The difference between osteoarthritis and rheumatism

Written by Lv Yao
Orthopedics
Updated on April 06, 2025
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Osteoarthritis is caused by degeneration in old age that damages the cartilage, resulting in pain during joint movement due to the friction between the bones beneath the cartilage, as well as restricted mobility and even deformity. Rheumatoid arthritis, on the other hand, is typically caused by joint cartilage damage from rheumatic diseases, leading to the destruction of the cartilage. This disease is due to abnormalities in the immune system causing elevated anti-O and rheumatoid factors, and can be definitively diagnosed through etiological examination, physical examination, or blood tests.

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Written by Li Jie
Orthopedics
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Osteoarthritis exercise time

We say that all exercise must have a limit, and it should be within the patient’s tolerance. Walking exercises for osteoarthritis are permissible, but we do not advocate excessive exercise. Instead, it is best to focus primarily on rest. We say that life depends on movement, but joints rely on stillness. What does this mean? We do not advocate excessive activity in the joints. What is considered excessive activity? For example, if an osteoarthritis patient finishes a day of walking exercise and feels no pain, swelling, or discomfort in the joints, then the degree and amount of exercise they undertook are acceptable. However, if the patient finishes exercising and experiences significant pain, swelling, or discomfort in the joints by the evening, this indicates that the exercise was too much, and it was not suitable for them. They must rest and avoid such intense activities, indicating that walking exercises are not suitable. Thus, whether walking exercises are appropriate for patients with arthritis needs a balanced view, especially for patients in the acute phase of osteoarthritis. The mindset of exercising through the pain, regardless of discomfort, is absolutely incorrect. During the acute phase of osteoarthritis, we recommend resting as much as possible. During the remission phase of osteoarthritis, whether and how much walking exercise one should engage in also needs to be determined based on the severity of the patient’s condition and their subjective feelings. It cannot be generalized.

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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 Guan Yu Hua
Orthopedic Surgery
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Is soaking feet good for osteoarthritis?

Osteoarthritis can benefit from soaking the feet in warm water, slightly hotter if possible, as the feet have numerous nerves. This can promote blood circulation and facilitate metabolism, such as the elimination of bodily waste, which is beneficial, especially for middle-aged and elderly people, in preventing cardiovascular and cerebrovascular diseases. Osteoarthritis depends on the location and is a chronic joint disease. Its primary pathological change is the degenerative alteration of the joint cartilage. Typically, this condition affects middle-aged and older individuals, more so women than men. Early changes include the deterioration of the joint cartilage, leading to the exposure of the subchondral bone, which can then cause periostitis, changes in the joint capsule, and surrounding muscles. Usually, it presents as rest pain, which may decrease with light activity. Treatment often involves nonsteroidal anti-inflammatory drugs or intra-articular injections of sodium hyaluronate for lubrication and joint protection. In severe cases, joint replacement, such as knee replacement, may be necessary. Thus, soaking the feet can be beneficial for those with osteoarthritis.

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Written by Cheng Bin
Orthopedics
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What should I do about osteoarthritis?

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 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.)