The Curbsiders Internal Medicine Podcast

#177 Osteoarthritis Master Class with Tuhina Neogi MD, PhD

4 snips
Oct 14, 2019
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INSIGHT

Diagnosis Without Imaging

  • Osteoarthritis diagnosis primarily relies on history and physical exam, often without imaging.
  • Imaging is mainly for ruling out other diseases or atypical cases, as x-rays poorly correlate with symptoms.
INSIGHT

Understanding OA Pain Variability

  • Pain in osteoarthritis arises from joint structure changes and individual pain perception differences.
  • Structure-symptom discordance occurs, meaning x-ray severity doesn't always match symptom intensity.
ADVICE

Comprehensive Knee Exam Tips

  • On knee exam, check for crepitus, joint line tenderness, bony enlargement, alignment, effusions, and instability.
  • Also observe walking to detect varus or valgus thrust affecting biomechanics.
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