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Conditions > Osteoarthritis > All About Osteoarthritis > How Will Osteoarthritis Affect You?
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How Will Osteoarthritis Affect You?

You have a diagnosis. Now what’s your prognosis with OA?

By Susan Bernstein

After years of increasing pain and stiffness in your joints, after ordinary tasks like making your bed in the morning had become almost impossible, you finally spoke to your doctor. When you heard that your problem had a name – osteoarthritis, or OA – you weren’t surprised. In fact, you were a bit relieved.

But now you want to know what OA will do to your body, to your lifestyle, and how this disease may affect your future. You want to know what you can do to make yourself feel better, and to keep your OA from getting worse.

What is Osteoarthritis?

Osteoarthritis the most common form of arthritis, affecting about 27 million Americans. OA symptoms usually include pain, stiffness and swelling in and around the joints. OA can make daily activities more difficult. Your fingers may feel stiff when you try to grasp a pen. Your lower back may ache as you lean over to open a drawer. Your knees may hurt when you bend down to pick up your morning newspaper.

Where Does Osteoarthritis Strike?

OA affects joints, places where bones come together and move in various directions. OA typically affects the following joints:

  • Neck
  • Spine
  • Hips
  • Hands
  • Knees
  • Ankles

Other joints may be affected as well. Just because you have OA in one particular joint doesn’t mean you’ll develop it in others. But osteoarthritis symptoms may worsen – increasing your pain and decreasing your ability to perform daily tasks – if you don’t address them with treatment and prevention strategies. Luckily, there are many osteoarthritis treatments available to manage pain and stiffness and improve flexibility. You are in charge of your OA prognosis.

What Happens in Osteoarthritis?

OA occurs when parts of a joint, including cartilage, bones, fluid or its membrane lining (synovium), change and break down, usually over years. Cartilage and joint fluid cushion and lubricate a joint, easing the motion of bones. When these joint components break down, movement becomes difficult or painful. In OA, joints can feel stiff. Each movement can be painful. Joints can swell, further hindering movement.

As OA worsens over time, bones may break down and develop growths called spurs. Bits of bone or cartilage may even chip off and float around in the joint cavity. Synovial fluid can diminish in amount or quality.

In the final stages of OA, cushioning cartilage erodes, inflaming the lining of your joint. As a result, chemicals called cytokines (inflammatory proteins) or enzymes are released, causing more pain, swelling and damage.

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Richard Larson
24 Feb 2012, 10:50
My hands hurt. I control 80% of the hurt with Tylenol 650 Arthritis capsules taken 3 times a day (2 capsules each dose, limit is 6 per day), on rising in the AM, at noon lunch and at bedtime.)Between about 6PM and Bedtime the pain increases. Doctor is prescribing Voltaren cream. Is this suitable. I am going on 84 years of age. This condition has only been with me for the past two months. Is this a winter problem?
Ellen Pringle
16 Feb 2012, 21:41
I agree joing a y as swimming is the best thing for your joints etc. I was in wheel
chair from neuropathy where they said I would never walk agin proved them wrong once again. I choose pool therpy which got me
up and walking sure fooled the Medical profession, Back to the Y and sure is helping my arthitic joints an love it met lots of great people and sure beats sitting home being depressed. Find a social life and the y It is great
Brenda Kent
16 Feb 2012, 13:36
I have OA in my hands, feet and knee. I had surgery in my hand to replace the joint (thumb area) 5 yrs ago, now it's great. Right hand is bothering me a bit. Right toe and bottom of right foot is pretty painful.I have had cortisone shots in all areas which helped quite a lot in knee. I am currently taking mostly ibuprophen for inflamation. Occasionally when it gets very painful (foot especially) I take Celebrex which is wonderful, however somewhat controversial. I only take it once in a while.
That being said, I find that when I drastically cut back on sugar and/or alcohol intake I have much less inflamation. So, that is what I am now working on. Sugar addiction!. Try it. Also, ice and then heat the affected areas. I am 57 years old and believe my OA came from years of being ignorant of how to be gentle w/my body and the joints are just wearing out from hard physical work (landscaping). Be well everyone. Try cutting back on sugar..
Norma Miller
16 Feb 2012, 10:43
Dear Isabel and others in pain:

Join a water aerobics class! You will get your zest for life back again. The classes are fun, you'll meet great people, and you can do things in the water that you can't do on land, like run and jump, and there is no impact on your joints.

Norma in Chicago
Mirta Bussey
25 Jan 2012, 23:29
Es posible que sufra de muchisimo dolor en toda mi columna ya me opere 3 veses y mis dolores son insoportables tambien tengo dolores en mis rodillas. que tipo de estudio tengo que pedir al doctor? y es normal que la Osteoartritis cause tanto dolor en toda la columna?
Espero su ayuda mil gracias.
Mirta Bussey.
OBecky
13 Nov 2011, 16:33
I have severe generalized OA ffrom my toes to my fingers with multiple spurs, feet, toe, neck, fingers etc.. I also have RA and fibromyalgia.
I have had joint pain since pre-school days. "Growing Pains" the dr said.
I take Prednisone and hydroxyquloroquine. I also take water aerobics three times a week. I have an electric scooter. I have had the 'chicken stuff' injected into my knees. All of it seems to help some. It makes it possible for me to lead an independent enjoyable life.
I also have an electric blanket. I turn it on high Every night, other wise the pain won't let me go to sleep.
I have heart and lung involvement, I think that is what won my Soc Sec Disability while I was in my 50s. I had not worked for 2 yrs at the time. I simply couldn't do it. I am in my mid 70s now and feel better than I have for years.
I am sure the water exercise helps as much as anything, except maybe the scooter.
isabel fortune
11 Nov 2011, 13:55
With a fruit ranch to care for and living in a remote area where I must walk a lot, the pains in my back, knees, legs and feet are very uncomfortable with pain and discomfort almost all of the time. I'm going to try to do water exercises that might help relieve me of this very uncomfortable feeling. Even the bottoms of my feet ache constantly. I'm 74, and this all started happening a year ago when I was going through a divorce. I thought it was stress, and I've read about fibromyalgia, but this is too much. I love life and want to get it back if possible.
lily
07 Nov 2011, 16:06
what do you do with TMJ; pain inner ear pain ;and neck pain. feel like loosing control sometimes.
Kathy Gascon
01 Nov 2011, 19:41
I have had this type of Arthritis in my lower back, hips and knees since I was 32 years of age. Now I am almost 46. I am 150 pounds over weight with Diabeties. Is there any medicine out there that I can use that will help me move more freely without constant pain?? I have a job that I stand 8-9 hours a day?? Kathy Gascon
mary D.
11 Aug 2011, 11:30
Mary I have osteoarthiritis. I know how you feel. well if you get turn down from social security. then hire a lawyer. thats what happen to me got turn down. but finally got approve. don give up
Jennifer
07 Jun 2011, 19:41
Thank you Nancy.
Mary
03 Jun 2011, 17:03
This is a answer to Linda try sleeping with a pillow between your knees thats what I have to do.I have OA in my whole body it as been killing me in my back for the past 3 weeks my doctor gave me 2 shots to help but they did not help. I have to deal with OA and Osteoporosis and to top it off I just found out 2 mouths ago I also have Fibomyalgia my body is in so much pain I told my doctor I hurt to bad and when I am at work my lower back will start hurting so bad I can not walk I start to cry because it hurts to bad.He told me I need to start my SSDI so I did wish me luck with it people or telling me they or going to turn me down I am hopeing they or wrong and I will not have to fight them to get it because my body it not up for it.
Nancy
24 May 2011, 00:41
Jennifer,

I also take Methotrexate with Prednisone for RA. When I first started taking the Meth I would be sick for at least 3 days. I then began taking folic acid to help with the nausea. It really helps.

Good luck.
Jennifer
23 Apr 2011, 20:51
Diagnosed w/OA in my right foot,ankle, knee, neck, & jaw (prior diagnosis was connective tissue disorder). Suspect my arm is affected as well. Interestingly, it's all on the right side of my body while the left side is fine.

Recently began taking Methotexrate which is leaving me down for the count the day I take it. I am wondering if it is safe to take MSM with it (hoping to discontinue the Meth).

Would like to not take the Methotexrate at all but pain is excruciating at times. Rheumatologist had prescribed other meds with really crappy side effects (tremors, allergic reactions, etc.). I fought against this med mainly because of all the side effects associated with it but he felt we really didn't have much more of a choice- due to my age (41) he is trying to slow the progression of the OA. Now I notice that the side of my right toe area is bulging out and is quite painful as well. Argh.

Anyone else taking a combo of these two?

Thank you all for sharing your stories. It IS nice to know there are people who understand...
D.G.McGlynn
26 Mar 2011, 17:58
Reading the comments from those with OA was familiar. I've been experiencing OA for several years, and now 86 and suffering more because I have more OA: shoulders, knees, feet, hands, neck and now lumbar. I used to take chondroitin-glucosamine but stopped. Lately told to try glucosamine sulphate at 1500mg - is it the same thing? Have a spur now on my r.foot...things always progressing.
Linda Smith
20 Mar 2011, 22:34
I have OA for a very long time, but now I can't lie on my side in bed, b/c my hips and knees ache a lot and are very sore. I;m a side sleeper, so any suggestions would be welcome.
mm1437
18 Mar 2011, 22:27
does anyone have any ideas on what natural supplements would help ra and oa i have hip knee hand and cervical neck pain thanks so much
Becky
16 Mar 2011, 10:43
I have OA of both knees and have had Labrum tears in both hips, now I have been diagnosed with FAI of the left hip and the grinding and dull ache along with pain to my knee and foot are taking a toll..I am active and have upcoming appt with Ortho Dr. on 24th and so want the least invasive treatment..I also have a cyst in the same hip..I started seeing symptoms in my 30's with the knees but the hips in the last 5 years with the current symptoms increaseing in the last 5 months in the hip.. I'm 50 now and cant believe it..Any advice would be appriciated..
deborah sellwood-brown
16 Mar 2011, 06:18
hi this is to answer j martin..5.3 2011.I too have the problem like you all down the left side.I have been taking cod liver oil,and glucosamine sulphate supplements.It takes about a month or so to kick in but it does help.And swimming once or twice a week.Keeping the joints moving is very important,swimming helps because the water takes all the weight.Also avoid tomotoes,infact look at your diet over all there are some things that make it worse...good luck...deborah.
KarenL
14 Mar 2011, 13:05
After finally developing spurs on both knees and no remaining cartilage, I am having both knees replaced this Monday. If osteoarthritis is interfering with your way of live, don't put off the surgery if necessary. Why wait till things get worse?? Don't waste your life with a disability.
paul
14 Mar 2011, 05:03
i had bowel cancer 10 yrs ago, had semi collectomy, followed by full collectomy 3 yrs ago. I have been sufering from crohns disease since age 20. I now have pain which starts with soreness around Stoma and then radiates to pelvis and lower back. Sometimes pain shoots down legs, sometimes pelvic pain can be very sharp. If i have to stand a lot this brings pain on. Recently i have had hand swelling at joint which is stiff and sore. I am aged 54. What tests and examinations should i get done ?
Ruth
11 Mar 2011, 13:15
I have taken the time to share my experience with arthritis to offer some possible ways to deal with it. None of these ideas are new, but they might help someone.

Since the mid 1990's I have watched a progressive appearance of arthritis starting in my knees and now affecting my feet, both elbows and shoulders, neck, and hands. I have continued a regular exercise routine, especially lap swimming. I used a condroiton-glucosamine supplement for about 4 years, but then stopped. I also was shown some physical therapy exercises to strengthen my legs. Orthopaedic shoes were recommended.

Recently, I started water aerobics. An hour of intense, varied exercise with the support of the pool water to cushion the joints has given me a chance to exercise painlessly and feel like I'm getting a good workout. A doctor dealing with knee replacement, after I decided to postpone the operation, gave me strong advise to never stop moving. When movement is painful and it is easier to avoid it, we are set up for more pain by inaction. After excessive work in the garden or when a lot of walking is required, I use an ensid like Ibeprophin which reduces the inflamation for a day or two and usually more is not necessary. I am also using Omega 3 supplements, green tea, garlic, and other anti-inflamatory foods and avoiding others. My efforts to loose weight have not been very successful, but would probably help a lot.I hope this will encourage others to look at the possible ways of dealing with osteoarthritis.






karen
10 Mar 2011, 16:47
i HAVE BEEN DIAGONES WITH HIP OSTEOARTRITIS,
BOTH LEFT & RIGHT HIPS ARE NOW BONE ON BONE,
iN LAST 2 YRS., WENT FROM WALKING WITH LIMP,
USING A CANE, NOW A WALKER & NOW ALMOST IMPOSSIBLE ... EXTREME PAIN TRING TO GET UP STAIRS & SITTING UP RIGHT, TURNING IN BED.
gAINING WEIGHT BECAUSE i CAN'T DO WALKS, RIDE BIKES, AND HAVE TO WAIT TO SEE A SPECIALIST SINCE DISABILITY DOESN'T GIVE INSURANCES FOR 24 MONTHS, THE PROGRESSION IS SO BAD & FAST . PAIN IN GROIN, DOWN LEGS,
NOW KNEES, COULD IT BE MORE THAN JUST BONE DISEASE?
J Martin
05 Mar 2011, 12:22
I have osteoarthritis and osteoporosis. I am unable to take prescription medications. My problem is in the hip, left thigh and down the side of the left leg. Any suggestions on suppliments that can help the pain ?
ellen
02 Mar 2011, 09:17
My hands hurt all the time now since I overused my hands last May gardening. Is it tendonitis oR arthritis? What will help heal them?
Brenda Wright
01 Mar 2011, 12:16
How bad does Arthritis have to be before a hip replacement can be offered?
R.N.Mukherjee
01 Mar 2011, 09:39
I want to know how osteoarthritis of neck can be cured?
Further, how nerves are saved in neck or spinal bone replacement?

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