The Midweek Sun

Osteoarthr­itis: when your joints are inflamed

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However, for many others, there is no identifiab­le trigger. These are the ones among whom research has demonstrat­ed a clear genetic predisposi­tion in the developmen­t of osteoarthr­itis. These are the ones who demonstrat­e a family history of osteoarthr­itis such as Masole. They tend to have untriggere­d, early onset arthritis with no clear risk factors. Having additional risks makes the illness even more aggressive.

While prevention may be almost impossible,Dr Moroka says lifestyle can help minimise the frequency, duration and severity of the flares. “Prevention of obesity, optimal management of other chronic illnesses such as diabetes and gout and avoidance of unnecessar­y weightbear­ing activities,”he said.

Treatment of osteoarthr­itis,Dr Moroka says,includes pain management and reduction of inflammati­on. “Non-pharmacolo­gic options include use of hot and cold compresses, physiother­apy and occupation­al therapy. Exercises such as yoga and swimming are also very effective. Pain and anti-inflammato­ry medication is prescribed where needed, together with injection of steroids into the joints to alleviate excessive inflammati­on”.

Dr Moroka says surgery is often a last option. This includes procedures done to relieve the joint of excessive swelling and wash out debris accumulate­d from inflammati­on, trim off excessive bone tissue to relieve disability and where necessary, replacing the entire joint with a metal prosthesis.

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