Understanding Osteoarthritis

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  • čas přidán 6. 06. 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:
    UK: www.amazon.co.uk/dp/1091859892
    US: www.amazon.com/dp/1091859892
    Zero to Finals Paediatrics book:
    UK: www.amazon.co.uk/dp/1080142827
    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 CZcams 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.

Komentáře • 173

  • @kv7654
    @kv7654 Před 11 měsíci +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.

  • @elizabethgarrity6849
    @elizabethgarrity6849 Před 2 lety +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

  • @halibakda1540
    @halibakda1540 Před 2 lety +3

    Wonderful work. Great explanation. Thank you

  • @geraldinepugh7111
    @geraldinepugh7111 Před rokem +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

  • @dadprincesofswapna5964
    @dadprincesofswapna5964 Před 3 lety +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

  • @donnylincoln5628
    @donnylincoln5628 Před 3 lety +7

    This was very informative....Thank You

  • @chevypiyush7665
    @chevypiyush7665 Před 3 lety +12

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

  • @fch6262
    @fch6262 Před 3 lety +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 :) 👍🏻👍🏻

  • @agnosia6253
    @agnosia6253 Před rokem +1

    This channel is a blessing

  • @amyorlando7101
    @amyorlando7101 Před 3 lety +5

    Appreciate the video.
    Have a safe day.

  • @PinayNanayNurse
    @PinayNanayNurse Před 9 měsíci

    Thank you for this well explained video of OA.

  • @howtomedicate
    @howtomedicate Před 4 lety +8

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

  • @sorxe.
    @sorxe. Před 2 měsíci

    Super clear and informative. Thank you :)

  • @apehifeanyimalachy4928
    @apehifeanyimalachy4928 Před 3 lety +6

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

  • @ankitsudheer9072
    @ankitsudheer9072 Před 11 měsíci

    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?

  • @koolertrek
    @koolertrek Před 2 lety +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 Před 2 lety +1

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

    • @loonylinda
      @loonylinda Před 2 lety

      nonesense..2 different things entirely.

    • @koolertrek
      @koolertrek Před 2 lety +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 Před rokem

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

  • @ronieelise6143
    @ronieelise6143 Před rokem

    Great video! Thanks so much! 😃

  • @aermamarineyAerma
    @aermamarineyAerma Před 3 lety

    I love this. It help me in my studies

  • @Biomeducated
    @Biomeducated Před 4 lety

    Great overview! Your videos are great, man!

  • @julieugolini4195
    @julieugolini4195 Před 3 lety +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

  • @alyaa4406
    @alyaa4406 Před 4 lety +1

    thank you. all your videos are really helpful

  • @akanksha786
    @akanksha786 Před 4 lety +1

    Lovely video👌

  • @cliffordtan8799
    @cliffordtan8799 Před 3 lety +2

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

  • @AvieMare
    @AvieMare Před 3 lety +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 Před rokem

      @Lisa Surlie I doubt it.

    • @suedefringe
      @suedefringe Před rokem +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 Před rokem +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 Před 3 měsíci +1

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

    • @AvieMare
      @AvieMare Před 3 měsíci

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

  • @dailydoseofmedicinee
    @dailydoseofmedicinee Před 3 lety +2

    Important topic👍

  • @julie37029
    @julie37029 Před 2 lety +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 Před 11 měsíci +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.

  • @peermubashir9061
    @peermubashir9061 Před 3 lety +2

    Greatly explained.👍

  • @AB-ik7gd
    @AB-ik7gd Před 2 lety +2

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

  • @amtalali5529
    @amtalali5529 Před 3 lety +1

    great job

  • @sanikaa1523
    @sanikaa1523 Před 3 lety

    Veryyyy helpful. Thank you so much

  • @VLove-CFII
    @VLove-CFII Před 2 lety +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?

  • @kimberlyr5562
    @kimberlyr5562 Před 11 měsíci

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

  • @husainalial-marzoog3272
    @husainalial-marzoog3272 Před 4 lety +1

    thank you so much

  • @elizabeththomas3142
    @elizabeththomas3142 Před 6 měsíci

    Detailed description & explanation

  • @mireilletrumper6871
    @mireilletrumper6871 Před 3 lety

    Excellent thank you

  • @chloefoon5992
    @chloefoon5992 Před 3 lety

    Thank you!

  • @danielmucwiri5107
    @danielmucwiri5107 Před rokem +1

    Good job 👍

  • @rimonmahmud3733
    @rimonmahmud3733 Před rokem

    Thanks for this masterpieces

  • @colindunlevy2953
    @colindunlevy2953 Před rokem

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

  • @1412Z
    @1412Z Před 2 lety

    Thank you !!

  • @berverinekachabe7771
    @berverinekachabe7771 Před rokem

    So helpful 🙏🙏🙏

  • @ayanbera123
    @ayanbera123 Před 3 lety

    Thank you... So much sir...🇮

  • @LizethSandoval006
    @LizethSandoval006 Před rokem

    Muchas Gracias 🥰

  • @lamarciaboudrias9108
    @lamarciaboudrias9108 Před 4 lety +1

    Fantastic

  • @17alaina
    @17alaina Před rokem +4

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

  • @fatima3590
    @fatima3590 Před rokem

    Very very useful

  • @bobrok4589
    @bobrok4589 Před 4 lety +2

    Excellent dr.

  • @mansourabdulshafea8647
    @mansourabdulshafea8647 Před 4 lety +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  Před 4 lety

      I'll add to the list .thanks

    • @tinatill1455
      @tinatill1455 Před 7 měsíci

      Steroids - pills taken by mouth, can cause diabetes!

  • @lizzylou19
    @lizzylou19 Před 10 měsíci +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

  • @Mrs-Emcee
    @Mrs-Emcee Před 4 lety +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 Před 4 lety

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

    • @DecGreg
      @DecGreg Před 3 lety +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.

  • @gunjantiwari1227
    @gunjantiwari1227 Před 3 lety

    Thankew it was very helpful!♥️

  • @margaretrobinson9597
    @margaretrobinson9597 Před 2 lety +1

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

  • @arunmehta8234
    @arunmehta8234 Před 2 lety

    Great video! You forgot to mention hyaluronic acid injection

  • @archanagopalan3072
    @archanagopalan3072 Před 3 lety

    Thankyou sir

  • @aburayhan8112
    @aburayhan8112 Před 4 lety +1

    Great ever

  • @fred6059
    @fred6059 Před 3 lety +22

    Osteoarthritis is my own personal hell.

    • @elizabethsinclair3722
      @elizabethsinclair3722 Před 2 lety +2

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

    • @arl_abiel
      @arl_abiel Před rokem

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

    • @patriciawilliams5287
      @patriciawilliams5287 Před rokem +4

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

  • @margaretrobinson9597
    @margaretrobinson9597 Před rokem

    Scolois (s curve of spine) culprit to osteoporosis?

  • @MYFAMILYCOMESFIRST
    @MYFAMILYCOMESFIRST Před 3 lety +2

    Haberdens? or hEberdens?

  • @JayCruz73
    @JayCruz73 Před 8 měsíci +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 Před 5 měsíci

      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

  • @jamiehaughey-tb1uk
    @jamiehaughey-tb1uk Před 2 měsíci

    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

  • @abdullahahmed2086
    @abdullahahmed2086 Před 11 dny

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

  • @NUFAIRBUHARY-mc6cr
    @NUFAIRBUHARY-mc6cr Před 9 měsíci

    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

  • @1bzymom.Of2Kids
    @1bzymom.Of2Kids Před rokem

    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 🤔

  • @joanware6473
    @joanware6473 Před 4 měsíci

    What about visco gel ingections.

  • @TheGbass87
    @TheGbass87 Před 3 měsíci

    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

  • @gregorysutton553
    @gregorysutton553 Před 3 lety +2

    21 soccer player I have this but mild

  • @Memepage9
    @Memepage9 Před rokem

    Which test for this ??

  • @vasantsande8644
    @vasantsande8644 Před 2 lety +1

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

  • @EllePole
    @EllePole Před rokem +6

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

  • @ijj0777
    @ijj0777 Před 4 lety +2

    احسنت

  • @miket7328
    @miket7328 Před 5 měsíci

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

  • @litondas7646
    @litondas7646 Před 2 lety

    Nice

  • @florabraswell8423
    @florabraswell8423 Před 2 lety

    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 Před rokem

      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.

  • @dannettec4261
    @dannettec4261 Před 4 měsíci

    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.

  • @cindyortiz9760
    @cindyortiz9760 Před rokem

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

  • @p214james
    @p214james Před 3 lety +1

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

    • @ZeroToFinals
      @ZeroToFinals  Před 3 lety +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 Před 3 lety +1

      @@ZeroToFinals Thank u very much sir.

  • @ahmedalsadi0010
    @ahmedalsadi0010 Před 3 lety +2

    Nice videos

  • @AsmaKamalk0r3a
    @AsmaKamalk0r3a Před 3 lety

    💖💖💖💖💖💖

  • @themodestgladiator9471
    @themodestgladiator9471 Před 3 lety +2

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

  • @darshanilakmali3523
    @darshanilakmali3523 Před 2 lety

    👍

  • @Maybeweshouldthinkdeeper
    @Maybeweshouldthinkdeeper Před 7 měsíci

    What are your references?

  • @kcpoodlesofpa
    @kcpoodlesofpa Před 2 lety +1

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

  • @ahmadmuhammadmehboob8700

    Plz share

  • @nurezannat3127
    @nurezannat3127 Před 7 měsíci

    😊

  • @user-xv3nh7rp3s
    @user-xv3nh7rp3s Před rokem

    💟💟💟💟

  • @Memepage9
    @Memepage9 Před rokem

    Can young people can have who under 20 ?

  • @lukeelias5603
    @lukeelias5603 Před 2 lety +1

    MVP got a quiz tomorrow am

  • @NaturalMeAmerica
    @NaturalMeAmerica Před rokem

    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

  • @joneeboi9303
    @joneeboi9303 Před 2 lety

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

  • @paulet990
    @paulet990 Před 2 lety +39

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

  • @cindyortiz9760
    @cindyortiz9760 Před rokem

    Nkkamatay b itong sakit n ito

  • @rohitbajaj2410
    @rohitbajaj2410 Před 3 lety

    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

  • @crankypantsmcduff
    @crankypantsmcduff Před rokem +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.

  • @joycecorwell848
    @joycecorwell848 Před 9 měsíci +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😅

  • @rohitbajaj2410
    @rohitbajaj2410 Před 3 lety +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 Před 3 lety

    Also the BIG TOE

  • @christinehoran8124
    @christinehoran8124 Před 2 lety +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.

  • @craig8470
    @craig8470 Před 2 lety

    I hear a Leprechaun.

  • @b1prince
    @b1prince Před rokem

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

  • @batcatxxclare3390
    @batcatxxclare3390 Před rokem

    I have this it's awful