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What is Osteoarthritis?
What is Osteoarthritis?

What is Osteoarthritis?

Osteoarthritis, or OA for short, is a condition that affects millions of people in the United States alone and causes severe pain and disability in the affected joints. This ailment is most prevalent in the elderly, but it can also affect middle-aged people who have been overexerting themselves for too long. Knowledge of OA and its preventative and therapeutic measures is crucial for anyone who has experienced joint pain or stiffness.

Damage to the cushioning cartilage between the bones, which results in excruciating pain, limited mobility, and other issues with exercise and movement, is the hallmark of osteoarthritis (OA). Though it is more common in the elderly, who have often engaged in physically taxing activities for extended periods of time, OA can also strike younger adults who have put undue stress on their joints due to, for example, sports injuries, accidents, or overexertion.

Knees (particularly the patellofemoral area), hands, fingers, hips, and the neck are the most common locations where OA manifests. Significant pain and swelling brought on by OA in these areas can hinder the victim’s ability to move and perform daily tasks.

A frequently afflicted area of the body

  • Ships neCK
  • Ache in the back
  • Joints in the fingers
  • Rule of thumb
  • Knees
  • The root of the toe

Causal Variables

Gender: After menopause, women are more likely than men to develop osteoarthritis.

Joint injuries: Overweight people put extra stress on their joints, hastening the breakdown of cartilage and increasing their risk of injury.

Genes: A higher risk of developing this condition exists if a family history of it is present.

Age: Due to age-related changes in the joints, the condition is prevalent among the elderly.

Occupation: Occupational stress syndrome from sports and other repetitive motions.

Other: a preexisting condition that causes inflammation or the use of specific medications.

The Symptoms and Signs

It is possible to have osteoarthritis and experience no symptoms. If you do not seek help from the rheumatology clinic, your symptoms will gradually worsen.

  • A cracking noise can be heard from the joint whenever it moves passively.
  • Discomfort and swelling in the joints
  • Most people experience joint tenderness when exerting only minimal pressure.
  • Reduced joint mobility

Stages of Osteoarthritis

Early Osteoarthritis

  • Certain workouts are known to aggravate arthritic joints.
  • Discomfort triggered by a certain action

Mid-Osteoarthritis

  • Symptoms and pain come and go at random intervals.
  • The occurrence of pain increased with time.
  • This could potentially cause issues in regular life.

Late-Onset Osteoarthritis

  • Dull pain
  • A constant ache develops

When does a doctor suspect osteoarthritis?

  • The doctor examines the patient physically and looks for symptoms.
  • The doctor will most likely look at the results of blood tests and the parameters of joint fluid to confirm the diagnosis.
  • Imaging studies, such as X-rays and MRIs, can give the doctor a clear picture of the joints, which is helpful when diagnosing and treating joint pain.

Treatment

You may find relief from your pain and other symptoms with the help of treatment.

Medication

The doctor may recommend painkillers or nonsteroidal anti-inflammatory drugs to help with the discomfort and pain.

Therapies

Your doctor may recommend physical therapy to help you build up the muscles around your knee joint, which can reduce pain and improve mobility. With the help of an occupational therapist, you can learn strategies to perform common activities with greater ease.

Procedures/Injections

  • Joint pain can be relieved with cortisone injections.
  • An injection of viscosupplementation can help ease your joint pain

Surgeries

  • Bone realignment: an osteotomy of the knee may be suggested. If more damage has occurred on one side of your knee than the other, your doctor may advise you to have an osteotomy performed
  • A knee replacement is a surgery in which the patient’s damaged joint is removed and replaced with an artificial one

Mode of Living Shifts Contribute Significantly

  • Reduced weight
  • Exercising
  • Putting on otc lotions
  • Pack it cold
  • Applying temperature

When to See a Rheumatologist?

Rheumatological disease diagnosis is often challenging. Musculoskeletal pain is extremely common and can occur multiple times in a person’s lifetime. Rheumatologists, however, believe that a rheumatological disease may be at the root of such suffering.

We’ve compiled a list of symptoms and illnesses that require prompt attention from a rheumatologist.

You are Diagnosed with Rheumatological Disease

Arthritis comes in more than 120 distinct forms. Do not delay in seeking the advice of rheumatology specialists if you have been diagnosed with one of the aforementioned conditions. Experts in the field of rheumatology, and rheumatology consultants diagnose and treat patients with the following conditions:

  • Joint inflammation (swelling) caused by rheumatoid arthritis (RA).
  • Osteoarthritis; brittle bones
  • Inflammation of the blood vessels, or vasculitis, is the medical term.
  • Sjogren’s syndrome is an autoimmune disorder characterized by symptoms of dry eyes and a dry mouth.
  • The skin becomes hard and tight due to scleroderma.
  • Blood clots are the result of antiphospholipid syndrome (APS), which occurs when the immune system mistakenly attacks a fat (phospholipid) in the body.
  • Myositis causes painful inflammation and swelling of the muscles.
  • The lungs and lymph nodes are just two of the many organs affected by sarcoidosis.
  • Shoulder and hip pain and stiffness are common symptoms of polymyalgia rheumatic (PMR).
  • Different rare illnesses.

Chronic Muscle and Joint Pain

We’ve all experienced occasional aches and pains in our muscles and joints, but if the discomfort persists, medical attention should be sought. Pain associated with rheumatological conditions is unpleasant and often resistant to, or responds to but then returns despite treatment with, over-the-counter pain relievers.

In addition to joint pain, a visit to a rheumatologist is warranted for those experiencing rashes, fever, fatigue, morning stiffness, chest pain, and so on.

Symptoms of Joint Swelling

Joint pain and swelling that can’t be attributed to an injury are classic symptoms of rheumatological diseases and warrant an examination by a specialist in the field. Other effective treatments for arthritic joint pain and stiffness include plasma rich platelet injections and viscosupplementation injections. Rheumatoid diseases are characterized by widespread joint pain, stiffness, and swelling.

You should see a rheumatologist if your joint stiffness lasts longer than 30 minutes or is worse in the morning or after prolonged inactivity. Medication and other interventions, such as injections, are most effective in treating rheumatological diseases when they are caught and treated early. Make an appointment with your rheumatologist to discuss your treatment options, which may include viscosupplementation injections or plasma rich platelet injections, if you experience any of these symptoms.

Autoimmune or Rheumatological Diseases in Your Family

If there is a history of autoimmune or rheumatological disorders in the family, it is also suggested that you see a rheumatologist. This is due to the fact that rheumatological disorders tend to cluster in families. In addition, let your doctor know about any history of rheumatological illness in your family.

Unusual Findings on a Blood Test

A rheumatologist examination may be required due to the outcomes of a few tests. 

  • Antinuclear antibody (ANA) testing detects and quantifies ANA in a patient’s blood if abnormal results are present.
  • A high result for the blood test known as the erythrocyte sedimentation rate (ESR), which provides an indirect measurement of inflammation in the body, is suggestive of rheumatological disease.
  • The rheumatoid factor (RF) test is used to determine the total amount of rheumatoid factor (an immune system protein) present in the body. Therefore, if such blood tests come back positive, your primary care physician will likely refer you to a rheumatologist for further evaluation.

Trouble Figuring Out What’s Wrong

If you are experiencing joint swelling or pain and have not been able to pinpoint the source, a visit to a rheumatologist may be in order. When general practitioners have doubts about a patient’s condition, they frequently send them to rheumatologists for a second opinion. Rheumatologists are medical researchers who study a wide variety of conditions, from common ones like arthritis to more unusual ones like glenohumeral joint osteoarthritis. Difficult medical conditions are easier to diagnose with their help because of their familiarity with and expertise in all systems.

 

About Dr. Qaisar Usmani

I am a Board Certified Rheumatologist practicing in Hamilton, New Jersey. I have more than 20 years of experience in rheumatology and own a rheumatology clinic in Lakewood and Hamilton, New Jersey. I provide the services of rheumatology consultants, viscosupplementation injections, and plasma-rich platelet injection. Currently, I am working as a Section Chief, at Arthritis and Osteoarthritis, Monmouth Medical Center, and GPHA, Inc., Philadelphia, Pennsylvania. I am an expert in managing various Rheumatic and Musculoskeletal diseases including Rheumatoid Arthritis, Psoriatic Arthritis, Systemic Lupus Erythematosus (SLE), Osteoarthritis, and Osteoporosis.

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