An Overview of Degenerative Arthritis. Also referred to as osteoarthritis, degenerative joint disease, and wear-and-tear arthritis, it occurs when joint cartilage and underlying bone begin to deteriorate, causing progressive pain, stiffness, and joint malformation. Degenerative arthritis is a term synonymous with osteoarthritis, a chronic disorder that damages the cartilage and tissues surrounding a joint. It is sometimes. Sometimes called degenerative joint disease or degenerative arthritis, osteoarthritis (OA) is the most common chronic condition of the joints, affecting approximately 27 million Americans. In OA, the cartilage breaks down, causing pain, swelling and problems moving the joint.
Interpreting "wear and tear" of the joints in OA from a biomechanic perspective allows patients to understand how OA differs from age-associated degeneration and overuse of the joints.
There are ways to reduce the OA "wear and tear" effects which include weight control, muscle strengthening exercises and increased proprioception accuracy. It is a common view that OA begins as a fibrillation of articular cartilage, a focal fine roughening of the surface of articular cartilage, that eventually leads to secondary remodeling of the bony components of the joint. Remodeling refers to the resorption and formation of bone tissues under the influence of mechanical loading history on the joints.
An alternative hypothesis suggests that OA originates from the stiffness of subchondral bone. Normally, it is the bone, not the cartilage, that absorbs most of the impact forces on the extremities.
This "stiff bone" hypothesis suggests that mechanical overloading on the joints may result in microfractures in subchondral bones underlying the articular cartilage. The repair of the fractures leads to a net local increase of the stiffness of the bone. The "stiff bone" provides less cushion for the overlying cartilage and thus forces the cartilage to absorb a greater share of the impact energy. The repartition of forces eventually leads to the degeneration of the articular cartilage.
The relationship between cartilaginous and bony changes in OA is very complex and intertwined. A third and less established hypothesis associates proprioceptive impairment with knee OA.
Proprioception refers to the conscious and unconscious perception of joint position and movement. Accurate proprioception is critical to maintain joint stability under dynamic conditions. Joint stability is important to prevent the wear and tear from mechanical forces on the extremities. The effects of degenerative joint disease can often be controlled by a few basic measures such as diet, exercise, medication and surgery.
If you have DJD, your diet should optimize your body weight, so that the joints do not bear large loads which would cause them to wear more quickly.
Joints in a person with DJD should be protected from rough use, particularly those involving sudden impacts. Canes or walkers may help protect the hip and knee and prevent limping.
Joint range of motion strength and stability should be maintained by regular gentle exercise. Surgical treatment for DJD may include removing joint spurs, realigning the joint, fusion of the joint and joint replacement. In the past several years, these operations have become very effective and many people have benefited from joint repair or replacement.
There has been much progress in arthritis research. New information regarding the development structure and degradation of joint cartilage is becoming available. Scientists are studying the complex ways joints move and fit together and how joints respond to many different stresses and strains. They also are continuing to improve ways to avoid further damage to the bones and tissue.
Researchers have also identified a gene that may be linked to the faulty development of cartilage, thus leading to the development of osteoarthritis or other conditions. Finally, surgeons are devising better procedures for restoring comfort and function to joints affected by arthritis.
Some of this material may also be available in an Arthritis Foundation brochure. Adapted from a pamphlet originally prepared for the Arthritis Foundation. This material is protected by copyright. You are here Home Osteoarthritis.
Osteoarthritis Follow our blog http: Pinching of the nerve is called radiculopathy. If nerves are involved, people may sense radiculopathy as altered changes in their arms or legs depending on the location of the spondylosis. Degenerative changes can cause spinal stenosis and apply pressure on the spinal cord. When the spinal cord senses pressure on it, it may cause myelopathy: At Virginia Spine Institute, our providers will take a detailed medical history and conduct a comprehensive physical exam paying special attention to your range of motion and neurologic function.
Imaging studies may be ordered to understand your bones and soft tissue. MRI showing several darkened, degenerative lumbar discs. Conservative treatment is usually first-line care. Many modalities may be used to promote optimal spine health, improve mobility and strength and reduce pain.
Physical therapy , Pilates , Yoga , low-impact exercise , anti-inflammatory medications such as NSAIDs and injection therapy have all been used to manage spondylosis. Surgical intervention is sometimes warranted. Talk to your provider about your specific condition to see what treatment options are right for you.
Systematic review and meta-analysis of prospective studies. Nonpharmacologic therapy of osteoarthritis. Percope de Andrade MA. Supplementary methods in the nonsurgical treatment of osteoarthritis. The Journal of Arthroscopic and Related Surgery.
American Academy of Orthopaedic Surgeons. Henrotin Y, et al. What is the current status of chondroitin sulfate and glucosamine for the treatment of knee osteoarthritis? Christiansen BA, et al. Cheung C, et al. Effects of yoga on symptoms, physical function, and psychosocial outcomes in adults with osteoarthritis.
American Journal of Physical Medicine Rehabilitation. Moonaz S, et al. Yoga in sedentary adults with arthritis: Effects of a randomized controlled pragmatic trial. Chang-Miller A expert opinion. Mayo Clinic, Rochester, Minn. Related Arthritis creams Glucosamine:
Symptoms & Conditions
Osteoarthritis is sometimes referred to as degenerative arthritis or degenerative joint disease. It is the most common type of arthritis because it's often caused by. Crystal deposits in the cartilage can cause cartilage degeneration, and osteoarthritis. Uric acid crystals cause arthritis in gout, while calcium. Osteoarthritis is also known as degenerative joint disease. It is a condition in which the protective cartilage that cushions the tops of bones.