What is osteoarthritis?

Written by Li Jin
Orthopedics
Updated on September 16, 2024
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Osteoarthritis is a disease caused by degenerative changes in the joints. Symptoms primarily include swelling, pain, fluid accumulation, and restricted movement in the joint areas. In severe cases, it can even lead to joint deformity and dysfunction. Treatment for arthritis is mainly divided into non-surgical and surgical methods. Conservative treatment can be attempted first. Patients with arthritis should rest and avoid vigorous activities. Symptomatic treatment may include anti-inflammatory pain relievers, cartilage nutrition drugs, or intra-articular injections of hyaluronic acid. Additionally, hot compress physiotherapy and other methods can be used to alleviate symptoms. When conservative treatment is ineffective, or if there is deformity and dysfunction of the limbs, joint replacement surgery may also be considered.

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Written by Cheng Bin
Orthopedics
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Is it good to use heat therapy for osteoarthritis?

First of all, it should be positively affirmed that electrothermal therapy has a very good effect on patients with osteoarthritis, and it is very effective. Electrothermal therapy can promote local blood circulation and thereby facilitate the absorption of local inflammatory exudates, which can effectively alleviate the pain symptoms caused by osteoarthritis. Additionally, for osteoarthritis patients, besides electrothermal therapy, they can also take oral non-steroidal anti-inflammatory and analgesic drugs and drugs that nourish cartilage for treatment. Moreover, it is necessary to reduce the amount of exercise, minimize local irritation as much as possible, and persist in applying local heat compresses or hot washing daily. During hot washing, Sichuan peppercorn and salt could be added to the hot water for the treatment.

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Written by Wang Cheng Lin
Orthopedics
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Differences between Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis is commonly seen in middle-aged and elderly people, primarily due to long-term joint wear, leading to degeneration of the cartilage in the joints, causing symptoms of pain, swelling, and discomfort in movement. In contrast, rheumatoid arthritis often begins in younger individuals and is linked to genetics and viral infections, primarily being an autoimmune disease. It is characterized by positive rheumatoid factor, including elevated erythrocyte sedimentation rate and C-reactive protein. Additionally, the treatment methods for these two diseases are different. Osteoarthritis can mainly be managed with massage therapy, injections of sodium hyaluronate, and oral nonsteroidal anti-inflammatory drugs to alleviate symptoms. Rheumatoid arthritis, on the other hand, might require the use of immunosuppressants, steroids, or nonsteroidal anti-inflammatory drugs to relieve pain. Importantly, rheumatoid arthritis commonly affects the small joints of the fingers, whereas osteoarthritis most frequently affects larger joints, such as the knee, highlighting the fundamental differences between the two conditions. (Note: The answers provided are for reference only. Medications should be taken under the guidance of a professional physician, and self-medication should be avoided.)

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Written by Kuang Tao
Orthopedics
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How to reduce swelling in osteoarthritis?

Osteoarthritis often presents with swelling, most commonly seen in knee osteoarthritis. The swelling occurs because of inflammation. For example, if knee arthritis is accompanied by synovitis, it will become swollen and the local temperature will be relatively high. To reduce swelling, the first measure is immobilization, meaning you should avoid bearing weight or moving, and lie in bed without bending the joint, which can help decrease the swelling. Second, you can apply heat, using a hot water bottle or heated salt for heat therapy. Third, if there is fluid accumulation in the joint cavity, draining this fluid can also reduce swelling. Fourth, physical therapy, acupuncture, and massage can all help reduce swelling.

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Written by Li Jin
Orthopedics
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Difference between osteoarthritis and arthritis

Osteoarthritis and arthritis are different. Firstly, osteoarthritis refers to degenerative changes in the joints, mainly caused by aging and chronic strain, leading to damage to the joint cartilage. This results in symptoms such as joint pain, swelling, and limited mobility, which are characteristics of osteoarthritis. The scope of arthritis, however, is broader. Depending on the cause, arthritis can be divided into many types, including osteoarthritis, which is a type of arthritis. Other types include septic arthritis, rheumatoid arthritis, and gouty arthritis. Therefore, there is a distinction between the two. Arthritis covers a wider range, while osteoarthritis is simply a type of arthritis that involves the bones.

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Written by Cheng Bin
Orthopedics
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Late-stage symptoms of osteoarthritis

In clinical settings, the symptoms of late-stage osteoarthritis are primarily characterized by severe joint swelling and pain, and the joints are prone to deformity, which affects the patient's ability to work or carry on with daily activities. For late-stage osteoarthritis, surgical intervention is often necessary. It requires thorough preoperative examinations to rule out surgical contraindications, followed by prosthetic joint replacement surgery. Postoperatively, it is crucial to actively manage the surgical site by changing dressings and disinfecting to prevent infection, typically every two to three days. Additionally, anticoagulant medications are needed to prevent the occurrence of thrombosis.