Osteoarthritis (OA) is the most common form of arthritis. It is characterized by the breakdown and eventual loss of articular cartilage in the joints. Risk factors include age over 45, female sex, joint injuries, obesity, heredity, and joint malalignment. Symptoms include joint pain, stiffness, swelling, and crepitus. Diagnosis is made clinically and supported by x-ray evidence of joint space narrowing, osteophyte formation, and subchondral sclerosis. Treatment focuses on reducing pain and inflammation, improving joint function, modifying disease progression, and in severe cases, joint replacement surgery.
Do you have osteoarthritis? Learn about what to expect throughout the 4 different stages of knee osteoarthritis and the proper treatment for each stage
What are the four stages of osteoarthritis.pptxpallaviparmar9
Do you have osteoarthritis? Learn about what to expect throughout the 4 different stages of knee osteoarthritis and the proper treatment for each stage.
OA KNEE (1) osteoarthritis of knee for undergraduate and post graduate RDJM.pptxSumitKumar108462
THIS CONTENT IS THE ORIGINAL CONTENT , ITS CREATOR IS VERIFIED. ITS ORIGIBALLY TAKEN FROM REPUTED BOOKS
ITS VAST SCORING SYSTEM
ROBBINS
CAMBELLS
MAHESHWARI
NEUROVIT
CARNIP
ROC\KWOOD
DR CHOUICE , ITS GOOD CONTENT keep the things easy goingf\
every ones choice
verified
technologically targetted contenet
best contenet taken form best of the books of post gracduate, easy to understand, easy to assimilate, may take a less time to go on,
a very long day work
a easy to go thorough
notes for life.
easliy assessible
best for life
life saver
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Management of Osteoarthritis of knee by High tibial.pptxSanthosh Raj
Various treatment options for osteoarthritis discussed with special focus on High tibial osteotomy which forms the main stay of definitive treatment for early medial compartment OA knee
These slides are for Yoga Teachers or students of Yoga for understanding the disease and what Yoga program we can offer to our client when they reach you for help. Although every individual is unique and Yoga Therapy should also be made considering what level of disease they are going through.
Disclaimer: We dont take any responsibility if someone starts to follow the program as mentioned in the PPT for any harm or injury.
Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine. A type of arthritis that occurs when flexible tissue at the ends of bones wears down.
The wearing down of the protective tissue at the ends of bones (cartilage) occurs gradually and worsens over time.
Joint pain in the hands, neck, lower back, knees or hips is the most common symptom.
Medication, physiotherapy and sometimes surgery can help reduce pain and maintain joint movement.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Do you have osteoarthritis? Learn about what to expect throughout the 4 different stages of knee osteoarthritis and the proper treatment for each stage
What are the four stages of osteoarthritis.pptxpallaviparmar9
Do you have osteoarthritis? Learn about what to expect throughout the 4 different stages of knee osteoarthritis and the proper treatment for each stage.
OA KNEE (1) osteoarthritis of knee for undergraduate and post graduate RDJM.pptxSumitKumar108462
THIS CONTENT IS THE ORIGINAL CONTENT , ITS CREATOR IS VERIFIED. ITS ORIGIBALLY TAKEN FROM REPUTED BOOKS
ITS VAST SCORING SYSTEM
ROBBINS
CAMBELLS
MAHESHWARI
NEUROVIT
CARNIP
ROC\KWOOD
DR CHOUICE , ITS GOOD CONTENT keep the things easy goingf\
every ones choice
verified
technologically targetted contenet
best contenet taken form best of the books of post gracduate, easy to understand, easy to assimilate, may take a less time to go on,
a very long day work
a easy to go thorough
notes for life.
easliy assessible
best for life
life saver
give me some rainfall give me some shubn shine.jhjkshfckjsnkjdsfnm,nsdkjbhkjshbsjkffbsjhfbjksn amhvbjhbfjks f,mfewfwfw jkdbshgfkgne fbuydgsjfbewjkf ew fewfbejhbfjhs cmnf ewjhbjh cdjhewbfn ew febnfewjhbfkjndklndlkqwnfkj fmn ffffffmn fjknbjkewg ewf ewfkjbcjkbkjwe ew f ew fkjf jkf ewjkfnekj fewfefewfejknfkjsnioajsflkas f nfkisoisknvgew,m gweniaushfioasfne fm, fkjhuidhwqjoidj.,. a very long assay. to give u all the supporting details. nskjfeilfwe jkbgduisdw fdkjsbdjkbskjfw efmen bhjbsdiubfmnew fbjsbhj fmwnef ewmfn efkjwhfuiasnflkmasnfoihfk fekjfbwuiebfkj fkjfbukjf m,nf hfbkjd mfnw fewiuuf wemnf ewmnf ewfewhjfjke kjbkjsbnfkjew gwem,f fkjbnfkjdsnklfdnfjklhfkjew kjbkjbfjksnksdj vjksdfnewiuogherwiofnwelkmflkwjfoi fjkewfnieuhfioenfkje fejkfnioeufhbewjkf wefejkfnewifunewkfje fjkew fkjewf ekjfn ewkl fmew, fjk m, fkldfneklg few flkenfklw fwm, klfnewklfnkleg e,mggem f eflkjenklfwenkfk f efnewklfnkle ge e fwe f ew feklf e,m gem, g e e g eg es gfse f we f ew ge g e fg ew ge g e ge w g eg e g e ge g r eg e g g eg s,ngfklmnlgmg,m ln kl fds,m g,ms g,ms g,mr g,ms g,mse g,r gśggśdṅṅ r̥gr̥ggg,m jkfnd,mg g m,g esjngklsdnglkes ,mn kljnklgndslkg ,nlkngklrnglksmglkswmwkl lkndlkfndsklgndslkgnslkgnlsmlknjkhbjhvjhvjhvbhjvbjhvhgvhgvhgvjhbjhbjhbjbjhbkjbnkjbkjbkjn jkbjyvyujbvkj jhvjbgkjbnkjbjyfhjvbhtydsyuhjbnj sandkasjbcaskjfnklfbweuifhewoilkfnewqlkifyhqwoikfm ,wefnwekjfgwekjfnwekljfw ef wefbwebfnweklnfewkjf we jewhbfkuwjenf ,ewmbfiqwuhflqwknfoiqwf qwf qwkjbfqwklfnkwjehfwelkfnqwlijdkqwuigfhwkelfnqw jf ewkjbfoiqwhflkqwf qw ugwfiuqwenfklaewgfiqwuhklqwebdyuqwghknlqwuihdrqwkuiyg7uidojqhwytfegiuqwj frweuiofhqwiundfyghjoqwibr78iqwomnbyugehlkqwjr qw djhqwyghrioqwnfrbyuqwbdrkjqwhgfjlqwiugrkqwjbriuqwnfqwiunfweuieikewilukfb wef wejkfbwkejbfyuewkjfnewkfkewjhfnwen fewbkfhbkewlnfbhjewkfe rewhbfkjlewbfjkew fukwenrk,ferbjfkdbfiukwendnr wq dfewuifbkwqj fbuiqwkjf ewmn fewufhiolaewkfbyujwhfn,ewmjb f,re fnkewjhfewlknfkewjbfjkew fewkjfbewjkbfjkewnbfjkwe fhmewbfjkwebfjkewbfjkwebkjf hjfhgewuifnewf
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Management of Osteoarthritis of knee by High tibial.pptxSanthosh Raj
Various treatment options for osteoarthritis discussed with special focus on High tibial osteotomy which forms the main stay of definitive treatment for early medial compartment OA knee
These slides are for Yoga Teachers or students of Yoga for understanding the disease and what Yoga program we can offer to our client when they reach you for help. Although every individual is unique and Yoga Therapy should also be made considering what level of disease they are going through.
Disclaimer: We dont take any responsibility if someone starts to follow the program as mentioned in the PPT for any harm or injury.
Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine. A type of arthritis that occurs when flexible tissue at the ends of bones wears down.
The wearing down of the protective tissue at the ends of bones (cartilage) occurs gradually and worsens over time.
Joint pain in the hands, neck, lower back, knees or hips is the most common symptom.
Medication, physiotherapy and sometimes surgery can help reduce pain and maintain joint movement.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
2. Osteoarthritis (OA)
• OA is the most common
form of arthritis and the most
common joint disease
• Most of the people who have
OA are older than age 45,
and women are more
than
commonly affected
men.
3. Definition
• Osteoarthritis is an idiopathic disease
characterized by degeneration of articular
cartilage leads to fibrillation, fissures, gross
ulceration and finally disappearance of the
full thickness of articular cartilage.
4. • As defined by the American College of
Rheumatology (ACR), OA is a
heterogeneous group of condition that leads
to joint signs and symptoms which are
associated with defective integrity of
articular cartilage, in addition to related
changes in the underlying bone at the joint
margins.
5. •The repair mechanisms of tissue absorption and
synthesis get out of balance and result in
osteophyte formation (bone spurs) and bone cysts
6. OA
OA is a disease of
joints that affects all
of the weight-bearing
components of the
joint:
•Articular
cartilage
•Menisci
•Bone
7. OA – Articular Cartilage
Articular cartilage is the main tissue affected
OA results in:
•Increased tissue swelling
•Change in color
•Cartilage fibrillation
•Cartilage erosion down to subchondral bone
8. OA – Articular Cartilage
A)Normal articular
cartilage from 21-year
old adult (3000X)
B)Osteoarthritic
cartilage (3000X)
22. OA – Symptoms
•
•
OA usually occurs slowly -
It may be many years before
the damage to the joint
becomes noticeable
Only a third of people
whose X-rays show
OA report pain or
other symptoms:
– Steady or intermittent pain in a joint
– Stiffness that tends to follow periods of inactivity, such as sleep
or sitting
– Swelling or tenderness in one or more joints [not necessarily
occurring on both sides of the body at the same time]
– Crunching feeling or sound of bone rubbing on bone (called
crepitus) when the joint is used
23. Two Major Types of OA
• Primary or Idiopathic
– Most common type
– Diagnosed when there is no known cause for
the symptoms
• Secondary
– Diagnosed when there is an identifiable cause
• Trauma or Underlying joint disorder
• Each of these major types has subtypes
24.
25. OA vs. Aging
Unlike aging, OA is progressive and a significantly
more active process
26. Osteoarthritis with lateral osteophyte, loss of articular cartilage and
some subchondral bony sclerosis- X-ray shows loss of joint space
OA – Overall Changes
27.
28. Laboratory findings in OA
• THERE ARE NO DIAGNOSTIC LAB
TESTS FOR OSTEOARTHRITIS
• OA is not a systemic disease, therefore:
– ESR, Chem 7, CBC, and UA all WNL
• Synovial fluid
• Mild leukocytosis (<2000 WBC/microliter)
• Can be used to exclude gout, CPPD, or septic
arthritis if diagnosis is in doubt
29. Synovial fluid analysis
• Severe, acute joint pain is an
uncommon manifestation of OA
• Clear fluidWBC <2000/mm3
• Normal viscosity
31. Asymmetrical joint space narrowing from loss of
articular cartilage
The medial (inside) part of the knee is most commonly affected by osteoarthritis.
OA – Radiographic Diagnosis
32. OA – Radiographic Diagnosis
•Asymmetrical
joint space
narrowing
•Periarticular
sclerosis
•Osteophytes
•Sub-chrondral
bone cysts
33.
34. OA – Arthroscopic Diagnosis
Normal Articular Cartilage
Ostearthritic degenerated cartilage
with exposed subchondral bone
Arthroscopy allows earlier
diagnosis by demonstrating the
more subtle cartilage changes
that are not visible on x-ray
35. •OA is a condition which progresses slowly over a
period of many years and cannot be cured
•Treatment is directed at decreasing the symptoms of
the condition, and slowing the progress of the
condition
•Functional treatment goals:
•Limit pain
•Increase range of motion
•Increase muscle strength
OA – Disease Management
39. • Pharmacologic
– Glucosamine 20 studies with >2500 patients
• If only high quality studies evaluated:
– No benefit over placebo on pain
• If all studies included:
– Pain may improve by as much as 13 points
• 2 RCT’s using Rotta preparation:
– Demonstrated slowing of radiological progression of OA
over a 3 year period
40. • Pharmacologic
– Diacerein
• Pain improved 5 points compared to placebo
• Over 3 years,
– Slowed progress of OA in the hip compared to placebo
– Did not slow progress of OA in the knee
• Diarrhea is most common side effect
– 42 out of 100 had diarrhea in the first 2 weeks
– 18 discontinued because of side effects (13 in placebo)
44. •Osteoarthritis usually
affects the inside half
(medial compartment) of
the knee more often than
the outside (lateral
compartment).
•This can lead to the lower
extremity becoming
slightly bowlegged, or in
medical terms, a genu
varum deformity
Proximal Tibial Osteotomy
45. Proximal Tibial Osteotomy
•The result is that the weight bearing line of the lower
extremity moves more medially (towards the medial
compartment of the knee).
•The end result is that there is more pressure on the medial
joint surfaces, which leads to more pain and faster
degeneration.
•In some cases, re-aligning the angles in the lower extremity
can result in shifting the weight-bearing line to the lateral
compartment of the knee. This, presumably, places the
majority of the weight-bearing force into a healthier
compartment. The result is to reduce the pain and delay the
progression of the degeneration of the medial compartment.
46. Proximal Tibial Osteotomy
•In the procedure to realign the
angles, a wedge of bone is
removed from the lateral side
of the upper tibia.
•A staple or plate and screws
are used to hold the bone in
place until it heals.
•This converts the extremity
from being bow-legged to
knock-kneed.
•The Proximal Tibial Osteotomy buys some time before ultimately
needing to perform a total knee replacement. The operation
probably lasts for 5-7 years if successful.
47. The ultimate solution for osteoarthritis of the knee is to
replace the joint surfaces with an artificial knee joint:
•Usually only considered in people over the age of 60
•Artificial knee joints last about 12 years in an elderly population
•Not recommended in younger patients because:
•The younger the patient, the more likely the artificial joint will fail
•Replacing the knee the second and third time is much harder and much
less likely to succeed.
•Younger patients are more active and place more stress on the artificial
joint, that can lead to loosening and failure earlier
•Younger patients are also more likely to outlive their artificial joint, and
will almost surely require a revision at some point down the road.
•Younger patients sometimes require the surgery (simply because
no other acceptable solution is available to treat their condition)
Total Knee Replacement
48. •The ends of the femur, tibia, and patella are shaped to accept
the artificial surfaces.
•The end result is that all moving surfaces of the knee are
metal against plastic
Total Knee Replacement