Learn About Osteoarthritis

What is the definition of Osteoarthritis?

Osteoarthritis (OA) is the most common joint disorder. It is due to aging and wear and tear on a joint.

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What are the alternative names for Osteoarthritis?

Hypertrophic osteoarthritis; Osteoarthrosis; Degenerative joint disease; DJD; OA; Arthritis - osteoarthritis

What are the causes of Osteoarthritis?

Cartilage is the firm, rubbery tissue that cushions your bones at the joints. It allows bones to glide over one another. When the cartilage breaks down and wears away, the bones rub together. This often causes the pain, swelling, and stiffness of OA.

As OA worsens, bony spurs or extra bone may form around the joint. The ligaments and muscles around the joint may become weaker and stiffer.

Osteoarthritis

Before age 55, OA occurs equally in men and women. After age 55, it is more common in women.

Other factors can also lead to OA.

  • OA tends to run in families.
  • Being overweight increases the risk for OA in the hip, knee, ankle, and foot joints. This is because extra weight causes more wear and tear.
  • Fractures or other joint injuries can lead to OA later in life. This includes injuries to the cartilage and ligaments in your joints.
  • Jobs that involve kneeling or squatting for more than an hour a day, or involve lifting, climbing stairs, or walking increase the risk for OA.
  • Playing sports that involve direct impact on the joint (football), twisting (basketball or soccer), or throwing also increase the risk for OA.

Medical conditions that can lead to OA or symptoms similar to OA include:

  • Bleeding disorders that cause bleeding in the joint, such as hemophilia
  • Disorders that block the blood supply near a joint and lead to bone death (avascular necrosis)
  • Other types of arthritis, such as long-term (chronic) gout, pseudogout, or rheumatoid arthritis
What are the symptoms of Osteoarthritis?

Symptoms of OA often appear in middle age. Almost everyone has some symptoms of OA by age 70.

Pain and stiffness in the joints are the most common symptoms. The pain is often worse:

  • After exercise
  • When you put weight or pressure on the joint
  • When you use the joint

With OA, your joints may become stiffer and harder to move over time. You may notice a rubbing, grating, or crackling sound when you move the joint.

"Morning stiffness" refers to the pain and stiffness you feel when you first wake up in the morning. Stiffness due to OA often lasts for 30 minutes or less. It can last more than 30 minutes if there is inflammation in the joint. It often improves after activity, allowing the joint to "warm up."

During the day, the pain may get worse when you are active and feel better when you are resting. As OA gets worse, you may have pain even when you are resting. And it may wake you up at night.

Some people might not have symptoms, even though x-rays show the physical changes of OA.

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What are the current treatments for Osteoarthritis?

OA cannot be cured, but OA symptoms can be controlled. OA will most likely get worse over time though the pace with which this occurs varies from person to person.

You can have surgery, but other treatments can improve your pain and make your life much better. Although these treatments cannot make the OA go away, they can often delay surgery or make your symptoms mild enough to not cause significant problems.

MEDICINES

Over-the-counter (OTC) pain relievers, such as acetaminophen (Tylenol) or a nonsteroidal anti-inflammatory drug (NSAID) can help with OA symptoms. You can buy these medicines without a prescription.

It is recommended that you do not take more than 3 grams (3,000 mg) of acetaminophen a day. If you have liver disease, talk with your provider before taking acetaminophen. OTC NSAIDs include aspirin, ibuprofen, and naproxen. Several other NSAIDs are available by prescription. Talk with your provider before taking an NSAID on a regular basis.

Duloxetine (Cymbalta) is a prescription medicine that can also help treat long-term (chronic) pain related to OA.

Injections of steroid medicines often provide significant short to medium-term benefit from the pain of OA.

Supplements that you may use include:

  • Pills, such as glucosamine and chondroitin sulfate
  • Capsaicin skin cream to relieve pain

LIFESTYLE CHANGES

Staying active and getting exercise can maintain joint and overall movement. Ask your provider to recommend an exercise routine or refer you to a physical therapist. Water exercises, such as swimming, are often helpful.

Other lifestyle tips include:

  • Applying heat or cold to the joint
  • Eating healthy foods
  • Getting enough rest
  • Losing weight if you are overweight
  • Protecting your joints from injury

If the pain from OA gets worse, keeping up with activities may become more difficult or painful. Making changes around the home can help take stress off your joints to relieve some of the pain. If your work is causing stress in certain joints, you may need to adjust your work area or change work tasks.

PHYSICAL THERAPY

Physical therapy can help improve muscle strength and the motion of stiff joints as well as your balance. If therapy does not make you feel better after 6 to 12 weeks, then it likely will not be helpful.

Massage therapy may provide short-term pain relief, but does not change the underlying OA process. Make sure you work with a licensed massage therapist who is experienced in working on sensitive joints.

BRACES

Splints and braces may help support weakened joints. Some types limit or prevent the joint from moving. Others may shift pressure off one portion of a joint. Use a brace only when your doctor or therapist recommends one. Using a brace the wrong way can cause joint damage, stiffness, and pain.

ALTERNATIVE TREATMENTS

Acupuncture is a traditional Chinese treatment. It is thought that when acupuncture needles stimulate certain points on the body, chemicals that block pain are released. Acupuncture may provide significant pain relief for OA.

Yoga and Tai chi have also shown significant benefit in treating the pain from OA.

S-adenosylmethionine (SAMe, pronounced "Sammy") is a manmade form of a natural chemical in the body. It may help reduce joint inflammation and pain.

SURGERY

Severe cases of OA might need surgery to replace or repair damaged joints. Options include:

  • Arthroscopic surgery to trim torn and damaged cartilage
  • Changing the alignment of a bone to relieve stress on the bone or joint (osteotomy)
  • Surgical fusion of bones, often in the spine (arthrodesis)
  • Total or partial replacement of the damaged joint with an artificial joint (knee replacement, hip replacement, shoulder replacement, ankle replacement, and elbow replacement)
Who are the top Osteoarthritis Local Doctors?
Elite
Highly rated in
13
conditions
Orthopedics

Northwell Health

Northwell Health Physician Partners Orthopaedic Institute At Lenox Hill

130 E 77th St 
New York, NY 10075

Michael Mont is an Orthopedics doctor in New York, New York. Dr. Mont has been practicing medicine for over 38 years and is rated as an Elite doctor by MediFind in the treatment of Osteoarthritis. He is also highly rated in 13 other conditions, according to our data. His top areas of expertise are Knee Replacement, Osteonecrosis, Hip Replacement, and Osteoarthritis. He is licensed to treat patients in Ohio. Dr. Mont is currently accepting new patients.

Elite
Highly rated in
8
conditions
Orthopedics

Duke Health

Duke University Hospital

2301 Erwin Rd 
Durham, NC 27705

Michael Bolognesi is an Orthopedics doctor in Durham, North Carolina. Dr. Bolognesi has been practicing medicine for over 24 years and is rated as an Elite doctor by MediFind in the treatment of Osteoarthritis. He is also highly rated in 8 other conditions, according to our data. His top areas of expertise are Osteoarthritis, Knee Replacement, Hip Replacement, and Acute Pain. He is licensed to treat patients in North Carolina. Dr. Bolognesi is currently accepting new patients.

 
 
 
 
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Learn more
Elite
Highly rated in
9
conditions
Orthopedics

Trinity Health

Fairway Physical Therapy LLC

4725 N Federal Highway 
Ft. Lauderdale, FL 33308

Martin Roche is an Orthopedics doctor in Ft. Lauderdale, Florida. Dr. Roche has been practicing medicine for over 32 years and is rated as an Elite doctor by MediFind in the treatment of Osteoarthritis. He is also highly rated in 9 other conditions, according to our data. His top areas of expertise are Osteoarthritis, Knee Replacement, Tendinitis, and Synovitis. He is licensed to treat patients in Florida. Dr. Roche is currently accepting new patients.

What are the support groups for Osteoarthritis?

Organizations that specialize in arthritis are good resources for more information on OA.

What is the outlook (prognosis) for Osteoarthritis?

Your movement may become limited over time. Doing everyday activities, such as personal hygiene, household chores, or cooking may become a challenge. Treatment usually improves function.

When should I contact a medical professional for Osteoarthritis?

Call your provider if you have symptoms of OA that get worse.

How do I prevent Osteoarthritis?

Try not to overuse a painful joint at work or during activities. Maintain a normal body weight. Keep the muscles around your joints strong, especially the weight-bearing joints (knee, hip, or ankle).

Osteoarthritis
What are the latest Osteoarthritis Clinical Trials?
A Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Phase 3 Study to Determine the Efficacy of TG-C in Subjects With Kellgren and Lawrence Grade (KLG) 2 or 3 Osteoarthritis of the Knee
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Effect of Core Stability Exercise on Temporal Activation of Core Muscles and Vasti in Isolated Patellofemoral Osteoarthritis.
What are the Latest Advances for Osteoarthritis?
Effects of diet on the outcomes of rheumatic and musculoskeletal diseases (RMDs): systematic review and meta-analyses informing the 2021 EULAR recommendations for lifestyle improvements in people with RMDs.
Effects of Palmitoylethanolamide on Neurodegenerative Diseases: A Review from Rodents to Humans.
Tired of the same old research?
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Outcomes of surgical hip dislocation combined with bone graft for adolescents and younger adults with osteonecrosis of the femoral head: a case series and literature review.
Who are the sources who wrote this article ?

Published Date : April 18, 2020
Published By : David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2020;72(2):149-162. PMID: 31908149 pubmed.ncbi.nlm.nih.gov/31908149/.

Kraus VB, Vincent TL. Osteoarthritis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 246.

Misra D, Kumar D, Neogi T. Treatment of osteoarthritis. In: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein & Kelly's Textbook of Rheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 106.