Osteoarthritis case with severe joint pain

Chief complaint A 58 year old female presents with severe joint pain because of osteoarthritis of knees, hips and hands. History She has h/o HTN and diabetes. 6 months back she was admitted in emergency for a urine infection. Doctor suggested an increased risk of repeated admissions due to her multiple pathologies. She is separated from his husband, lives alone & shows symptoms of depression. She complains of high level of pain which affected her sleep. Treatment How this case should be managed? Please discuss Pharmacological interventions & non pharmacological interventions.

3 Likes

LikeAnswersShare

It will be good if you can lost xray knees too,yes defination of pain is revised recently after almost 4 decades whuch highlights role of individual psychology.. Physiotherapy works best for such cases..series of exercise not only improves physical condition but also mental condition too..there are many electrotherapy modities for her..refer to physio for sure

Needs further investigation and evaluation to conclude and line of treatment. RA factor. Reassurance and counciling required. Analgesic antiinflammatory orally. Multivitamin and antioxidant orally. Light exercise or physiotherapy till reports complied.

Thanks Dr Dinesh Gupta
0

Need Xray pelvis with both hips Xray both knee Xray lumbosacral spine RFT CBC esr RA factor Uric acid Crp Non surgical management depends on extend of OA and absence of coexisting inflammatory arthritis

Yes. Looks like RA. Also she needs psycological evaluation and support.
0

ADVISABLE 1. ALL. ROUTINE. RELEVANT INVESTIGATION 2. PHYSIOTHERAPY 3. SUPPLEMENTS.... FOR CALCUUM. D3 4. CONSERVATIVE. MANAGEMENT

Cases that would interest you