Case 4:  62 yr old man who walks with pain

What is the diagnosis?
 
 
 
 
 
 
 

Osteoarthritis of the hip

Osteoarthritis afflicts more than 30 million Americans. This condition results in severe pain and restriction in daily activities. This is a chronic disease which causes deterioration of joint cartilage and other joint tissues resulting in the formation of "bone spurs", which is new bone at the margins of the joints. The cause of this condition is unknown, but metabolic, chemical, mechanical, and genetic factors have been suggested as causative factors. Osteoarthritis is associated with aging and is the most common form of arthritis. It is present in just about everybody over the age of 70, but symptoms begin to occur in middle age. These symptoms may take the form of gradual and subtle deep aching joint pain that is worse after exercise, and often relieved by rest. The most commonly affected joint is the knee, hip, and base of the thumb. The goals of treatment are to relieve pain and maintain mobility. Medications, steroids injected directly into the joint, and surgery to repair or replace severely damaged joints are common treatments. Lifestyle changes are also very important and include good nutrition and weight control. Exercises, physical and occupational therapy, and osteoarthritis support groups are also helpful. With good care and treatment, function can be improved and disability from this condition minimized.