osteoarthritis notes 2 17

• related: MSK

Sx

• location
  • does not occur in wrists, elbow, ankle. If find on Xray, there must be underlying condition
  • unusual: shoulder

• DIP, PIP, CMC
• worse with gripping

• As CMC joint enlarges, thumb pulls inward

• De quervain: extend thumb extensor tendon
• trigger finger: ask pt to open and close hand. One finger gets stuck

• OT can splint

Shoulder OA

• most common place: 3

DJD Spine

• pain anywhere neck to lumbar
• worse with activity, better laying down
• prolong hx
• Back pain ddx: compression fx, sciatica, paraspinal, spinal stenosis, infection/abscess, mass/malignancy, cord compression, sponlyarthropathies
• straight leg raise: have pt point to exactly where it hurts. Thigh = hamstring. Groin = hip. Sciatica = pain to foot, shooting

Spinal stenosis

Treatment

• fusion surgery makes joint worse above and below surgery

Hip pain

• has to point to hip. Muscle spasm if point to buttocks/back
• cane: used on the opposite arm. Right hip hurt, hold cane on left hand. Cane should come up to level or wrist
• steroids lasts up to 3 months

Knee

• push knee cap side to side on bed = patellofemoral
• prepatellar bursitis: maiden's knee. Squatting or kneeling too much. Press on knee cap
• anserine bursitis: medial side of tibia
• tendonitis of quadriceps
• 
• 

Foot pain