Osteoarthritis complications

Written by Cheng Bin
Orthopedics
Updated on November 28, 2024
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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.

Other Voices

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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 Lv Yao
Orthopedics
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Can osteoarthritis exercise?

Osteoarthritis often occurs due to the degeneration associated with aging, causing damage to the essential cartilage, leading to symptoms such as joint pain and deformities during movement. In the case of osteoarthritis, it is crucial to keep warm and rest, avoid exposure to cold, and minimize knee-joint load-bearing activities such as mountain climbing and stair climbing. Instead, choosing activities like Tai Chi and swimming, which cause less joint wear, can help alleviate symptoms and prevent accelerated cartilage damage.

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Written by Li Jin
Orthopedics
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Characteristics of osteoarthritis pain

The characteristics of pain in patients with osteoarthritis mainly manifest as pain occurring frequently in the morning, which lessens after activity. However, if the activity is excessive, the pain can worsen. Another symptom is joint stiffness, which often occurs when getting up in the morning or after the joint has been in a certain position for a long time during the day. The affected joint may show symptoms such as swelling, pain, and a feeling of friction during movement. In severe cases, patients may experience muscle atrophy and joint deformity. Patients with osteoarthritis should pay attention to rest and avoid vigorous activities. They should use anti-inflammatory and analgesic drugs, as well as drugs that nourish the cartilage, to improve symptoms. When conservative treatment is ineffective and joint deformity or functional impairment occurs, joint replacement surgery may also be considered as a treatment option.

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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 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.