All About Osteoarthritis: The Definitive Resource for Arthritis Patients and Their Families

269 Pages·2002·4.8 MB·English

by  Nancy E. Lane

All About Osteoarthritis
This page intentionally left blank
All About

Osteoarthritis

The Definitive Resource
for Arthritis Patients and Their Families
NANCY E. LANE AND DANIEL J. WALLACE
OXFORD
UNIVERSITY PRESS
2002
OXFORD
UNIVERSITY PRESS
Oxford New York
Auckland Bangkok
Buenos Aires Cape Town Chennai Dar es Salaam Delhi
Hong Kong Istanbul Karachi Kolkata
Kuala Lumpur Madrid Melbourne
Mexico City Mumbai Nairobi Sao Paulo Shanghai
Singapore Taipei Tokyo Toronto
and associated companies in Berlin
Copyright © 2002 by Oxford University Press, Inc.
Published by Oxford University Press, Inc.
198 Madison Avenue, New York, New York 10016
Oxford is a registered trademark of Oxford University Press
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Oxford University Press.
Library of Congress Cataloging-in-Publication Data
Lane, Nancy E.
All about osteoarthritis / Nancy E. Lane and Daniel J. Wallace.
p. cm.
Includes bibliographical references and index.
ISBN 0-19-513873-2
1. Osteoarthritis—Popular works.
I. Wallace, Daniel J. (Daniel Jeffrey), 1949­
II. Title.
RC931.067 L36 2001
616.7'223—dc21 2001036143
Illustrations by Teri A. Hoffman
1 35798642
Printed in the United States of America
on acid-free paper
Contents

Preface vii

PART I INTRODUCTION AND DEFINITIONS 1

Introduction 3

Why Write a Book about Osteoarthritis?
1 What Is Osteoarthritis? 6

2 The History of Osteoarthritis 9

3 Who Gets Osteoarthritis? 11

PART IK BONIN G UP ON THE MUSCULOSKELETA L 23

SYSTEM
4 Bone 25

A Living Tissue
5 Cartilage and Its Accomplices 30

The Body's Shock Absorbers
6 What Causes Osteoarthritis? 36

PART III : HOW DOES A DOCTOR EVALUATE 39

OSTEOARTHRITIS?
7 What Happens at a Musculoskeletal Examination? 41

8 How Is Osteoarthritis Diagnosed? 47

9 The Many Faces of Osteoarthritis 53

Specialized Forms
10 How Can I Be Sure It's Really Osteoarthritis? 61

V
vi Contents
PART IV: HOW AND WHER E CAN THE BODY BE 67

AFFECTE D BY OSTEOARTHRITIS ?
11 The Upper Body and Extremities 69

12 The Spine 80

Its Nooks and Tingles
13 The Lower Body 98

Undoings at Our Underpinnings
PART V: THE MANAGEMENT OF OSTEOARTHRITIS 117

14 You Can Conquer Osteoarthritis 119

15 Living Well with Osteoarthritis 127

16 Exercises to Improve Osteoarthritis 137

17 How Osteoarthritis Medications Are Tested 156

18 Medications that Work for Osteoarthritis 163

19 Local Medical Therapies 169

20 But Doctor, I'm in Pain! 175

21 When Do We Operate? 183

22 Alternative Therapies 191

Do They Work?
23 I Have Osteoarthritis 197

Who Should I Go to for Treatment?
24 Special Cases 203

Osteoarthritis from Childhood Events
and During Pregnancy
PART VI: OUTCOME AND
FUTUR E DIRECTION S 209
25 Can Or Should I Work?
211
26 Prognosis
217
27 New directions
222
Is There Hope for a Cure?
Appendix 1: Glossary 225

Appendix 2: Resources 235

Index 243
Preface

All About Osteoarthritis represents the sixth in a successful series of
books covering rheumatic disease related topics including lupus, fi­
bromyalgia, scleroderma, osteoporosis, and Sjogren's syndrome. In 1995,
Oxford University Press pioneered the concept of reviewing important
medical topics for lay people, allied health professionals, and physicians.
Prior to that time, there existed a gap between literature disseminated by
disease-oriented foundations and medical textbooks where one could
not obtain a detailed, readable, concise, and medically accurate review
of rheumatic disease topics. We are encouraged to have the support of
the National Osteoporosis Foundation, Arthritis Foundation, Lupus
Foundation of America, Scleroderma Foundation, and Sjorgren's Syn­
drome Foundation. Osteoarthritis is an extremely common, poorly un­
derstood, under-researched disorder. It has been an exciting challenge
attempting to distill voluminous facts and information into this text.
The reader will judge how successful our efforts were. The authors are
grateful to the assistance provided by UCLA medical artist Terri Hoff­
man, Cedars-Sinai radiologist Douglas Brown, M.D., Oxford editors
Joan Bossert, Janice Wallace, Fred M. Tileston and all other family mem­
bers (Trevor Tileston, Reid Tileston).
Nancy E. Lane and Daniel J. Wallace
San Francisco and Los Angeles, 2001
Vll
This page intentionally left blank
All About Osteoarthritis