Arthritis

Introduction 

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Paul Casimir has been living with arthritis for half his life, but doesn’t let it stop him doing the things he enjoys. He tells his story.

Arthritis is a term used to describe a number of painful conditions of the joints and bones. Two of the main types of arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis

Osteoarthritis is the most common form of arthritis. Cartilage (connective tissue) between the bones gradually wastes away (degenerates), and this can lead to painful rubbing of bone on bone in the joints. It may also cause joints to fall out of their natural positions (misalignment). The most frequently affected joints are in the hands, spine, knees and hips.

Rheumatoid arthritis

Rheumatoid arthritis is a more severe, but less common condition. The body's immune system attacks and destroys the joint, causing pain and swelling. It can lead to reduction of movement, and the breakdown of bone and cartilage.

There are over 200 forms of arthritis. More common forms include:

  • Ankylosing spondylitis.
  • Cervical spondylitis.
  • Fibromyalgia.
  • Systemic lupus erythematosis (lupus).
  • Gout.
  • Psoriatic arthritis.
  • Reactive arthritis.

Arthritis is often associated with older people, but it can also affect children. About one in 1,000 children develop arthritis. Arthritis in children is often called juvenile idiopathic arthritis (JIA). The three main types of JIA are:

  • Oligo-articular JIA is the most common form of JIA. It affects four or fewer joints in the body, most commonly the knees, ankles and wrists. This type has good recovery rates and the effects are rarely long term. However, there is a risk of developing eye problems, so children should have regular checks with an eye specialist (ophthalmologist).
  • Polyarticular JIA (or polyarthritis) affects five or more joints, and the symptoms are very similar to adult rheumatoid arthritis. It can quickly spread from one joint to another and can develop at any age. It is often accompanied by a rash or fever.
  • Systemic onset JIA begins with symptoms such as fever, rashes, lethargy and enlarged glands, and later develops into swollen and inflamed joints. It can also affect children of any age.
  • show glossary terms
Joints
Joints are the connection point between two bones that allow movement.
Onset
The onset is the beginning or early stages of a condition or disease.
Spine
The spine supports the skeleton, and surrounds and protects the delicate spinal cord and nerves. It is made up of 33 bones called the vertebrae.
Fever
A high temperature, also known as a fever, is when someone's body temperature goes above the normal 37°C (98.6°F).
Remission
Remission is when the symptoms of a condition are reduced (partial remission) or go away completely (complete remission).
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.
Inflammation
Inflammation is the body's response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.
Chronic
Chronic usually means a condition that continues for a long time or keeps coming back.
Genetic
Genetic is a term that refers to genes- the characteristics inherited from a family member.

Last reviewed: 15/08/2009

Next review due: 15/08/2011

What are these?

Jaxo said on 28 September 2009

I (compound) fractured my ankle many years ago in a car accident and have not been without pain since. Sometimes it is so excrutiating that I can't put my foot on the ground, it also wakes me at night. I have seen a consultant who suggest I have it fused, but I am worried that it will leave me with an even worse limp than I already have on bad days. Can you tell me if I will regret having this done.

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LJKLJK said on 23 September 2009

The term Reiter's syndrome is no longer used, as agreed by international editors of rheumatology journals, and I am amazed that you haven't checked. Firstly, Reiter was not the first to describe the syndrome, and secondly he was a doctor associated closely with the Nazi regime and conducted unethical experiments on unconsenting patients, so should not be recognised in this way. If you aren't up to date with this, what else is inaccurate? Also, rheumatoid arthritis is a type of inflammatory arthritis, not a synonym for it.

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lararefaeli said on 26 August 2009

Arthritis means "inflammation of joints." Yet when older people are afflicted with arthritis, they tend to be bothered less by the inflammation and more by the pain and stiffness that accompany arthritis.

Many people assume arthritis to be an unavoidable part of growing old. Although aging itself does not cause arthritis, arthritis does become more common as people age, for various reasons. The development of arthritis brings many older people much distress. Jack Benny may have captured a sense of that distress when, as he was being honored, he remarked about his arthritis, "I don't deserve this award, but I have arthritis and I don't deserve that either."

Among the different types of arthritis, several affect mostly older people. The most common of these is osteoarthritis. Others include rheumatoid arthritis, gout, pseudogout, and infectious arthritis

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KateSmith said on 04 June 2009

If it hurts too much, then jogging is not the best thing at the moment. What your doctor meant by this is that your condition mustn't stop you from being active as usual. I recommend you to take walks of a certain length and at a certain speed most convenient for you and..... doing USUAL things you did before your condition actually began. I'm myself a person with arthritis being only 31 years old! I wish you good luck!

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ronniemagen said on 16 May 2009

i have arthritis no more to be said
my doctor suggests i go jogging would this help

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