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What is osteoarthritis?
Osteoarthritis is the most common form of arthritis. It is also
known as degenerative joint disease . This is the most common type
of arthritis. It results from wear and tear on the joints and is
most common in older people. It develops mostly in the larger, weight-bearing
joints like hips, knees and spine. Many people develop a gnarled
appearance of the hands. This happens when the smooth lining of
the joint , known as the articular cartilage, begins to flake and
crack from over-use or so for some unknown reason. As the cartilage
deteriorates, the underlying bone is affected and may become thickened
and distorted. Movement becomes painful and restricted, causing
you to use associated muscles less often. The unused muscles may
gradually waste away. This is a natural reaction of muscles that
go unused anywhere in the body.

Cause of osteoarthritis:
The causes of osteoarthritis are still not entirely clear. A previous
injury, such as a knee injury, can increase your risk of developing
osteoarthritis in that joint. Lack of exercise, excessive weight
and certain genetic diseases can also lead to the condition.
What are the symptoms?
Episodes of pain, swelling and stiffness in the affected joints
occur at intervals. Although osteoarthritis often affects several
joints, it is rarely severe enough to cause symptoms in more than
one or two joints. Pain that begins as a minor discomfort may over
time, as the joint continues to degenerate become more painful and
stiff. The amount of swelling in the affected joint varies. You
may scarcely notice it or the joint may become extremely knobby
and enlarged. The pain itself is frequently deceptive. You may feel
it directly in the area of the joint, of the pain may be transmitted
to other part of the body. The doctors call this "referred
pain".
What should be done?
If you have occasional mild attacks of pain and stiffness in a joint,
there is no cause for concern. However, if symptoms become troublesome,
try some self-help treatments such as losing weight to take some
stress of the joints, walk with a cane to also ease stress, take
frequent rests, sleep on a firm mattress and keep warm. Heat also
eases the pain. Consult your doctor. He may order blood tests and
x-rays to diagnose osteoarthritis.
Your doctor may also suggest anti-inflammatory drugs (NSAIDS).
These are over-the-counter medications such as aspirin, ibuprofen
(Advil, Motrin and others), ketoprofen (Orudis) and naproxen sodium
(Aleve). All NSAIDS have risk factors when taken in large amounts
and over a long period of time. These possible side effects range
from ringing in the ears (tinnitus) being mild to more serious problems
like gastric ulcers, gastrointestinal bleeding and kidney damage
or high blood pressure. However, there are newer NSAIDS now available
by prescription only. Most of them have limited side effects but
are effective for pain relief and reduce inflammation. You can discuss
these medications with your doctor.
Braces, wraps and supports are sometimes worn to ease the stress
and pain on a certain joint. In the most severe cases, surgery to
replace the damaged joints is both feasible and advisable. Hip and
knee replacements have restored normal mobility to many people and
have been highly successful.
Hand Splint
There are also many household gadgets and household aids available
for people who are disabled by osteoarthritis.
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