How is hx of pt with OA?

Slow progression occurring over several years or decades.  patients can become less and less active and thus more susceptible to morbidities related to decreasing physical activity (including potential weight gain).  Early in the disease, joints may appear normal  gait may be antalgic if weight-bearing joints are involved (mechanical pain)  Pain is usually the initial source of morbidity in osteoarthritis, with the disease’s primary symptom being deep, achy joint pain exacerbated by extensive use  reduced range of motion and crepitus  Stiffness during rest (gelling) usually lasting for less than 30 minutes  Initially, pain can be relieved by rest and may respond to simple analgesics  joints may become unstable, pain may become more prominent (even during rest) and may not respond to medications