This disease can be without symptoms (asymptomatic) means that even though according to the results of X-ray almost 70 percent of seniors over 70 years of OA disease was detected, but only half complained, while the remaining normal. Here are signs of an attack Osteoarthritis (OA):

1. Joints feel stiff and painful when moved. At first only the morning, but if left unchecked will grow worse and cause pain each perform certain movements, especially at the time of sustaining weight loss, but could be improved if diistirahat right. In some patients, joint pain can occur after a long break, for example sitting in a chair or in a car seat on long trips. Sometimes also be felt after getting out of bed in the morning.
2. The presence of swelling / inflammation in the joints (Heberden’s and Bouchard’s nodes). Diseased joints reddish color.
3. Fatigue that accompanies pain in joints
4. Difficulties using the joint
5. Beep on every joint (crepitus). These symptoms do not cause pain, only discomfort in any joint (usually knee)
6. Tulang.Ini Deformity due to the growing cartilage tissue is damaged, the bones began to change shape and become inflamed, causing pain of profound.

RISK FACTORS;

1. Age above 50 years.
2. woman
3. Obesity
4. Immobilization History
5. History of trauma or inflammation in joints previously.
6. The presence of prolonged stress on your joints, such as the sportsman.
7. The presence of crystals in joint fluid or bone.
8. High bone density
9. Neurophaty peripheral
10. Other factors: race, heredity and metabolic.

PREVENTION OA (Osteoarthritis)

By eliminating the predisposing factors above. For tips, do the following things to avoid as early as possible you develop OA (osteoarthritis) or make your OA is by no recurrence;

* Maintain weight
* Exercise is not much use of joints
* Sports Activities as needed
* Avoiding injury in the joints.
* Drinking joint supplements
* Eat healthy foods
* Selecting the proper footwear and comfortable
* Perform relaxation with a variety of techniques
* Avoid movements that stretch the finger joints.
* If there is deformity in the knee, for example, O-shaped legs, should not be allowed. it will cause uneven pressure on all bone surfaces.

Osteoarthritis Diagnosis

Suspect in elderly with OA symptoms and do Xray examination complained of photos on your joints, especially for knee examinations performed standing position and both knees examined for comparison.

In OA patients Xray images we could find a osteofit on the edge of the joints, narrowing of the cavities of joints, increase bone density subkhondral, cysts in bone subkhondral, joint fluid. In OA patients with normal laboratory tests, but it is necessary to distinguish from other diseases.

In the case of OA with excessive synovial joint fluid analysis examination required to distinguish infected with OA, because the OA joint fluid analysis of clear, thick, white blood cells <2000/mL

Treatment of osteoarthritis

1. Patient education: maintaining a balanced weight is a factor that can help a person with OA to reduce pergesekkan on the joints. So consultation with a nutritionist to establish healthy eating patterns become very necessary
2. Pain medication
3. Excercise, relieve joint stiffness and broader scope.
4. Supplements joints: Glucosamine and Chondroitin, each has a function that is: Chondroitin sulfate merangang useful for inhibiting the growth of cartilage and bone destruction is the formation of proteoglycan rawan.Glukosamin, works by stimulating the formation of cartilage, and inhibit cartilage destruction.
5. Provision of hyaluronic acid injection
6. Arthroscopy debridement, a procedure for diagnosis and therapy action in joint disorder using the camera, with this tool doctors do cleaning and washing the joints, other than that the doctor can see abnormalities in other joints and can directly memeperbaikinya.
7. Joint replacement (THR), the procedure is performed in cases of advanced stage (3dan 4). After surgery the patient can walk again without pain.