Arthritis is inflammation of one or more joints. A joint is the area where two bones meet. There are over 100 different types of arthritis.
See also: Joint pain
Arthritis involves the breakdown of cartilage. Cartilage normally protects a joint, allowing it to move smoothly. Cartilage also absorbs shock when pressure is placed on the joint, such as when you walk. Without the normal amount of cartilage, the bones rub together, causing pain, swelling (inflammation), and stiffness.
Joint inflammation may result from:
Usually the joint inflammation goes away after the cause goes away or is treated. Sometimes it does not. When this happens, you have chronic arthritis. Arthritis may occur in men or women. Osteoarthritis is the most common type. See: Osteoarthritis
Other, more common types of arthritis include:
Arthritis causes joint pain, swelling, stiffness, and limited movement. Symptoms can include:
The health care provider will perform a physical exam and ask questions about your medical history.
The physical exam may show:
Some types of arthritis may cause joint deformity. This may be a sign of severe, untreated rheumatoid arthritis.
Blood tests and joint x-rays are often done to check for infection and other causes of arthritis.
Your doctor may also remove a sample of joint fluid with a needle and send it to a lab for examination.
The goal of treatment is to reduce pain, improve function, and prevent further joint damage. The underlying cause cannot usually be cured.
Lifestyle changes are the preferred treatment for osteoarthritis and other types of joint inflammation. Exercise can help relieve stiffness, reduce pain and fatigue, and improve muscle and bone strength. Your health care team can help you design an exercise program that is best for you.
Exercise programs may include:
Physical therapy may be recommended. This might include:
Medications may be prescribed along with lifestyle changes. All medications have risks, some more than others. It is important that you are closely monitored by a doctor when taking arthritis medications.
Generally, over-the-counter medications are recommended first:
Prescription medicines include:
It is very important to take your medications as directed by your doctor. If you are having difficulty doing so (for example, because of side effects), you should talk to your doctor. Also make sure your doctor knows about all the medicines you are taking, including vitamins and supplements bought without a prescription.
SURGERY AND OTHER TREATMENTS
In some cases, surgery may be done if other treatments have not worked. This may include:
A few arthritis-related disorders can be completely cured with proper treatment.
Most forms of arthritis however are long-term (chronic) conditions.
Complications of arthritis include:
Call your doctor if:
Early diagnosis and treatment can help prevent joint damage. If you have a family history of arthritis, tell your doctor, even if you do not have joint pain.
Avoiding excessive, repeated motions may help protect you against osteoarthritis.
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Updated by: Ariel D. Teitel, MD, MBA, Clinical Associate Professor of Medicine, NYU Langone Medical Center. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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