Osteoarthritis
Osteoarthritis is among the most common of the different types of joint diseases. While 80% of Canadians
over 65 may have some form of it, it manifests itself overtly in only 30%. Osteoarthritis is a loss of cartilage in
the areas around the joints. While capable of affecting all joints, it concentrates mainly on the hip and the knees
as well as other load-bearing joints of the spine and feet. It often is called degenerative joint disease or
osteoarthosis.
Causes
As with other types of arthritis, there is no specific, known central causal factor. Causes include aging,
genetics and sexual hormones – women more than men are prone to osteoarthritis. In addition, being overweight and
the involvement in certain sports can play a major role in whether a person gets osteoarthritis. In the case of
osteoarthritis, it is all about the amount and type of stress the individual places on the joint. Football or
soccer are prime examples of sports that demand a lot of the body, including the joints. In the same manner,
certain occupations can place overmuch stress on the joints repeatedly.
Other possible contributory factors to developing osteoarthritis include joint problems present from birth and
other joint diseases, e.g. gout and rheumatoid arthritis Injuries to the joints can also open the way for
osteoarthritis to develop. These include traumatic injuries to the joints such as fractures. However, in such
cases, osteoarthritis may not develop until later. The same timeframe is applicable in osteoarthritis appearing
because of an operation.
Joints Affected
Osteoarthritis can affect the joints of various parts of the body. These include the shoulder, elbow, hands,
wrists, ankle, neck, hip and knee. It is more prevalent in those areas carrying the weight of the body on a regular
basis. As a result, the hips and knees are all easily affected by osteoarthritis.
Symptoms
The onset of osteoarthritis is gradual with the symptoms varying daily. In general, a diagnosis of
osteoarthritis takes into consideration the following characteristics:
- Prolonged (over a week) joint pain
- Stiffness
- Swelling
- Symptoms more prominent in the early morning
- Tenderness
- Joints feel as if they were creaking
- Restricted range of motion
- Formation of osteophytes on the bones
Some symptoms are obvious to the individual. The doctor can uncover more by relying on a physical examination
and a look at your medical and life history. He or she will also take a blood sample to rule out other options,
including rheumatoid arthritis . There are also MRIs and arthroscopy – technology designed to provide images of the
joint, the joint cavity and other associated body parts.
Treatment
As in the case of many forms of arthritis and joint diseases, treatment depends upon the severity of the
problem. It also relies on the length of time the individual has had osteoarthritis as well as preferences of
patient and doctor. In general, treatment can involve physical activity or therapy, pharmaceuticals, surgery,
supplements and alternative forms of treatment.
- Physical – Exercise is always helpful in relieving pain. Make sure you adapt it to help and not harm your
joint problems. To relieve pain temporarily use the hot/cold method. This may proof effective for localized and
minor pains
- Pharmaceuticals - These include a variety of drugs. For minor instances of osteoarthritis, you can use
over-the-counter creams and gels or opt for such analgesics as acetaminophen. Codeine drugs are for those with
a somewhat higher degree of osteoarthritis. There are also the most basic drugs - the NSAIDs such as ASA and
ibuprofen. Next are a specific type of NSAID, the COX-2 inhibitors. Both relieve pain, the latter with fewer
side effects.
- In instances of more severe osteoarthritis, the doctor will assign other heavier medications. These include
the corticosteroids – steroids. The physician may also decide to shoot a gel-like substance into your knee to
relubricate the joints. This is a procedure called viscosupplementation.
Surgery – Two different operations are possible. A minor cleaning is called an arthoscopic while replacement
surgery is arthoscopy.
- Some individuals opt to try supplements. For osteoarthritis the most common in Canada is chrondroitin
sulphate. Chrondotin is a component of human cartilage. In chrondroitin sulphate, the source tends to be
animals such as pigs and cattle.
- Alternative therapy – In the case of osteoarthritis, an individual may safely turn to acupuncture or
acupressure and massage to find relief.
As is the case with all forms of treatment, be sure you understand the benefits and the disadvantages of each
type of treatment. There are side effects. Some treatments may prove to be more helpful with your osteoarthritis
than others. Do your research and talk to various health professionals before you make a final decision on how to
treat it.
Conclusion
Osteoarthritis is a debilitating disease of the joints. Involving the erosion of the cartilage, osteoarthritis
produces joint swelling, pain and decreased mobility. It is best to prevent the chances by ensuring the load your
body is bearing is not adversely affected by its occupation, sports activities, weight or any other factor. If,
however, you develop osteoarthritis, seek assistance from a qualified medical professional. He or she can offer you
the options that will make living with osteoarthritis more than bearable.
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