Osteoarthritis: Symptoms and Treatment


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What is osteoarthritis?

Also known as degenerative disease, or degenerative arthritis, osteoarthritis is a chronic condition that affects the joints, which results from results from breakdown of joint cartilage and underlying bone. This is the most common type of arthritis and is seen especially among older people above 50 years of age.

People with osteoarthritis usually suffer from symptoms of joint pain and stiffness.  Osteoarthritis affects only joint functions unlike rheumatoid arthritis, in which the immune system attacks the tissues of the joints, erodes the lining on the joints causing inflammation, swelling, pain and deformity.

How does osteoarthritis occur?

All our joints are covered by a tough but slippery tissue that covers the ends of bones where they meet to form the joint. Healthy cartilage apart from absorbing shock during physical movement, allows our bones to glide smoothly over one another. Osteoarthritis, occurs when the surface layer of cartilage to breaks and erode away and the body is not able to repair joint tissue in the usual way.

Without the protective cartilage, the bones at the joints rub together against each other, which causes pain, swelling, and loss of normal shape and motion of the joint. Small pieces of bone or cartilage can also break off and float within the joint space which causes more pain and damage.

In addition, small deposits of bone which are called osteophytes may grow on the edges of the joint.

Who is prone to osteoarthritis?

Some people are more prone to osteoarthritis than others. They include:

  • Women above the age of 45 years
  • People with a family history of osteoarthritis
  • People who are above 50 years
  • People who have suffered from joint injuries
  • People who are obese since the obesity puts increased stress and strain on the joints
  • People with jobs that are physically strenuous such as those involves too much walking, weight lifting, kneeling or squatting for many hours at a stretch
  • People with a poor posture
  • Existing medical conditions such as osteonecrosis, Paget’s disease of bone, diabetes, gout, thyroid disorder
  • People who lead a sedentary life
  • People who are highly stressed

What are the causes of osteoarthritis?

Many factors can increase your risk of osteoarthritis such as:

  • Ageing: It is seen that people older than 50 years are prone to osteoarthritis, which could be due to the muscles weakening and the body’s inability to heal itself as it did in younger years.
  • Gender: Since women are more susceptible to injuries, they are more prone to osteoarthritis than men. In fact, the rate of osteoarthritis in women shoots up after menopause.Therefore experts believe that the female hormone estrogen must affect arthritis risk.
  • Vitamin D Deficiency: People with a lower level of vitamin D intake have a higher risk of osteoarthritis.
  • Vitamin C Deficiency: In people suffering from Vitamin C deficiency it is observed this condition progresses faster.
  • Sudden changes in the weather: People with osteoarthritis are very sensitive to cold and damp weather.
  • Hormones: the rate of osteoarthritis in women shoots up after menopause.Therefore experts believe that the female hormone estrogen is connected with arthritis risk. Women also experience much more severe knee osteoarthritis after menopause.
  • Previous Joint Injuries: People with previous joint injuries are more prone to osteoarthritis
  • Other Medical Conditions: Sometimes osteoarthritis is a result of damage from a different kind of joint disease, such as rheumatoid arthritis or gout.
  • Lack of Exercise: People who lead a sedentary life are at a high risk of osteoarthritis.
  • Obesity: Obesity can cause osteoarthritis since the joints are under increased strain.

What are the symptoms of osteoarthritis? How is osteoarthritis diagnosed?

The symptoms of osteoarthritis are:

  • Joint aching and soreness, especially with movement
  • Pain after overwork or after long periods of inactivity
  • Stiffness in the joints after periods of rest particularly in the hips, knees, and lower back
  • Bony enlargements in the middle and end joints of the fingers
  • Joint swelling
  • Clicking or cracking sound when a joint bends
  • Pain that is worse after activity or toward the end of the day

Osteoarthritis affects different parts of the body in different ways, such as:

  • Hips: Pain is felt in the groin area or buttocks and sometimes on the inside of the knee or thigh.
  • Knees: A “grating” or “scraping” sensation is felt when moving the knee. Sometimes the grating sound is also heard.
  • Fingers: Bony growths (spurs) at the edge of joints can cause fingers to become swollen, tender and red. There may be pain at the base of the thumb.
  • Feet: Pain, tenderness, and stiffness are felt in the large joint at the base of the big toe. Swelling may also occur in the ankles or toes.

Diagnosis


Your primary care doctor or a general physician can diagnose osteoarthritis based on your symptoms, a physical exam, and some tests. He can also prescribe the medications. However, if your condition is too severe he will refer you to a rheumatologist or an osteopathic physician.

During the physical exam your doctor will check for:

  • joint tenderness
  • creaking or grating (crepitus) sounds
  • bony swelling
  • excess fluid
  • reduced movement
  • joint instability
  • muscle thinning

He may suggest the following tests for confirmation:

  • Blood tests – to help rule out other types of arthritis.
  • X-rays – which can display bony spurs or narrowing of the space between your bones. They’ll also show whether any calcium has settled in your joint.
  • Magnetic resonance imaging (MRI) scans – Rarely, an MRI scan of your knee can be helpful. This will show the soft tissues such as, cartilage, tendons, and muscles and changes in your bone that can’t be seen on a standard x-ray.


What are the complications of osteoarthritis?


The complications of osteoarthritis include:

  • Complete breakdown of cartilage resulting in loose tissue material in the joints
  • Bone death, also known as osteonecrosis
  • Stress fractures
  • Bleeding inside the joints
  • Infection in the joints
  • Rupture of the tendons and ligaments around the joint
  • Pinched nerve (in the spine)

What is the treatment for osteoarthritis?

Medical Treatment for Osteoarthritis

Based on your condition the doctor may prescribe painkillers and anti-inflammatory medicines. In severe cases, the doctor may ask you to undergo joint surgery that can repair or replace severely damaged joints, especially hips or knees.

He may also suggest you undergo occupational therapy.


Exercise

Exercising is very beneficial for people suffering from osteoarthritis. It is advisable to consult your doctor before deciding on an exercise regimen since your doctor will be able to guide you on which exercises suit you the most.

Three kinds of exercise are important for osteoarthritis patients:

  • exercises involving a range of motion also called flexibility exercises which include stretching the joints through their full span
  • endurance or aerobic exercises which can strengthen your heart
  • strengthening exercises to improve your muscle strength
Would you like to consult a doctor for Osteoarthritis ?

Questions answered by trusted doctors

Verified User
My mother is suffering from osteoarthritis for the last 10 years. I want to go for hyaluronan injections for her. How safe it is? What conditions should be kept in mind before going for this? Costs & best place to do this from.
Dr. Vinod Kumar A.C
Orthopedist, Bangalore
there is no side effect with that ,but may not give better results in severe osteoarthritis , cost is depends on strength of molecular weight of hylaurnic acid and company,consult orthopedic surgeon ,he will give it to joint
Verified User
My mother is suffering with osteoarthritis. What could be best treatment to recover?  She is not able walk because of keen pain.
Dr. Vinod Kumar A.C
Orthopedist, Bangalore
Osteoarthritis first line of management is to reduce joints strain by altering life style by avoiding sitting cross legged,squatting & stairs climbing
Drugs to heal the wear and tear of joint, drugs to control pain ,if osteoarthritis is severe joint replacement, consult orthopedic surgeon get evaluated
Verified User
Diagnosed with osteoarthritis recently, Is it curable. If not, what are the precautions to be taken.
Dr. Kavin Khatri
Orthopedist, Faridkot
Start with knee strengthening exercises. Sending you the link of the same below

https://play.google.com/store/apps/details?id=com.technoherpes.kneepain

Or you can search " knee pain relieving exercises by Dr  kavin khatri" on google playstore

Dr. Raman Kumar (PT)
Sports and Musculoskeletal Physiotherapist, Ghaziabad
I dont understnd hiw people like u learn some medICO word and use it  without mentioning area symptoms ...i mean any medical word is not curable dear.  Is causes and symptms revovers .thast all..
Dr. Vishwas Virmani (PT)
Physiotherapist, Noida
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Dr. Shirin Talele (PT)
Physiotherapist, Jalgaon
Dear client In osteoarthritis: Exercises are very essential:quadriceps strengthening,isometric exercises,stretching exercises ,swimming 2.weight control 3vid d supplements are essential 4. Physiotherapy for pain relief and rehabilitation. 5.ergonomic advice :do not use Indian styled toilet. Cross leg sitting is harmful.
Dr. Kalaiyarasan
Orthopedist, Chennai
U can't reverse.  But u can control pain by avoiding few things
Dr. Anuradha Sharma (PT)
Clinical Physiotherapist, Noida
Physiotherapy treatment and quadriceps exercises and calcium supplement
Dr. Biswajit Dutta Baruah
Orthopedist, Chennai
Osteoarthritis(OA) at 42 years is not common.

In OA, cartilage gets eroded due to various reasons. Cartilage doesn't have the capacity to heal. As a result, there are no medications that can bring it back to normal. There are many supplements but when body doesn't heal the cartilage, it's very doubtful if these supplements will work at all.

Avoiding activity even if you did have arthritis is not a very good idea. The best way to deal with arthritis is to replace impact activities with non-impact activities like cycling or swimming. If at all you want to do running use the bare foot running technique. Activity will also help keep your weight under control. In terms of diet, reduce all white substances like rice, sugar, sweets. Replace with brown food like oats, muesli or brown bread, and plenty of salads and fruits.

Dr. Vinuraj
Spine Surgeon, Bangalore
Thanks for asking the query.
Osteoarthritis is not curable. You can avoid further wear and tear of the cartilage by keeping your weight under control, staying active and being flexible. If you are playing any sports then avoid playing sports like football or basketball. Badminton or tennis played gently are good.
Lastly who has diagnosed you with arthritis and how has this diagnosis been reached? It may be just a flare up of cartilage irritation.

Hope this helps.

Dr Vinu Raj
Consultant Orthopaedic Surgeon
MBBS MRCS FRCS(Trauma&Orth)

Ask health queries and get free answers from doctors in 24 hrs

Did you know?

Leading cause of disability among older adults

Osteoarthritis is a leading cause of disability in people over 50 years of age.

Most prevalent form of arthritis

Osteoarthritis is the most prevalent form of arthritis in India, affecting over 15 million adults every year

Osteoarthritis capital

India may become the osteoarthritis capital of the world with over 60 million cases by 2025, doctors say.

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Home Remedies

Apple Cider Vinegar

Mix one teaspoon of apple cider vinegar and a teaspoon of honey in a warm glass of water and drink every morning. This drink has an alkalizing effect on the body which can reduce the arthritis pain. Arthritis thrives in an acidic body.

Consuming Turmeric

Consuming turmeric in juice or powder form can keep inflammation at bay. You can squeeze out a teaspoon of turmeric juice, mix it with a glass of lukewarm water and drink in the morning. Alternatively, you can mix 1 teaspoon of turmeric powder in milk and drink.

Eating Vegetables and Fruits

Eating green, fibrous and leafy vegetables and fruits can prevent and also alleviate arthritis symptoms. Vegetables and fruits are alkaline in nature and thus keep arthritis at bay.

Massaging with Borage Seed Oil

Borage Seed Oil is highly effective in providing relief from arthritis. Massaging the oil will help in soothing the painful and swollen joints. Alternatively, you can also consume one teaspoon of borage oil daily.

Keep Yourself Hydrated

Keeping yourself well hydrated with water helps a lot. Water lubricates the joints, which prevents joint stiffness and the subsequent inflammation and pain.
Book an appointment with a General Physician