Arthritis

Arthritis is a condition that causes bone pain and worsens with age, and in this article we provide you with

Reviewed by
Hussein Imran Mousa, consultant neurosurgeon
Reading time
3 min read
Last reviewed
January 2020

At a glance

What is arthritis?

An inflammation affecting joints like knees, hips, shoulders or spine, often worsening with age

Most common types

Osteoarthritis (cartilage wear) and Rheumatoid arthritis (autoimmune disorder)

Types of Arthritis

Arthritis comes in many forms:

- Idiopathic arthritis - Spondylitis - Septic arthritis - Reactive arthritis - Rheumatoid arthritis - Psoriatic arthritis - Thumb arthritis - Osteoarthritis (bone wear) - Gout - Joint infection

The two most common are Osteoarthritis and Rheumatoid arthritis. Osteoarthritis causes cartilage damage—the hard and slippery tissue covering bone ends—leading to joint deformation. Rheumatoid arthritis is an autoimmune disorder attacking the synovial membrane (joint lining), causing inflammation and eventual cartilage and bone damage.

Less common types may result from other conditions like lupus (affecting kidneys, lungs and joints) or psoriasis.

Causes

**Osteoarthritis** develops from wear and tear on joint cartilage—the smooth layer covering bone ends. Severe damage causes bone-on-bone grinding, restricting movement and causing pain. This wear accumulates over years, or joint injuries and inflammation can accelerate it.

**Rheumatoid arthritis** occurs when the immune system attacks the joint lining (synovial membrane). This powerful membrane becomes inflamed and swollen, eventually damaging both cartilage and bone within the joint.

Symptoms

Common joint-related symptoms include:

- Soreness - Stiffness - Swelling - Redness - Decreased range of motion

Some arthritis types cause systemic symptoms:

- Fever - Fatigue - Rash - Weight loss - Breathing problems - Dry eyes and mouth - Mouth ulcers - Mood changes

Risk Factors

- **Genetics**: Arthritis often runs in families, making you vulnerable to triggering factors - **Age**: Risk increases with aging, especially for osteoarthritis, rheumatoid arthritis and gout - **Gender**: Rheumatoid arthritis is more common in women; gout is more common in men - **Previous joint injury**: Earlier joint injuries (sports or trauma) increase arthritis risk in that joint - **Obesity**: Excess weight strains weight-bearing joints (knees, hips, spine), raising arthritis risk

Complications

Severe arthritis can make daily tasks difficult, especially when affecting hands or arms. Arthritis in weight-bearing joints may prevent comfortable walking or sitting. In advanced cases, joints can become twisted and permanently deformed.

Treatment Options

Treatment focuses on relieving symptoms and improving joint function. Early diagnosis and proper treatment planning prevents disease progression through these approaches:

Medications

  • Corticosteroids
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Chemotherapy (various forms)
  • Biological therapy
  • Vitamin and mineral supplements
  • Antidepressants (when needed)

Physical Therapy

  • Stimulation devices to strengthen muscles and regenerate cartilage
  • Radiofrequency and cold laser waves
  • Shock wave therapy (sigma technique)
  • Circulation improvement devices
  • Static and dynamic exercises (with or without resistance)
  • Muscle stretching and strengthening
  • Acupuncture therapy using meridian-based needle placement

Surgery

  • Joint repair: Softening or reshaping joint surfaces via arthroscopy
  • Joint replacement: Removing damaged joints and inserting artificial ones (hips, knees commonly replaced)
  • Joint fusion: Combining joint bone ends to heal as fixed units (used for smaller joints: wrists, ankles, fingers)

Lifestyle & Home Remedies

  • Weight loss to reduce joint pressure and strain
  • Regular exercise and swimming to maintain joint flexibility
  • Heat and cold therapy for pain relief
  • Assistive devices (crutches, walkers, high toilet seats) to protect joints and improve daily function
Diagram showing joint inflammation in arthritis

Need more information?

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This article provides general information and is not a substitute for professional medical advice. If you have specific health concerns, please consult with a healthcare provider.