What should I do about osteoarthritis?

Written by Cheng Bin
Orthopedics
Updated on September 20, 2024
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For the treatment of osteoarthritis, the main approach is still based on the severity of the patient's osteoarthritis to determine the corresponding treatment plan. If the osteoarthritis is very severe, severely affecting the patient's normal function, causing joint deformity, and affecting the patient's normal work or life, it is necessary to actively pursue joint replacement surgery. For cases where the symptoms of osteoarthritis are not very severe, choosing active conservative treatment is completely adequate. The most important thing is still to reduce the amount of exercise, pay attention to protecting the local joints, never let them get cold, often apply heat, and combine some medical treatments, such as using pain relief and cartilage-nourishing drugs. Common drugs like Nimodipine capsules and Glucosamine Hydrochloride have very good effects.

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Written by Guan Yu Hua
Orthopedic Surgery
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How to supplement the diet for osteoarthritis?

For osteoarthritis, it is best to eat more foods rich in protein, such as milk, egg whites, and fish, which have abundant protein and can help alleviate the condition. Furthermore, consume foods high in calcium and take calcium supplements. Osteoarthritis is mostly a chronic bone and joint disease, primarily affecting joint cartilage and leading to degenerative changes. It generally occurs more often in middle-aged and elderly people, and is more common in women than in men. In the early stages, the main lesions occur in the bone cartilage, with the joint cartilage being commonly affected. The cartilage surface may undergo erosion, exposing the underlying bone, and eating foods high in protein can help relieve symptoms. Moreover, collagen fibers can be supplemented by consuming broth made from large bones or pig's feet, which, combined with the use of calcium supplements, can better aid recovery. Regularly drinking milk is also very beneficial.

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Written by Li Jin
Orthopedics
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How to reduce swelling from osteoarthritis

Patients with bone and joint issues experience joint swelling, which may be attributed to osteoarthritis accompanied by damage to the synovium, leading to synovitis and hence the swelling. Treatment for this condition should begin with rest. Individuals who are overweight should consider losing weight. Treatments can include hot packs, physical therapy, anti-inflammatory and analgesic medications, drugs that nourish cartilage, and medications that improve blood circulation and remove blood stasis to aid recovery. Minor swelling or fluid accumulation can gradually be absorbed through these measures. In cases of significant fluid accumulation, surgery may be necessary. For the treatment of osteoarthritis, it is advised to visit an orthopedic clinic for comprehensive examinations like X-rays, CT scans, etc., and undergo standardized treatment. (Please use specific medications only under the guidance of a doctor, and do not medicate on your own.)

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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 Cheng Bin
Orthopedics
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Osteoarthritis complications

In clinical practice, there are many complications associated with osteoarthritis, mainly reflected in the following aspects. First, the presence of osteoarthritis causes the joints to exhibit obvious symptoms of swelling and pain. Often due to the pain and swelling, patients are reluctant to move, and prolonged inactivity can lead to joint stiffness and significant muscle atrophy in the affected areas. Second, osteoarthritis often leads to the extensive detachment of joint cartilage, making it easy for free bodies to form within the joint. Third, the presence of osteoarthritis may lead to the development of bursitis in patients. Fourth, osteoarthritis can also cause damage to the meniscus.

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Written by Cheng Bin
Orthopedics
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What are some ointments for osteoarthritis?

In most cases, for patients with osteoarthritis, it is usually sufficient to use topical plasters that activate blood circulation, dissipate blood stasis, reduce swelling, and relieve pain to improve the symptoms of swelling and pain in the joints. Additionally, if a patient is allergic to the plaster, it is not recommended since some patients have severe allergies to plasters, which can sometimes result in blistering. Furthermore, apart from using plasters for osteoarthritis patients, it is also necessary to administer oral non-steroidal anti-inflammatory and analgesic drugs, as well as medications that nourish the cartilage. Local rest and protection should be observed to avoid vigorous activities, and local therapies such as heat application, acupuncture, and electrotherapy may also be employed.