How would you treat a patient with osteoarthritis of just one joint of the hand?

Would you just treat the affected joint of the entire L hand? In case of treating just the affected joint, please explain your contouring and mobilization?

Answer from: Radiation Oncologist at Community Practice

People do this in various ways - some people treat the joint with a large margin, others may treat the whole hand.I originally started by treating the affected joint, but pretty soon I after I switched and started treating the whole hand - pain is subjective and though it may appear localized, there...

Comments

Radiation Oncologist at AdventHealth Cancer Institute
Appreciate the practical advice. Do you prefer a s...

Radiation Oncologist at Michigan Healthcare Professionals, PC
I used to do direct electron field, but in our cur...

Radiation Oncologist at Mallory Radiotherapy, PLLC
AP-PA 6X photons, prone with arms stretched out ab...

Radiation Oncologist at Thomas Jefferson University
Did you switch from affected joints to the whole h...

Radiation Oncologist at Michigan Healthcare Professionals, PC
With the appropriate margins, the field size was r...

at Thomas Jefferson University Hospital
I find these answers disturbing. Radiation is not ...

Radiation Oncologist at Vanderbilt University Medical Center
International guidelines about LDRT for OA exist f...

Answer from: Radiation Oncologist at Academic Institution

I think it depends on the ability to localize the pain and confirm joint changes on an X-ray image.For example, if the patient reports pain in a single discrete joint with OA degeneration seen on X-ray with no other affected joints, then I would treat the affected joint with a clinical margin to cov...

Please select the option that best describes you:

How would you treat a patient with osteoarthritis of just one joint of the hand?

Related Questions