Osteoarthritis of the Hip and Knee

Osteoarthritis of the Hip and Knee Jennifer Baima MD Arthritis and Joint Center UMass Memorial Medical Center 855-UMass-MD

Osteoarthritis 1 3 .9 % o f a d u lt s a g e d 2 5 y e a rs a n d o ld e r 3 3 .6 % (1 2 .4 m illio n ) o f t h o s e 6 5 + in 2 0 0 5

h t t p ://w w w.c d c .g o v /a r t h rit is /b a s ic s /o s t e o a rt h r it is .h t m

What do you feel?

S t iffn e s s Ac h in g p a in S w e llin g Cra c k lin g n o is e s Diffic u lt y m o v in g

What do we see?

Jo in t s p a c e n a rro w in g Brig h t n e s s at e dge s Bo n e s p u rs Bo n e c y s t s

Do I need an MRI?

Why did this happen to me?

Pr im a ry OA: n o kn own ca u s e , g e n e t ic s S e c o n d a ry OA: inflammatory anatomy metabolic trauma

Why the hips and knees?

d e c re a s e d t h re s h o ld fo r in ju r y in h ip c a r t ila g e Kn e e w it h m o re re c e p t o rs fo r c e lls a c t iv e in a r t h rit is

Is it because I gained too much weight?

We ig h t lo s s y ie ld s s y m p t o m a t ic re lie f Ha rd t o s e p a r a t e o b e s it y fro m in a c t iv it y Hig h e r BMI le a d s t o m o re s y m p t o m a t ic OA O b e s e in d iv id u a ls m a y g e t w o r s e w it h h e a v y p h y s ic a l a c t iv it y

How do I fix that?

Ca lo rie re s t r ic t e d d ie t s fo r 4 m o n t h s re s u lt in w e ig h t lo s s a n d s y m p t o m a t ic im p ro v e m e n t in o b e s e p a t ie n t s w it h k n e e OA

Is it because of my sports activity?

Ba lle t d a n c e r s : a n k le Ba s e b a ll p it c h e rs : s h o u ld e r/ e lb o w Ba s ke t b a ll p la y e rs : k n e e s Fo o t b a ll p la y e r s : h ip / k n e e (4 7 % o f re t ire d p la y e rs *) Wre s t le rs : m e t a c a rp o p h a la n g e a l jo in t s * 1 9 9 4 Ba ll S t a t e s u rv e y

What about running?

-lig h t t o m o d e ra t e ru n n in g w it h n o a d v e rs e e ffe c t -h e a v y ru n n in g m a y p re d is p o s e -p a c e m a y b e m o re im p o rt a n t t h a n d is t a n c e in h ip OA -m o re c lo s e ly re la t e d t o o b e s it y , m a lig n m e n t , o r p rio r in ju ry t h a n ru n n in g p a c e / d is t a n c e Willic k S E, Ha n s e n PA. Ru n n in g a n d o s t e o a r t h r it is . Clin S p o r t s Me d . 2 0 1 0 Ju l;2 9 (3 ):4 1 7 -2 8 .

What if I only like to run when chased?

Hig h in t e n s it y a n d lo w in t e n s it y e xe rc is e b o t h s h o w b e n e fit Bro s s e a u L, Ma c Le a y L, We lc h V, Tu g w e ll P, We lls GA. In t e n s it y o f e xe rc is e fo r t h e t re a t m e n t o f o s t e o a r t h r it is .

C o c h ra n e Da ta b a se o f Sy ste m a tic Re v ie w s 2 0 0 3

What about aerobic vs strength training?

S t re n g t h t r a in in g fo r jo in t p ro t e c t io n a n d b o n e h e a lt h Ae ro b ic fo r c a rd io v a s c u la r

What is weight-bearing exercise?

What kinds of exercises are good for the hip?

What kinds of exercises are good for the knee?

Are there medications than can help?

NS AIDs Ac e t a m in o p h e n Glu c o s a m in e c h o n d ro it in

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