OSTEOARTHRITIS


Key points | Your joints | Symptoms | Causes | Diagnosis | Treatment | Exercise | Medication | Self-management | Surgery | Where to get help | How we can help | More to explore  | Download PDF

osteoarthritis

Key points

  • Osteoarthritis (OA) occurs when the cartilage inside a joint breaks down causing pain and stiffness
  • People over 45 are more at risk, but younger people can be affected too
  • Exercise is one of the best ways to manage osteoarthritis.

Osteoarthritis is the most common form of arthritis. It’s most likely to develop in people over the age of 45, but it can occur in younger people.

OA was once thought to be an inevitable part of ageing, a result of a lifetime of ‘wear and tear’ on joints. However it’s now understood that OA is a complex condition, and may occur as a result of many factors. The good news is that many of these factors can be prevented.

Your joints

Joints are places where your bones meet. Bones, muscles, ligaments and tendons all work together so that you can bend, twist, stretch and move about.

The ends of your bones are covered in a thin layer of cartilage. It acts like a slippery cushion absorbing shock and helping your joint move smoothly.

The joint is wrapped inside a tough capsule filled with synovial fluid. This fluid lubricates and nourishes the cartilage and other structures in the joint.

With OA, cartilage becomes brittle and breaks down. Some pieces of cartilage may even break away and float around inside the synovial fluid. Because the cartilage no longer has a smooth, even surface, the joint becomes stiff and painful to move.

Eventually the cartilage can break down so much that it no longer cushions the two bones. Your body tries to repair this damage by creating extra bone. These are bone spurs.

Bone spurs don’t always cause symptoms, but they can sometimes cause pain and restrict joint movement.

Symptoms

The symptoms of OA varies from person to person.

Some of the more common symptoms include:

  • joint stiffness
  • joint swelling (inflammation)
  • grinding, rubbing or crunching sensation (crepitus)
  • joint pain
  • muscle weakness.

Causes

There are many things that can increase your chances of developing OA including:

  • your age – people over 45 are more at risk
  • being overweight or obese
  • family history of OA
  • significant injury, damage or overuse of a joint.

Diagnosis

If you’re experiencing joint pain, it’s important that you discuss your symptoms with your doctor. Getting a diagnosis as soon as possible means that treatment can start quickly. Early treatment will give you the best possible outcomes.

To diagnose your condition your doctor will:

  • take your medical history – this will include finding out about your symptoms, how long you’ve had them, what makes them better or worse
  • examine the affected joint/s.

Your doctor may also order an x-ray or MRI to get a clearer picture of what’s happening inside your joints.

Treatment

There’s no cure for OA, but it can be managed effectively using exercise, weight loss, medications, and in some cases surgery.

Exercise

Regular exercise can help reduce some of the symptoms (e.g. pain, stiffness) caused by your condition and improve your joint mobility and strength.

Cartilage doesn’t have a blood supply, so it relies on the synovial fluid moving in and out of your joints for nourishment and to remove any waste.

Exercises that involve moving your joints through their range of movement will also help maintain the flexibility that’s often lost as a result of OA.

Strengthening the muscles around your joints is also important. The h3er they are, the more weight they can take. This will help support and protect your joints.

Exercise has many other health benefits. It can:

  • ease pain and stiffness in your joints and muscles
  • improve your balance and posture
  • help you sleep better
  • improve your mood
  • help you maintain a healthy weight, or lose weight when combined with a weight loss diet
  • lower stress levels
  • reduce your risk of developing other chronic health issues (e.g. diabetes, heart disease).

Talk to your doctor, physiotherapist or exercise physiologist about suitable exercises for you. An exercise program that promotes muscle strength, joint flexibility, improved balance and coordination, as well as general fitness will give you the best results.

Medication

Depending on your symptoms, your doctor may recommend you take medication. They may be over-the-counter or prescription medications.

The most common types used to treat OA include:

  • pain relievers (or analgesics) – e.g. paracetamol – for temporary pain relief
  • non-steroidal anti-inflammatories (NSAIDs) – e.g. ibuprofen – to control inflammation and provide pain relief
  • anti-inflammatory or analgesic creams and gels – may provide some temporary pain relief.

If you’re taking any other medications, supplements or treatments – including any you’ve purchased from a supermarket, health store or complementary therapist – you should discuss these with your doctor.

Self-management

There are many things you can do to manage your OA:

Learn about your condition – knowing as much as possible about your OA means that you can make informed decisions about your healthcare and play an active role in the management of your condition.

Manage your weight – maintaining a healthy weight is important if you have OA. Being overweight adds additional pressure to your joints, especially your weight bearing joints (e.g. hips, knees, feet).  If you need to lose weight, your doctor or dietitian can advise you on safe weight loss strategies.

See a physio – a physiotherapist can provide advice on ways you can modify your activities, show you pain relief techniques and design an individual exercise program for you.

Talk to an OT – an occupational therapist can give advice on pacing yourself and managing fatigue, as well as how to modify daily activities both at home and work to reduce strain and pain on affected joints.

Try relaxation techniques – muscle relaxation, meditation, visualisation and other techniques can help you manage pain and difficult emotions, such as anxiety, and can help you get to sleep.

Seek support – from family, friends, work colleagues and health professionals. A peer support group may be another option.

Grab a gadget – supports such as walking aids, specialised cooking utensils, ergonomic computer equipment and long-handled shoe horns can reduce joint strain. An OT can give you advice on aids and equipment to suit you. You can also contact the Independent Living Centre in your state for advice.

Eat well – while there’s no specific diet for people with OA, it’s important to have a healthy, balanced diet to maintain general health and prevent weight gain and other medical problems, such as diabetes and heart disease.

Stay at work – it’s good for your health and wellbeing. Talk to your doctor or allied health professional about ways to help you stay at work or get back to work

Patella taping, knee braces and orthotics – may be useful if you have OA in your knees or feet. Seek advice from a physiotherapist or podiatrist.

Surgery

In some cases surgery may be necessary if the joint is very painful or there is a risk of losing joint function.

Where to get help

  • Your doctor
  • Musculoskeletal Australia
    MSK Help Line 1800 263 265

How we can help

Call our MSK Help Line and speak to our nurses. Phone 1800 263 265 or email helpline@msk.org.au.

We can help you find out more about:

More to explore

Download this information sheet (PDF).

The whole or part of this material is copyright to the State of Victoria and the Better Health Channel. Reproduced with permission of the Victorian Minister for Health. Users are permitted to print copies for research, study or educational purposes.

This information has been produced in consultation with and approved by: Musculoskeletal Australia.



Musculoskeletal Australia (or MSK) is the consumer organisation working with, and advocating on behalf of, people with arthritis, osteoporosis, back pain, gout and over 150 other musculoskeletal conditions.

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