- Osteoarthritis affects the whole joint: cartilage, bone, the joint capsule, muscles and nerve processing change.
- Pain with use, brief stiffness when starting to move and reduced movement are common, but scan or X-ray changes do not precisely predict symptoms.
- Movement usually does not damage a joint with osteoarthritis; appropriately built-up exercise therapy is a core treatment.
- If you are overweight, weight loss may improve pain and functioning, particularly with knee and hip osteoarthritis.
- Pain treatment is tailored to risks. At joints near the skin, topical NSAID gel often has fewer whole-body side effects than tablets.
- Injections may help temporarily in selected situations; evidence for supplements and 'cartilage repair' products is often limited.
- Surgery is discussed for severe, persistent symptoms and loss of function despite good non-surgical treatment.
- A suddenly red, hot joint, fever, serious injury or sudden loss of strength or sensation is not typical of ordinary osteoarthritis and needs prompt assessment.
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