The difference between osteoarthritis and rheumatoid arthritis

Written by Cheng Bin
Orthopedics
Updated on March 22, 2025
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The so-called osteoarthritis often occurs as the patient ages, featuring localized bone hyperplasia and degenerative changes, leading to the destruction of cartilage. This results in congested and swollen synovium, manifesting as clear local symptoms of swelling and pain. Rheumatoid arthritis, on the other hand, mainly occurs due to a streptococcal infection, causing localized pain and swelling, thus forming rheumatoid arthritis. This is the difference between the two. There are also differences in treatment. Early osteoarthritis can be treated with oral non-steroidal anti-inflammatory and analgesic drugs, as well as medications that nourish the cartilage. For rheumatoid arthritis, symptomatic treatment is often necessary, and active anti-rheumatic treatment can be completely effective.

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Written by Yang Ya Meng
Rheumatology
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What medicine is taken for rheumatoid arthritis?

The medication for rheumatoid arthritis mainly falls into three categories, The first category is the choice of anti-inflammatory and pain relief medications, which mainly includes two types: non-steroidal analgesics and low doses of corticosteroids. If the patient's pain symptoms are mild, non-steroidal analgesics can be opted for. However, if the patient's pain symptoms are more severe, and there is significant liver or kidney damage, or concurrent interstitial lung disease, then the use of low doses of corticosteroids should be considered. The second and most important category is the choice of immunosuppressants, which include drugs like methotrexate and leflunomide. The third category is the treatment with biologic agents. (Medication should be administered under the guidance of a doctor)

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Written by Li Jing
Rheumatology
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What to eat for rheumatoid arthritis?

Firstly, rheumatoid arthritis is also a chronic, destructive autoimmune disease, and therefore cannot be cured. It can only be managed through medication to control the progression of the disease and delay the onset of joint deformities. The principle is to diagnose and treat as early as possible. Once diagnosed, the preferred treatment is medication that improves rheumatoid conditions, followed by the use of non-steroidal drugs. If the onset is acute, a small amount of steroids can be used to alleviate symptoms until the condition stabilizes, after which the steroids can be gradually reduced. Dietarily, attention should be paid to a low-salt, low-fat, and light diet, avoiding raw and cold foods to prevent exacerbating symptoms of joint soreness and discomfort. Drinking more milk and eating more calcium-rich foods is advisable.

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Written by Cheng Bin
Orthopedics
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Is joint pain rheumatoid arthritis?

Firstly, it should be noted that there are many causes of joint pain in clinical practice, and it is not necessarily caused by rheumatoid arthritis. Of course, rheumatoid arthritis can also cause joint pain in patients. In addition, there are some other reasons, for example, local joint bacterial infection in patients can also cause joint pain. Furthermore, joint injuries leading to fractures, dislocations, soft tissue damage, ligament injuries, and meniscus injuries can also cause joint pain. Additionally, the presence of osteoarthritis or gouty arthritis can similarly lead to joint pain in patients.

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Written by Li Jing
Rheumatology
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What should you pay attention to with rheumatoid arthritis?

Firstly, rheumatoid arthritis is an autoimmune disease. It cannot be cured but can only be managed with medications to control the condition, relieve clinical symptoms, delay the onset of joint deformities, reduce complications, and improve quality of life. These are the main goals of treatment. Therefore, in the treatment process, the following points should be noted: First, do not stop taking medication on your own. After the condition stabilizes, reduce the medication slowly under the guidance of a physician; Second, diagnosis and treatment should be as early as possible to prevent the appearance of joint deformities; Third, during treatment, it's important to periodically recheck blood routine, liver and kidney functions, and electrolytes; Fourth, avoid excessive fatigue. However, one should not be inactive; physical exercise is an important part of the treatment process for rheumatoid arthritis; Fifth, pay attention to keeping warm, avoid getting cold, and avoid the intake of raw and cold foods. These are some important precautions to take.

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Written by Li Jing
Rheumatology
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What medicine is used for rheumatoid arthritis?

First, rheumatoid arthritis is an autoimmune disease and a chronic condition that cannot be cured. The primary goal of treatment is to alleviate symptoms, delay complications, improve quality of life, and reduce disability through conventional drug therapies. Treatment methods include general treatment and medication. General treatment consists of functional exercise and lifestyle considerations, such as avoiding cold water and raw, cold foods, and emphasizing the importance of exercise. Additionally, the first-line drug treatments include nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs (DMARDs), with traditional DMARDs being the current preferred and anchor treatment option.