From Early Symptoms to Disease Management
Osteoarthritis is the most prevalent type of arthritis. If you have signs and symptoms of osteoarthritis or you want to learn how osteoarthritis differs from other types of arthritis, there are 10 basic facts you should know about osteoarthritis.
1 - Osteoarthritis is the most common type of arthritis.
Osteoarthritis can occur alone or together with another type of arthritis. Typically, the onset of osteoarthritis symptoms is gradual. There are 21 million Americans who have osteoarthritis. As the population ages, the number of people with osteoarthritis will continue to soar.
• How to Recognize the Signs and Symptoms of Osteoarthritis
2 - Osteoarthritis is also referred to as wear-and-tear arthritis and degenerative arthritis.
Osteoarthritis is primarily characterized by progressive damage to joint cartilage and changes to structures around the joint, causing pain and limited range of motion in the affected joint. Fluid accumulation (joint effusion), bony overgrowth (osteophytes), and weakness of tendons and muscles can also result from the degenerative process.
3 - Weightbearing joints are the joints which are most commonly affected by osteoarthritis.
Weightbearing joints, such as knees, hips, and the spine are most commonly affected, though osteoarthritis can also affect fingers or any joint with prior traumatic injury, infection, or inflammation. Bony nodes and knobs on fingers (e.g. Heberden's or Bouchard's nodes are a sign of damage from osteoarthritis.
4 - Most osteoarthritis patients have increased joint pain during activity, which is relieved with rest.
Movement and activity typically cause pain in the affected joint for osteoarthritis patients. Late-stage osteoarthritis is characterized by severe pain and unstable joints (i.e joint giving out or locking up). Morning stiffness, which is usually linked to rheumatoid arthritis, can also occur with osteoarthritis but it usually lasts for a half hour or less.
5 - Osteoarthritis affects people of all ages but the disease is more prevalent among older people.
Seventy percent of people older than 70 have x-ray evidence of osteoarthritis. Only half of the group with x-ray evidence will become symptomatic.
6 - More women than men have osteoarthritis.
Overall, more women than men develop osteoarthritis. Interestingly, men under age 55 are more likely to have osteoarthritis than women under 55 years old. After 55 years of age, women are more commonly affected by osteoarthritis.
7 - There are certain risk factors associated with osteoarthritis.
Risk factors associated with osteoarthritis include:
• age
• obesity
• injury or overuse of joint
• heredity/family history
• muscle weakness
People with certain diseases (e.g. rheumatoid arthritis, hemochromatosis, acromegaly) are also at higher risk of developing osteoarthritis.
8 - Early diagnosis and treatment of osteoarthritis is important for successful management of the disease.
An internist or rheumatologist can diagnose osteoarthritis. The doctor will take your medical history, physical examination, and will order x-rays or an MRI to look for evidence of joint damage consistent with osteoarthritis. Blood tests may be ordered to rule out other types of arthritis.
9 - Osteoarthritis treatment options focus on controlling pain, preserving function, and slowing disease progression.
Your doctor will likely recommend one or more of the following treatment options to manage your osteoarthritis symptoms:
• arthritis medications
• exercise
• weight control
• joint protection techniques
• complementary or alternative treatments
• physical therapy/occupational therapy
• surgery
10 - By 2030, approximately 20 percent of Americans will be over 65 years old and at high risk for developing osteoarthritis.
There has never been a better time than right now to make lifestyle modifications which may prevent osteoarthritis or help you manage the disease if you do develop it. Don't wait to begin a regular regimen of moderate exercise or to lose excess weight. Don't ignore early symptoms of osteoarthritis if they develop. Consult with your doctor and understand your options.
Osteoarthritis is considered the most common type of arthritis. About 21 million Americans have osteoarthritis. The disease causes limited range of motion which affect daily living activities. Osteoarthritis is caused by progressive deterioration of joint cartilage. It's important to recognize the signs and symptoms of osteoarthritis so your doctor can properly examine you and recommend a treatment plan.
Typically, osteoarthritis develops gradually. You'll feel sore or stiff at first. The discomfort may be moderate and not be constantly present. Other signs and symptoms associated with osteoarthritis may include:
• Joint soreness after inactivity or periods of overuse of a joint.
• Stiffness after rest and disappears quickly as activity begins again.
• Morning stiffness lasting no longer than 30 minutes.
• Joint pain which is less in the morning and stronger at the end of the day following activity.
• Muscle atrophy around joints caused by inactivity can increase pain.
• Pain and stiffness can affect posture, coordination and ability to walk.
• Joints of the knees, hips, fingers, lower spine, and neck are most commonly affected by osteoarthritis. The knuckles, wrists, elbows, shoulders and ankles are rarely affected by osteoarthritis except when you injure or overuse the joint.
• Signs of hip osteoarthritis may include pain in the groin, inner thigh, or buttocks and a pronounced limp.
• Signs of knee osteoarthritis may include pain exacerbated by moving the knee, knee locking or catching, pain when standing up from a chair, pain when going up and down stairs, and weakening thigh muscles.
• Signs of osteoarthritis of the fingers may include pain and swelling of the finger joints, the presence of Heberden's nodes or Bouchard's nodes, enlarged joints, and problems with manual dexterity.
• Signs of osteoarthritis of the feet may first be revealed by pain and tenderness in the large joint of the big toe. Certain shoes, such as high heels, can provoke pain in osteoarthritic feet too.
• Osteoarthritis of the spine occurs when there is deterioration of spinal discs. The breakdown can cause osteophytes (bone spurs) to develop. The neck and lower back are stiff and painful. Pressure on nerves in the spinal cord can cause pain radiating to the neck, shoulder, arm, lower back, and legs or numbness in arms and legs.
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Risk factors for osteoarthritis include: overweight, age (usually affecting middle age to older people), injury and genetic predisposition to osteoarthritis.
Tips:
• Don't ignore pain and assume it will go away.
• Don't try self treatment prior to getting a diagnosis from a doctor.
• If you suspect arthritis, consult a rheumatologist, a medical doctor who specializes in diagnosing and treating arthritis and other rheumatic diseases.
• Always tell your doctor about any significant changes in your condition.
• Follow your medication schedule and treatment plan.
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