Differences between Osteoarthritis and Rheumatoid Arthritis

Written by Wang Cheng Lin
Orthopedics
Updated on September 12, 2024
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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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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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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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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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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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Symptoms of osteoarthritis

Osteoarthritis is a disease caused by degenerative changes in the joints, with symptoms primarily manifesting as swelling, pain, fluid accumulation, and limited mobility in the joints. Severe cases may even lead to joint deformities and movement disorders. In terms of treatment for arthritis, it can be divided into non-surgical and surgical treatments. Non-surgical treatment involves rest and avoiding strenuous activities to prevent further joint damage. It may also include the use of anti-inflammatory painkillers, chondroprotective drugs, or intra-articular injections of sodium hyaluronate to relieve symptoms. Additionally, treatments such as hot compresses and physical therapy can be used. When conservative treatment is ineffective or accompanied by limb deformities and movement disorders, joint replacement surgery may also be an option.