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