Managing Osteoarthritis in Primary Care

Osteoarthritis is the most common cause of musculoskeletal
disability, affecting five million people in Britain. By far the
majority of cases are managed in the community.

A considerable proportion of patients self-medicate, while others
are treated by a GP and the primary health care team.

This book provides an overview of the condition, its causes and
natural history. Diagnosis of osteoarthritis is also explained
including descriptions of joint examination, monitoring of
progression and assessment of disability. The book advocates a
practical approach to osteoarthritis care, the mainstay of which is
patient education and symptom management. It provides advice on
both pharmacological and non-pharmacological pain management, the
use of exercise, physiotherapy and weight loss where necessary.
Topics discsussed also include: informing the patient of the
disease and its prognosis; ways in which patients can adapt their
home and their lifestyle to work within their physical
capabilities; and surgery options.

Texte du rabat
Osteoarthritis is the commonest cause of musculoskeletal disability, affecting five million people in Britain. Incidence increases with age or previous injury and it is the final common pathway of a number of musculoskeletal conditions. By far the majority of cases are managed in the community. A considerable proportion of patients self-medicate, whilst olthers are treated by a GP and the primary health care team. Primary care management involves the use of exercise, physiotherapy, weight loss where necessary, the use of analgesics, particularly non-steroidal anti-inflammatory drugs (NSAIDS) and joint injections. The book provides an overview of the condition, its causes and natural history. Diagnosis of osteoarthritis is also explained including detailed descriptions of the necessary joint examination, monitoring of progression and assessment of disability. The book will advocate a practical approach to osteoarthritis care, the mainstay of which is patient education and symptom management. It will provide advice on both pharmacological and non-pharmacological pain management strategies and consider the psychosocial component of chronic pain. Each chapter can be used as a toolbox by the medical reader, giving the therapist new ways of looking at problems and so promoting ideas to be put into practice for the benefit of the patients as all interventions in education must be individualised to account for special needs, expectations and circumstances for all patients.

Résumé
Osteoarthritis is the most common cause of musculoskeletal disability, affecting five million people in Britain. By far the majority of cases are managed in the community.

A considerable proportion of patients self-medicate, while others are treated by a GP and the primary health care team.

This book provides an overview of the condition, its causes and natural history. Diagnosis of osteoarthritis is also explained including descriptions of joint examination, monitoring of progression and assessment of disability. The book advocates a practical approach to osteoarthritis care, the mainstay of which is patient education and symptom management. It provides advice on both pharmacological and non-pharmacological pain management, the use of exercise, physiotherapy and weight loss where necessary. Topics discsussed also include: informing the patient of the disease and its prognosis; ways in which patients can adapt their home and their lifestyle to work within their physical capabilities; and surgery options.

Contenu
Introduction. Osteoarthritis Aetiology and Epidemiology.

Diagnosis and Differential Diagnosis of Osteoarthritis.

Examination of Joints.

Assessment of Osteoarthritis.

Assessment of Hand Osteoarthritis.

Management Options - Education and Behavioural and Environmental.

Physical Therapy and Mechanical Interventions.

Pharmacological Treatment.

Surgical Options and Procedures.

Long Term Management and Referral.

Economic and Research Considerations.

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Appendices:.

GALS Screening Examination.

WOMAC and Lequesne scales.

Beighton score.

Useful addresses.

Useful websites