SlideShare a Scribd company logo
1 of 19
Living with Osteoarthritis
         of the Knee


Jeffrey Rosenberg MD
Summit Medical Group
Plan

•   What is arthritis?
•   How do I know if I have arthritis?
•   How can I treat arthritis?
•   How can I improve my function and
    pain?
Arthritis
• Inflammation of the Joints
     Septic Arthritis: Infection
     Rheumatoid Arthritis: Autoimmune
     Osteoarthritis: Degeneration of cartilage
• Joint pain and limited range of motion
Degenerative Osteoarthritis

         • Degeneration of
           Cartilage overlying
           bone (Articular
           Cartilage)
         • Degeneration of
           Meniscus cushion
         • Changes to
           underlying bone
         • Joint becomes
           malformed
Osteoarthritis
Causes


•   Prior Injury
•   Overuse
•   Obesity
•   Joint Imbalances
•   Genetics
Symptoms

• Joint pain-Chronic Deep Ache, Boring
• Acute pain-Sharp, Stabbing

• Swelling
• Limited Range of Motion
• Pain worse with
  walking, standing, getting out of
  chair, stair
• Instability: Giving out/Locking
Symptoms

• Joint sore after
  overuse/prolonged activity
• Stiffness after rest and AM
  <30 min
• Pain/Surrounding muscle
  weakness
• Grating/Popping/Catching
• Deterioration of
  posture, walking, and
  coordination from pain and
Diagnosis

• Take a history
• Physical Exam:
    •   Fluid in Joint
    •   Limited Range of Motion
    •   Joint Deformity
    •   Pain over joint line
• Xrays-Don’t Always
  Correlate with symptoms
Normal   Arthritis
Treatment
• Weight Control
• Pain Medication
• Modified
  Activity/Physical
  Therapy
• Shoe Wear
• Bracing
• Injections
• Replacement
Pain Medication
• Tylenol (acetaminophen)
• NSAIDs: Anti Inflammatory
  (Aleve, Advil, are OTC, others
  prescribed)-More risks/drug interactions
• Topical: Salicylates, Counter irritants
  Capsaicin, NSAIDS
• Heat
• Acupuncture
Supplements
• Will Not look like
  this
• Glucosamine
  Chondroitin (2000
  mg/day)
• Vitamins/Antioxida
  nts-Vitamin C, D, E
• SAMe, Olive
  Oil, MSM
Physical Activity

• Flexibility, Strengthening, Endurance
• Best to Continue Exercise/Movement
     Non Weight Bearing Exercises
      • Pool, Bike, Elliptical Trainer
     Strengthen Muscles around Joint
Physical Therapy
• Physical Therapy, Occupational
  Therapy
• Walking Program, Yoga/Pilates, Water
  Aerobics
Shoe Wear

• Shoes with good support/cushion
• Sneakers usually best for
  standing/walking
• Inserts to support Arch
• Shoe Wedge-unload the worse part of
  the joint
Bracing
• Knee Sleeve for activity
• Unloader Brace for Joint Deformity
     Useful for unilateral disease
Injections
  • Steroids-Swollen, acutely
    painful joint after trauma.
    OK to take out the fluid
  • Viscosupplementation-
    Replaces the substance
    missing in joint fluid to
    improve nutrition to
    cartilage
       Synvisc, Euflexxa, etc
       Weekly injections for 1 or 3
        weeks depending on med
Surgery
• Arthroscopy-Flush out
  the abnormal joint fluid
     ?long term improvement
• Menisectomy
• Hemiarthroplasty-half
  knee replacement
• Total Knee
  Arthroplasty-knee
  replacement

More Related Content

What's hot

Osteoporosis-pathogenesis, diagnosis, management and prevention
Osteoporosis-pathogenesis, diagnosis, management and preventionOsteoporosis-pathogenesis, diagnosis, management and prevention
Osteoporosis-pathogenesis, diagnosis, management and preventionsubramaniam sethupathy
 
Ankylosing spondylitis,Causes,symptoms,diagnosis,management
Ankylosing spondylitis,Causes,symptoms,diagnosis,managementAnkylosing spondylitis,Causes,symptoms,diagnosis,management
Ankylosing spondylitis,Causes,symptoms,diagnosis,managementDr.Md.Monsur Rahman
 
rheumatoid arthritis.
rheumatoid arthritis.rheumatoid arthritis.
rheumatoid arthritis.kajal sansoya
 
Ankylosing spondylitis
Ankylosing spondylitisAnkylosing spondylitis
Ankylosing spondylitisAbigail Abalos
 
Management of Osteoarthritis
Management of OsteoarthritisManagement of Osteoarthritis
Management of OsteoarthritisHidayat Shariff
 
Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)Prof Vijayraddi
 
Peripheral neuropathy
Peripheral neuropathyPeripheral neuropathy
Peripheral neuropathyanoop k r
 
Muscle disorders
Muscle disordersMuscle disorders
Muscle disordersAnu Priya
 
Lower limb fractures
Lower limb fracturesLower limb fractures
Lower limb fracturesairwave12
 
Low back pain (lumbago)
Low back pain (lumbago) Low back pain (lumbago)
Low back pain (lumbago) SHERIFFMUIDEEN1
 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosisdrsp46
 
Geriatric Medicine.ppt
Geriatric Medicine.pptGeriatric Medicine.ppt
Geriatric Medicine.pptShama
 
Pulmonary function test
Pulmonary function testPulmonary function test
Pulmonary function testvelspharmd
 
Disorders of autonomic nervous system
Disorders of autonomic nervous systemDisorders of autonomic nervous system
Disorders of autonomic nervous systemZubair Sarkar
 
Chronic fatigue syndrome
Chronic  fatigue syndromeChronic  fatigue syndrome
Chronic fatigue syndromeHeba Essawy, MD
 

What's hot (20)

Osteoporosis-pathogenesis, diagnosis, management and prevention
Osteoporosis-pathogenesis, diagnosis, management and preventionOsteoporosis-pathogenesis, diagnosis, management and prevention
Osteoporosis-pathogenesis, diagnosis, management and prevention
 
Transverse myelitis
Transverse myelitisTransverse myelitis
Transverse myelitis
 
Stroke
StrokeStroke
Stroke
 
Ankylosing spondylitis,Causes,symptoms,diagnosis,management
Ankylosing spondylitis,Causes,symptoms,diagnosis,managementAnkylosing spondylitis,Causes,symptoms,diagnosis,management
Ankylosing spondylitis,Causes,symptoms,diagnosis,management
 
rheumatoid arthritis.
rheumatoid arthritis.rheumatoid arthritis.
rheumatoid arthritis.
 
Ankylosing spondylitis
Ankylosing spondylitisAnkylosing spondylitis
Ankylosing spondylitis
 
Management of Osteoarthritis
Management of OsteoarthritisManagement of Osteoarthritis
Management of Osteoarthritis
 
Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)
 
Peripheral neuropathy
Peripheral neuropathyPeripheral neuropathy
Peripheral neuropathy
 
Myofascial Release Presentation
Myofascial Release Presentation Myofascial Release Presentation
Myofascial Release Presentation
 
Hip fractures
Hip fracturesHip fractures
Hip fractures
 
Motor Neuron Disease
Motor Neuron DiseaseMotor Neuron Disease
Motor Neuron Disease
 
Muscle disorders
Muscle disordersMuscle disorders
Muscle disorders
 
Lower limb fractures
Lower limb fracturesLower limb fractures
Lower limb fractures
 
Low back pain (lumbago)
Low back pain (lumbago) Low back pain (lumbago)
Low back pain (lumbago)
 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosis
 
Geriatric Medicine.ppt
Geriatric Medicine.pptGeriatric Medicine.ppt
Geriatric Medicine.ppt
 
Pulmonary function test
Pulmonary function testPulmonary function test
Pulmonary function test
 
Disorders of autonomic nervous system
Disorders of autonomic nervous systemDisorders of autonomic nervous system
Disorders of autonomic nervous system
 
Chronic fatigue syndrome
Chronic  fatigue syndromeChronic  fatigue syndrome
Chronic fatigue syndrome
 

Viewers also liked

Osteoarthritis ppt
Osteoarthritis pptOsteoarthritis ppt
Osteoarthritis pptRupika Sodhi
 
How to Reduce Knee Pain With Exercise
How to Reduce Knee Pain With ExerciseHow to Reduce Knee Pain With Exercise
How to Reduce Knee Pain With ExerciseKunal Shah
 
Exercises for Knee Osteoarthritis (from WebMD)
Exercises for Knee Osteoarthritis (from WebMD)Exercises for Knee Osteoarthritis (from WebMD)
Exercises for Knee Osteoarthritis (from WebMD)Allan Corpuz
 
Exercises for Knee Osteoarthritis
Exercises for Knee OsteoarthritisExercises for Knee Osteoarthritis
Exercises for Knee OsteoarthritisYashar Habibyar
 
Ten Principles in Osteoarthritis Management
Ten Principles in Osteoarthritis ManagementTen Principles in Osteoarthritis Management
Ten Principles in Osteoarthritis ManagementRachmat Gunadi Wachjudi
 
How to Recover from Arthritis in physiotherapy.
How to Recover from Arthritis in physiotherapy.How to Recover from Arthritis in physiotherapy.
How to Recover from Arthritis in physiotherapy.apnaacare
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidrmatza
 
Billing and insurance FAQ
Billing and insurance FAQBilling and insurance FAQ
Billing and insurance FAQSummit Health
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidrmatza
 
Helping Children Cope After Hurricane Sandy
Helping Children Cope After Hurricane SandyHelping Children Cope After Hurricane Sandy
Helping Children Cope After Hurricane SandySummit Health
 
P6 u2 h.1.2._egypt_timeline
P6 u2 h.1.2._egypt_timelineP6 u2 h.1.2._egypt_timeline
P6 u2 h.1.2._egypt_timelineaagirrebengoa
 
Management of Common Menopausal Complaints
Management of Common Menopausal ComplaintsManagement of Common Menopausal Complaints
Management of Common Menopausal ComplaintsSummit Health
 
Return Investment
Return InvestmentReturn Investment
Return InvestmentDean Parry
 
Are your Hormones Driving You Crazy?
Are your Hormones Driving You Crazy?Are your Hormones Driving You Crazy?
Are your Hormones Driving You Crazy?Summit Health
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidrmatza
 

Viewers also liked (20)

Osteoarthritis ppt
Osteoarthritis pptOsteoarthritis ppt
Osteoarthritis ppt
 
How to Reduce Knee Pain With Exercise
How to Reduce Knee Pain With ExerciseHow to Reduce Knee Pain With Exercise
How to Reduce Knee Pain With Exercise
 
Exercises for Knee Osteoarthritis (from WebMD)
Exercises for Knee Osteoarthritis (from WebMD)Exercises for Knee Osteoarthritis (from WebMD)
Exercises for Knee Osteoarthritis (from WebMD)
 
Exercises for Knee Osteoarthritis
Exercises for Knee OsteoarthritisExercises for Knee Osteoarthritis
Exercises for Knee Osteoarthritis
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
Ten Principles in Osteoarthritis Management
Ten Principles in Osteoarthritis ManagementTen Principles in Osteoarthritis Management
Ten Principles in Osteoarthritis Management
 
How to Recover from Arthritis in physiotherapy.
How to Recover from Arthritis in physiotherapy.How to Recover from Arthritis in physiotherapy.
How to Recover from Arthritis in physiotherapy.
 
Osteoarthritis Management R Gunadi
Osteoarthritis Management R GunadiOsteoarthritis Management R Gunadi
Osteoarthritis Management R Gunadi
 
Non pharmacological treatments for osteoarthritis
Non pharmacological treatments for osteoarthritisNon pharmacological treatments for osteoarthritis
Non pharmacological treatments for osteoarthritis
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vid
 
Kadar lengas tanah
Kadar lengas tanahKadar lengas tanah
Kadar lengas tanah
 
Billing and insurance FAQ
Billing and insurance FAQBilling and insurance FAQ
Billing and insurance FAQ
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vid
 
Helping Children Cope After Hurricane Sandy
Helping Children Cope After Hurricane SandyHelping Children Cope After Hurricane Sandy
Helping Children Cope After Hurricane Sandy
 
P6 u2 h.1.2._egypt_timeline
P6 u2 h.1.2._egypt_timelineP6 u2 h.1.2._egypt_timeline
P6 u2 h.1.2._egypt_timeline
 
Management of Common Menopausal Complaints
Management of Common Menopausal ComplaintsManagement of Common Menopausal Complaints
Management of Common Menopausal Complaints
 
Return Investment
Return InvestmentReturn Investment
Return Investment
 
Are your Hormones Driving You Crazy?
Are your Hormones Driving You Crazy?Are your Hormones Driving You Crazy?
Are your Hormones Driving You Crazy?
 
Nesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vidNesa 2012 roy and ed no vid
Nesa 2012 roy and ed no vid
 
De kleine lettertjes
De kleine lettertjesDe kleine lettertjes
De kleine lettertjes
 

Similar to Living with Osteoarthritis of the Knee

Osteoarthritis knee
Osteoarthritis  kneeOsteoarthritis  knee
Osteoarthritis kneeNarula Gandu
 
osteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxosteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxKareemElsharkawy6
 
Osteoarthritis of joints and related treatment
Osteoarthritis of joints and related treatmentOsteoarthritis of joints and related treatment
Osteoarthritis of joints and related treatmentRupal Patel
 
osteoarthritis-140614073518-phpapp02.pdf
osteoarthritis-140614073518-phpapp02.pdfosteoarthritis-140614073518-phpapp02.pdf
osteoarthritis-140614073518-phpapp02.pdfmunirmemon40
 
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019Summit Health
 
What are the four stages of osteoarthritis.pptx
What are the four stages of osteoarthritis.pptxWhat are the four stages of osteoarthritis.pptx
What are the four stages of osteoarthritis.pptxpallaviparmar9
 
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...Kush Joshi
 
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdf
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdfkneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdf
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdfNaolShibiru
 
Common sports injuries and treatment
Common sports injuries and treatmentCommon sports injuries and treatment
Common sports injuries and treatmentSachin Parsekar
 
osteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxosteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxSourabh Jha
 
Osteoarthritis in Nursing studies
Osteoarthritis in Nursing studies Osteoarthritis in Nursing studies
Osteoarthritis in Nursing studies sharmitagayen
 
Four stages of osteoarthritis.pptx
Four stages of osteoarthritis.pptxFour stages of osteoarthritis.pptx
Four stages of osteoarthritis.pptxpallaviparmar9
 
Joint Replacement Dr Dibya Singha.pptx
Joint Replacement Dr Dibya Singha.pptxJoint Replacement Dr Dibya Singha.pptx
Joint Replacement Dr Dibya Singha.pptxDrDibyaSingha
 
Revision Joint Replacement in Jaipur
Revision Joint Replacement in JaipurRevision Joint Replacement in Jaipur
Revision Joint Replacement in JaipurPriya Verma
 
Revision joint replacement in jaipur
Revision joint replacement in jaipurRevision joint replacement in jaipur
Revision joint replacement in jaipurVirat Yadav
 
musculoskeletal care
musculoskeletal caremusculoskeletal care
musculoskeletal careNeilfieOrit2
 

Similar to Living with Osteoarthritis of the Knee (20)

Knee problems & physiotherapy (kunjal shah)
Knee problems & physiotherapy (kunjal shah)Knee problems & physiotherapy (kunjal shah)
Knee problems & physiotherapy (kunjal shah)
 
Osteoarthritis knee
Osteoarthritis  kneeOsteoarthritis  knee
Osteoarthritis knee
 
osteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxosteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptx
 
Osteoarthritis of joints and related treatment
Osteoarthritis of joints and related treatmentOsteoarthritis of joints and related treatment
Osteoarthritis of joints and related treatment
 
osteoarthritis-140614073518-phpapp02.pdf
osteoarthritis-140614073518-phpapp02.pdfosteoarthritis-140614073518-phpapp02.pdf
osteoarthritis-140614073518-phpapp02.pdf
 
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019
Foot Health 101 - Ali El-Saheli DPM,FACFAS - April 23, 2019
 
What are the four stages of osteoarthritis.pptx
What are the four stages of osteoarthritis.pptxWhat are the four stages of osteoarthritis.pptx
What are the four stages of osteoarthritis.pptx
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...
Degenerative condition of joints and spine For G.N.M 2nd & B.Sc.2nd & 3rd Yea...
 
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdf
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdfkneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdf
kneeosteoarthritisitsphysiotherapeuticapproaches-210113081217.pdf
 
Common sports injuries and treatment
Common sports injuries and treatmentCommon sports injuries and treatment
Common sports injuries and treatment
 
osteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptxosteoarthritisknee-170221145316.pptx
osteoarthritisknee-170221145316.pptx
 
Osteoarthritis in Nursing studies
Osteoarthritis in Nursing studies Osteoarthritis in Nursing studies
Osteoarthritis in Nursing studies
 
OA KNEE.pptx
OA KNEE.pptxOA KNEE.pptx
OA KNEE.pptx
 
Iliopsoas bursitis .
Iliopsoas bursitis .Iliopsoas bursitis .
Iliopsoas bursitis .
 
Four stages of osteoarthritis.pptx
Four stages of osteoarthritis.pptxFour stages of osteoarthritis.pptx
Four stages of osteoarthritis.pptx
 
Joint Replacement Dr Dibya Singha.pptx
Joint Replacement Dr Dibya Singha.pptxJoint Replacement Dr Dibya Singha.pptx
Joint Replacement Dr Dibya Singha.pptx
 
Revision Joint Replacement in Jaipur
Revision Joint Replacement in JaipurRevision Joint Replacement in Jaipur
Revision Joint Replacement in Jaipur
 
Revision joint replacement in jaipur
Revision joint replacement in jaipurRevision joint replacement in jaipur
Revision joint replacement in jaipur
 
musculoskeletal care
musculoskeletal caremusculoskeletal care
musculoskeletal care
 

More from Summit Health

Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...
Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...
Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...Summit Health
 
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...
Pediatric Talk: Managing Arthritis During the Holidays - Dr.  Marla Guzman - ...Pediatric Talk: Managing Arthritis During the Holidays - Dr.  Marla Guzman - ...
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...Summit Health
 
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...Summit Health
 
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...
Safety and Success in a Post-Pandemic Society -  Daniela Accurso, MD, MPH - 7...Safety and Success in a Post-Pandemic Society -  Daniela Accurso, MD, MPH - 7...
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...Summit Health
 
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
 
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
 
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...Summit Health
 
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021Summit Health
 
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020Summit Health
 
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Summit Health
 
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Know Your Numbers and What They Mean for Your Overall Health - Madison Public...
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Summit Health
 
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Summit Health
 
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...Summit Health
 
Can't Sleep? The ABCs of Your ZZZs
Can't Sleep? The ABCs of Your ZZZsCan't Sleep? The ABCs of Your ZZZs
Can't Sleep? The ABCs of Your ZZZsSummit Health
 
Healthy Eating for Cancer Survivorship
Healthy Eating for Cancer SurvivorshipHealthy Eating for Cancer Survivorship
Healthy Eating for Cancer SurvivorshipSummit Health
 
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Summit Health
 
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...Summit Health
 
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...Summit Health
 
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
 
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
 

More from Summit Health (20)

Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...
Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...
Awareness and Prevention: Reduce your risk of stroke! - Berkeley Heights Seni...
 
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...
Pediatric Talk: Managing Arthritis During the Holidays - Dr.  Marla Guzman - ...Pediatric Talk: Managing Arthritis During the Holidays - Dr.  Marla Guzman - ...
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...
 
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...
Myth Busters: What You Need To Know About Breast Cancer - Sparta Library - Dr...
 
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...
Safety and Success in a Post-Pandemic Society -  Daniela Accurso, MD, MPH - 7...Safety and Success in a Post-Pandemic Society -  Daniela Accurso, MD, MPH - 7...
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...
 
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
 
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...
 
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options​ - And...
 
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021
 
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020
Diabetes Prevention - Mildred Bentler, MA, RD, CSP, CDE - 11.18.2020
 
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...
 
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Know Your Numbers and What They Mean for Your Overall Health - Madison Public...
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...
 
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...
 
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...
Breast Cancer Prevention - Modifiable Lifestyle Factors - Diana N. Addis, MD,...
 
Can't Sleep? The ABCs of Your ZZZs
Can't Sleep? The ABCs of Your ZZZsCan't Sleep? The ABCs of Your ZZZs
Can't Sleep? The ABCs of Your ZZZs
 
Healthy Eating for Cancer Survivorship
Healthy Eating for Cancer SurvivorshipHealthy Eating for Cancer Survivorship
Healthy Eating for Cancer Survivorship
 
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...
 
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...
Virtual Lecture: Spot-On Acne Treatment Options - Mital Patel-Cohen, MD - 6.2...
 
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...
Understanding Liver Disease - Cecilia Minano, MD, MPH - Livingston Library - ...
 
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....
 
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020
 

Recently uploaded

Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Timevijaych2041
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 

Recently uploaded (20)

Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 

Living with Osteoarthritis of the Knee

  • 1. Living with Osteoarthritis of the Knee Jeffrey Rosenberg MD Summit Medical Group
  • 2. Plan • What is arthritis? • How do I know if I have arthritis? • How can I treat arthritis? • How can I improve my function and pain?
  • 3. Arthritis • Inflammation of the Joints  Septic Arthritis: Infection  Rheumatoid Arthritis: Autoimmune  Osteoarthritis: Degeneration of cartilage • Joint pain and limited range of motion
  • 4. Degenerative Osteoarthritis • Degeneration of Cartilage overlying bone (Articular Cartilage) • Degeneration of Meniscus cushion • Changes to underlying bone • Joint becomes malformed
  • 6. Causes • Prior Injury • Overuse • Obesity • Joint Imbalances • Genetics
  • 7. Symptoms • Joint pain-Chronic Deep Ache, Boring • Acute pain-Sharp, Stabbing • Swelling • Limited Range of Motion • Pain worse with walking, standing, getting out of chair, stair • Instability: Giving out/Locking
  • 8. Symptoms • Joint sore after overuse/prolonged activity • Stiffness after rest and AM <30 min • Pain/Surrounding muscle weakness • Grating/Popping/Catching • Deterioration of posture, walking, and coordination from pain and
  • 9. Diagnosis • Take a history • Physical Exam: • Fluid in Joint • Limited Range of Motion • Joint Deformity • Pain over joint line • Xrays-Don’t Always Correlate with symptoms
  • 10. Normal Arthritis
  • 11. Treatment • Weight Control • Pain Medication • Modified Activity/Physical Therapy • Shoe Wear • Bracing • Injections • Replacement
  • 12. Pain Medication • Tylenol (acetaminophen) • NSAIDs: Anti Inflammatory (Aleve, Advil, are OTC, others prescribed)-More risks/drug interactions • Topical: Salicylates, Counter irritants Capsaicin, NSAIDS • Heat • Acupuncture
  • 13. Supplements • Will Not look like this • Glucosamine Chondroitin (2000 mg/day) • Vitamins/Antioxida nts-Vitamin C, D, E • SAMe, Olive Oil, MSM
  • 14. Physical Activity • Flexibility, Strengthening, Endurance • Best to Continue Exercise/Movement  Non Weight Bearing Exercises • Pool, Bike, Elliptical Trainer  Strengthen Muscles around Joint
  • 15. Physical Therapy • Physical Therapy, Occupational Therapy • Walking Program, Yoga/Pilates, Water Aerobics
  • 16. Shoe Wear • Shoes with good support/cushion • Sneakers usually best for standing/walking • Inserts to support Arch • Shoe Wedge-unload the worse part of the joint
  • 17. Bracing • Knee Sleeve for activity • Unloader Brace for Joint Deformity  Useful for unilateral disease
  • 18. Injections • Steroids-Swollen, acutely painful joint after trauma. OK to take out the fluid • Viscosupplementation- Replaces the substance missing in joint fluid to improve nutrition to cartilage  Synvisc, Euflexxa, etc  Weekly injections for 1 or 3 weeks depending on med
  • 19. Surgery • Arthroscopy-Flush out the abnormal joint fluid  ?long term improvement • Menisectomy • Hemiarthroplasty-half knee replacement • Total Knee Arthroplasty-knee replacement