Osteoarthritis 

Introduction 

Osteoarthritis: Elaine's story

According to Elaine: "Your brain is the best painkiller you've got." She talks about her experience of osteoarthritis and how she manages the condition.

Osteoarthritis is a condition that affects the joints. It is the most common type of arthritis in the UK. Around 1 million people see their GP about it and the NHS in England and Wales performs over 140,000 hip and knee replacement operations every year.

Three key characteristics of osteoarthritis are:

  • mild inflammation of the tissues in and around the joints
  • damage to cartilage, the strong, smooth surface that lines the bones and allows joints to move easily and without friction
  • bony growths that develop around the edge of the joints

Osteoarthritis mostly occurs in the knees, hips and small joints of the hands and base of the big toe. However, almost any joint can be affected.

Who develops osteoarthritis?

Osteoarthritis usually develops in people over 50 years of age and is more common in women than in men. It is commonly thought that osteoarthritis is an inevitable part of getting older, but this is not quite true. While in very old people the changes of osteoarthritis are visible on X-rays, they don’t always have related pain or problems with joint function.

Younger people can also be affected by osteoarthritis, often as a result of an injury or another joint condition.

Managing osteoarthritis

The symptoms of osteoarthritis vary greatly from person to person, and between different affected joints.

The amount of damage to the joints and the severity of symptoms can also vary. For example, a joint may be severely damaged without causing symptoms, or symptoms may be severe without affecting the movement of a joint.

There is no cure for osteoarthritis, but the symptoms can be eased with a number of different treatments. Mild symptoms can often be managed with exercise or by wearing suitable footwear. However, in more advanced cases of osteoarthritis, other treatments may be necessary.

Treatments include non-drug treatments, including physiotherapy and weight loss, medications such as painkillers, and surgery.

  • show glossary terms
Joints
Joints are the connection point between two bones that allow movement.
Physiotherapy
Physiotherapy is a treatment that uses movement, massage and exercise to relieve illness or injury.

Last reviewed: 22/09/2010

Next review due: 22/09/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

karensomerset said on 10 May 2012

Just wanted to share my experience. I was diagnosed with osteo arthritis in my right knee at 35 and told I'd have to give up weight bearing exercise, dancing etc and 'live with it' until I was old enough for a knee replacement. By 48 the other knee had joined in, aggravated by a few trips and falls and walking was increasingly difficult - I couldn't even go to the shopping mall as I couldn't walk to the shops from the car park, let alone walk around huge shops themselves. However, I had private medical insurance through work and the time and asked my GP to refer me to a consultant.... Off I limped to the BUPA hospital to see the top man in the region - I was examined, x-rayed (with x-rays handed to me on the spot) I was told I was at the point where I was still to young for a knee replacement to outlive me, however my knees might still be rescued...... Both knees were injected with cortiszone on the spot to help me on my way for a few months and I was told I must (a) swim 30-40 lengths of the swimming pool at least 3 times a week to tighten my ligaments (b) take 1000mg of Glucosamine Sulphate a day (as it causes cartilege to regrow!), plus an Omega 3 capsule too as it wouldn't do any harm. I was also told not to expect it to work for several months so not to give up quickly..... Within a couple of month a miracle occurred and I could walk again normally. I still have to take care of my knees and must still swim regularly or else I notice twinges; I don't need the glucosamine any more but occasionally take it for a few months to 'top up' especially if I start to get a twinge, but 7 years on, apart from my knees looking swollen, they don't pain and I am fit and mobile - the more exercise I take the better. I recommended the glucosamine to a friend with bad knees too and his wife reported he improved so much he could now cross his legs to an extent she had never seen previously !! I can't say it will work for everyone but I recommend giving it a try.

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KazzieD said on 07 February 2012

I am 36. I was 33 when diagnosed with arthritis in my spine and more recently in my hips. I am in constant pain, even though I take loads of painkillers. I try my best to keep active, and to try to live a "normal" life. I get bad days and better days, but even the good days are painful. I am doing voluntary work a couple of days a week, but even that is difficult. It is a constant invasion of my life, the pain dictates everything I do or don't do. I can't make plans, as I don't know if I'm able to get out of the house at any time. I try to keep smiling, but there are days when I just get so depressed about it all, the pain and the frustration of being unable to do the simplest of tasks.

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animan said on 15 January 2012

I am not a doctor, more of a quack, but I felt the need to say something about my own experiences in this area. This is just my experience and probably needs to be taken with a considerable pinch of salt, but here goes.
A few months back, I started to get swelling in two of the joints in my fingers and pains in my left wrist. I went to see a doctor and got some checks done and discovered that my cholesterol level was quite high. So, I cut down the cholesterol in my diet quite radically and hey presto the swellings have started to go down. One has now disappeared almost completely and all that is left is the distended skin that used to be around the swelling.

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Lis243 said on 08 January 2012

I am 41 and although suffered with joint issues since I was a teenager I have only just had confirmation that I have osteoarthritis. My consultant, who is also my surgeon, told me about six years ago that I had DJD degenerative joint disorder or some people say DBD degenerative bone disorder.
I have already had some metitarsils removed from my foot but now I am waiting for the results from a CT scan as within the next coouple of months I am due to either have my ankle fused or to have it replaced altogether.
I was just wandering if anyone knew of anyone who had the ankle replacement and what the outcome was and what the recovery time was like. I know it is a rare procedure so to be honest I not finding much info out there so if anyone knows anything please let me know.

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danielkagwa said on 09 December 2011

I am 55 and had a double meniscectomy in 1981- I've had "bone on bone" for many years and whilst one learns to live with it I've become lopsided! My mobility is restricted, the pain /swelling continuous despite taking diclofenac / anti-inflammatories (which give me stomach problems...remember Vioxx all those years ago?). I do what the physio asks as best I can but it seems this is simply a degenerative condition. It has severely limited my job options. (currently unemployed) It was suggested that I have a knee replacement years ago but told I was too young at 45, then 50,now 55-people I've spoken with suggest I carry on as I am as their replacements did not provide the flexibility, ease of movement they thought it would.
I'm glad I happened upon this site as I don't feel so bad about myself.There are others in worse shape and as some of the commentators have said-just stay positive.

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ruthy9 said on 09 November 2011

Reply to- Grace56 on 28 December 2010
Only just read your message a year after you have written it . I too have suffer arthritis in hands. . . fingers and thumbs. Knuckles extremely swollen and at times hardly able to use hands due to the pain. I also suffered extreme back pain which prevented 5 years of good sleep. Each night the pain from turning in my sleep kept me awake. I started to see an alternative therapist who from my very first appointment improved my back pain and in just a few sessions over a period of a few months completely cured my back pain so please look for alternative therapies which may help you. It certainly has me. Hands are more of a problem but im positive its going to be a positive outcome.

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slrogers said on 13 June 2011

I have had and suffered with Osteoarthritus since 1991, upto this year I had a hip replacement 4years ago and an Arthroscopy 2years ago both of which have been fantastic, since then my other knee now needs to be done but becasuse my BMI is over 30 my local PCT will not allow me on the list for this procedure, the surgeon who operated on my hip when I was the same weight as I am now knows I have no problem with having an op which will only take about 1 hour or less but htey are prepared for me to have physio every week , see a dieticion and keep me on medication all of which will cost more than having the op. Do'es this make sense to a cash strapped health system

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ErinCD said on 04 June 2011

I too have osteoarthritis in my fingers and thumbs. Used to get cortisone 20 years ago. Had a trapeziectomy 7 weeks ago on right hand and will have left done in about 6 months. Received a letter from DWP today saying they're cutting me off because I can work! I can only type with the left hand which requires surgery so not quite sure how I'm going to get a job as a secretary. The assessment letter asked me to take in all my hospital paperwork yet they never looked at it. No idea how I'm going to sort this out. How am I supposed to work with one rapidly deteriorating hand? I see the hand therapy dept every week for the hand that has been operated on and can barely manage the exercises so know I won't be able to work with it. This is crazy, worked for 35 years and this is what happens when you try to fix a problem so you can get back to work. So unfair that drug addicts and alcoholics are given benefits but those who just want help whilst undergoing surgery to lengthen their working life are treated this way, shameful.

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Lizzielady said on 27 April 2011

I have arthritis in my fingers and thumbs, a condition I have had for about 7 years. My right thumb is so painful I cannot open bottles or jars or squeeze tubes. About 5 years ago my left thumb was so painful I was referred to a rheumatologist and he gave me a cortisone injection which, whilst painful in application, did the trick. My gp refuses to refer me for my right thumb and says I should take two paracetamols 4 times a day and continue with the Voltarol I was already using 3 times a day. So much for the NHS. Voltarol costs nearly £7 a tube! I can cope with the pain, guess I have to don't O?

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Nhhat said on 10 March 2011

I developed arthritis in my late teens following another bone condition but managed well until mid 40's by which time I was on morphine and walking with crutches, this is when I had my first a knee replacement. Here are a few things that really help me: keeping my weight in check means less excess body weight and extra stress on the joints this makes a huge difference. Exercise is also really important, it hurts but it helps maintain the mobility and muscle strength around the joint so it's more supported this needs to be balanced with periods of rest. Keeping mentally active and busy helps distract your thoughts from the pain.

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dianelambert said on 31 January 2011

have had osteoathritis for years. now in my 50s in my hands,feet, knees, hips, neck and spine. trouble getting up the stairs, in and out of bed, in and out of vehicles. difficulty in personal care, in constant pain, no help from gps. relying more and more on others. despite having this plus bowel disease, diabetes, leaking heart valves, tachicardic arythmia and depression, i can not get a penny in benefits. my doctors dont believe me when i say i am in pain. i feel so alienated at times.

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Grace56 said on 28 December 2010

I have had osteoarthritis in my fingers for many years, but this year my lower back has kept me awake most nights and after a day sitting typing in the office I can hardly move when I get home. The doctors basically say there is nothing they can do. I have decided to go to Pilates in the hope that this will help. I have thought about giving up work but we need the money. I was interested to see that one person has disability due to osteoarthritis and I wondered what you have to do to claim disability? It's an awful thing to have it takes away your life really, there sre so many things you can't do but I guess you have to push yourself which is not always easy. Lving on painkillers is not fun!

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woodbon said on 01 December 2010

I have Osteo Arthritis for quite a few years and I'm 55 now. I had to give up working as a Care Assistant for the local Counicil after several periods of sick leave, when I was treated with physio and gym referral to medcial trainers. Each time I got stronger and went back to work, but each time after a few months, the pain restricted my working. I was referred to occupaional health and they examined me about 3 times by a qualified doctor, who said I must retire.
My GP has been and is, very good and I am seeing a physio. I try to keep as cheerful as possible but the pain and the restricions that puts on my life sometimes make me very low. The benefits system also seems to be doing its best to make life very hard. They seem uninterested in the NHS doctors opinions.

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lord steven said on 21 August 2010

i started getting o/arthurist when i was 28yrs and i kept going to the doctors to halp me with the pain, I was told by the hospital that i should stop working, i was not going to stop working at that age but my doctor did say that i would have to think about it at arount my 50s anyway i carried on until i was 47yrs in all that time i was in pain 24/7 and when i gotto 47 aia said to mysalf I have now had enough i just could not do it anymore, i am now 56yrs and havent worked all that time. i have it in my spine, back,hands and feet and all i seem to be doing is trying to keep the pain at bay. i am registard disabled and have been for 12yrs now but i do find it easier not working because as soon as i start to do anything the pain just seems to start . I am on a cocktail of painkillers. But I do not let it get me down which is easier said than done because you get bad days and good days, but it does seem that I get more bad and good days but remain cheerfull.

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