Osteoarthritis

Osteoarthritis

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1. What are the 4 stages of osteoarthritis?

Osteoarthritis is that the commonest sort of arthritis that regularly develops with age. It’s a chronic condition during which the cartilage between bones that cushions the joints wears down and because it does, the bones rub against one another causing pain, stiffness, swelling, and reduced joint motion. Osteoarthritis most ordinarily affects the hands, knees, hips, feet, and spine, though it can affect nearly any joint within the body.

Symptoms of osteoarthritis commonly begin after age 40 and may vary widely. Symptoms of osteoarthritis most generally affect the fingers, feet, knees, hips, and spine, and fewer commonly, the elbows, wrists, shoulders, and ankles.

Symptoms of osteoarthritis include:

Joint pain

  • Worsens with exercise and is relieved by rest
  • In severe cases, joint pain occurs even at rest or in the dark
  • Pain is felt over or near the affected joint but it's going to sometimes be felt in other areas
  • Joint stiffness
  • Morning stiffness may be a common symptom
  • Stiffness usually goes away within half-hour of rising, but it's going to come throughout the day if an individual is inactive
  • Stiffness may appear in cold, damp, or low-pressure weather
  • Joint swelling (effusion)
  • Crackling or grating sensation (crepitus)
  • Changes in joint shape
  • Bone spurs (osteophytes)

Primary osteoarthritis is that the breakdown of cartilage over time. Risk factors for developing osteoarthritis include:

  • Advancing age
  • Rare in people under 40 years
  • At least 80% of individuals over age 55 have some X-ray evidence of osteoarthritis
  • Gender
  • Women are two to 3 times more likely than men to develop osteoarthritis
  • Obesity
  • Occupation

Occupations that need frequent squatting and kneeling, like dock work, shipyard work, mining, cotton processing, carpentry, farm work, construction work, and other activities that involve work, prolonged standing, or walking several miles every day

  • Joint injury or trauma
  • Sports
  • Wrestling, boxing, pitching in baseball, cycling, gymnastics, soccer, and football
  • Noncompetitive running doesn't seem to extend the danger of developing osteoarthritis

Osteoarthritis is diagnosed supported a variety of things, including the patient's age, history, and symptoms. Tests that won’t diagnose osteoarthritis or rule out other conditions may include:

  • X-rays of the affected joints
  • Arthrocentesis (joint fluid analysis) during which joint fluid is removed and analyzed to work out the explanation for joint swelling and pain
  • Arthroscopy may be a surgery during which a tube with a camera is inserted into the joint space to see the joints and surrounding tissues (damage can also sometimes be repaired through the arthroscope)
  • Laboratory tests could also be wont to rule out other conditions if it's suspected something else could also be causing symptoms
  • Imaging tests could also be helpful if there's lack of clarity around a source of joint pain aside from osteoarthritis
  • Treatment for osteoarthritis includes lifestyle modifications, treatment, and/or surgery.

Lifestyle modifications wont to treat osteoarthritis include:

  • Weight loss for patients who are overweight
  • Physical therapy
  • Exercise programs
  • Orthoses to assist to stay joints aligned and functioning correctly like splints and braces
  • Assistive devices like canes, walkers, electric-powered seat lifts, heightened toilet seats, and tub and shower bars
  • Arthritis education and support

Medications wont to treat osteoarthritis include:

  • Topical therapies
  • Topical nonsteroidal anti-inflammatory drug drugs (NSAIDs)
  • Topical capsaicin
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Celecoxib (Celebrex)
  • Acetaminophen (Tylenol)
  • Glucocorticoid (steroid) injections


Surgery is typically the pis aller wont to treat severe osteoarthritis that significantly limits a person’s activities which don't answer other treatments. Sorts of surgery for osteoarthritis include:

Realignment surgery to realign bones and other joint structures that grow into misaligned due to chronic osteoarthritis
Fusion surgery is employed to permanently fuse two or more bones together at a joint and should be indicated when the joints are badly damaged and joint replacement surgery isn't appropriate
Joint replacement surgery is employed to exchange a damaged joint with a man-made (prosthetic) joint


2. What is the difference between arthritis and osteoarthritis?

Arthritis and osteoarthritis are distant but have one thing in common: they're the results of inflammation of the joints. In terms of treatment, the aim in both cases is to alleviate pain and manage or improve flexibility. You’ll achieve this through medical supervision and various tailored rehab therapies.

Are arthritis and osteoarthritis the same?

Arthritis may be a blanket term covering all kinds of arthritis including osteoarthritis, atrophic arthritis, rheumatoid arthritis, and gout.

Wear and tear on the joints are referred to as osteoarthritis, and it’s the foremost common sort of arthritis. It occurs when the cartilage between bones breaks down, causing joints to become swollen, painful, and hard to maneuver. While osteoarthritis can occur at any age it's more common in people over 50 and ladies. It most ordinarily affects hands, knees, hips, the lower back, and neck. In the meantime, arthritis pain is often quite difficult to manage.

Rheumatoid arthritis may be a chronic inflammatory disorder that will cause painful swelling and joint deformity. It differs from other sorts of arthritis therein it affects not just joints but other body parts also.

Black women affected by Arthritis and Osteoarthritis getting rehab therapies

Can you have both?

You can, indeed, have osteoarthritis and atrophic arthritis at an equivalent time. For instance, your hands could also be suffering from atrophic arthritis, but your spine may have degenerated thanks to osteoarthritis. Atrophic arthritis, an autoimmune disorder, is extremely different from the cartilage wear and tear related to osteoarthritis.

While, there's no cure for arthritis and osteoarthritis, these conditions are often managed. Treatments include pain relief medication, the appliance of hot or cold packs, and ensuring you maintain a healthy weight.

Furthermore, a physiotherapist can show you exercises to strengthen the muscles around your joint and increase your flexibility. Any exercises you are doing should be safe, regular, and delicate, and avoid putting additional pressure on joints. For instance, swimming and walking are beneficial for those with arthritis and osteoarthritis.

In addition, physical therapy also can help manage inflammation and hamper any deterioration.

An occupational therapist can generate ways for you to try to do everyday tasks without putting extra stress on a painful joint. As an example, if you've got osteoarthritis in your hands, employing a toothbrush with a bigger handle might help. If you've got knee osteoarthritis, a stool in your shower can assist you to avoid pain when standing.

Has many experiences treating different sorts of arthritis. Our friendly, multilingual staff and rehabilitation therapists administer loving care and one-on-one therapies designed to assist you to manage arthritis and osteoarthritis. People with arthritis can benefit enormously from a convivial setting provided by our adult daycare center. We also offer wonderful recreational activities and medical aid. Do contact us if you'd wish to learn more about the center and the way we help people with athritis.

3. What foods should be avoided if you have osteoarthritis?

Research has checked out the connection between osteoarthritis progression and nutrition. They found that following a Western diet—high in meat, sugar, fat, salt, and classy grains—was related to the increased progression of osteoarthritis and high rates of obesity. While a diet high in fruits, vegetables, fish, whole grains, and legumes was identify with decreased disease progression.1

Below are eight foods that are related to increased inflammation and will be limited for people that have osteoarthritis.

1. Sugar

Added sugar is present in many processed foods, like food, sugar-sweetened beverages, and candy. Condiments like barbeque sauce also contain large amounts of added sugar. Research has associated excessive sugar intake with increased inflammation and a better likelihood of becoming obese, which may negatively impact the health of your joints.

2. Salt

Salt is a crucial part of a healthy diet because it helps maintain fluid balance by drawing water thereto and retaining fluid. When salt is overconsumed, an excessive amount of fluid is retained which may increase inflammation and swelling within the joints.

3. Saturated Fat and Trans Fats

A diet high in saturated fat is related to increased inflammation within the body. Foods that are high in saturated fat include butter, red meat, prepared meats, full-fat dairy, fast food, fried foods, and coconut.

Small amounts of Tran’s fatty acids naturally appear in some animal products. It also can be artificially created during processing and is employed to feature texture, flavor, and increase the food's time period. Trans fat increases bad cholesterol levels and has been strongly related to systemic inflammation

Artificially produced Trans fats were banned by the and were required to be far away from the market by June 2018. There should be some present trans-fat in shortening, margarine, fast food, and other processed foods that would be increasing the inflammation in your body.

4. Refined Carbs

During processing, fiber and nutrients are far away from grains, leaving them without most of their nutritional value. White flour and rice are simple carbs, which are more easily digested and absorbed into the bloodstream causing spikes in your blood glucose.

Many foods with refined grains—such as breakfast cereals, food, snacks, and sweets—are highly processed with added sugar, salt, and fat.

5. Omega-6 Fatty Acids

There are two main polyunsaturated fatty acids within the diet—omega-3 fatty acids and omega-6 fatty acids—and each type features a different effect on the body. Omega-3 fatty acids produce anti-inflammatory effects, while Omega-6 fatty acids are pro-inflammatory.6

The intake of omega-6 fatty acids is high within the typical American diet and omega-3 intake is usually less than the recommended amount. Sources of omega-6s include soybeans, corn, safflower oil, sunflower seed oil, vegetable oil, meat, poultry, nuts, and seeds.

6. Dairy

Full-fat dairy products are high in saturated fats and are related to increased levels of inflammation.4 Cheese, milk , cream, and butter are all high in saturated fat.

In addition to being high in fat, some dairy products—like frozen dessert, sweetened yogurt, and chocolate milk—are also high in sugar. The mixture of being high in both fat and sugar makes these sorts of dairy products more inflammatory.

7. Alcohol

Chronic alcohol intake is related to systemic inflammation and damages the body over time, especially with excessive alcohol intake.7 consistent with the CDC, moderate intake is taken into account one drink per day for ladies and two drinks per day for men.

Depending on the sort of alcoholic drink, it also can be high in sugar, which adds to the inflammatory effect of the drink.

8. MSG

Monosodium Glutamate (MSG) may be an artificial additive that acts as a flavor enhancer. It’s often utilized in Chinese food, soups, processed meats, and canned foods. Some research studies have hinted at a possible relationship between MSG and negative health effects like headaches, sweating, nausea, inflammation, and weakness.8

Research is inconclusive about the consequences of MSG and it's considered safe by the. If you're experiencing tons of inflammation, you'll trial limiting MSG in your diet to assess for any changes in inflammation.

A Word from Verywell

Maintaining the health of your joints can help to hamper the wear and tear and tear that's common during aging. Physical activity, stretching, posture, and nutrition are all lifestyle factors that will help with keeping your joints healthy and pain-free. Eating foods that are related to reduced inflammation also can support your joint health. When unsure, pick food options like fruits, vegetables, and whole grains.

4. Is walking well for osteoarthritis?

Exercise, including walking, is often beneficial for osteoarthritis patients. Exercise can help to scale back pain and increase quality of life. Lack of exercise can cause more joint stiffness, muscle weakness and tightness, and loss of joint motion.

When you do exercise, warm-ups and cool-downs are urgent. The quantity of walking you ought to do depends on your current fitness level. If you've got not exercised many thanks to the pain you would possibly begin with just five minutes of slow walking. Mild joint or muscle soreness is normal after operation.

If you've got osteoarthritis, ask your doctor before starting an exercise program to form sure it's safe. Determine if there are specific movements that ought to be included or avoided and if you would like to be evaluated by a physical or occupational therapist before starting exercise.

For more instruction, read our full medical article on osteoarthritis.

Osteoarthritis may be a progressive sort of arthritis characterized by the breakdown of the cartilage in joints. Osteoarthritis (OA), also referred to as degenerative joint disease and "wear and tear" arthritis, causes pain within the joints with activity. The knees and therefore the hips are common locations for osteoarthritis. Osteoarthritis is common in communities over 60 years aged, but it can affect younger people, particularly where they need had joint injury or joint surgery.

Osteoarthritis Symptoms: Hands, Hips, and Knees Symptoms of osteoarthritis typically develop slowly.

Symptoms of osteoarthritis typically develop slowly. The foremost common symptoms include:

  • Pain: Pain with use of the involved joint may be a common symptom. This will occur in any joint, especially weight-bearing joints, including joints in your hands, hips, and knees.
  • Stiffness: Stiffness and pain directly after being sedentary may be a feature of osteoarthritis and is mentioned as a "gel phenomenon." The morning stiffness of osteoarthritis typically lasts no quite half-hour.
  • Bone grafting: a standard sign of osteoarthritis may be a crunching feeling or grating sound of bone rubbing against bone.
  • Knobby fingers: Hand involvement with osteoarthritis results in knobby enlargements of the tiny joints of the fingers. Small, bony knobs on the center joints of the fingers are called Bouchard’s nodes. Once they occur at the joints closest to the nail, they're referred to as Heberden's nodes.
  • Bone spurs: Small bony extensions referred to as osteophytes sometimes grow on the sides of osteoarthritic joints.


Osteoarthritis is common in large weight-bearing joints like the knees, hips, and lower back. It’s also common at the bottom of the thumb, the tiny joints of the fingers, and therefore the neck.

Osteoarthritis is most ordinarily a result of aging cartilage. Aging cartilage progressively becomes stiffer and more susceptible to wear and tear. Severe osteoarthritis can cause the cartilage to wear away virtually completely in order that the adjacent bones within the joint rub alongside use. This is often mentioned as a "bone on bone" joint disease.