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AllAboutArthritisKambizBehzadi,M.D.OrthopedicSurgeonSanRamon,Pleasanton,LivermoreArthritisandYouMusculoskeletalConditionsaffectmillionsofpeople$254billionperyearspentArthritis40MillionAmericanshavearthritis20MillionpeoplesufferfromOsteoarthritisOsteoarthritismostcommonformofarthritisSynovialJointsBoneends-->ArticularCartilageCartilagecushionsbones-->allowsbonestomovewithoutpainSynovium-->coversjoints,producesfluidthatreducesfrictionArticularCartilageBoneSynovialMembraneSynovialFluidSynovialJointsLigamentsconnectbones-->stabilityMusclesandTendonspowerjoints-->movementArthritisArthritisisInflammationBody’snormalreactiontoinjuryChronicinflammationinarthriticjoint-->longlastingdisabilityInflammationSwellingPainStiffnessOsteoarthritisLossofcartilageandjointsurfaceSecondmostcommoncauseofdisabilityinadults7millionphysicianvisitsperyear3millionhospitalizations$2655perpersonCartilageHealthyKneeOsteoarthriticKneeOsteoarthritisWeightbearingjointsHips,knees,feetFingersSpineOsteoarthritisMostofusbyour60s&70sMorewomenthanmenAllracesequally40millionby2021BurdenofDiseaseOsteoarthritisPaininaffectedjointsPainworsewithprolongedusePainbetterwithrestStiffnessrelievedbyflexingandmovementOsteoarthritis-XrayOsteoarthritisCausesPrimaryOsteoarthritisMostCommonThoughttoberesultofAgingDecreasedabilitytowithstandstressLigamentssupportingjointsweakenSecondaryOsteoarthritisObesityTraumaSurgeryAbnormaljointsGoutDiabetesHormonedisordersCausesGoalsofTreatmentToRelievepainIncreasemotionImprovestrengthMedication-NSAIDsNSAIDsarenonsteroidalanti-inflammatorydrugsAspirinIbuprofenNaproxenMedicationCox-2inhibitorsofferthebenefitsofotherNSAIDswithadecreasedincidenceofgastrointestinalsideeffects.Vioxx,Celebrex,BextraMedicationInjectionsLiquidcortisoneHyaluronateSupartzSynviscHylaganVitaminsAnti-oxidantsA,C,D,EmayhelppreventOsteoarthritisNoClinicaltrialsNoclearproofNutritionalSupplementsGlucosamineChondroitinSulfateSomePositiveresultsMildtomoderatepainreliefIfnotseenwithineightweeks,notlikelytobenefitAlternativeMedicineComplimentaryapproachesmay:EasesymptomsImproveoutlookandattitudeAlternativeMedicineComplimentaryapproacheswillnot:CureacuteillnessReplaceprovenmedicaltreatmentforosteoarthritisAlternativeMedicine

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Herbs&SupplementsuuuuuTherapySymptomsJointProtectionExerciseGentleexerciseinmoderationStrengthenmusclesPreventstiffnessDecreaseweightPromoteenduranceRightprogramforyouSurgeryArthroscopyLeastInvasiveArthroscopeRemovepartiallydamagedcartilagePortalsRemovedeadcartilageandenzymesthatcauseinflammationArthroscopePortalsDamagedcartilageAbrasion/DrillingAbrasionandDrillingHealingresponseFibrocartilage=ScarCartilageInferiormechanicalpropertiestoarticularcartilageLessadvancedOAFocalarthritisFocal,localizedlesionOsteotomyRealignmentofJointsTransferWeighttolessinvolvedpartofjoint60sand70sLesspopularDoesnotprovidegoodlongtermresultsMosaicplasty/OATSLocalizedfocalarthritis/defectTraumaticarthritisSmalltomediumTransferringhealthyplugofboneandcartilagetodefectinweightbearingareaSmallLargeACIArticularCartilageImplantation“Potholeintheroad〞TwooperationsCartilageharvestedandsenttoLab,togrowinCultureCartilagecellstransplantedintothedefectInfuturemaybeapplicabletolargelesions/primaryOATotalJointReplacementConsideredlastSolutionforArthritisImprovedAmbulationDecreasedPainIncreasedROM90%+goodtoexcellentresultsTotalJointReplacementRemovalofdiseasedjointReplacewithaprostheticjoint+++KneeHipMinimallyInvasiveSurgeryContinuousadvancesinjointreplacementproceduresMIS=MinimallyInvasiveSurgeryMIS8-12inches-->3to5inchesSameimplantsMinimaltraumatoMusclesandTendonsQuadricepsmuscleandtendonnotcutUnassistedwalkingat2to4weeksBacktoActivities/WorkSoonerSummaryOsteoarthritisaffectsinexcessof20MillionAmericansAccurateDiagnosisimportantUnderstandthenatureofthisProblemManytreatmentOptionsavailableBenefi

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