instruction: hello doctor I have been diagnosed with osteoarthritis in both hands one doctor suggested erosion in the left hand while another read that the right hand did not see evidence of that I was wondering what your opinion is do you agree with osteoarthritis diagnosis and if so is there evidence of erosion all blood were negative for any autoimmune causes ana of ear cop etc
output: hi osteoarthritis is not an autoimmune disorder so autoimmune markers are expected to be negative in an osteoarthritic joint as cartilage is irreversibly destroyed and bone abnormalities develop movement becomes painful and more difficult in my opinion regarding left hand ray I agree there is interphalangeal joint distal more pronounced narrowing and sclerosis I hope this helps osteoarthritis anti inflammatory and pain medication such as acetaminophen and non asteroidal anti inflammatory drugs topical analgesic injections of cortisone to decrease inflammation and physical occupational therapy self management strategies