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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How to maintain osteoarthritis?

Arthritis primarily requires avoiding cold exposure. For middle-aged and older individuals, it is advised to reduce or avoid mountain climbing and excessive weight-bearing activities, as well as excessive walking and running. These can exacerbate the symptoms and severity of osteoarthritis, and may even cause local pain and swelling in later stages, further aggravating osteoarthritis, leading to bone proliferation, worsening degeneration of bone joints, and even resulting in an inability to move around. Therefore, in addition to the precautions mentioned above, it is also recommended for the middle-aged and older population to appropriately supplement with bone peptides and some drugs that nourish joint cartilage annually, such as amino acids and glucosamine, all of which help in the maintenance and relief of osteoarthritis symptoms.

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Osteoarthritis is divided into several types.

Osteoarthritis can be divided into two major categories based on the presence of local or systemic causative factors: primary osteoarthritis and secondary osteoarthritis. Primary osteoarthritis is mainly associated with factors such as age, obesity, occupation, and overuse. Secondary osteoarthritis can be seen in the following diseases: First, it is mechanical or anatomical abnormalities, such as abnormal joint development, acute and chronic joint injuries, etc. Second, it is severe joint diseases, such as septic arthritis, tuberculous arthritis, etc. Third, it involves metabolic abnormalities, such as gouty arthritis. Fourth, it involves endocrine abnormalities, such as acromegaly, hyperparathyroidism, etc., all of which can trigger osteoarthritic changes to some extent.

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Is osteoarthritis serious?

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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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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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.