Unraveling the Mystery of Osteoarthritis: Exploring the Unknown Nature of this Common Condition
- T Benton

- Mar 6
- 6 min read
Updated: Apr 1
Osteoarthritis (OA) is not just a medical term; it is a reality for millions of people worldwide.
According to the World Health Organization, over 303 million people are affected globally by OA, making it the most common form of arthritis.
This degenerative joint disease occurs when the cartilage that protects the ends of bones breaks down, leading to severe discomfort and limitations in daily life.
For those grappling with this condition, understanding its nature is vital for effective management and improved quality of life. Let's take a closer look at osteoarthritis, focusing on its causes, symptoms, and available treatment options.

What Causes Osteoarthritis?
Osteoarthritis, often called degenerative joint disease or wear-and-tear arthritis, is a chronic condition characterized by the breakdown of cartilage in the joints, leading to pain, stiffness, and reduced mobility.
Understanding the causes of osteoarthritis is crucial for preventing and managing the disease. Age and wear and tear can be a primary factor contributing to the development of osteoarthritis, but that does not mean all older adults develop this condition.
As individuals age, the cumulative wear and tear on joints increases significantly. Over time, the cartilage, which serves as a cushion between the bones in a joint, begins to deteriorate. This degeneration can lead to inflammation, pain, and decreased functionality of the affected joints.

Illustration courtesy of Brgfx
While osteoarthritis can develop in younger individuals, especially those with certain risk factors, the likelihood of developing the condition increases markedly with advancing age.
Genetic predisposition is another factor for the onset of osteoarthritis. Research has shown that individuals with a family history of osteoarthritis are more likely to develop the condition themselves. Specific genetic variations may influence the structure and resilience of cartilage, making some individuals more susceptible to joint degeneration. Studies have identified various genes associated with cartilage health, and ongoing research continues to explore the complex interplay between genetics and the risk of osteoarthritis.
Obesity is a significant risk factor for osteoarthritis, particularly in weight-bearing joints such as the knees and hips. Excess body weight increases the mechanical stress on these joints, accelerating the wear and tear of cartilage. Moreover, adipose tissue (fat) is not merely a passive storage site; it produces inflammatory cytokines that can contribute to joint inflammation and further exacerbate cartilage degeneration. Therefore, weight management through diet and exercise is critical in reducing the risk of developing osteoarthritis.
Individuals who have experienced joint injuries, such as fractures, ligament tears, or meniscus injuries, may be at an increased risk for developing osteoarthritis later in life. As a previous runner who had a couple of meniscus tears, I later developed osteoarthritis in my knees. This may not have been the only contributing factor, but my doctor believed it played a significant role in my developing osteoarthritis as I aged.
These types of injuries can disrupt the normal functioning of the joint, leading to altered biomechanics and increased stress on the cartilage. Even after the initial injury has healed, the long-term effects can manifest as osteoarthritis, particularly if the joint does not regain its full range of motion or strength.

Repetitive stress on the joints due to specific occupations or athletic activities can also lead to osteoarthritis. Professions that require heavy lifting, kneeling, or squatting can strain the joints, particularly in the knees and hips.
My husband is an Arborist by trade, and due to the repetitive nature of his work and several work-related injuries, he now has osteoarthritis in his shoulders.
Similarly, athletes participating in high-impact sports may experience joint overuse, leading to cartilage damage over time. In these circumstances, individuals must practice proper techniques and take preventive measures to safeguard their joint health.

Several other factors can contribute to the risk of developing osteoarthritis. These include hormonal changes, particularly in women during and after menopause, which can affect cartilage health.
Conditions such as metabolic disorders, diabetes, or other inflammatory diseases can also play a role in the onset of osteoarthritis. Additionally, lifestyle factors such as lack of physical activity can weaken the muscles around the joints, further increasing the risk of joint degeneration.
In conclusion, osteoarthritis is a multi-factorial condition influenced by a combination of age, genetics, obesity, previous injuries, joint overuse, and other health-related factors.
Understanding these causes is essential for developing effective prevention strategies and treatment plans to alleviate symptoms and improve the quality of life for those affected by this common joint disorder.
Symptoms of Osteoarthritis
Osteoarthritis manifests in various ways, and recognizing the symptoms early can facilitate better management. Common symptoms include:
Joint Pain: Pain often worsens during movement and eases with rest. Activities such as climbing stairs or long walks can intensify discomfort.
Stiffness: Many people notice increased stiffness after prolonged periods of inactivity, particularly in the morning or after sitting for long stretches.
Swelling: Joint inflammation can cause noticeable swelling and a feeling of warmth around the affected area.
Decreased Range of Motion: Flexibility may decline, hindering once easy movements, like bending down or reaching high.
Bone Spurs: Sometimes, small bony growths form around the joints, which can add to discomfort.
Seeking medical advice when these symptoms arise can lead to timely interventions and better outcomes.

Diagnosis of Osteoarthritis
Diagnosing osteoarthritis begins with a thorough evaluation. Healthcare professionals will:
Conduct a physical examination to assess joint stability and range of motion.
Take a detailed patient history, looking for factors like previous injuries or family history.
Imaging techniques such as X-rays can confirm cartilage loss and observe bone changes.
Understanding the severity of the condition prepares patients and healthcare providers to tailor effective treatment plans.
Management and Treatment Options
While a cure for osteoarthritis remains elusive, numerous strategies can help manage symptoms. Adopting a combination of approaches can lead to improved daily functioning.
Lifestyle Modifications: Engaging in low-impact exercises like swimming or cycling can be beneficial. Furthermore, losing just 10% of body weight can significantly reduce knee pain for overweight individuals. Dietary changes leading to weightloss will also be beneficial.

Physical Therapy: Specialized exercises can enhance flexibility and strength, helping clients regain mobility.
Medications: Over-the-counter options like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to alleviate pain.
Injections: Corticosteroid and hyaluronic acid injections can provide short-term relief for many patients.
Surgery: In cases where the joint is severely damaged, options such as joint replacement surgery may be considered. Reports indicate that about 90% of patients who undergo knee replacement surgery experience significant pain relief.

Implementing these strategies can enhance daily life and overall health for osteoarthritis patients.
Here is a fantastic guide to get you started: https://www.arthritis.org/getmedia/0c28afcd-9ffa-4e81-a7da-221af39bab4d/managing-your-pain_better-living-toolkit_6-17-19.pdf
Empowering Yourself in the Face of Osteoarthritis
Osteoarthritis is a widespread condition that can impact individuals in numerous ways.
Understanding its underlying causes, recognizing the symptoms, and utilizing effective management strategies can empower those affected.
As someone with osteoarthritis, I can tell you that by embracing lifestyle changes, such as adapting exercise to your abilities and seeking medical advice tailored to your needs, you can gain and maintain an active and fulfilling life.
If you or someone you care about is dealing with osteoarthritis, prioritize consultation with healthcare professionals to create a personalized treatment plan. Refer them to this article and the blissful-health.org website, where they will find a wealth of information regarding managing and thriving with osteoarthritis. Knowledge is a powerful tool in managing this common condition. See the many links at the end of this article for more information and helpful tips.
Here's to your Good Health! ❤️
T. Benton
Owner & Writer @blissful-health.org
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Links for Tips on Managing Pain and Thriving with Osteoarthritis:
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