News Today

    Medical news and health news headlines posted throughout the day, every day.

  • WebMD

    Better Information. Better Health.

  • Cleveland Clinic

    Pushing the Standards of care.

  • Mayo Clinic

    No.1 Hospital in the Nation (America)

  • Drugs.com

    Know more. Be sure.

  • National Organisation of Rare Diseases

    NORD is dedicated to supporting education, elevating care, advancing research, and driving policy for rare diseases.

  • Verywell Health

    Know more. Fell better.

  • Fit for Travel

    Information on how to stay safe and healthy abroad.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies

Diet, Exercise and Body Manipulations

The following exercises should be recommended:

  • Undertaking regular exercise may also reduce the need for pain relief medication.

Contraindications to exercise

  • Acute fever or infection;
  • Certain cardiac conditions i.e.
  • Other unstable conditions i.e.
  • Or any other condition where one feels it unsafe to exercise.

The Pharmaceutical Journal, PJ, September 2021, Vol 307, No 7953;307(7953)::
DOI:10.1211/PJ.2021.1.91555