Light rock music intro Welcome back to The Art of Medicine. The diagnosis of osteoarthritis depends on careful analysis of your condition. Let’s take a look at the common symptoms and how we evaluate your pain. Symptoms for osteoarthritis are three. Pain, swelling and stiffness. They can all either be present at the same time or you can see each one individually in different degrees. The pain can either be because of particles flaking off and irritating the lining of the joint or increased pressure within the bone. Similarly, the stiffness can be because.
Of fluid inside the joint or it can just be because of increased pressure in the bone because of not having as much cushion there. Osteoarthritis is nothing more than wearing away that gristle on the end of the bone and instead of having seven to 10 millimeters of tread, you may have three to four millimeters of tread. And the swelling can either be because of fluid, which is an irritation to the lining of the joint, or it can be just because of thickening of the lining of the joint, both of which.
Will cause limited motion. The common symptoms with osteoarthritis are more functional. They’re difficulty with walking, ascending or descending stairs, particularly descending stairs where you put more force across the kneecap area, kneeling, bending, squatting, where again you’re loading and compressing the joint at its extreme, and driving often times where you have to hold that knee in one particular spot. The symptoms of osteoarthritis often times are made worse any time the knee is held in one position or compressed in one position for an extended period of time. All of these decrease the amount of motion.
Knee Osteoarthritis Part 2 Symptoms Evaluation
Across the knee and decrease the amount of lubrication. On physical exam for osteoarthritis we’re really trying to evaluate the nature of the pain, swelling and stiffness. We are looking for several specific findings. We’re looking to see where you’re pain is located, if your knee is swollen, we test to see if your knee is stiff and if you have weakness or atrophy. The exam consists of trying to localize this discomfort, identify any laxity, and identify any mechanical symptoms, any palpable catching, clicking or locking that may be present.
Voiceover An xray is the most common study that we use in helping us diagnose osteoarthritis of the knee. This is a normal xray of a patient. The thigh bone, the leg bone, this is the front view. And between the two bones, a normal space. It’s when this normal space is reduced that we have osteoarthritis and we’ll show that in this next xray. Here we have a patient that has osteoarthritis of the knee. This is the front view of the knee. An xray that shows the thigh bone,.
The leg bone, any normalappearing space between the bones on the outer side of the knee, as opposed to the inner side of the knee where we now see the bones touching. This touching of the bones indicates advanced osteoarthritis of the knee. The other study other than an xray that we can use in helping us diagnose arthritis of the knee is an MRI. This is an MRI showing the front of the knee. Again, on top is the thigh bone, below here is the leg bone. Now we’re able to see between these bones.