1. Jose S. Santiago M.D.

2. Osteoarthritis Osteoarthritis (OA)- also called degenerative joint disease - associated with the breakdown of cartilage in bones - most common in middle-aged and older people

3. Osteoarthritis

4. Symptoms: 1. Joint pains especially with movement. 2. Pain after overuse or long period of inactivity. 3. Swelling in the PIP and DIP joints of the fingers.

5. Osteoarthritis Treatment: 1. Analgesics or pain relievers 2. Surgery 3. Physiotherapy 4. Supportive therapy

6. Case 4: Osteoarthritis A 55 year-old man comes to the physical therapy department with knee pain. He complains of pain in front of the knee joint and the pain increases when he stands for a long time or walks a long distance.

7. T: Therapist P: Patient T: Hello. How can I help you? P: Here is my ____. I have an appointment for treatment. T: Yes, come in. What’s your ________? P: I have ________ for the past ______.

8. T: Therapist P: Patient T: When do you get the ______? Do you have continuous _____? P: I have pain continuously and the pain increases on ______ for a long time and when I _______________.

9. T: Therapist P: Patient T: I ______ your chart. The doctor diagnosed it as ________. It is a degeneration of the joint. It is mainly due to _____. P: What kind of ______ should I take? T: You need to do _________ and hot pack for one week.

10. T: Therapist P: Patient P: What is that? T: I’ll explain it to you. In interferential therapy you will feel ____________. In hot pack you will feel ________. Both the treatment helps to ___________. P: Okay. How long is the treatment?

11. T: Therapist P: Patient T: It is _______ each treatment. I will start the treatment now. You can _____ in the ____ during the treatment. I will ____ the hot pack now. Please ____ your leg in the pillow. P: Yes, I will.

12. T: Therapist P: Patient T: Is it warm? If you feel _____ please call me. P: Yes, I will call you. T: This treatment is _____. Next, I will give you _________. I will _____ four electrodes on your treatment area and increase the ______.

13. T: Therapist P: Patient T: Is there any _______? Are you ____ with the intensity? P: Yes, I am ________. T: If you feel any _______, please call me. P: Yes, sir.

14. T: Therapist P: Patient After the treatment: P:Should I ____ any other precaution? T: Avoid _____ for a long time. Even if you _____ for a long time, try to _____ the weight from one leg to another leg frequently.

15. T: Therapist P: Patient T: Use a pillow ____ the knees when you sleep. And use a walking stick. It helps to ______ the pain. P: Okay, I will get it. I will ____ all your instructions. Thank you very much.