Understanding Arthritis Pain and Treatment Options

1
Understanding ArthritisPain and Treatment Options
V1 001
2
Surgeon Introduction

• How long have you been in practice?
• What do you specialize in?
• Where did you go to school?

Insert picture of yourself or your
clinic LOGO Name and Address
V1 002
3
Common Arthritis Myths

• Only older people have arthritis.
• Arthritis is caused by cold, wet weather.
• Everyday is the same for an arthritis patient.
• Arthritis is a minor physical inconvenience.

V1 003
4
Arthritis Facts

• 1 of every 3 adults or 70 million people have
  arthritis in the U.S.
• 1 leading cause of disability.
• More women than men reported arthritic problems.

V1 004
5
What is Arthritis?

• Inflammation of the Joints
• Most common chronic condition.
• More than 100 types of arthritis.
• 3 most common forms
• Osteoarthritis
• Rheumatoid Arthritis
• Fibromyalgia

Example of Rheumatoid Arthritis
V1 005
6
Signs of Rheumatoid Arthritis

• Signs include
• Joint stiffness
• Joint swelling
• Symmetrical joint discomfort
• fever

V1 006
7
Signs of Osteoarthritis Arthritis

• Signs include
• Steady or intermittent pain
• Stiffness
• Joint swelling or tenderness

V1 007
8
Signs of Fibromyalgia

• Signs include
• Body pain
• Fatigue
• Trouble sleeping
• Swollen feeling in extremities
• Chronic headaches

V1 008
9
Rheumatoid Arthritis

• Inflammatory disease affecting the entire body.
• Women are afflicted more often than men.
• Onset is usually in middle age, but can occur in
  the 20s or 30s.

V1 009
10
Symptoms of RA

• Inflammation of the joints, difficulty moving and
  pain
• Loss of appetite
• Loss of energy
• Fever
• Anemia (decrease in hemoglobin in blood)
• Possible rheumatoid nodules (lumps of tissue
  under the skin)

V1 010
11
Effects of RA

• General fatigue, soreness, stiffness and aching.
• Pain and swelling may occur in the same joints on
  both sides of the body.
• Usually begins in the hands or feet.

V1 011
12
RA Treatment Options

• Early treatment is critical.
• Medications
• Exercise, rest, and physical therapy
• Surgery for damaged and painful joints

V1 012
13
Osteoarthritis

• Most common type of arthritis
• Wear and tear Disease
• Characterized by the breakdown of the joints
  cartilage.
• Affects middle aged and older people.
• Targets hands and weight-bearing joints, such as
  knees, hips, feet and back.

V1 013
14
Risk Factors and Diagnosis of OA

• Risk factors
• Age
• Obesity
• Joint injuries due to sports, work-related
  activity or accidents
• Diagnosis based on a physical exam, x-rays and
  history of symptoms.

V1 014
15
OA Treatment Options

• Exercise
• Heat/cold therapy for temporary relief
• Joint protection to prevent strain or stress
• Weight control
• Medications
• Surgery to relieve chronic pain

V1 015
16
Diet and Exercise

• Extra weight can put more pressure on your
  weight-bearing joints, making arthritis worse.
• Arthritis causes fatigue and stiffness, limiting
  valuable physical activity.
• Weight loss and exercise can reduce arthritis
  symptoms.

V1 016
17
Weight Management

• A healthy diet and exercise are key factors in
  improving quality of life.
• Some recommendations
• Diet with adequate protein, calcium and low in
  saturated fats
• Modest alcohol consumption and sugar intake
• Exercise regularly
• Examples biking, walking, swimming

V1 017
18
Shoulder
V1 018
19
Shoulder Joint

• Healthy shoulder joint

• Arthritic shoulder joint

V1 019
20
Shoulder Anatomy

• Made up of 3 bones the scapula (shoulder
  blade), the humerus (upper arm bone) and the
  clavicle (collarbone).

V1 020
21
How Does the Shoulder Works?

• Ball is 2 times larger than the socket.
• Very mobile joint
• Extensive array of ligaments and muscles.

V1 021
22
Causes of Shoulder Arthritis

• Osteoarthritis or wear and tear
• Repeated dislocations or fractures
• Rheumatoid arthritis

V1 022
23
Diagnosing Shoulder Arthritis

• Physical examination
• Medical history review
• X-Rays
• Arthrogram
• MRI
• Blood tests

V1 023
24
Shoulder Arthritis Treatment Non-Surgical

• Anti-inflammatory medicine
• Analgesics
• Injections
• Rest
• Activity Modification
• Light exercise and stretching

V1 024
25
Shoulder Arthritis TreatmentSurgical

• Synovectomy
• Arthroscopy
• Shoulder replacement surgery
• Soft Tissue Repair

V1 025
26
Elbow
V1 026
27
Elbow Anatomy

• Elbow is a hinged joint.
• Composed of the humeral bone of the upper arm and
  the radial and ulnar bones of the forearm.

V1 027
28
Causes of Elbow Arthritis

• Injury to the elbow (bad sprain or fracture).
• Excessive pressure on cartilage surface.

V1 028
29
Diagnosing Elbow Arthritis

• Physical examination
• Medical history review
• X-Rays
• Appropriate blood tests

V1 029
30
Elbow Arthritis TreatmentNon-Surgical

• Anti-inflammatory medications
• Cortisone Injections

V1 030
31
Elbow Arthritis TreatmentSurgical

• Arthroscopic debridement
• Elbow fusion surgery
• Fascial reconstruction
• Synovectomy
• Elbow replacement surgery

V1 031
32
Wrist
V1 032
33
Wrist Anatomy

• Complicated collection of many joints and bones.
• Extremely mobile

V1 033
34
Causes of Wrist Arthritis

• Wear and tear
• Injury (sprain or fracture)
• Too much pressure on articular cartilage

V1 034
35
Diagnosing Wrist Arthritis

• Physical examination
• Medical history review
• X-Rays
• Blood tests

V1 035
36
Wrist Arthritis TreatmentNon-Surgical

• Anti-inflammatory medicine
• Injections
• Reducing activity or avoiding heavy repetitive
  use of the hand and wrist.
• Braces may give extra support and reduce pain

V1 036
37
Wrist Arthritis Treatment Surgical

• Wrist joint fusion
• Synovectomy
• Wrist replacement

V1 037
38
Finger
V1 038
39
Finger Joint

• Healthy finger joint

• Arthritic finger joint

V1 039
40
Anatomy of Finger Joint

• Each finger has 3 bones and 3 joints

V1 040
41
Causes of Finger Arthritis

• Wear and tear
• Rheumatoid arthritis

V1 041
42
Diagnosing Finger Arthritis

• Physical examination
• Medical history review
• X-Rays

V1 042
43
Finger Arthritis Treatment Non-Surgical

• Anti-inflammatory medicine
• Reducing activity or avoiding heavy repetitive
  use of the hand and wrist.

V1 043
44
Finger Arthritis TreatmentSurgical

• Finger joint fusion
• Excisional arthroplasty
• Finger joint replacement

V1 044
45
Hip
V1 045
46
Hip Joint

• Healthy hip joint

• Arthritic hip joint

V1 046
47
Anatomy of the Hip

• Ball and socket joint

V1 047
48
Causes of Hip Arthritis

• Wear and tear
• Avascular necrosis
• Abnormalities in the joint from fractures and
  congenital abnormalities

V1 048
49
Diagnosing Hip Arthritis

• Physical examination and history
• MRI
• X-Rays
• Blood tests

V1 049
50
Hip Arthritis TreatmentNon-Surgical

• Anti-inflammatory medications
• Weight control
• Rest and activity modification

V1 050
51
Hip Arthritis TreatmentSurgical

• Osteotomy
• Hip replacement surgery

V1 051
52
Knee
V1 052
53
Knee Joint

• Healthy knee joint

• Arthritic knee joint

V1 053
54
Anatomy of the Knee

• The knee is made up of three bones the femur
  (thigh bone), the tibia (lower leg bone) and the
  patella (kneecap).

V1 054
55
Causes of Knee Arthritis

• Wear and tear
• Fractures, torn cartilage and torn ligaments

V1 055
56
Diagnosing Knee Arthritis

• Physical examination
• Medical history review
• X-Rays
• Blood tests
• Aspiration

V1 056
57
Knee Arthritis TreatmentNon-Surgical

• Anti-inflammatory medications
• Injections
• Weight control
• Orthotics
• Assistive devices (Cane, etc)

V1 057
58
Knee Arthritis TreatmentSurgical

• Synovectomy
• Tibial osteotomy
• Knee replacement

V1 058
59
Ankle
V1 059
60
Anatomy of the Ankle

• Hinge Joint
• Made up of 3 bones the lower end of the tibia
  (shinbone), the fibula (the small bone of the
  lower leg) and the talus, the bone that fits into
  the socket formed by the tibia and the fibula.

V1 060
61
Causes of Ankle Arthritis

• Wear and tear
• Injury

V1 061
62
Diagnosing Ankle Arthritis

• Physical examination
• Medical history review
• X-Rays

V1 062
63
Ankle Arthritis Treatment Non-Surgical

• Anti-inflammatory medications
• Physical therapy, including heat, ultrasound,
  phoresis, massage, and electrical stimulation
• Joint protection
• Topical agents
• Exercise
• Weight control

V1 063
64
Ankle Arthritis TreatmentSurgical

• Ankle fusion
• Ankle replacement

V1 064
65
Treatment Choices

• Patients play a role in their treatment they are
  part of the team.

V1 065
66
Result of Treatment

• The result of regaining the ability to move
  without pain?
• Independence

V1 066
67
Expectations

• Were all individuals so recovery is different
  for each person.
• Most people who work at their rehabilitation
  regain strength and mobility.

V1 067
68
End Result

• Returning to an independent healthy lifestyle is
  the best outcome.

V1 068
69

• THANK YOU

V1 069