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 Treatment of Osteoarthritis 

Osteoarthritis also known as degenerative joint disease is a joint disease that result from breakdown of joint cartilage and its underlying bone (Springer, 2015). In this disorder, the cartilage layer break and wears away. As a result of this, the bones under the cartilage rubs together, causing pain, swelling, and loss of movement of the joint and with time the joint may loss its normal shape. (National Institute of Arthritis and Musculoskeletal and Skin Diseases [NIH], 2016)
As Manuel’s symptoms suggests, Osteoarthritis surgery is necessary. Degenerative joint disease are joint pain, joint swelling, stiffness and decreased range of motion. When Manuel do not get pain relief from home treatment, medication and other type of treatments he will be forced to undergo the surgery to help bring relief.
Osteoarthritis commonly occurs in weight bearing joints for example joints of the hips, knees and spine. It can also affect the thumb, fingers, neck and large toe. Looking at the symptoms of Manuel; pain and tightness in the upper back, neck, shoulders, and lower back, it shows that the bone that will be affected most is the spine. 
After surgical operation Manuel should be taken care of to avoid an encounter with the disorder again. Manuel should exercise frequently to avoid overweight hence reducing pressure on the joints. He should also avoid jobs high levels of joint stress to reduce stressing the joints. He should take his medications properly as prescribed by the doctor for proper healing. The person who takes care of him should ensure that he does not engage in activities that may cause joint injury.
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