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Arthritis literally means joint inflammation and the term is used to
describe the pain, stiffness, and/or swelling in the joints of the
body where one or more bones are joined by tendons and muscles. An
arthritic joint is one that may have varying degrees of inflammation
and possibly destruction of the joint cartilage, which normally
provides a smooth surface enabling adjacent bones to move and glide
on each other during normal motion.
The most common type of arthritis is called osteoarthritis and is
more common with advancing age. People with osteoarthritis usually
have joint pain and limited movement. Unlike some other forms of
arthritis, osteoarthritis affects only the joints. This condition is
sometimes called degenerative joint disease or osteoarthrosis.
Osteoarthritis primarily affects the joint cartilage, or the
slippery tissue that covers the ends of bones in a joint. Healthy
cartilage allows bones to glide over one another and absorbs energy
from the shock of physical movement. In osteoarthritis, the surface
layer of cartilage breaks down and wears away. This allows the bony
surface under the cartilage to rub together, causing, pain,
swelling, and loss of motion of the joint. Over time, affected
joints may lose their normal shape. Also, bone spurs—small growths
called osteophytes—may grow on the edges of the joint. Bits of bone
or cartilage can break off and float inside the joint space, causing
more pain and possible damage.
The second most common form of arthritis - rheumatoid arthritis— may
affect not only the joints, but organs of the body as well.
Rheumatoid arthritis is recognized as a systemic disease that
involves responses of the immune system that play a role in the
inflammation that affects joints and other organs. Rheumatoid
arthritis may begin at a younger age than does osteoarthritis. Often
patients with rheumatoid arthritis will require medications not only
to treat the pain of arthritis, but drugs which modulate the immune
system to control inflammation at other parts of the body.
Osteoarthritis is one of the most frequent causes of physical
disability among adults. It is estimated that by 2030, 20 percent of
Americans who are over the age of 65 years—about 70 million
people—will be at risk for osteoarthritis.
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