KNEE OSTEOARTHRITIS

Course overview

KNEE OSTEOARTHRITIS (OA), ALSO KNOWN AS DEGENERATIVE JOINT DISEASE OF THE KNEE, IS TYPICALLY THE RESULT OF WEAR AND TEAR AND PROGRESSIVE LOSS OF ARTICULAR CARTILAGE. IT IS MOST COMMON IN THE ELDERLY. KNEE OSTEOARTHRITIS CAN BE DIVIDED INTO TWO TYPES, PRIMARY AND SECONDARY. PRIMARY OSTEOARTHRITIS IS ARTICULAR DEGENERATION WITHOUT ANY APPARENT UNDERLYING REASON. SECONDARY OSTEOARTHRITIS IS THE CONSEQUENCE OF EITHER AN ABNORMAL CONCENTRATION OF FORCE ACROSS THE JOINT AS WITH POST-TRAUMATIC CAUSES OR ABNORMAL ARTICULAR CARTILAGE, SUCH AS RHEUMATOID ARTHRITIS (RA). OSTEOARTHRITIS IS TYPICALLY A PROGRESSIVE DISEASE THAT MAY EVENTUALLY LEAD TO DISABILITY. THE INTENSITY OF THE CLINICAL SYMPTOMS MAY VARY FROM EACH INDIVIDUAL. HOWEVER, THEY TYPICALLY BECOME MORE SEVERE, MORE FREQUENT, AND MORE DEBILITATING OVER TIME. THE RATE OF PROGRESSION ALSO VARIES FOR EACH INDIVIDUAL. COMMON CLINICAL SYMPTOMS INCLUDE KNEE PAIN THAT IS GRADUAL IN ONSET AND WORSE WITH ACTIVITY, KNEE STIFFNESS AND SWELLING, PAIN AFTER PROLONGED SITTING OR RESTING, AND PAIN THAT WORSENS OVER TIME. TREATMENT FOR KNEE OSTEOARTHRITIS BEGINS WITH CONSERVATIVE METHODS AND PROGRESSES TO SURGICAL TREATMENT OPTIONS WHEN CONSERVATIVE TREATMENT FAILS. WHILE MEDICATIONS CAN HELP SLOW THE PROGRESSION OF RA AND OTHER INFLAMMATORY CONDITIONS, NO PROVEN DISEASE-MODIFYING AGENTS FOR THE TREATMENT OF KNEE OSTEOARTHRITIS CURRENTLY EXIST. THIS ACTIVITY HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN CARING FOR PATIENTS WITH THIS CONDITION.