Is osteoarthritis serious?

Written by Cheng Bin
Orthopedics
Updated on September 24, 2024
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Regarding the severity of osteoarthritis, it is mainly determined by the clinical symptoms of the patient's osteoarthritis. If the osteoarthritis is only manifested by localized pain, and there is no obvious impact on walking, going up stairs, or going downhill, this means that the osteoarthritis is not very severe. However, if the local swelling and pain of the osteoarthritis are very severe, with considerable pain when going up or down stairs, and if there is popping of the joint or symptoms of entrapment, and the joint has already shown obvious deformation affecting the patient's normal functions, then it indicates that the condition is quite severe. In such cases, it is necessary to proactively consider arthroscopic surgery or artificial joint replacement therapy.

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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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Osteoarthritis contraindications

Patients with osteoarthritis should reduce joint load and excessive movements, and obese patients should pay attention to weight loss to avoid aggravating cartilage damage. When symptoms are severe, a cane can be used to alleviate the burden on the joints. In terms of diet, one can eat more foods rich in vitamins, mainly various vegetables and fruits, and also consume foods high in calcium appropriately. Patients with arthritis should also pay attention to protecting the joint areas, and guard against cold and dampness to avoid exacerbating symptoms. When symptoms are severe, medication can also be used for treatment, such as anti-inflammatory analgesics and drugs that nourish cartilage, which can play a role in improving symptoms and delaying the progression of the disease. When mobility is impaired, surgical treatment might be necessary.

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Written by Li Jin
Orthopedics
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What is osteoarthritis?

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 Lv Yao
Orthopedics
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Difference between Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis and rheumatoid arthritis have clear differences. Osteoarthritis refers to the rupture, loss, and fissuring of joint cartilage caused by degeneration in old age, which can lead to knee pain, and in severe cases, deformity. Rheumatoid arthritis, however, refers to the destruction of joint cartilage caused by rheumatism, which includes the proliferation of synovium, swelling, migratory pain, morning stiffness, among other symptoms. Diagnosis can be confirmed through laboratory tests, such as the rheumatoid factor test, making it quite easy to distinguish between the two.

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Written by Na Hong Wei
Orthopedics
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Is osteoarthritis easy to treat?

Osteoarthritis is a difficult-to-treat disease because currently, there is no complete cure for joint disorders in medicine. Therefore, the treatment principles are early diagnosis, early treatment, and early rehabilitation. Mainly, methods are used to delay the progression of the disease, maximally preserve joint function, and enable patients to live normal lives. The first approach is non-pharmacological treatment, which is the foundation for drug therapy and surgical treatment, primarily involving physical therapy methods such as heat therapy, hydrotherapy, traction, microwave therapy, acupuncture, and massage to alleviate joint pain and swelling during acute flare-ups. The second approach is pharmacological treatment, mainly including non-steroidal anti-inflammatory drugs and traditional Chinese medicine. The third approach involves considering surgical treatment if conservative treatments prove ineffective. Surgical treatments can involve procedures such as joint debridement to remove inflamed, loose cartilage and bone tissues, and smoothing rough joint surfaces. If these methods are still ineffective, the last treatment option may be needed for severe cases, which is artificial joint replacement. Thus, the treatment of osteoarthritis is a stepwise approach. However, regardless of the treatment method used, there is currently no cure, making osteoarthritis a challenging disease to treat.