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Osteoarthritis, hip

M16.9 · Pain & MSK

Clinical summary

Osteoarthritis, hip. ICD-10: M16.9. Musculoskeletal and chronic pain — common in desk, manual, and travel-heavy roles.

Category context

Musculoskeletal and chronic pain — common in desk, manual, and travel-heavy roles.

Common symptoms

Chronic pain Reduced stamina Weakness Headaches

Relevant clinicians

Roles commonly involved in assessment and treatment for this condition.

Linked medicines (SA)

Pregabalin

2 brands

Calcium-channel modulator for neuropathic pain and generalised anxiety — sedation and dizziness common.

Brands: Lyrica (pregabalin), Pregabalin (generic)

SA strengths: 25 mg capsule · 75 mg capsule · 150 mg capsule · 300 mg capsule

Typical dosing: Often titrated 75 mg BD to 150–300 mg BD for pain/anxiety per tolerability.

Gabapentin

2 brands

Anticonvulsant used for neuropathic pain — requires renal dose adjustment.

Brands: Neurontin (gabapentin), Gabapentin (generic)

SA strengths: 100 mg capsule · 300 mg capsule · 400 mg capsule

Typical dosing: Titrated in divided doses; typical maintenance varies widely by indication.

Tramadol

2 brands

Weak opioid analgesic — seizure risk with SSRIs/SNRIs; sedation affects safety-critical work.

Brands: Tramadol, Tramal (tramadol)

SA strengths: 50 mg capsule · 100 mg SR tablet

Typical dosing: Often 50–100 mg qid PRN or SR 100–200 mg BD — max daily dose per insert.

Codeine

1 brand

Opioid analgesic — often combined with paracetamol; dependence and constipation risk.

Brands: Codeine phosphate

SA strengths: 30 mg tablet · 60 mg tablet

Typical dosing: Combo products: limit tablets per 24 h per package insert (e.g. Stilpane, Myprodol).

Paracetamol

1 brand

Non-opioid analgesic/antipyretic — hepatotoxicity risk above maximum daily dose.

Brands: Panado (paracetamol)

SA strengths: 500 mg tablet · 1 g tablet

Typical dosing: 500 mg–1 g qid PRN; do not exceed 4 g/day in adults without clinician direction.

Ibuprofen

1 brand

NSAID anti-inflammatory — GI and renal precautions with chronic use.

Brands: Brufen (ibuprofen)

SA strengths: 200 mg tablet · 400 mg tablet · 600 mg tablet

Typical dosing: 200–400 mg TDS with food for musculoskeletal pain.

Diclofenac

1 brand

NSAID — enteric-coated tablets common in SA; cardiovascular/GI risk with long-term use.

Brands: Voltaren (diclofenac)

SA strengths: 25 mg tablet · 50 mg tablet · 50 mg enteric-coated tablet

Typical dosing: 25–50 mg BD–TDS per formulation and indication.

Celecoxib

1 brand

Anti-inflammatory pain relief — stomach and kidney precautions with long use.

Brands: Celebrex (celecoxib)

SA strengths: 100 mg capsule · 200 mg capsule

Typical dosing: Dose per treating clinician script and package insert.

Etoricoxib

1 brand

Anti-inflammatory pain relief — stomach and kidney precautions with long use.

Brands: Arcoxia (etoricoxib)

SA strengths: 60 mg tablet · 90 mg tablet · 120 mg tablet

Typical dosing: Dose per treating clinician script and package insert.

Prescribed therapy

Session-based referrals — not medicines. Therapy directory

Physiotherapy (prescribed)

Physiotherapy

Prescribed rehabilitation for pain, injury, and mobility restoration.

Session formats: 30 min session · 45 min session · 60 min session

Typical plan: Usually 30–60 min sessions weekly to thrice weekly per referral.

Occupational therapy

Occupational therapy

Functional rehabilitation — workplace pacing, ergonomics, ADL retraining.

Session formats: 45 min session · 60 min session

Typical plan: 45–60 min sessions per treating plan.

Therapy references

Data quality & linkage

Core ingest — feeds Library, Clinical Atlas, compiler
Domain Records Completeness Accuracy Cross-refs Linkage Notes
ICD-10 conditions 106 Hand-curated MVP WHO ICD-10 aligned Condition↔med rules WHO API ingest planned Sync source for Clinical Atlas / Library
SA medications 87 Curated brands/strengths SAHPRA/MIMS target Condition generic maps Schedule badges linked SAHPRA register ingest planned

Official sources & ingest

Authority feeds — master ingest in Core ZA (coreza.riskatlas.co.za)
Domain Official source Feed type API / access Refresh Synced to Status
Medical Schemes & PMB Council for Medical Schemes — PMB HTML / portal www.medicalschemes.co.za/resources/pmb/ Daily cache Library · Clinical Atlas Ingested
Medical Schemes & PMB CMS Industry Report 2023 HTML / portal www.medicalschemes.co.za/media-centre/the… Annual Library · Clinical Atlas Ingested
Medical Schemes & PMB PMB conditions spreadsheet (CMS) XLSX download www.medicalschemes.co.za/download/2032/pr… When CMS updates Library · Clinical Atlas Ingested
Medical Schemes & PMB CDL treatment algorithms HTML / portal www.medicalschemes.co.za/publications/#20… When CDL revised Library · Clinical Atlas Ingested
Clinical Atlas WHO ICD-10 HTML / portal icd.who.int/browse10/2019/en Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SAHPRA HTML / portal www.sahpra.org.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas MIMS / SA package inserts Reference www.mims.co.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas SA Essential Medicines List (EML) Reference www.health.gov.za/ Per atlas release Library · Clinical Atlas Curated / partial API
Clinical Atlas ClaimBuddy curated Reference Internal Per atlas release Library · Clinical Atlas Curated / partial API
Social security (shared) ISSA Country Profiles HTML database www.issa.int/databases/country-profiles Two-year regional cycle Core · Compass ZA Primary — structure
News & conduct NFOSA press releases WordPress REST + RSS nfosa.co.za/wp-json/wp/v2/posts Hourly cache Library · compiler Live — master in Core
News & conduct FSCA media releases RSS / HTML www.fsca.co.za/ Daily Library news Planned structured ingest
Practitioners HPCSA i-register Live HTTP iregister.hpcsa.co.za/ 5-min cache Clinical Atlas · compiler HPCSA lookup Live proxy
Life insurers NFO Life Insurance Division participants HTML register www.nfosa.co.za/participants/life-insuran… When NFO updates the participant list Library life-insurers directory · intake autocomplete Curated — Library directory live
Conduct & complaints NFO Life Insurance Division case reports HTML case reports nfosa.co.za/category/case-reports/ When NFO publishes (curated holdings in Library) Library language map · wiki · precedent pages Curated — CR403, CR356, CR351, CR276, CR72, CR259 live in Library

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