Osteoarthritis and Loss of Joint Mobility Due to Breakdown of Cartilage

Nearly everyone, over the course of their lives, will experience some sort of joint pain. Chronic pain in the form of osteoarthritis is the mot common disorder affecting the joints and is nearly universal in people over the age of 80. For this reason, it is important that people know the symptoms of this degenerative disease, as well as some of the methods that doctors use to reduce pain and keep the joints healthy.

While osteoarthritis is common in people over age 80, it begins to manifest itself in people who are in their 40s and 50s. Below the age of 40, it is mostly men who have the degenerative joint disease and it is usually related to some sort of traumatic experience. From ages 40 to 70, though, it is mostly women who have osteoarthritis. By the time people hit their 80s, however, the distribution is even between men and women.

Osteoarthritis is referred to as a degenerative joint disease due to the loss of cartilage protecting the bones in the joints and the changes this loss of cartilage leads to. Pain in the joints, stiffness when using the affected joints, and occasional swelling are some of the symptoms indicating a potential loss of cartilage. It can begin with trauma, inflammation, or defects in the way the body makes and breaks down cartilage.

The end result of any of the causes of osteoarthritis, though, is that the protective cartilage breaks down and the bones become exposed and are able to rub up against each other when a joint is moved through a range of motion. Osteophytes, also known as bone spurs, can develop on the affected bones in an effort to maintain the stability of the joint. Ligaments and tendons can also become irritated and inflamed, and the muscles can get weaker, leading to further instability.

For older people, osteoarthritis of the spinal column can be a major problem. While the risk of herniating a disc lessens as people age, the risk of arthritis causing serious back pain increases. Osteoarthritis of the vertebrae can increase the chances of damaging the ligaments. Ligament damage in the back can be debilitating and can take months or years to heal fully.

A back doctor should evaluate anyone who has potential osteoarthritis of the spine, and x-rays can confirm the degeneration of the cartilage in any of the joints most affected. If the disease is suspected or confirmed by x-rays, it then becomes important to maintain joint function, range of motion, and the health of the cartilage protecting against bone rubbing on bone. Stretching and flexibility exercises can be used to mitigate the loss of mobility.

Various treatments can be used for reducing pain from osteoarthritis, including massage, acupuncture, and topical ointments to reduce pain and swelling. In extreme cases, surgery and total joint replacement may be used if all else has failed. Supplements such as MSM and glucosamine and chondroitin, if given enough time to work, may help reduce the rate of cartilage breakdown in some individuals.