Osteoarthritis

Osteoarthritis

Osteoarthritis, also called degenerative joint disease is the most common form of arthritis. It occurs most often in older people. This disease affects the tissue covering the ends of bones in a joint (cartilage). In a person with osteoarthritis, the cartilage becomes damaged and worn out causing pain, swelling, stiffness and restricted movement in the affected joint. This condition most commonly affects the joints in hips, knees, hands, and spine. Rarely, the disease may affect the shoulders, wrists and feet.

Causes and Risk Factors

Osteoarthritis is caused by the wearing out of the cartilage covering the bone ends in a joint. This may be due to being overweight, excessive strain over prolonged periods of time, previous fracture, growth abnormalities, joint diseases, injury or deformity.

Some people have congenital abnormalities of the joints that cause early degeneration and subsequently cause osteoarthritis.

Diagnosis

Doctors diagnose osteoarthritis with a medical history, physical exam and weight-bearing x-rays of the affected joint. During the physical examination, Dr. Patel will examine the affected joint for swelling, pain, tenderness, and assess the joint’s range of motion. An X-ray of the knee may show a loss of the joint space and bone spur formation.

There is no blood test for osteoarthritis.

Treatment

There is no known cure for osteoarthritis; however, there are several treatments and lifestyle modifications that can help you ease your pain and symptoms. The objective of the treatment is to reduce pain, improve joint movement, and prevent further damage to joint.

The treatment of osteoarthritis involves:

  • Medications: Medications may include different classes such as anti-inflammatory drugs, steroid injections, artificial joint fluid injections, PRP injections and other orthobiologic injections.
  • Lifestyle modifications:

    Some of the lifestyle modifications include:

    • A moderate exercise program
    • Use of heat or cold treatments
    • Eating a healthy and well-balanced diet
    • Get adequate rest
    • Lose weight
    • Protect your joints with the use of assistive devices such as splints or braces to support the weakened joints

Surgical Treatment: In younger patients, offloading osteotomies may help treat pain and dysfunction from osteoarthritis. In other patients, partial or total knee arthroplasty (replacement) may be the best option with the failure of conservative treatment.