Understanding Osteoarthritis

A Comprehensive Guide to Joint Degeneration and Management

Orthopedics

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Last updated: Mar 24, 2025

What is Osteoarthritis?

Osteoarthritis (OA) is the most common form of arthritis, characterized by the progressive breakdown of joint cartilage and underlying bone. It primarily affects weight-bearing joints such as knees, hips, and spine.

Key Symptoms

  • Joint Pain: Especially during or after movement
  • Stiffness: Particularly in the morning or after inactivity
  • Reduced Flexibility: Decreased range of motion
  • Swelling: Around affected joints
  • Grating Sensation: You may hear or feel grinding when using the joint

Risk Factors

  • Age (more common over 50)
  • Obesity
  • Previous joint injuries
  • Family history
  • Repetitive stress on joints
  • Gender (more common in women)

Diagnosis

Physical Examination

  • Joint mobility assessment
  • Pain evaluation
  • Swelling observation

Imaging

  • X-rays
  • MRI (in some cases)
  • CT scans (when needed)

Treatment Options

Non-Pharmaceutical Approaches

  1. Weight management
  2. Physical therapy
  3. Exercise
  4. Hot/cold therapy
  5. Assistive devices

Medications

  • Acetaminophen
  • NSAIDs
  • Topical treatments
  • Corticosteroid injections

Surgical Options

  • Joint replacement
  • Arthroscopy
  • Osteotomy

Self-Management Strategies

  • Regular exercise
  • Maintaining healthy weight
  • Protecting joints
  • Using assistive devices when needed
  • Following prescribed treatment plans

When to See a Doctor

  • Persistent joint pain
  • Significant mobility limitations
  • Signs of infection
  • Severe swelling

Prognosis

While osteoarthritis is a chronic condition, proper management can significantly improve quality of life and slow progression.

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