Difference between Osteoarthritis and Rheumatoid Arthritis

Written by Lv Yao
Orthopedics
Updated on September 20, 2024
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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 Wang Cheng Lin
Orthopedics
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Is moxibustion okay for osteoarthritis?

Moxibustion for osteoarthritis is feasible; it can alleviate local symptoms of pain and swelling in osteoarthritis. Currently, there are two methods of treatment for osteoarthritis: The first is conservative treatment, which includes physical therapy, rehabilitation, moxibustion, acupuncture, oral medication, and injections of sodium hyaluronate, all of which can relieve symptoms of joint pain, swelling, and discomfort during movement. The second method is surgical treatment, which is considered when conservative treatment is ineffective, or when symptoms worsen after conservative treatment. Presently, there are two approaches to surgical treatment: The first involves arthroscopic minimally invasive cleaning of the joint, followed by further cleaning of the meniscus and synovium; the second method is joint replacement, with total knee replacement being the most common.

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Written by Li Jin
Orthopedics
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Osteoarthritis characteristic symptoms

Osteoarthritis is a disease caused by degenerative changes in the joints. Symptoms mainly include swelling, pain, effusion, and limited mobility in the joints. In severe cases, it can even lead to joint deformities and impair joint mobility. Treatment for arthritis can be divided into non-surgical and surgical methods. The choice of treatment should be based on a comprehensive consideration of symptoms, the extent of the condition's progression, and imaging studies. Initially, conservative treatment methods can be employed. Patients with arthritis should rest and avoid vigorous activities. Anti-inflammatory pain relievers, cartilage nutrition drugs, and heat therapy can be used to alleviate symptoms. If conservative treatments are ineffective and there are deformities and mobility issues, joint replacement surgery may also be considered.

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Written by Li Jin
Orthopedics
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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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Written by Cheng Bin
Orthopedics
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Osteoarthritis physical therapy methods

In clinical practice, there are various physical therapy methods for osteoarthritis patients, such as actively engaging in acupuncture, massage, moxibustion, cupping, and other therapies, which can effectively promote local blood circulation, facilitate the absorption of inflammatory exudates, and effectively alleviate the clinical symptoms of osteoarthritis in patients, with very good results. In addition, for osteoarthritis patients, besides physical therapy, it is necessary to reduce physical activity, strictly observe rest and protection, avoid cold exposure and apply heat locally, or wash with hot water. Intra-articular injections of sodium hyaluronate, oral non-steroidal anti-inflammatory and analgesic drugs, and nutritional cartilage medications can be completely adequate. (Specific medications should be taken under the guidance of a physician.)

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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.