OSTEOARTHRITIS - WHAT TO LOOK FOR, AND WHEN TO TREAT IT

In patients with suspected osteoarthritis, start with a thorough histo ry aimed at finding the mechanical component of the condition. Ask abo ut past and current activities that may be loading or stressing a pain ful joint. Conditions to consider in the differential diagnosis are th ose affecting soft tissues-muscles, tendons, ligaments, and bursae. In jecting the tender area with lidocaine will help identify a separate o r coexisting soft tissue disorder. Before considering drug therapy, at tempt to correct any mechanical factors that may be contributing to th e problem. Modify the patient's exercise routine, if necessary, and be gin patients on a walking aid if a weight-bearing joint is affected.