Sunday, March 2, 2014

Osteoarthritis - What Are The Causes And Can You Prevent Osteoarthritis?


Osteoarthritis is generally equated with a disease of wear and tear and old age. Although it does usually accompany old age, researchers have found that the cartilage in a joint with osteoarthritis is chemically different than a joint without the disease.

Researchers have also found that there are a series of events that lead to the development of Osteoarthritis and that it isn't associated with age alone. These events involve the production, maintenance and breakdown of the cartilage in the joints. These joints are often of the larger weight bearing joints of the body such as the knees and hips, which provide the majority of the cushion when we are doing any weight bearing exercise such as walking, running etc.

Athletes who also perform repetitive motion exercise that is weight bearing on a joint, such as rowing, will find that Osteoarthritis also will develop in the elbow and shoulder areas.

Researchers believe that there is a genetic component to the development of the disease but they have not yet conclusively found that link. They have found that there is a higher correlation in the development of this arthritis between parent and child or siblings than between husband and wife.

In a study completed in 2000 a gene was identified which was thought to regulate the production of a chemical, pyrophosphate, which inhibits the formation of mineral deposits in the joints. They theorize that this chemical may protect the cartilage in the joints. About 60% of patients with Osteoarthritis were found to have mineral deposits in their joints.

People with this disease also have muscle weakness, especially in the quadriceps muscles. These are the four large muscles in the front of the thigh that enable the body to extend the knee. Researchers understand that the arthritis creates a painful situation and patients may not exercise, therefore decreasing their muscle strength. However, they also theorize that the weakness, especially in the quadriceps, pre-dates the development and actually causes the degeneration of the joint. The stronger the muscle mass the better able the body is to protect the joints.

Anatomical reasons also are considered to be involved in the development of this arthritis. Research has found that people who are 'bow-legged' or 'knock-kneed' are more likely to develop progressive osteoarthritis in the knees. Other research has found that some people are born with joints that don't meet smoothly and cartilage that isn't formed correctly.

Injuries also play a large part in the joint changes that lead to Osteoarthritis. People with knee injuries early in life were 16% more likely to develop arthritis in the affected knee than those without an injury. Other medical conditions have also been found to play a part in the cause of Osteoarthritis. Hemophiliacs have the potential to bleed into the joints causing damage to the cartilage. People with chronic gout and pseudogout have mineral deposits in the joints from the crystals that cause the gout. People with rheumatoid arthritis already have joint damaging inflammation that injures to the cartilage.

Although the causes of Osteoarthritis have not been completely defined people can use the knowledge that researchers now have to potentially delay the onset or stop the development of this painful disease.

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