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A 60 year old woman has come to your OPD complaining of pain and stiffness in left knee since last 5 months. Pain is more during walking .There is no history of trauma to the joint.
You decide to order an X-ray of left knee joint (AP and lateral views) . Images are given below :
What is the most likely diagnosis ?
What are other clinical features of this condition?
What are the radiological findings of this condition?
How do you manage this disease?
Answers :
What is the most likely diagnosis :
Most likely Diagnosis is Osteoarthritis of Left Knee joint.
What are other clinical features of this condition?
Signs and symptoms of osteoarthritis include:
Pain.:
Affected joints might hurt during or after movement.
Stiffness.
Joint stiffness might be most noticeable upon awakening or after being inactive.
Tenderness.
Loss of flexibility.
Grating sensation.
Bone spurs.
Swelling.
What are the radiological findings of this condition?
X-rays can show if there is a loss of joint space between the femur and tibia, indicating a loss of cartilage in the knee.
An x-ray can also show bone spurs, a sign that the bones have tried to compensate for cartilage loss with extra bone growth.
How do you manage this disease?
Medications that can help relieve osteoarthritis symptoms, primarily pain, include:
Acetaminophen has been shown to help some people with osteoarthritis who have mild to moderate pain. .
Nonsteroidal anti-inflammatory drugs (NSAIDs).
Duloxetine
Physical therapy.
A physical therapist can educate about exercises to strengthen the muscles around the joint, increase flexibility and reduce pain.
Regular gentle exercise that one can do on their own, such as swimming or walking, can be equally effective.
Occupational Therapy
An occupational therapist can help patient discover ways to do everyday tasks without putting extra stress on their already painful joint.
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