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MANAGING OSTEOARTHRITIS

MANAGING OSTEOARTHRITIS

What is osteoarthritis?

Osteoarthritis is a problem usually affecting people over 50 years of age. It is the most common form of arthritis, and is caused by a breakdown in the joint repair process.

  

 

What are the symptoms?
Symptoms vary between individuals and different joints. Pain and stiffness of the joints are the most common symptoms. Patients also often have problem moving affected joints. It usually affects the hand, knee, hips or spine.

Symptoms of knee osteoarthritis

   •  Mostly affects both knees

   •  Most painful when walking, especially climbing stairs

   •  May hear a soft, grating sound during movement of affected joints

   •  Knees may give way sometimes, or lock into a position that
      prevents the legs from straightening



Symptoms of hips osteoarthritis
   •  Commonly pain in the hip or knee that worsens when walking

   •  May have difficulties wearing shoes and socks, or getting in and out
      of cars

 

 


Symptoms of hands osteoarthritis

   •  The thumb, middle joint of the fingers, and the joint closest to the fingertips are the main affected areas.

   •  Fingers may be stiff, painful and swollen, and joints may develop bumps. Pain may decrease over time.

   •  Affected joint may cause the finger to bend slightly

   •  Painful cysts may occur on the back of fingers

   •  A bump may develop at the thumb base, causing pain and affecting manual tasks such as writing and turning keys.

 

 

How can I relieve symptoms of osteoarthritis?

   •  Take painkillers

   •  Apply heat and cold packs

   •   Wear suitable or special footwear to relieve joint pressure

      Use canes, splints, or other items to take stress off the joint

   •  Consume glucosamine, chondroitin, and fish oil supplements

   •   Use topical pain-relief rub (methyl salicylate/ menthol/camphor/eucalyptus oil)

   •  Opt for intra-articular injections or surgery for severe conditions

   •   Exercise regularly but avoid weight-bearing exercise. Instead you can opt for exercises like swimming, walking and cycling, depending on your condition.

   •   Have sufficient rest

 

 

Can I prevent osteoarthritis?

Preventive measures can include:

     Weight loss for obese/overweight patient

   •   Regular non weight-bearing exercises to improve muscle strength

 

 

MANAGING OSTEOPOROSIS (LOW BONE MASS DENSITY)

What is osteoporosis?

Osteoporosis is a condition when your bones are less able to replace itself and are weakened, thus increasing their chances of breaking. It is a silent disease and you may not know it until you have suffered a fracture or done a BMD (bone mineral density) test. Coughing or sneezing can lead to rib fracture or collapse of spinal bones in severe cases.

 

 

Who is more likely to suffer from osteoporosis?

Are you...

   •  Of a small and thin build?

   •  A fair-skinned woman?

   •  Taking certain medicines e.g. enoxaparin?

   •  A heavy smoker or a heavy drinker of alcohol and coffee?

   •  Having an early menopause?

   •  Suffering from hyperthyroidism, adrenal glands disorder, pituitary gland disorder, diabetes, or reduced output of sex hormones?

   •  Inactive for a long period?

or do you...

   •  Have a family history of osteoporosis?

   •  Have osteopenia (low bone mass)?

   •  Malabsorption problems?

If you answered ‘yes’ to one or more of the questions above, you’re more likely to suffer from osteoporosis.

 

 

How can I treat osteoporosis?

Osteoporosis can be treated by medication prescribed by doctors, such as biphosphonates and calcitonin.

 

 

Ways to prevent osteoporotic fracture:

   •  Having a healthy diet containing at least 700mg of calcium daily (approximately one pint of milk)

   •  Quit smoking and limit alcohol intake

   •  Getting out in the sun. Sunlight triggers production of vitamin D in the body.

   •  Calcium supplements should be taken 1 – 3 hours after meals (note: Excess calcium intake may cause constipation).

   •  Do regular weight-bearing and resistance (muscle strengthening) exercises

   •  Reducing hazards in the house, such as keeping the room free of clutter and ensuring that the floor is not slippery.

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