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Osteoarthritis:
The Most Common of All Arthritis
Osteoarthritis,
also called degenerative arthritis, is estimated to affect 17 million
people in the United States. Often confused with rheumatoid arthritis,
osteoarthritis usually affects people over the age of 40. Unlike rheumatoid
arthritis, which strikes the smaller joints, osteoarthritis involves the
larger weight-bearing joints. People with osteoarthritis usually have
pain in the lower back, hips and knees. This
pain is worse toward the latter part of the day and after activity.
Osteoarthritis is
believed to be caused by genetic factors coupled with years of wear and
tear to the joint. The result is a defect in the joint cartilage producing
the disease. Once the diagnosis is established, a proper treatment program
can be initiated. Often a multi-disciplinary approach is required. Such
an approach may include anti-inflammatory medications, regular special
exercises, a balanced diet, physical therapy, and instruction in joint
protection.
Analgesic (pain)
medications such as acetaminophen can be useful in the treatment of the
minor pain and discomfort of osteoarthritis. The nonsteroidal anti-inflammatory
medications are often used to reduced both the pain and inflammation associated
with osteoarthritis. One problem with these medications have been the
gastrointestinal (stomach) side-effects and many patients found that they
were not able to tolerate these drugs.
The recent development of an "artificial joint fluid" which
can be injected directly into the knee has helped many patients who were
not able to take medications. The three medications now available for patients
are called Synvisc, Hyalgan and Supartz. Recent studies have shown that these naturally occurring substances significantly
reduce the pain of osteoarthritis of the knee when compared to oral medications.
These various modalities
are usually able to control the pain and disability associated with osteoarthritis.
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All medications have potential side effects, risks
and interactions with other medications as well as over the counter
drugs. Not all medications are right for all patients. You should always
check with your physician or health care provider prior to the use of
any medication.
© 2005, The Arthritis Institute of Long Island,
NY
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