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Stretching and strengthening exercises help maintain range of motion and alleviate stiffness. 'This is particularly important in individuals with arthritis of the hip, knee and low back, in whom excess pounds place a tremendous strain on the joint.' Maintaining range of motion Jones also places a strong emphasis on maintaining a healthy body weight. Patients who embark on a conservative course of treatment for arthritis are taking control of their condition and seeking the best possible outcome.Р”В¬ertainly the place to begin is cultivating good general health, including cardiovascular conditioning. And of course, additional factors such as body weight, other joint involvement and general health are also very important in determining the level of disability and quality of life. The weak, stiff joint will be more painful and disabling than a joint with preserved strength and motion. It is important to understand that two joints that show the same cartilage loss on x-ray may behave very differently in terms of discomfort and limited function. Sclerosis and subchondral cyst in the adjacent bone are seen (arrow). There is asymmetric superolateral joint space narrowing. A loss of vigor can interfere with personal relationships and intimacy.Р”Р„nteroposterior radiograph of a hip with osteoarthritis. Patients may become discouraged and demoralized.

The practical implications of these limitations are disruption in work and recreation. The joint becomes painful to move, and there is often a progressive weakening of the muscles that control it. Motion is diminished and the surrounding joint lining, ligaments and tendons contract and tighten. As the cartilage thins and becomes uneven, stiffness and catching occur. The pain and stiffness that develop result from the loss of smooth, gliding cartilage on the joint surfaces. Regardless of which joint is affected, osteoarthritis takes a common course. Research also suggests that cartilage metabolism plays a role in the disease, with some people being better able to withstand injury and wear and tear to the cartilage, than others. There appears to be a genetic factor in its development, but a diagnosis in one generation does not necessarily predict it's occurrence in the next. There is a uniformly lucent joint space (arrow).Р”Р‡or reasons that are not clearly understood, osteoarthritis is more common in women than in men. Far fewer Americans are diagnosed with inflammatory arthritis.)Р”Р„nteroposterior radiograph of a normal hip joint. In such cases, the body perceives the joint lining (synovium) and cartilage to be foreign substance and attacks it. (Rheumatoid arthritis-and other forms of inflammatory arthritis-is a systemic immune disorder that affects multiple joints. The vast majority of people diagnosed have osteoarthritis and in most cases the cause of their condition cannot be identified. Eventually, at the end stage of arthritis, the articular cartilage wears away completely and bone on bone contact occurs. As the cartilage surface wears and thins, a progression of symptoms develop.

'The sooner you recognize the presence of arthritis in any joint, the better the patient can understand what's going on, what to expect, and how he or she can make things better.'Р”Р„rthritis is an umbrella term for a number of disease processes in which the joint surface is injured (either acutely or through gradual wear and tear), the surrounding tissues become inflamed and the cushion of cartilage that lines the ends of the bones (known as articular cartilage) deteriorates. Jones, MD, MA, Assistant Attending Orthopaedic Surgeon at HSS.

'Early diagnosis is the key to conservative management,' explains Edward C. The term conservative management of osteoarthritis describes non-surgical treatments that provide symptomatic relief, modification of the course of the disease, and an approach that allows patients to adjust to the realities and take more control of their condition. Instead, the aches, pains, and stiffness that characterize the condition can often be controlled and alleviated. Contrary to popular perception, for the 21 million Americans with osteoarthritis, diagnosis need not signal inevitable deterioration and disability.

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