诊断

在体格检查期间,医生可能会用手检查您的关节,以确定疼痛之处。医生也可能会要求进行 X 线或其他影像学检查以查看您的关节和骨骼。

治疗

如果您的骨刺引起疼痛,医生可能会建议您使用非处方止痛药,例如对乙酰氨基酚(Tylenol 等)、布洛芬(Advil、Motrin IB 等)或萘普生钠(Aleve 等)。

Therapies

Physical therapy can help strengthen muscles around the joints. It also can help you become more flexible. This eases pain and helps you move better.

Surgery or other procedures

Some people with painful bone spurs due to osteoarthritis may benefit from surgery if other treatments don't work. Surgery might include removing bone spurs or replacing an affected joint. It depends on where the bone spurs are, how painful they are and how much they limit movement.

生活方式与家庭疗法

If you are overweight and have osteoarthritis of the hips or knees, weight loss may help ease bone spur pain. Even a small amount of weight loss may help.

Exercise can help people lose extra weight. It also can make muscles around joints stronger. Types of exercise that can help include walking, biking and swimming.

准备您的预约

您可能要先就诊家庭医生,他可能会将您转诊给专门诊断和治疗关节疾病的医生(风湿病医生)。

以下信息可以帮助您做好就诊准备。

您可以做什么

  • 列出您的症状以及症状持续时间。
  • 写下关键医疗信息,包括所患的其他疾病,服用的所有药物及补充剂,以及骨骼或关节病的家族病史。
  • 注明影响关节的最近受伤情况
  • 写下要向医生咨询的问题。

您可以向医生咨询以下问题。您可以随时询问其他问题。

  • 最有可能引起当前体征和症状的原因是什么?
  • 还有其他可能的原因吗?
  • 我需要做哪些检查?
  • 您建议采用什么治疗方法(如果有)?
  • 我还有其他健康问题。我怎样才能同时管理好这些疾病?
  • 我这种情况可以选择手术吗?适合或不适合的原因?
  • 哪些自我护理措施可以帮助我控制症状?

医生可能做些什么

医生可能会询问您一些问题,包括:

  • 您的疼痛严重程度如何?
  • 您是否难以移动受影响的关节?
  • 您的症状是否影响到您完成日常工作的能力?
  • 如果您目前已经尝试过居家治疗,那么它是否起到任何作用?
  • 您通常进行哪些日常运动?
Sept. 13, 2022
  1. Doherty M, et al. Clinical manifestations of osteoarthritis. https://www.uptodate.com/contents/search. Accessed Jan. 15, 2018.
  2. Firestein GS, et al., eds. Pathogenesis of osteoarthritis. In: Kelley and Firestein's Textbook of Rheumatology. 10th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Jan. 15, 2018.
  3. What is spinal stenosis? National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.catalog.niams.nih.gov/detail.cfm?pubid=1851. Accessed Jan. 16, 2018.
  4. Is your back pain caused by OA? Arthritis Foundation. http://www.arthritis.org/about-arthritis/types/back-pain/articles/oa-and-back-pain.php. Accessed Jan. 15, 2018.
  5. Imboden JB, et al. Osteoarthritis. In: Current Diagnosis & Treatment: Rheumatology. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://accessmedicine.mhmedical.com. Accessed Jan. 16, 2018.

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