Is osteoarthritis serious?

Written by Cheng Bin
Orthopedics
Updated on September 24, 2024
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Regarding the severity of osteoarthritis, it is mainly determined by the clinical symptoms of the patient's osteoarthritis. If the osteoarthritis is only manifested by localized pain, and there is no obvious impact on walking, going up stairs, or going downhill, this means that the osteoarthritis is not very severe. However, if the local swelling and pain of the osteoarthritis are very severe, with considerable pain when going up or down stairs, and if there is popping of the joint or symptoms of entrapment, and the joint has already shown obvious deformation affecting the patient's normal functions, then it indicates that the condition is quite severe. In such cases, it is necessary to proactively consider arthroscopic surgery or artificial joint replacement therapy.

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Written by Guan Jing Tao
Orthopedics
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How to maintain osteoarthritis?

Arthritis primarily requires avoiding cold exposure. For middle-aged and older individuals, it is advised to reduce or avoid mountain climbing and excessive weight-bearing activities, as well as excessive walking and running. These can exacerbate the symptoms and severity of osteoarthritis, and may even cause local pain and swelling in later stages, further aggravating osteoarthritis, leading to bone proliferation, worsening degeneration of bone joints, and even resulting in an inability to move around. Therefore, in addition to the precautions mentioned above, it is also recommended for the middle-aged and older population to appropriately supplement with bone peptides and some drugs that nourish joint cartilage annually, such as amino acids and glucosamine, all of which help in the maintenance and relief of osteoarthritis symptoms.

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Written by Wang Cheng Lin
Orthopedics
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Can osteoarthritis be treated with moxibustion?

The primary cause of osteoarthritis is degeneration, which can lead to damage, wear, and tear of cartilage within the joints, as well as the formation of excessive osteophytes and bone spurs around the joints. These changes cause symptoms such as knee pain, swelling, and difficulty walking. There are many treatment methods available, the most common of which include oral medication, rest, physical therapy, and moxibustion, all of which can help alleviate symptoms. However, these treatments only provide relief from the symptoms of osteoarthritis and do not cure the condition. If a cure is needed, surgical treatment, such as total knee replacement, may be necessary to fully recover. Conservative treatments like moxibustion can help relieve pain and reduce swelling, but they only offer relief and do not cure the condition. Therefore, while moxibustion can alleviate pain from knee arthritis, it cannot cure it.

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Written by Wang Cheng Lin
Orthopedics
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Differences between Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis is commonly seen in middle-aged and elderly people, primarily due to long-term joint wear, leading to degeneration of the cartilage in the joints, causing symptoms of pain, swelling, and discomfort in movement. In contrast, rheumatoid arthritis often begins in younger individuals and is linked to genetics and viral infections, primarily being an autoimmune disease. It is characterized by positive rheumatoid factor, including elevated erythrocyte sedimentation rate and C-reactive protein. Additionally, the treatment methods for these two diseases are different. Osteoarthritis can mainly be managed with massage therapy, injections of sodium hyaluronate, and oral nonsteroidal anti-inflammatory drugs to alleviate symptoms. Rheumatoid arthritis, on the other hand, might require the use of immunosuppressants, steroids, or nonsteroidal anti-inflammatory drugs to relieve pain. Importantly, rheumatoid arthritis commonly affects the small joints of the fingers, whereas osteoarthritis most frequently affects larger joints, such as the knee, highlighting the fundamental differences between the two conditions. (Note: The answers provided are for reference only. Medications should be taken under the guidance of a professional physician, and self-medication should be avoided.)

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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 Cheng Bin
Orthopedics
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What should I do about osteoarthritis?

For the treatment of osteoarthritis, the main approach is still based on the severity of the patient's osteoarthritis to determine the corresponding treatment plan. If the osteoarthritis is very severe, severely affecting the patient's normal function, causing joint deformity, and affecting the patient's normal work or life, it is necessary to actively pursue joint replacement surgery. For cases where the symptoms of osteoarthritis are not very severe, choosing active conservative treatment is completely adequate. The most important thing is still to reduce the amount of exercise, pay attention to protecting the local joints, never let them get cold, often apply heat, and combine some medical treatments, such as using pain relief and cartilage-nourishing drugs. Common drugs like Nimodipine capsules and Glucosamine Hydrochloride have very good effects.