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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Written by Guan Jing Tao
Orthopedics
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How to treat effusion in osteoarthritis?

General treatment methods are mainly divided into two categories. First, conservative treatment, which is non-surgical and includes rest, immobilization, localized physical therapy such as heat application, acupuncture, etc. Physical therapy includes techniques like spectrum therapy, infrared, and diathermy. For some patients with mild osteoarthritis and minor effusions, these can gradually be absorbed over one to two weeks, and symptoms of pain and swelling can be alleviated. This can be combined with oral intake of non-steroidal anti-inflammatory drugs (NSAIDs), such as celecoxib or ibuprofen. For patients with recurrent episodes, or those who are middle-aged and above with severe osteoarthritis and degeneration, and have substantial effusion, conservative treatments are generally not very effective. Therefore, we can try aspirating the effusion in the knee joint and appropriately administer intra-articular sodium hyaluronate injections to promote the recovery of osteoarthritis and delay the degeneration of bone proliferation. If conservative treatment still does not bring significant relief, then arthroscopic debridement and corresponding surgical treatments for the knee joint may be considered.

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Written by Li Jin
Orthopedics
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Osteoarthritis Care Measures

Patients with arthritis should first pay attention to rest in daily life, keep warm, avoid cold and dampness, avoid excessive strain on the knee joints, try to minimize going up and down stairs, and reduce exercises that involve bending and bearing weight on the knee joints. Additionally, obese patients should pay attention to losing weight to avoid further wear and tear on the cartilage. In terms of diet, it is important to enhance nutrition, appropriately supplementing foods rich in high-quality protein, calcium, and vitamins, such as chicken, fish, milk, eggs, beans, vegetables, fruits, etc. It is also important to get more sun exposure and appropriately supplement vitamin D. These nursing measures are beneficial for the patient's condition.

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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 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.

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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.