Fast Facts: Osteoarthritis by Philip G. Conaghan, Leena Sharma

By Philip G. Conaghan, Leena Sharma

Osteoarthritis is the most typical joint ailment and represents an enormous challenge in our getting older society. for many humans, it's a syndrome of joint soreness and stiffness, with linked useful difficulties that experience a considerable influence on caliber of life.The the world over well known authors of "Fast proof: Osteoarthritis" think that 'something could be performed to assist every body with osteoarthritis'. This finished guide contains: a transparent and concise description of the conventional joint; an in depth assessment of the pathology of osteoarthritis; professional suggestions on well-established diagnostic standards and investigations; up to date, useful details on drug remedy, non-pharmacological remedies and surgical recommendations; and, joint-specific remedies for the hand, hip and knee, together with intra-articular corticosteroid injections. For all wellbeing and fitness care execs who've ever felt not able to supply potent remedy for this sickness, or who've encountered adverse sufferer and group attitudes to joint soreness, "Fast evidence: Osteoarthritis" is key studying.

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G. osteophytes vs joint-space narrowing). It is interesting to note that the correlation between pain 29 Fast Facts: Osteoarthritis and radiographic OA features is not as strong as expected, for reasons discussed in Chapter 4 (see pages 45–6). Radiographic OA is more common than symptomatic OA, and detection rates in a given joint may increase when more radiographic views are obtained. Recent studies on the distribution of radiographic OA have suggested that right-sided hand and knee OA is more common than left-sided disease (consistent with a biomechanical cause).

Knee OA with or without lumbosacral spinal involvement is the most common pattern of large joint involvement. Effect of age. Individual joints demonstrate a striking age-related rise in the prevalence of radiographic OA. About one-third of all adults have radiographic OA of the hands, with two-thirds over 75 years of age exhibiting OA of the distal interphalangeal joints. 9 Data from Dillon et al. 2006. 2 Expected prevalence of knee pain and disability in a practice population of adults aged 55+ Number with patient characteristic Number with radiographic evidence of OA Knee pain and severe disability 160 120* Knee pain and some disability 1250 730 4 weeks of knee pain in past year 2500 1250 Aged 55+ years 2510 10 000 *Proportion not known but likely to be high.

The populations of North Americans and Europeans older than 35 Fast Facts: Osteoarthritis 60 have been projected to increase by over 10% by 2050, with this age group making up roughly one-third of the population. As life expectancy increases, it is not surprising that the predicted rates of OA are even more marked for those over 80 years of age. In addition, many Western societies have a substantial and increasing prevalence of obesity, which also increases the OA burden. Key references Arthritis Care.

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