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Osteoarthritis - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Osteoarthritis - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
Bones provide support for the body and aid in its movement. The place where two or more bones meet is called a joint. Joints may be immovable, slightly movable, or freely movable. A synovial membrane surrounds movable joints. Inside the membrane, synovial fluid lubricates and nourishes joint tissue such as cartilage. Articular cartilage is a tough, slippery covering on the ends of the bones which allows smooth joint movement. Joints give the body flexibility, precision of movement, and help in supporting the body's weight. Arthritis is any disorder that affects joints. It can cause pain and inflammation. Osteoarthritis, or degenerative joint disease, is the most common type of arthritis. It's usually seen in older people. The joints most commonly affected are in the hands, knees, hips, and spine. Often the cause of osteoarthritis is unknown. But it may be due to a combination of the following risk factors-- a family tendency for this condition, being overweight, a joint injury such as a fracture, repetitive strain from activities such as sports, and problems with the bones and a joint not lining up properly. Over many years, these factors can wear away the articular cartilage. The exposed bony surfaces rub together. This, along with the growth of bony projections called bone spurs, causes swelling, pain, and limited movement of the joints. There is no cure for osteoarthritis, but a combination of treatment options control the symptoms. For example, medications can reduce joint inflammation and pain. Common medications include Acetaminophen, and non-steroidal anti-inflammatory drugs, or NSAIDS. An ice pack may also reduce joint pain. Lifestyle changes, such as resting the affected joint and losing weight if necessary may help slow down the progression of osteoarthritis. Other lifestyle changes include physical therapy exercises and education to manage osteoarthritis on your own. Physical therapy exercises along with low impact exercise such as walking and swimming increases muscle strength and keeps joints limber. Braces can help with joint support and alignment to reduce joint pain. Another treatment option is the injection of hyaluronic acid into the joint. Hyaluronic acid is a naturally occurring substance in the joint's synovial fluid. It helps lubricate the joint and allows the bones to slide over each other more easily. For severe osteoarthritis a doctor may recommend a surgical procedure such as joint resurfacing to remove loose bone or cartilage and bone spurs, or an osteotomy, or bone removal, may be recommended to realign deformed joints. In some cases the arthritic joint may need to be replaced with an artificial joint. For more information, talk to a health care provider.

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As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

"A few words about The Doe Report: recently in a brachial plexus injury case, we used an image from The Doe Report to demonstrate the injury. We downloaded the PDF file image, and were amazed at the quality. The hard copies that you sent were even more clear. As well, we could not have been happier when you customized the image and reversed the injury from the left shoulder to the right shoulder, which is where our client's injury was.

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Andrew Needle
Needle Gallagher & Ellenberg, P.A.
Miami, FL

"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

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Coulter &Coulter
Roanoke, VA

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I feel very confident that our paths will cross again."

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Faerber & Anderson, P.C.
St. Louis, MO













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