{"id":4662,"date":"2024-09-29T14:22:51","date_gmt":"2024-09-29T14:22:51","guid":{"rendered":"https:\/\/flexiseq.com\/?page_id=4662"},"modified":"2024-10-26T08:40:06","modified_gmt":"2024-10-26T08:40:06","slug":"about-osteoarthritis","status":"publish","type":"page","link":"https:\/\/flexiseq.com\/about-osteoarthritis\/","title":{"rendered":"About Osteoarthritis"},"content":{"rendered":"\t\t
Learn more about the most common form of arthritis<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t Osteoarthritis is a condition that causes joints to become painful and stiff. It’s the most common type of arthritis in the UK.<\/p> Inside a healthy joint, moving surfaces are covered by a layer of cartilage which stops two bone surfaces rubbing together and creating friction. Movement of the joint is made smoother still by the synovial fluid, which bathes the cartilage in lubricating molecules.<\/p> However, in people with osteoarthritis, the integrity of the joint is compressed.<\/p> The cartilage begins to wear thin, sometimes getting worn away completely, while the level of lubricating molecules in the synovial fluid and on the cartilage become depleted.<\/p> The degradation inside osteoarthritic joints contributes to inflammation, joint stiffness, reduced mobility and pain upon movement. As the disease progresses, symptoms become more sever and debilitating, with pain sometimes becoming a permanent feature.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t Essentially, there are two types of osteoarthritis – Primary or Secondary. The key difference between these two types is down to the underlying cause.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t This type of osteoarthritis is associated with ageing, affecting people aged around 55+ and is the result of wear and tear on your joints. The more you age, the more likely you will be affected by osteoarthritis. The joints most commonly affected are knees, hands, the spine, and hips.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t This type of osteoarthritis is likely to affect people who are predisposed to the condition through various means such as obesity, genetics, the result of another disease of previous trauma \/ injury such as fracture or ligament rupture.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t Osteoarthritis can affect any joint in the body, but the most common areas affected by pain and stiffness are the knees, hips and small joints in the hands.<\/p> The NHS<\/a> also says that you or your doctor may notice the following symptoms:<\/p> Statistics from “The State of Musculoskeletal Health 2019 – Arthritis and other musculoskeletal conditions in numbers”<\/a> by Versus Arthritis<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t It’s not possible to prevent osteoarthritis altogether. However, you can minimise your risk of developing the condition by avoiding injury and living a healthy lifestyle.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t Being overweight can put excess pressure on the joints, which can make arthritis more severe if you develop it. Weight gain happens when we eat more calories than our body needs so the only way to lose this weight is to eat less calories that our body uses or to use up more calories by being more active. Use the NHS BMI calculator<\/a> to find out whether you’re overweight or obese. If so, you should look to implement a sustainable weight loss programme.<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t Contrary to popular belief, being active and exercising does not lead to arthritis-in fat, it can strengthen the muscles around the joints and promote a healthy weight which can actually reduce the risk factors that can lead to arthritis.<\/p> Doing exercise while you have osteoarthritis won’t make it worse either – as long as you’re careful and have correct form, exercise can actually improve the symptoms of arthritis and reduce pain because it can help strengthen the muscle around the joint to help you better support yourself. Head to our blog for lots of tips on staying active.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t According to the Arthritis Foundation<\/a>, “high blood sugar (glucose) levels speed the formation of certain molecules that make cartilage stiffer and more sensitive to mechanical stress. Diabetes can also trigger systematic inflammation that leads to cartilage loss.”<\/p> If you’re concerned about diabetes and\/or hyperglycaemia- the medical term for high blood sugar – you should contact your GP who may advise you to change your diet, to exercise more often and to drink plenty of sugar-free fluids.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t While there is no cure for osteoarthritis, you can help relieve the symptoms by maintaining a healthy weight and by undertaking regular exercise to keep active, build up muscle and retain joint mobility.<\/p> When it comes to managing pain, there are various treatments and physical therapies available. You should always consult your doctor in order to identify what is causing your pain before undertaking any of them.<\/p> Depending on the severity of your pain and other conditions or health problems you have, your GP may recommend the use of painkillers. The main medications used are described below.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t If you have pain caused by osteoarthritis, your GP may suggest taking paracetamol to begin with. This is available over the counter in pharmacies without a prescription. It is best to take it regularly rather than waiting until your pain becomes unbearable. However, when taking paracetamol, always follow the dosage your GP recommends and do not exceed the maximum dose stated on the pack.<\/p> Despite its popularity, recent study evidence has questioned the usefulness of paracetamol in treating osteoarthritis. Evidence published in the Lancet lead to the conclusion, \u201cwe see no role for single-agent paracetamol for the treatment of patients with osteoarthritis irrespective of dose\u201d1. __<\/p> 1 Lancet 2016 Mar 17. pii: S0140-6736(16)30002-2.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t If paracetamol does not effectively control the pain of your osteoarthritis, your GP may prescribe a stronger painkiller. This may be a non-steroidal anti-inflammatory drug (NSAID). NSAIDs are painkillers that work by reducing inflammation. There are two types of NSAID and they work in slightly different ways:<\/p> Traditional NSAIDs \u2013 such as ibuprofen, naproxen or diclofenac<\/strong> NSAIDs carry numerous warnings and must be taken with caution. They may not be suitable for people with certain conditions, such as asthma, a peptic ulcer or angina, or if you have had a heart attack or stroke. If you are taking low-dose aspirin, ask your GP whether you should use an NSAID.<\/p> Similarly NSAIDs can interfere with medications, for example negating the effect of most blood pressure medicines. You should always consult with your GP to see if NSAIDs are suitable for you.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Opioids, such as codeine, are another type of painkiller that may ease your pain if paracetamol or NSAIDs do not work. Opioids can help relieve severe pain, but can also cause side effects such as drowsiness, nausea and constipation.<\/p> Codeine is found in combination with paracetamol in common preparations such as co-codamol.<\/p> Other opioids that may be prescribed for osteoarthritis include tramadol (brand names include Zamadol and Zydol), and dihydrocodeine (brand name DF 118 Forte). Both come in tablet form and as an injection.<\/p> Tramadol is not suitable if you have uncontrolled epilepsy, and dihydrocodeine is not recommended for patients with chronic obstructive pulmonary disease (COPD).<\/p> If you need to take an opioid regularly, your GP may prescribe a laxative to take alongside it to prevent constipation.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\tWhat is Osteoarthritis?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
What causes osteoarthritis?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Primary Osteoarthritis<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Secondary Osteoarthritis<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
What are the symptoms?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Osteoarthritis in the UK<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Preventing osteoarthritis<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Lose weight<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Exercise<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Control blood sugar levels<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Managing Pain<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
COX-2 inhibitors \u2013 often called coxibs \u2013 such as celecoxib and etoricoxib<\/strong>
Some NSAIDs are available as creams (topical NSAIDs) that you apply directly to the affected joints and can be available over the counter, without a prescription. Some oral NSAIDs are available without a prescription. As well as helping to ease pain, they can also help reduce any swelling in your joints. Your doctor will discuss with you the type of NSAID you should take and the benefits and risks associated with it.<\/p>