Osteoarthritis

Clinical Features:

• 1)Pain. Affected joints might hurt during or after movement.
• 2)Stiffness. Joint stiffness might be most noticeable upon awakening or after being inactive.
• 3)Loss of flexibility.
• 4)Grating sensation.
• 5)Bone spurs. 
• 6)Swelling.

Investigation: 

• 1)CBC with ESR
• 2)Urine RME
• 3)Serum creatinine 
• 4)Serum ALT 
• 5)X-ray affected joints 

Rx:

1.Tab. Sonap([post id="455" title="Naproxen"]) (500mg)/Cap.Indomet SR (75mg) 

• 1+০+1 (after meal)...…..15 days

2.Tab. Beklo (10mg)// lexaton (50mg)/Relentus(2mg)

• 1+1+1 (after meal).........10 days

3. Tab. Joinix 

• 1+0+1............1 months

3.Tab. Sergel ([post id="392" title="Esomeprazole"])(20mg)

• 1+0+1... (30 min before meal )...….15 days
  

4.Voligel gel দিনে ৩ বার ব্যথা থাকলে লাগাবেন

If female Patient:

Tab. Calbo-D

• 1+০+1…..2 month
  

If knee joint & 1st CMC jOINT : 

inj.Trialon (triamcinoloine) (4mg/ml)

• 1 vial intra-articular ...every 3 monthly upto 1 year

Surgery: 

if not responding to above treatment then 

• Osteotomy 

Advice:

• 1) Physiotherapy
• 2) ভারী ওজন বহন করা যাবেনা। 
• ৩)হাই কমোড ব্যবহার করবেন। 
• ৪) উচু নিচু জায়গায় উঠানামা কম করবেন। 
• ৫) সমতল জায়গায় হাটবেন। 

Prevention Osteoarthritis:

• Keep a healthy body weight. Extra weight puts stress on your joints.
  
• Control your blood sugar. High blood sugar levels raise your risk of getting OA.
  
• Be active every day.
  
• Exercise is a good way to prevent joint problems.
  
• Prevent injury to your joints. 
  
• Pay attention to pain.