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Osteoarthritis
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''NICE guidelines'' advice - weight loss, muscle strengthening exercize and aerobic fitness //1st line// - PCM and topical NSAID (knee or hand) //2nd line// - oral NSAID/COX2 (not if already on aspirin and with PPI), Opioids, Capsaicin cream, I/A steroid also supports, braces, TENS refer for joint replacement if still pain Glucosamine - some short term benefit but not on NHS as cost effectiveness not established Heberden's nodes suggest OA (at DIP) Bouchard - (PIP) may also be seen in OA ''X-ray changes of osteoarthritis'' decrease of joint space subchondral sclerosis subchondral cysts osteophytes forming at joint margins
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Arthritis