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Knee Osteoarthritis - New Study Shows Higher Risk

A large, population-based study in N.C. finds the lifetime risk of knee OA is greater than the lifetime risk of diabetes.

By Brenda Goodman

9/15/08 Researchers tracking knee pain in the population of a North Carolina county say the knee osteoarthritis risk is far higher than experts had known. The results of their latest study suggest that nearly 1 in 2 people will develop osteoarthritis in a knee before they reach the age of 85, with the risk approaching 2 in 3 for people who are overweight or obese.

By comparison, 1 in 8 women will get breast cancer in her lifetime and 1 in 3 men and 2 in 5 women will get diabetes in their lifetimes – making osteoarthritis of the knee more common than either of those ailments. (Read Arthritis Today's exclusive interview with the study's authors.) 

“This indicates a higher risk of arthritis than has been appreciated before,” said John Hardin, M.D., a rheumatologist and Chief Scientific Officer of the Arthritis Foundation, a national volunteer health organization based in Atlanta. The study was published in the Sept. 15, 2008 issue of Arthritis Care & Research.

“This is a very important knee osteoarthritis study. It is very well done, and I think it’s going to be one of the cornerstones of our discussions of arthritis in the future,” Dr. Hardin said. 

For this analysis, a team of investigators from the Centers for Disease Control and Prevention in Atlanta and the University of North Carolina at Chapel Hill followed more than 3,000 people living in six townships of Johnston County, N.C., for almost two decades. (Read about how the study was conducted and who the participants are.) 

The knee osteoarthritis study participants were asked to answer a battery of interview questions and given a slew of medical tests, including X-rays of their hips, knees, spine and hands. Five to seven years later, they were asked to repeat the process. (Learn more about the study participants.) 

After examining the baseline and follow-up data, researchers estimated that the risk of having symptoms of osteoarthritis in at least one knee by age 85 was 45.5 percent. Race, sex and education level seemed to have no effect on the risk of getting arthritis in a knee. 

But risk escalated significantly with increasing body weight. Those who maintained a normal weight over the course of their lives had the lowest lifetime risk of any group in the study – 30 percent. Those who were normal weight at age 18, but overweight or obese at the start of the study (27 or more years prior) and at their follow-up exams, had the highest lifetime risk of knee osteoarthritis – 60 percent.

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Becky
29 Dec 2011, 15:56
I think my OA started when I was about 4. I remember the pain in my knees. The Dr said "growing pains. She'll out grow them." In my 70s now and waiting.

Meanwhile I have OA of toes, feet, ankles, knees, hips, spine, shoulders, elbows, wrists and fingers plus RA and 2 other types of arthritis.

Torn meniscus and injuries to my knees don't help. No one will do surgery of any kind because of heart and lung complications.

But the Synvisc type shots really help to ease the constant rest pain. I was told it would not help me to walk.

I use a scooter. An absolute godsend. It gives me independence that a wheelchair takes away.

Water aerobics are a great help, also. They make me feel better and I can walk in the water with minimal pain.

I am on Prednisone for inflamation and Hydroxy-chloroquine for RA and Tylenol forpain. I have had a shot of Tordol, but you can only have 3 of those ever. I took Darvon before it was pulled.I take Flexeril, too.
Good luck to you all. Life can be good despite everything,
BeckyO
lamont lathan
03 Nov 2011, 17:43
i qualilfy as a participant for your study..please call me mornings at 414..732..3628
Gloria
27 Sep 2011, 16:38
Aging sucks!
margaret love
24 Sep 2011, 20:19
I have osteoarthritis in both of my knees, hands and lower back, both shoulders. I just had laproscopic knee surgery on my rt knee that I hurt in Jan. of this year. I had a torn meniscus,torn cartlage,they scraped the osteoarthritis out of my knee supposively. I am still having pain and know have to go to pt 2x wk 4 6wks. then go see my dr. again.I have been off of work since jan. 1, 2011.I have been told by my dr. that I will continually have to be taken off work to ice my knee done quite a bit. I hope this helps because I am in a lot of pain.
Wenda Carr
09 Aug 2011, 10:25
Have you heard of Cold Laser Treatment? If so, does it work on OA? How long does it work?
melissa
01 Jul 2011, 14:41
i have had two knee surgeries already one on each knee had my first one when i was 30,now iam 42 and have developed ostearthritis, drs are saying i will have tohave a knee replacement soon and i dont know what todo. i am scared of them it took me along time to recover from them.and now my right knee u here acrunching sound when i walk up alot of steps.....
janice newell
22 Mar 2011, 20:11
I have OA in both knees, have had menius tears fixed in both at different times. This did not seem to help very much because of the OA. the shots in the knee help alot, but my ins. will only pay for it once a year. Then I'm in alot of pain until I can get them again. I take celebrex it helps. Any other advice to help?
joseph maruski
22 Nov 2010, 14:24
i have ostiaritis of the knees and will need surgery by january 2011. nothing is hepling me, i have had the shot in the knees and all types of pain pills, but nothing helps.
Ivette
31 Oct 2010, 19:12
Tengo osteoarthritis, en ambas rodillas, la rodilla izquierda me hicieron astrocopy, y la derecha necesito remplazo por falta de plan medico, no puedo acerlo, no tiene cartilago, es mucho dolor cuando camino mucho, peso 140 libras mido de alto 5 pies. Estoy tratando de rebajar. tengo OA cuello y espina dosal.
Eduardo D. Adviento
29 Oct 2010, 15:50
I've work as a envelope machine adjuster for 24 years. My job involves a lot of kneeling, bending, stooping, reaching (most while lifting poly rolls up to 85 lbs) and standing. i'm only able to sit on breaks. From August 1986 till February of 2005, i've work mostly 12 hour days 6 days a week. Up around 2002-3 I develope OA of the knees and around mid-2008, OA of the lower back.Is it possible that my job had cause or at least hasten the on set of OA of my knees and lower back? I will be 59 in November 2010 and all my doctors have told me i am too young to have this bad OA. i had lower back surgery last May of 2009.

Sincerely,
Eduardo D. Adviento
sandra botkin
20 Oct 2010, 07:52
I fell at my job on my right knee and it just kept on hurting, fouind out i had arthritis and a torn meniscus. Took voltaren and it really helped. Long story short after getting approval from work had knee fixed. Pain was really bad first couple days. They fixed the tear and scrapped the arthritis. I am doing therapy and feeling alot better. I could barely walk sometimes before. I am doing thersapy and I am also planning on losing some more weight. Doctors can only do so much. My surgeon was great. Just hang in there.
Louise
29 Aug 2010, 18:35
I have OA since 20s, with a high patella which caused pain in my teens. An MRI in my early 30s showed nothing helpful. "Stop doing what causes pain," is what I heard! The PT hurt more and didn't help. In my 40s, in more pain than ever, I went to a facility a friend had recommended; X-rays showed bones rubbing. The first PT move was icing, then electro stimulation and easy exercises. The electro stimulation reduces the pain so you can exercise more, I think.

I have lifted weights, exercised and stretched every day for about four years as my PT taught me. Every 6 months. I go for Hyalgon injections. I have lost 25 pounds slowly, but permanently.

To all who need encouragement to learn to strengthen their legs and learn their limitations, find a good physical therapist. Without the daily exercise, my life is more painful. So sticking to it is easy.
kevin collins
05 May 2010, 23:25
Hi,I have osteoarthritis in both knees, can anyone advise the latest on stem cell teatment.
There is a company in Australia that is conducting trials using your own adi fat stem cells.
Would rather have this ,than 2 artificial knees.? Any advise,? email kc.collins@bigpond.com
vilma
07 Feb 2010, 13:13
Yo tengo osteoartrosis que no sé si viene siendo la misma osteoartritis, mi cervical está siendo afectada por este problema al igual que mi rodilla derecha, realmente es horrible, mi médico me mandó hacer fisioterapia la cual comenzaré pronto.
Cathy
22 Jul 2009, 09:43
I have spurs and no cartilige loss .. injury at work. No MRI yet waiting for the OK from the self insured company.. Pain is unbearable and just angry that I can't even do stairs anymore. Taking Aleve but kinda scared of effects. Any ideas on treatment?
Judy
16 Jul 2009, 13:01
Did the study control for activity? Do runners or tennis players have more knee osteoarthritis>
john
15 Jul 2009, 14:05
Dont be discourage I have osetoarthritis of the knee, I found using a crutch has helped me by taking the weight of the affected knee, I am also taking gloucosmine and chronditin and MSM supplements with antioxidents. At present I am undergoing viscosupplementation which is injections into the knee of Hyluronic Acid which has eased the pain considerably but I am taking it easy at the moment using the crutch (no pain now) and walking short distances with out it. There is a new book comming out about natural pain releif by Patrick Holford for arthritis and why NSAIDS and pain killers may do more harm than good. Hope this helps. I think the repair process may take some time. I also do non load bearing exercises of the joint to work it through its range of movement and remove and any stiffness.
angi
27 Jun 2009, 02:43
i have 0/a in my hands and part of my back. i have just found out i have it in my knee which is very painful when i being d down or sometimes go up stairs. i got oa when i was about 31. i am now 40. My dr is starting me of with injections. do they work.
Mamady JABATEH
03 Jun 2009, 00:03
hey bro. ahahahahahahha
Lou
31 Mar 2009, 09:53
I agree with Pat. Doctors will have lab work and MRI's done but basically tell you you have to live with it. They throw pills at you and give you injections but there is nothing to treat OA except surgery when the pain gets unbearable.

Why isn't more research being done with using your own stem cells to regrow cartilage?
Pat
30 Mar 2009, 11:55
what to do when two doctors say "what do you expect at your age" "you just have to live with it"
Have osteoarthritis of rigth knee, left hip,
right hand and lumbar area.

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