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Joint problems in the elderly. How to help patients cope.

J L Hollander1

  • 1Hospital of the University of Pennsylvania, Philadelphia 19104.

Postgraduate Medicine
|August 1, 1988
PubMed
Summary

Osteoarthritis, a common degenerative joint disease, affects many over 60 and can occur earlier due to various factors. Management involves patient education, cautious NSAID use, corticosteroid injections, and considering surgery if conservative measures fail.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Geriatrics

Background:

  • Osteoarthritis (degenerative joint disease) is highly prevalent in individuals over 60.
  • Early-onset osteoarthritis can result from genetic, hormonal, or trauma-related factors.
  • Accurate differentiation from other arthritic conditions is crucial for effective treatment.

Purpose of the Study:

  • To outline the comprehensive management strategies for osteoarthritis.
  • To emphasize the importance of conservative treatment modalities.
  • To define the criteria for considering surgical intervention.

Main Methods:

  • Patient education on activity modification and joint stress reduction.
  • Judicious use of nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Intra-articular corticosteroid injections for symptomatic joint relief.

Main Results:

  • Conservative management aims to preserve joint function and moderate activity.
  • Corticosteroid injections can provide significant and repeatable local relief.
  • Surgical correction is indicated when conservative measures prove insufficient.

Conclusions:

  • Effective osteoarthritis management requires a multi-faceted approach.
  • Conservative treatments are the cornerstone of initial osteoarthritis management.
  • Surgical intervention serves as a final option for refractory cases to restore joint function.

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