Alterations of the Musculoskeletal Function
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Case Study 2: Alterations of the Musculoskeletal Function
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.
1. Identify four risk factors that have predisposed this patient to osteoarthritis.
2. The primary cause of limited range of motion in a joint afflicted with osteoarthritis is/are:
a. bone spurs
b. loss of proprioceptive reflexes
c. formation of new bone
d. degeneration of articular cartilage
e. cysts that form in subchondral bone
3. Are there any forms of complementary and alternative medicine available for treating osteoarthritis?
4. What are the brand names of two topical pain creams that contain the pain reliever trolamine salicylate and have been widely promoted to temporarily relieve arthritis pain?
5. Cockscomb is a garden plant commonly grown for its flowers. Name a medication derived from cockscomb that is used to treat osteoarthritis.
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.
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