Understanding Osteoarthritis

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  • Опубликовано: 19 июн 2024
  • This video contains a simplified explanation of osteoarthritis. We cover the pathophysiology, joint changes, xray findings, presentation, diagnosis and management.
    More written notes and diagrams about osteoarthritis are available on the website at www.zerotofinals.com/oa.
    Zero to Finals Medicine book:
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    US: www.amazon.com/dp/1091859892
    Zero to Finals Paediatrics book:
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    US: www.amazon.com/dp/1080142827
    Zero to Finals Obstetrics and Gynaecology book:
    UK: www.amazon.co.uk/dp/B08K4K2WQB
    US: www.amazon.com/dp/B08K4K2WQB
    Website: www.zerotofinals.com
    Notes: www.zerotofinals.com/learn
    Multiple Choice Questions: www.zerotofinals.com/test
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    DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not RUclips videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

Комментарии • 175

  • @kv7654
    @kv7654 Год назад +15

    It’s said that it’s not an inflammatory arthritis but my pain goes to almost zero when I eat non inflammatory food but within a few hours of eating inflammatory foods, it’s a crazy difference in pain.

    • @jackschitt6235
      @jackschitt6235 5 дней назад

      I have osteoarthritis in my hip and I am taking a prescribed NSAID =celecoxib. I just got my first injection from an orthopedic surgeon. Summarize the most helpful things u have learned so far. It's annoying to listen to 10 "experts" who give different diet and exercise advice.

  • @elizabethgarrity6849
    @elizabethgarrity6849 2 года назад +1

    Thank you so much for your invaluable information I am a second year complementary therapy student and found this extremely helpful when doing cases studies.Look forward toseeing more of your videos

  • @geraldinepugh7111
    @geraldinepugh7111 Год назад +7

    Thank you for explaining osteoarthritis simply. I have osteoarthritis, I am trying to manage the pain and still carry on with my daily activities, it’s difficult, I need to get all the information about my condition. Unfortunately my G P. Doesn’t have the time to explain what it is. Thank you again for the information. G Lacey. South Wales

  • @halibakda1540
    @halibakda1540 2 года назад +3

    Wonderful work. Great explanation. Thank you

  • @agnosia6253
    @agnosia6253 Год назад +1

    This channel is a blessing

  • @PinayNanayNurse
    @PinayNanayNurse 10 месяцев назад

    Thank you for this well explained video of OA.

  • @amyorlando7101
    @amyorlando7101 3 года назад +5

    Appreciate the video.
    Have a safe day.

  • @dadprincesofswapna5964
    @dadprincesofswapna5964 3 года назад +2

    Thanks for This video because it will more useful to this it's matter also so depth in this video. We explain simple people can understand easily and once again thank you

  • @koolertrek
    @koolertrek 2 года назад +42

    Chronic anxiety that’s not managed through the years has destroyed so many of my joints. I’m the one who blames chronic anxiety which caused me chronic insomnia and more. This destroyed the delicate joints of my thumbs, hips, shoulders, knees, neck, and low back. I saying all of this to inform that chronic anxiety and its destruction on joints should be treated and taken seriously, especially as young children grow up.

    • @nobady4830
      @nobady4830 2 года назад +1

      And do you think fixing anxiety woud prevent/stoped the OA ?

    • @loonylinda
      @loonylinda 2 года назад

      nonesense..2 different things entirely.

    • @koolertrek
      @koolertrek 2 года назад +3

      Yes. I lived it and I’m living now to help the educated in health know that chronic severe anxiety is destructive.!it will destroy a person’s physical body. My case is extreme, and I’m aware of this. However, it has nothing good to offer.

    • @9senel
      @9senel Год назад

      @KoolerTrek - I'm guessing you’re mixing Osteoarthritis with Polymyalgia rheumatica / Fibromyalgia?

  • @donnylincoln5628
    @donnylincoln5628 3 года назад +8

    This was very informative....Thank You

  • @fch6262
    @fch6262 3 года назад +5

    Amazing!! Very helpful information. I just visited my orthopedist and was quite puzzled by all the terms he used. Now I have a much better idea :) 👍🏻👍🏻

  • @sorxe.
    @sorxe. 2 месяца назад

    Super clear and informative. Thank you :)

  • @ankitsudheer9072
    @ankitsudheer9072 Год назад

    Appreciate the explanation and the illustrations! Would you say topical/oral analgesics are a good first step along with physiotherapy before trying out steroidal/Plasma-rich platelet injections?

  • @chevypiyush7665
    @chevypiyush7665 3 года назад +12

    It's an amazing video. I liked the way you have explained SIr. keep making and spreading information, you're doing nice job..

  • @aermamarineyAerma
    @aermamarineyAerma 3 года назад

    I love this. It help me in my studies

  • @julie37029
    @julie37029 2 года назад +7

    NSAIDs suppress chondrocytes. Why in the world are they prescribed for OA?! All the medical field seems to be able to offer is basically palliative care for your joints. As someone with knee arthritis for 30 years (I still have all my original parts with little progression), what I suggest is no nsaids, plenty of anti-inflammatory supplements (quercetin, bromelain, boswellia, serrapeptase, fish oil, vit D3 with K2, glucosamine, chondroiten, hydrolyzed collagen and vit C.) You absolutely must protect and stimulate chondrocytes while eliminating/neutralizing the inflammatory mediators perpetuating the disease.

    • @ceegalamatias5575
      @ceegalamatias5575 11 месяцев назад +1

      Thank you for this. I just popped an ibuprofen 😢 but this is very helpful. I’ve been having knee pain for a few weeks and went to urgent care for an X-ray. I have mild osteoarthritis according to them. They told me I need to see an orthopedic doctor for MRIs. My hips, knees, ankles, even my toes hurt. I just want to help recover whatever I can in hopes of feeling better. Thank you. Hopefully soon, it won’t feel like I got hit by a truck.

  • @ronieelise6143
    @ronieelise6143 Год назад

    Great video! Thanks so much! 😃

  • @julieugolini4195
    @julieugolini4195 3 года назад +2

    I have just subscribed, thanks so much for your info style..... I came here to find out about osteoarthritis as I have recently been diagnosed osteo-penia.. as a patient I don't always understand Dr talk, I fully understand the pain and problems though.. thanks again Julie

  • @Biomeducated
    @Biomeducated 4 года назад

    Great overview! Your videos are great, man!

  • @AvieMare
    @AvieMare 3 года назад +20

    I detest my osteoarthritis. Between that, my multiple injuries and surgeries, and Fibromyalgia I feel like a walking plank with claws in the morning. Ugh. Thanks for the clear explanation!

    • @AvieMare
      @AvieMare 2 года назад

      @Lisa Surlie I doubt it.

    • @suedefringe
      @suedefringe Год назад +1

      @@AvieMare can I ask you about the fibromyalgia ? Does it make you feel like you were hit , like black and blue /bruised? I hope that makes sense. I have been feeling osteoarthritis pains lately but have been wondering if they are also something else. I always have a hard time explaining to doctors exactly whatvit is i am feeling. Thank you !

    • @AvieMare
      @AvieMare Год назад +1

      @@suedefringe For me, Fibro feels like you’ve been beaten black and blue by a tire iron, then caught the flu. Peace, AM

    • @areguapiri
      @areguapiri 3 месяца назад +1

      ​@@AvieMare...My costochondritis lead to fibromyalgia. It's miserable. And there is no solution.

    • @AvieMare
      @AvieMare 3 месяца назад

      @@areguapiri The only thing that works is staying mobile; walking or swimming.

  • @howtomedicate
    @howtomedicate 4 года назад +8

    Nicely made video. Perfect information depth! That is why I am subscribed 😏👍

  • @alyaa4406
    @alyaa4406 4 года назад +1

    thank you. all your videos are really helpful

  • @elizabeththomas3142
    @elizabeththomas3142 6 месяцев назад

    Detailed description & explanation

  • @apehifeanyimalachy4928
    @apehifeanyimalachy4928 3 года назад +6

    Thanks for this detailed explanation of osteoarthritis.
    It is very helpful to me as a Physiotherapist.

  • @husainalial-marzoog3272
    @husainalial-marzoog3272 4 года назад +1

    thank you so much

  • @amtalali5529
    @amtalali5529 3 года назад +1

    great job

  • @chloefoon5992
    @chloefoon5992 3 года назад

    Thank you!

  • @rimonmahmud3733
    @rimonmahmud3733 Год назад

    Thanks for this masterpieces

  • @mireilletrumper6871
    @mireilletrumper6871 3 года назад

    Excellent thank you

  • @sanikaa1523
    @sanikaa1523 3 года назад

    Veryyyy helpful. Thank you so much

  • @akanksha786
    @akanksha786 4 года назад +1

    Lovely video👌

  • @1412Z
    @1412Z 2 года назад

    Thank you !!

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 3 года назад +2

    Important topic👍

  • @kimberlyr5562
    @kimberlyr5562 11 месяцев назад

    This is very thorough; I’m surprised it doesn’t include osteoarthritis of the ankle joint?? Is there a reason for that

  • @LizethSandoval006
    @LizethSandoval006 Год назад

    Muchas Gracias 🥰

  • @ayanbera123
    @ayanbera123 3 года назад

    Thank you... So much sir...🇮

  • @cliffordtan8799
    @cliffordtan8799 3 года назад +2

    Very good explanation. Well presented with diagrams and very comprehensive. Good job.

  • @berverinekachabe7771
    @berverinekachabe7771 Год назад

    So helpful 🙏🙏🙏

  • @danielmucwiri5107
    @danielmucwiri5107 Год назад +1

    Good job 👍

  • @lamarciaboudrias9108
    @lamarciaboudrias9108 4 года назад +1

    Fantastic

  • @peermubashir9061
    @peermubashir9061 3 года назад +2

    Greatly explained.👍

  • @17alaina
    @17alaina Год назад +4

    I have this and i'm only 29. Debilitating neck, hip, and knee pain.

  • @VLove-CFII
    @VLove-CFII 2 года назад +11

    You didn’t say much bout the back. All my disks are shot and so are the facet joints. Is that not considered arthritis?

  • @fatima3590
    @fatima3590 Год назад

    Very very useful

  • @EllePole
    @EllePole Год назад +7

    Long term opiate medication for chronic pain absolutely does work if you actually have pain.

  • @mansourabdulshafea8647
    @mansourabdulshafea8647 4 года назад +7

    Brillant Video as usual (Big thumb up).
    Could you please make a video on the use of steroids in Rheumatology, MOA & side effects for medical students?

    • @ZeroToFinals
      @ZeroToFinals  4 года назад

      I'll add to the list .thanks

    • @tinatill1455
      @tinatill1455 8 месяцев назад

      Steroids - pills taken by mouth, can cause diabetes!

  • @arunmehta8234
    @arunmehta8234 2 года назад

    Great video! You forgot to mention hyaluronic acid injection

  • @AB-ik7gd
    @AB-ik7gd 2 года назад +2

    How can I stop the nodules from swelling the pain and the numbness in the arm ?
    Thank you

  • @Mrs-Emcee
    @Mrs-Emcee 4 года назад +7

    Great first half of the video, explaing it all.
    I have no issues (yet) with knees and hips, only hands and feet.
    I was hoping for more natural remedies... Just hate all the chemicals you doctors subscribe!
    There are a lot of things to treat Osteoarthritis narural! But you have to find the right person to help you.

    • @joseanker2059
      @joseanker2059 4 года назад

      Magda Klm just been diagnosed and started looking for natural treatments. Reading about high doses of Niacin. UTube lectures

    • @DecGreg
      @DecGreg 3 года назад +2

      @@joseanker2059 resistance training. Exercise actually has good research backing its efficacy (Uthman 2013), contrary to the steroid injections shown in this video, which according to research show no benefit over placebo.

  • @archanagopalan3072
    @archanagopalan3072 3 года назад

    Thankyou sir

  • @abdullahahmed2086
    @abdullahahmed2086 24 дня назад

    the carpal is called the trapezium rather than the trapezius which is a muscle in the dorsal side of the neck. 4:20

  • @bobrok4589
    @bobrok4589 4 года назад +2

    Excellent dr.

  • @fred6059
    @fred6059 3 года назад +22

    Osteoarthritis is my own personal hell.

    • @elizabethsinclair3722
      @elizabethsinclair3722 2 года назад +2

      I am right with you. My pain never goes away.

    • @arl_abiel
      @arl_abiel 2 года назад

      @@elizabethsinclair3722 are both of you healed now? What's your experiences

    • @patriciawilliams5287
      @patriciawilliams5287 Год назад +4

      I have it too however I started taking D3 and K2. I am doing much better now.

  • @colindunlevy2953
    @colindunlevy2953 Год назад

    yes, thanks.. seems like the term "wear and tear" is no longer used?

  • @jamiehaughey-tb1uk
    @jamiehaughey-tb1uk 2 месяца назад

    Hello,
    I wonder if you would give me permission to use your video for training purposes to train carers and therapists via use of powerpoint. The video is great and informative without being too much. Great work

  • @margaretrobinson9597
    @margaretrobinson9597 2 года назад +1

    Common in people with scoliosis (curvature of the spine).
    Hip dysplasia in people suffer from osteoarthritis?

  • @aburayhan8112
    @aburayhan8112 4 года назад +1

    Great ever

  • @lizzylou19
    @lizzylou19 11 месяцев назад +1

    Is this common with kidney disease ? I’m stage 4, I don’t know if this is what I’ve had but I’ve had none stop muscle spasms in my back for 2 months and constant pain but I’m noticing that when I’m sitting down the pain is actually in my Butt and it shoots up

  • @1bzymom.Of2Kids
    @1bzymom.Of2Kids Год назад

    The only problem is that most insurance wants drs to go through certain steps in order to show the need for steroid injections or other pain management. Without this work up the insurance may deny further treatment until the Dr has followed their instructions and then provide documentation to show that they did follow the insurance protocol.
    So, even though an xray may not be needed. In the long run, it's important to have those images in the event the joint deteriorates then the progression can be shown to a specialist or surgeon for further evaluation.
    This happened to me. And it was the documentation of the rate of deterioration that helped the specialist to help treat me. They still can't explain how or why my especially my spine is deteriorating so quickly 🤔

  • @gunjantiwari1227
    @gunjantiwari1227 3 года назад

    Thankew it was very helpful!♥️

  • @JayCruz73
    @JayCruz73 9 месяцев назад +2

    I'm 49 and have been diagnosed with osteoarthritis with sciatica. The flare ups now seem to be coming on frequently, destroying many aspects of my life. Is there anything I can do to lessen these flare ups? Many medications no longer seem to work unless I use cannabis.

    • @The_Muffin101
      @The_Muffin101 6 месяцев назад

      Start using topical analgesics on the affected joints whilst also taking oral NSAIDs such as ibuprofen in their antiinflammatory dose (2400mg/d). If you've been using all these and still say you haven't found relief i would advise visiting your doctor and learning more about intra-articular steroid injections and hyaluronic acid injections. Also start consuming a diet that has less inflammation causing food and eat more healthy foods

  • @vasantsande8644
    @vasantsande8644 2 года назад +1

    Thank you Doctor. I'm almost 75, Ibuprofen helps.

  • @litondas7646
    @litondas7646 2 года назад

    Nice

  • @ijj0777
    @ijj0777 4 года назад +2

    احسنت

  • @gregorysutton553
    @gregorysutton553 3 года назад +2

    21 soccer player I have this but mild

  • @miket7328
    @miket7328 6 месяцев назад

    Surprised you did not mention PRP or stem cell therapy as a potential solution prior to a knee replacement.

  • @dannettec4261
    @dannettec4261 4 месяца назад

    I have osteoarthritis. But i also have fybromyalgia which prevents any type of treatment of my oa because it flared up my fybro. It's a no win situation.

  • @NUFAIRBUHARY-mc6cr
    @NUFAIRBUHARY-mc6cr 9 месяцев назад

    I don't know what happened to my wrist, swelling in the wrist, while moving my wrist getting pain very often. Can you respond me why this happening please

  • @TheGbass87
    @TheGbass87 3 месяца назад

    I have tmj rt knees locks and buckle both knees inflammations lower back aches neck rt shoulders aches flat footed my wrists every joint
    it’s frustrating

  • @margaretrobinson9597
    @margaretrobinson9597 Год назад

    Scolois (s curve of spine) culprit to osteoporosis?

  • @joanware6473
    @joanware6473 4 месяца назад

    What about visco gel ingections.

  • @AsmaKamalk0r3a
    @AsmaKamalk0r3a 3 года назад

    💖💖💖💖💖💖

  • @darshanilakmali3523
    @darshanilakmali3523 2 года назад

    👍

  • @p214james
    @p214james 3 года назад +1

    Kindly tell if it is not an inflammatory condition than why do intra-articular steroids injections improve the symptoms?

    • @ZeroToFinals
      @ZeroToFinals  3 года назад +3

      That is a good point. There is some inflammation in the joint in osteoarthritis. The key is that the condition is not caused by the immune system and inflammation in the same way as rheumatoid arthritis. In OA, the inflammation is the result of the disease, not the disease being the result of inflammation. Hope that helps.

    • @p214james
      @p214james 3 года назад +1

      @@ZeroToFinals Thank u very much sir.

  • @MYFAMILYCOMESFIRST
    @MYFAMILYCOMESFIRST 4 года назад +2

    Haberdens? or hEberdens?

  • @florabraswell8423
    @florabraswell8423 2 года назад

    If that’s the case why do l stay with flu like symptoms everyday for over 20 years, ? Chronic fatigue pain, diagnosed with fibromyalgia ,hypothyroidism, on Levothyroxine for years without feeling better ! high blood ,type 2 diabetes , l have been on Januvia for years , l try to avoid eating bad things, l do not feel any different on medication so why am l taking drugs ?

    • @ChrisRamsbottom
      @ChrisRamsbottom Год назад

      Possibly - and I am not a doctor - you may benefit from adding T3 hormone to your T4 (Levothyroxine). You would probably have to get it over the internet though.

  • @Memepage9
    @Memepage9 Год назад

    Which test for this ??

  • @themodestgladiator9471
    @themodestgladiator9471 3 года назад +2

    I have this and I run track and my coach said I could never run again

  • @nurezannat3127
    @nurezannat3127 7 месяцев назад

    😊

  • @ahmedalsadi0010
    @ahmedalsadi0010 3 года назад +2

    Nice videos

  • @cindyortiz9760
    @cindyortiz9760 Год назад

    I have that I'm so worried about my knee and my body it's very pain

  • @user-xv3nh7rp3s
    @user-xv3nh7rp3s Год назад

    💟💟💟💟

  • @kcpoodlesofpa
    @kcpoodlesofpa 2 года назад +1

    Celebrex is easier on the stomach than ibuprofen isn’t it?

  • @Maybeweshouldthinkdeeper
    @Maybeweshouldthinkdeeper 7 месяцев назад

    What are your references?

  • @joneeboi9303
    @joneeboi9303 2 года назад

    I have it on my spine, knee wrist, thumb and fingers. Jesus what do I do now 😂

  • @lukeelias5603
    @lukeelias5603 2 года назад +1

    MVP got a quiz tomorrow am

  • @NaturalMeAmerica
    @NaturalMeAmerica Год назад

    My Ortho said I have arthritis, despite the fact that my 3 mri' s in 3 years all reported labrul tears and osteoarthritis. When I pointed this out,he stated osteoarthritus is a form of arthritis. He followed up by saying labrul tears do not cause joint instability

  • @paulet990
    @paulet990 2 года назад +40

    If osteoarthritis is caused by wear and tear and not inflammation, why are my fingers swollen every morning?

  • @Memepage9
    @Memepage9 Год назад

    Can young people can have who under 20 ?

  • @ahmadmuhammadmehboob8700
    @ahmadmuhammadmehboob8700 3 года назад

    Plz share

  • @crankypantsmcduff
    @crankypantsmcduff Год назад +1

    I hate my hands being useless.i have sacroilitis in both hips, I've got EDJHS and fibro on top and my bones and joints REALLY hate me. I hate meds, I hate my bones especially my middle finger, it's a sausage these days. I want to shave my skeleton down and get rid of the painful bits, then throw it in the washer and pop your bones back in when they've been done. If only.. i take 600mg Etodolac once a day and its worked so far in reverseing the damage in my fingers, except the big fat middle one, Its going to hurt my tum, omeprazole affects your memory long term, won't have it, neither will my son with his cystic fibrosis, I'll chance an ulcer.

  • @rohitbajaj2410
    @rohitbajaj2410 3 года назад

    Bhut hi jayada dardnaak sthiti hoti hai ye mene apne dost ke dada ji ki halat dekhi hai. wo to laathi ke share khade tak bhi nhi ho paate the sujan or dard itni jyada ki pucho hi mat... Fir jab se unhone Planet Ayurvedaki dwai chalu ki thi unke liye to jese vardaan hi mil gya. Dada ji aaram se laathi ke share chlne lg gye. or abhi tk unke ghutno ki dard me 70-80% aaram hai

  • @cindyortiz9760
    @cindyortiz9760 Год назад

    Nkkamatay b itong sakit n ito

  • @joycecorwell848
    @joycecorwell848 10 месяцев назад +1

    I hate that terminology wear-and-tear is like you walk on both legs how does one get to be worn out more than the other one and I just feel like they need to specify really living with this disease lack of bones or bones rubbing together is crippling I am a shell of who I was and now and I need help it's raining right now and I have I have about six patches on my body I definitely understood when your grandmother said it's going to rain she's no such a body was jacked up to you😅

  • @christinehoran8124
    @christinehoran8124 2 года назад +2

    Stop seeing opioids as problem madic I was closest to normal functioning before March 2016 anti opioid guidelines came out. I’m now 65 & never been in such bad physical condition & that causes loss of sleep besides constant pain. Not true that opioids stop working for patients with chronic pain. I have no function in any area of my life since March 2016.

  • @rohitbajaj2410
    @rohitbajaj2410 3 года назад +1

    My elder cousin was a chronic sufferer of joint pains. He had visited many hospitals and doctors regarding his complaints. But there was no relief from allopathic medicine. But since he is using Planet Ayurveda's Joint Support pack he is much relieved and relatively doing well.

  • @miabrantley205
    @miabrantley205 3 года назад

    Also the BIG TOE

  • @craig8470
    @craig8470 2 года назад

    I hear a Leprechaun.

  • @b1prince
    @b1prince Год назад

    U seem to be immensely knowledgeable. But my head is spinning. Can't u make the presentation simpler

  • @chantaywilkes2569
    @chantaywilkes2569 2 года назад +1

    Sucks how the body starts this bs as you age