Osteoarthritis (OA) is a disease of cartilage degradation, which results pain in major joints, especially in knee joint. Globally, OA ranks eighth in all diseases and covers around 15% proportions among all musculoskeletal problems. Background: Osteoarthritis is a disease of the cartilage which leads to degradation and results in pain in the major joints, especially in the knee joints. Knee joint pain is the most frequent complaint among the geriatric population. The objectives of this study were to assess the level of pain in knee joint among elderly, to evaluate the effectiveness of hot water application with Epsom salt on knee joint pain among elderly, and to find out the association between the level of pain in knee joint and selected demographic variables. Materials and methods: A preexperimental research design was adopted for this study. This study was conducted among elderly aged above 60 years residing in T.N. Palayam. In total, 29 samples of elderly aged above 60 years residing in T.N. Palayam were selected based on the purposive sampling technique. The demographic data were collected from the elderly and then the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) oesteoarthritis rating scale was used to assess the degree of pain. Results: The result revealed that out of 29 samples, pretest mean score level of pain was 2.93 with the standard deviation of 0.593, whereas after implementation of Epsom salt with hot water application, the posttest mean pain score was 2.17 with the standard deviation of 0.384. The effectiveness was statistically tested by paired t test which was found to be highly statistically significant at p less than 0.001.
Kaur P, Walia I, Saini SK. Study on intensity of knee joint pain by ‘Application of moist heat’ among geriatric population (60 years of age). Nurs Midwi Res J 2007;3(4):162–167.
Kenneth D. Community oriented program for the control of rheumatic diseases: studies of rheumatic disease in the developing world. J Curr Opin Rheumato 2005;17(2):153–156. DOI: 10.1097/01.bor.0000151402.11028.53.
Symnons DPM. Knee pain in older adults: the latest musculoskeletal ‘epidemic’. J Ann Rheumatol Disord 2001;60(2):89–90. DOI: 10.1136/ard.60.2.89.
Walter L, Calmbach MD. Evaluation of patients presenting with knee pain. J Am Acad Fam Phy 2003. 1–9.
Doherty M, Mazieres B, Le BM, EULAR Recommendations for the Treatment of Osteoarthritis of the Knee in General Practice. Bristol-Myers Squibb and Laboratories UPSA; 2003.
Dawson J, Linsell L, Zondervan K, Rose P, Randall T, Carr A. Epidemiology of hip and knee pain and its impact on overall health status in older adults. J Rhumato (Oxford) 2004;43(4):497–504. DOI: 10.1093/rheumatology/keh086; Silman AJ, Hochberg MC, Epidemiology of the Rheumatic Diseases, 2nd ed., Oxford: Oxford University Press; 2001.
Akinpelu AO, Alonge TO, Adekanla BA, Odole AC. Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Internet J Allied Health Sci Pract 2009;7:3.
Symmons D, Mathers C, Pfleger B. Global burden of osteoarthritis in year 2000: global burden of disease 2000 study. World health report 2002;5, Version 2.
Davis MA, Ettinger WH, Neuhaus JM, Hauck WW. Sex differences in osteoarthritis of the knee. the role of obesity. Am J Epidemiol 1988;127(5):1019–1030. DOI: 10.1093/oxfordjournals.aje.a114878.
Solomon L, Beighton P, Lawrence JS. Rheumatic disorders in the South African Negro. Part II. Osteo-arthrosis. S Afr Med J 1975;49(42): 1737–1740.
Chandra Deepak. Osteoarthritis. National Health Portal India 2017.
Addison Sophie, Use Epsom Salt for these 8 Conditions, From Joint Pain Treatment To Headache Cure. 2016. Medical daily.
Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop 2016;50(5):518–522. DOI: 10.4103/0019-5413.189608.
Du H, Chen SL, Bao CD, Wang XD, Lu Y, Gu YY, et al. Prevalence and risk factors of knee osteoarthritis in Huang-Pu district, shanghai, china. Rheumatol Int 2005;25(8):585–590. DOI: 10.1007/s00296-004-0492-7.
Jordan K, Clarke AM, Symmons DP, Fleming D, Porcheret M, Kadam UT, et al. Measuring disease prevalence: A comparison of musculoskeletal disease using four general practice consultation databases. Br J Gener Pract 2007;57(534):7–14.
A National Public Health Agenda for Osteoarthritis; 2010. Available from: https://www.cdc.gov/arthritis/docs/OAAgenda.pdf.
Hinman RS, Bennel K, Mettcalf B, Crossley K. Delayed onset of quadriceps activity and altered knee joint kinematics during stair stepping in individuals with knee osteoarthritis. Arch Phys Med Rehabil 2002;83(8):1080–1086. DOI: 10.1053/apmr.2002.33068.
Ringdahl E, Pandit S. Treatment of knee osteoarthritis. Am Fam Physician 2011;83(11):1287–1292.
Jain S, Arthritis: Freedom from pain. Available from http://www.completewell being.com/article/towards.a.joint.effort/2008.
Jomon Joy, Evaluate the Effectiveness of Epsom Salt with Hot Application on Joint Pain among the elderly in Selected Areas of Mysore. 2009-2010.
Putty AJ, Bazroy J, Malini KAR, et al. Morbidity pattern among the elderly population in the rural area of Tamil Nadu, india. Turk J Med Sci 2006;36:45–50.
Srivastava RK. Multicentric study to establish epidemiological data on health problems in old age: a govt. of India and WHO collaboration programme. Ministry of Health & Family Welfare, Government of India 2007.
Srinivas P, Swamy RK, Devi KP, Sailaja B. Assessment of dietary Practice among osteoarthritis patients. Int J Pharmacolo Sci 2014;6(6):578–581.
Muthunarayanan L, Ramraj B, Russel JK. Prevalence of pain among rural adults seeking medical care through medical camps in Tamil Nadu. Indian Journal of Pain 2015;29(1):36–40. DOI: 10.4103/0970-5333.145944.
Srinivasan S, Jayasree TM, Felix AJW, Govindarajan PK. Prevalence of osteoarthritis of the knee joint among elderly population in a rural area. Int J Bio Pharma Res 2015;6(11):849–851.
Satralkar SP, Dhudum B. Effectiveness of application of warm compress with Epsom salt to reduce knee joint pain among women. Int J Sci Res 2018;7(5).
Ruth Benita F, A Study To Assess The Effectiveness Of Hot Water Application With Epsom Salt In Reducing Joint Pain Among Old Age Patients With Rheumatoid Arthritis In A Selected Hospital At Coimbatore. 2016.
Anjum S. Hot fomentation versus cold compress for reducing intravenous infiltration. Nurs J India 2007;98(11):253.
Shinde MB, Mohite N, Hiremath P. Magnesium sulphate (MgSO4) fomentation verses cold compress for reducing intravenous extravasation. Int J Nurs Edu 2015;7(1):128–131. DOI: 10.5958/0974-9357.2015.00026.4.
Kang X, Fransen M, Zhang Y, Li H, Ke Y, Lu M, et al. The high prevalence of knee osteoarthritis in a rural Chinese population: the Wuchuan osteoarthritis study. Arthritis Rheum 2009;61(5):641–647. DOI: 10.1002/art.24464.
Hoy DG, Fransen M, March L, Brooks P, Durham J, Toole MJ. In rural Tibet, the prevalence of lower limb pain, especially knee pain, is high: an observational study. J Physiother 2010;56(1):49–54. DOI: 10.1016/s1836-9553(10)70054-0.
Salve H, Gupta V, Palanivel C, Yadav K, Singh B. Prevalence of knee osteoarthritis amongst perimenopausal women in an urban resettlement colony in south Delhi. Indian J Public Health 2010;54(3):155–157. DOI: 10.4103/0019-557X.75739.
Sharma MK, Swami HM, Bhatia V. An epidemiological study of correlates of osteoarthritis in geriatric population of UT Chandigarh. Indian J Community Med 2007;32(1):1–3. DOI: 10.4103/0970-0218.53414.