Osteoarthritis Symptoms And Treatment

Osteoarthritis is the most common form of arthritis.  The
breakdown of joint cartilage caused by osteoarthritis may affect
any joint in your body. Joints affected may include:



• Fingers
• Hips
• Knees
• Lower back
• Feet

At first osteoarthritis may affect only one joint, but if your
fingers are affected, multiple hand joints may become arthritic.


There are available treatments for osteoarthritis, but no cure.
The available treatments can relieve pain and help you remain
active.

Some people may not experience symptoms because the disease
often develops slowly. Signs and symptoms of osteoarthritis may
include:

• Pain in a joint during or after use, or after a period of
inactivity
• Discomfort in a joint before or during a change in the weather

• Swelling and stiffness in a joint, particularly after using it

• Bony lumps on the middle or end joints of your fingers or the
base of your thumb
• Loss of joint flexibility

Areas in which osteoarthritis typically affects include:

• Fingers: Bony knobs can enlarge your finger joints and create
a gnarled appearance. Early in the disease, your joints may feel
painful or stiff and numb. The pain eventually often subsides,
but leaves bony nodes that affect the mobility of the joints at
the end of your fingers. The nodes run in families and affect
women more than men.

• Spine: As the disk slowly deteriorate between the bones along
your spine, back and neck pain and stiffness may occur.

• Weight-bearing joints: The hips, knees and feet are more
susceptible to osteoarthritis because they bear the majority of
your body’s weight. Over the years cartilage slowly deteriorates
and chronic pain or varying amounts of discomfort when you stand
and walk can occur. Swelling especially in the knees may also
occur.

Treatment for osteoarthritis

Your doctor may recommend a combination of treatment that
includes medication, self-care, physical therapy and
occupational therapy. Surgical procedures may also be necessary
in some cases.

Medications may include:

• Topical pain relievers such as Aspercreme or Sportscreme, Icy
Hot and Ben-Gay.

• Acetaminophen like Tylenol and others can relieve pain but
does not reduce inflammation

• NSAIDs: Nonsteroidal anti-inflammatory drugs work to relieve
pain and fight inflammation. They range from OTC aspirin,
ibuprofen like Advil, Motrin IB and others to prescription
strength

• Cox-2inhibitors: Are considered as effective as other NSAIDs
for managing pain and inflammation without the same
stomach-damaging effects. Other side effects of Cox-2inhibitors
may include fluid retention, exacerbating high blood pressure
and links to increased risk of heart attack and stroke

• Tramadol: Available only by prescription, has no
anti-inflammatory effect, but can provide effective pain relief
with fewer side effects such as stomach ulcers and bleeding.
Tramadol may cause nausea and constipation. It is generally used
for short-term treatment of acute flare-ups.

• Antidepressants: Tricyclics especially can help reduce chronic
pain. They can treat sleep disturbances that can accompany
arthritis. Some antidepressants used for arthritis pain and
nonrestorative sleep include amitriptyline and nortriptyline.

• Injections of pain relievers: Corticosteroid injections into a
joint space can offer some pain relief and reduce inflammation.

Surgical or other procedures used to treat osteoarthritis
include:

• Joint replacement
• Arthroscopic lavage and debridement
• Repositioning bones
• Fusing bones

Source: Mayo Foundation for Medical Education and Research

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