Janice’s painful knee

Janice 55 she is philippine Nurse
1. she suffered from Intermittent pain in her left knee
  1. Exacerbated by walking, standing , going up and down the stairs
    1. Least painful in the morning
      1. No trauma
        History of osteoarthritis
        1)Swelling 2) Tenderness 3) Absence of fluid 4)Reduced ROM 5)Crepitus
        Diagnosed with osteoarthritis
        Knee joint replacement
        TREATMENT MODALITIES
        Non- pharmacological treatment
        Education
        Life style
        Exercise
        Avoid Prolonged loading Activities that cause pain Contact sports High impact sports eg running
        Walking instead of running,
        low-impact aerobic fitness exercises.
        Weight Management
        Glucosamine is an amino sugar and a prominent precursor in the biochemical synthesis of glycosylated proteins and lipids Joints are cushioned by the fluid and cartilage that surround them. In some people with osteoarthritis, the cartilage breaks down and becomes thin. This results in more joint friction, pain, and stiffness.
        JOINT KNEE REPLACEMENT
        Knee joint replacement is a surgery to replace a knee joint with a man-made joint. The artificial joint is called a prosthesis.
        WHEN IS IT RECOMMENDED ?
        You are having pain from knee arthritis that keeps you from sleeping or doing normal activities-----You cannot walk and take care of yourself-----Your knee pain has not improved with other treatment---- You understand what surgery and recovery will be like.
        SIDE EFFECT:
        Infection Blood clots in the leg vein or lungs Heart attack Stroke Nerve damage.
        Stem cell injection
        THIS PROCEDURE IS NON-INVASIVE, EASIER, NO REJECTION!
        Super Concentrated Platelet Rich Plasma Procedures
        SIDE EFFECT: CANCER
        Osteoarthritis, also called degenerative joint disease (DJD), is a chronic disease characterized by progressive degeneration, destruction, and loss of articular cartilage. It can either be primary or secondary.
        PATHOLOGY
        RADIOLOGY
        NORMAL
        OSTEOARTHRITIS
        The hallmarks of knee osteoarthritis :
        joint space narrowing: usually asymmetric, typically of the medial tibiofemoral compartment and/or patellofemoral compartment ----subchondral sclerosis----- osteophyte formation: patellofemoral osteo-phytes are more associated with pain
  2. PAIN
    1. Signs and symptoms that sometimes accompany knee pain include:
      1. •Swelling and stiffness
      2. •Redness and warmth to the touch
      3. •Weakness or instability
      4. •Popping or crunching noises
      5. •Inability to fully straighten the knee
    2. CAUSES OF PAIN
      1. 1-Injuries:
        -ACL injury (ANTERIOR CRUCIATE LIGAMENT)
        EXCULDED BY:ACL insufficiency results in deterioration of the normal physiologic knee bending culminating in increased anterior tibial translation and increased internal tibial rotation.
        -Fractures
        EXCLUDED BY: SHE WONT BE ABLE TO MOVE AT ALL! IN THIS CASE SHE WAS ABLE TO MOVE BUT WITH PAIN.
        -Torn meniscus (FIBRO-CARTILAGE)
        EXCLUDED BY: IN ADULTS: BY TWISTING OR SQUATING IT CAN CAUSE TEAR. BUT IN OLD PEOPLE IT HAPPENS AS SECONDARY TO OSTEOARTHRITIS
        TYPES OF CARILAGE:
        Hyaline
        has a glassy appearance. numerous chondrocytes each located within found in the nasal septum, at the ends of the ribs, and in the tracheal rings.
        Elastic Cartilage
        occurs in the epiglottic, external ear and the auditory tube. contains a dense network of delicately branched elastic fibres.
        Articular Cartilage
        divided into several zones:
        Tangential layer
        Chondrocytes are rather small and flattened parallel to the surface.
        Transitional zone
        The chondrocytes are slightly larger, are round.
        Radial zone
        Fairly large chondrocytes form radial columns the stacks of cells are oriented perpendicular to the articulating surface.
        Calcified cartilage layer
        It rests on the underlying cortex of the bone. The matrix of the calcified cartilage layer stains slightly darker (H&E) than the matrix of the other layers.
        lubricated, wear-proof, slightly compressible surfaces, which exhibit very little friction. is not surrounded by a perichondrium and is partly vascularise
        -Knee bursitis
        EXCLUDED BY: BURSITIS HAPPENS AS SECONDARY TO ARTHRITIS
      2. 2-Mechanical problems:
        -Loose body
        -Iliotibial band syndrome
        -Dislocated kneecap
      3. 3-Arthritis:
        -Osteoarthritis
        -Rheumatoid arthritis
        -Gout
        EXCLUDED BY: URIC ACID TEST AND BLOOD TEST AND DEVELOPMENT OF TOPHI.
        EXCLUDED BY: IT IS BILATERAL (BOTH SIDES) AND THERE IS MORNING STIFFNESS, IN OUR CASE ITS NOT.

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Janice’s painful knee

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	Creado por lolita klol hace alrededor de 7 años