Assistive Devices and Weight Loss for Bilateral Disease and Arthritis
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Questions and Answers

What is the overall goal of non-operative management of osteoarthritis?

  • Focus solely on weight loss
  • Increase the need for joint injections
  • Improve function and optimize quality of life (correct)
  • Minimize the role of physiotherapy
  • Which of the following is NOT part of nonoperative management of osteoarthritis?

  • Opioid analgesia (correct)
  • Weight loss
  • Phyiotherapy
  • Joint injections
  • What is the most common site of osteoarthritis?

  • Wrists
  • Knees (correct)
  • Elbows
  • Shoulders
  • What is a key aspect of the management of osteoarthritis?

    <p>Multi-disciplinary approach</p> Signup and view all the answers

    Which modality is NOT involved in non-operative management of osteoarthritis?

    <p>Surgery</p> Signup and view all the answers

    What is a primary reason for the team approach in managing osteoarthritis?

    <p>To optimize quality of life</p> Signup and view all the answers

    What is one of the key recommendations in managing patients with hip and knee arthritis?

    <p>Incorporating a team approach</p> Signup and view all the answers

    Which of the following statements is true about physiotherapy/exercise in hip and knee arthritis?

    <p>Successful physiotherapy involves both in-office and at-home regimens</p> Signup and view all the answers

    Why are walking aids recommended for patients with hip and knee arthritis?

    <p>To minimize the impact on ambulation</p> Signup and view all the answers

    Which guidelines are specifically mentioned in the text for managing hip and knee arthritis?

    <p>ACR/AF 2019, OARSI 2019, EULAR 2018</p> Signup and view all the answers

    Which type of physical activities are recommended for patients with low demand tolerance?

    <p>Cycling, swimming, yoga</p> Signup and view all the answers

    Why is a team approach important in managing patients with hip and knee arthritis?

    <p>To provide holistic care and optimize nonoperative measures</p> Signup and view all the answers

    What is the success rate of a total hip arthroplasty (THA) in reducing pain and restoring function?

    <p>95%</p> Signup and view all the answers

    What is the main purpose of arthroscopic debridement in managing arthritis patients?

    <p>To stimulate bone marrow stem cells</p> Signup and view all the answers

    Which surgical technique involves creating microfractures in exposed bone areas to stimulate bone marrow stem cells for cartilage regeneration?

    <p>Arthroscopic Microfracture Technique</p> Signup and view all the answers

    What is the primary outcome of autologous cartilage implantation in knee arthritis management?

    <p>Good to excellent results in 60-80% of cases</p> Signup and view all the answers

    When is a high tibial osteotomy considered in knee arthritis management?

    <p>For patients with moderate arthritis in the medial compartment without knee changes</p> Signup and view all the answers

    What is a key difference between partial and total knee replacements regarding joint replacement?

    <p>Total replacement replaces the entire joint while partial only part.</p> Signup and view all the answers

    What is the role of weight loss in managing patients with osteoarthritis (OA) of the hip and knee, based on the text?

    <p>Weight loss is strongly recommended, with important benefits beginning at greater than 7.5% of body weight loss</p> Signup and view all the answers

    What is the recommended nonopioid analgesic for arthritis pain in the hip and knee?

    <p>Tylenol (up to 4 g a day)</p> Signup and view all the answers

    What is the role of intra-articular injections in osteoarthritis (OA) based on the text?

    <p>Intra-articular injections are a short term solution with mixed evidence for recommended use</p> Signup and view all the answers

    What is the recommendation regarding bracing in patients with mild/moderate instability associated with arthritis?

    <p>Bracing can reduce pain, improve stability, and diminish risk of falling</p> Signup and view all the answers

    What lifestyle modification is strongly recommended for patients with osteoarthritis (OA) of the hip and knee?

    <p>Regular exercise and physical activity</p> Signup and view all the answers

    What is the role of NSAIDs in the management of arthritis pain in the hip and knee?

    <p>NSAIDs can be added if Tylenol is inadequate, considering lowest effective dose</p> Signup and view all the answers

    What is the main component in viscosupplementation for osteoarthritis?

    <p>Hyaluronic Acid (HA)</p> Signup and view all the answers

    Which of the following statements is true about Hyaluronic Acid (HA)?

    <p>It is thought to have anti-inflammatory and anti-nociceptive properties.</p> Signup and view all the answers

    What does the literature suggest regarding the routine use of Hyaluronic Acid (HA) in osteoarthritis?

    <p>It may have a role in young active patients not ready for total knee replacement.</p> Signup and view all the answers

    What is Platelet Rich Plasma commonly used for in osteoarthritis management?

    <p>To regenerate cartilage in the knee.</p> Signup and view all the answers

    Which of the following is NOT mentioned as a part of autologous cell therapies for osteoarthritis?

    <p>Corticosteroids</p> Signup and view all the answers

    What role do corticosteroids play in managing osteoarthritis?

    <p>Their short-term benefit varies among select patients.</p> Signup and view all the answers

    What is the current evidence supporting the routine use of Platelet Rich Plasma (PRP) intra-articular injections for arthritis?

    <p>Not supportive at all</p> Signup and view all the answers

    What is a key limitation associated with Cell Therapies as discussed in the text?

    <p>Short-term follow-up in literature</p> Signup and view all the answers

    What aspect of Cell Therapies is currently unclear?

    <p>Efficacy</p> Signup and view all the answers

    What is the author's stance on the use of stem cell intra-articular injections according to the text?

    <p>Not approved in Canada</p> Signup and view all the answers

    What are the indications mentioned in the text for considering operative management in hip and knee arthritis?

    <p>Reasonable expectations of joint replacement</p> Signup and view all the answers

    What is highlighted as a reason for not offering Platelet Rich Plasma (PRP) intra-articular injections as a treatment option according to the text?

    <p>Unclear proper dose or frequency</p> Signup and view all the answers

    Which term is used in the text to describe Mesenchymal stem cells?

    <p>'Minimally manipulated' cells</p> Signup and view all the answers

    What is mentioned as a common issue with the literature on Cell Therapies in the text?

    <p>'Small sample sizes' used</p> Signup and view all the answers

    Which statement accurately reflects the current state of Cell Therapies according to the text?

    <p>'We aren't there yet'</p> Signup and view all the answers

    What is emphasized as a primary requirement for considering operative management in hip and knee arthritis?

    <p>'Reasonable' expectations of joint replacement</p> Signup and view all the answers

    What is the primary emphasis of a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

    <p>Enhancing patient education and lifestyle modifications</p> Signup and view all the answers

    In the context of osteoarthritis (OA), what is a key role of education and lifestyle modifications?

    <p>Improving overall management and quality of life for patients</p> Signup and view all the answers

    Which intervention plays a significant role in managing osteoarthritis (OA) by reducing inflammation?

    <p>Cortisone injections</p> Signup and view all the answers

    What is a key feature of hyaluronic acid injections in the management of osteoarthritis (OA)?

    <p>Long-lasting lubrication and cushioning in the joints</p> Signup and view all the answers

    When are orthopedic surgical interventions generally considered in patients with osteoarthritis (OA) of the hip and knee?

    <p>When conservative treatments have been exhausted or are no longer effective</p> Signup and view all the answers

    How do cortisone injections differ from hyaluronic acid injections in the management of osteoarthritis (OA)?

    <p>Cortisone is more effective in minimizing inflammation</p> Signup and view all the answers

    Why is a team approach important in managing patients with osteoarthritis (OA) of the hip and knee?

    <p>To provide a variety of options for nonoperative management</p> Signup and view all the answers

    What is a key aspect of the education patients should receive about managing osteoarthritis (OA) of the hip and knee?

    <p>Understanding the necessity of nonoperative measures</p> Signup and view all the answers

    What is the role of cortisone injections in managing osteoarthritis (OA) of the hip and knee?

    <p>They can provide temporary pain relief in nonoperative management</p> Signup and view all the answers

    What lifestyle modification is strongly recommended for patients with osteoarthritis (OA) of the hip and knee?

    <p>Maintaining a healthy weight</p> Signup and view all the answers

    What are some indications for orthopedic surgery in osteoarthritis (OA) of the hip and knee?

    <p>For cases where nonoperative management has failed to provide relief</p> Signup and view all the answers

    What advances have been made in orthopedic surgery for osteoarthritis (OA) of the hip and knee?

    <p>Innovative minimally invasive procedures are now available</p> Signup and view all the answers

    What is a key reason for adopting a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

    <p>To provide comprehensive care that addresses various aspects of the patient's condition</p> Signup and view all the answers

    What is a primary role of education and lifestyle modifications in managing OA of the hip and knee?

    <p>To improve patient outcomes, slow disease progression, and reduce pain</p> Signup and view all the answers

    What is a key aspect of the team approach in managing patients with hip and knee arthritis?

    <p>Neglecting the need for a multidisciplinary approach to patient care</p> Signup and view all the answers

    Why are education and lifestyle modifications considered important in the management of hip and knee arthritis?

    <p>To empower patients to actively manage their condition</p> Signup and view all the answers

    What is the primary role of cortisone injections in the management of osteoarthritis (OA) of the hip and knee?

    <p>To provide long-term pain relief</p> Signup and view all the answers

    What is a critical aspect of hyaluronic acid injections in the management of osteoarthritis (OA)?

    <p>Temporary relief of joint pain</p> Signup and view all the answers

    What are the indications for orthopedic surgery in hip and knee arthritis?

    <p>Failure of nonoperative treatments</p> Signup and view all the answers

    How have recent advancements in orthopedic surgery impacted the management of hip and knee arthritis?

    <p>Increased lifespan of total joint replacements</p> Signup and view all the answers

    What is one of the key rationales for adopting a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

    <p>It ensures a multidisciplinary approach to address various aspects of the patient's condition</p> Signup and view all the answers

    In the context of osteoarthritis (OA) management, what is a key aspect that lifestyle modifications aim to achieve?

    <p>Slowing down disease progression</p> Signup and view all the answers

    What is a significant consideration when it comes to the role of cortisone injections in osteoarthritis (OA) management according to the text?

    <p>Their effectiveness varies based on individual patient characteristics</p> Signup and view all the answers

    Regarding hyaluronic acid injections in osteoarthritis (OA), what does the text suggest about their mechanism of action?

    <p>They are thought to have lubricating properties</p> Signup and view all the answers

    In the context of orthopedic surgery for OA of the hip and knee, what factor plays a crucial role in determining the need for surgical intervention?

    <p>Failure of non-surgical management strategies</p> Signup and view all the answers

    What does the text highlight as an important consideration when discussing advances in orthopedic surgery for OA of the hip and knee?

    <p>Limited innovation in surgical techniques</p> Signup and view all the answers

    What is highlighted as a key reason for not offering Platelet Rich Plasma (PRP) intra-articular injections as a treatment option according to the text?

    <p>Regeneration of cartilage</p> Signup and view all the answers

    In what state does the text describe Platelet Rich Plasma (PRP) injections in terms of regenerating cartilage?

    <p>Ineffective</p> Signup and view all the answers

    What is emphasized as a key role of education and lifestyle modifications in the management of osteoarthritis (OA) of the hip and knee?

    <p>Maximizing nonoperative management</p> Signup and view all the answers

    What aspect of cortisone injections in osteoarthritis (OA) is discussed in the text?

    <p>Unclear efficacy</p> Signup and view all the answers

    What is the primary role of hyaluronic acid injections in osteoarthritis (OA) according to the text?

    <p>Uncertain efficacy</p> Signup and view all the answers

    What is one of the indications mentioned in the text for considering operative management in hip and knee arthritis?

    <p>'Maximized' nonoperative management</p> Signup and view all the answers

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