Osteoarthritis is a type of joint disease that results from a breakdown of joint cartilage and underlying bone. As of 2004, osteoarthritis (OA) globally causes moderate to severe disability in 43.4 million people. Considering the figures, it becomes necessary to know about osteoarthritis, symptoms, risk factors, diagnosis, management, medication, treatments in Medical science, Ayurveda, Home remedies, and most effective free Siddha energy remedies of Siddha Spirituality of Swami Hardas Life System, without money and medicines.
Osteoarthritis is the most common form of arthritis, affecting about 237 million. Among those over 60 years old, about 10% of males and 18% of females are affected. In Australia, about 1.9 million people are affected, and in the United States, 30 to 53 million people are affected.
It becomes more common in both sexes as people become older. Globally, as of 2010, approximately 250 million people had osteoarthritis of the knee. Hip osteoarthritis affects about 0.85% of the population.
Related pathologies whose names may be confused with osteoarthritis include pseudo-arthrosis. This is derived from the Greek roots pseudo–, meaning false, and arthr–, meaning joint, together with the ending –osis used for disorders.
The main symptom is a pain, causing loss of ability and often stiffness. The pain is typically made worse by prolonged activity and relieved by rest. Stiffness is most common in the morning, and typically lasts less than thirty minutes after beginning daily activities, but may return after periods of inactivity.
Osteoarthritis can cause a crackling noise when the affected joint is moved, especially shoulder and knee joint. A person may also complain of joint locking and joint instability. Some people report increased pain associated with cold temperature, high humidity, or a drop in barometric pressure, but studies have had mixed results.
Osteoarthritis commonly affects the:
- Large weight-bearing joints, such as the hip and knee, although in theory, any joint in the body can be affected
As osteoarthritis progresses, movement patterns (such as gait), are typically affected. Osteoarthritis is the most common cause of a joint effusion of the knee.
Osteoarthritis risk factors
Damage from mechanical stress with insufficient self-repair by joints is believed to be the primary cause of osteoarthritis. Sources of this stress may include misalignments of bones caused by congenital or pathogenic causes:
- Mechanical injury
- Excess body weight
- Loss of strength in the muscles supporting a joint
- Impairment of peripheral nerves, leading to sudden or uncoordinated movements
However exercise, including running in the absence of injury, has not been found to increase the risk of knee osteoarthritis. Nor has cracking one’s knuckles been found to play a role.
Changes in sex hormone levels may play a role in the development of osteoarthritis, as it is more prevalent among post-menopausal in women than among men of the same age.
Increased risk of developing knee and hip osteoarthritis was found among those who work with:
- Manual handling (e.g. lifting)
- Have physically demanding work
- Walk at work, and
- Have climbing tasks at work (e.g. climb stairs or ladders)
With hip osteoarthritis, in particular, increased risk of development over time was found among those who work in the bent or twisted positions.
For knee osteoarthritis, in particular, the increased risk was found among those who:
- Work in a kneeling or squatting position
- Experience heavy lifting in combination with a kneeling or squatting posture, and
- Work standing up
Women and men have similar occupational risks for the development of osteoarthritis.
This type of osteoarthritis is caused by other factors but the resulting pathology is the same as for primary osteoarthritis:
- Congenital disorders of joints
- Diabetes doubles the risk of having a joint replacement due to osteoarthritis
- Ehlers-Danlos Syndrome
- Hemochromatosis and Wilson’s disease
- Inflammatory diseases
- Injury to joints or ligaments, as a result of an accident or orthopedic operations
- Ligamentous deterioration or instability may be a factor
- Marfan syndrome
- Joint infection
Diagnosis is made with reasonable certainty based on history and clinical examination. X-rays may confirm the diagnosis. The typical changes are seen on X-ray include:
- Joint space narrowing
- Subchondral sclerosis (increased bone formation around the joint)
- Subchondral cyst formation
Plain films may not correlate with the findings on physical examination or with the degree of pain. Usually, other imaging techniques are not necessary to clinically diagnose osteoarthritis.
Lifestyle modification and Analgesics are the mainstays of treatment.
Acetaminophen is recommended the first line with NSAIDs being used as add on therapy only if pain relief is not sufficient. This is due to the relative greater safety of acetaminophen.
For overweight people, weight loss may be an important factor. Patient education has been shown to be helpful in the self-management of arthritis. It decreases:
- Improves function
- Reduces stiffness and fatigue
- Reduces medical usage
Moderate exercise may be beneficial with respect to pain and function in those with osteoarthritis of the knee and hip. These exercises should occur at least three times per week.
Providing clear advice, making exercises enjoyable, and reassuring people about the importance of doing exercises may lead to greater benefit and more participation.
There is not enough evidence to determine the effectiveness of massage therapy. The evidence for manual therapy is inconclusive.
For people with hand osteoarthritis, exercises may provide small benefits for improving hand function, reducing pain, and relieving finger joint stiffness.
Lateral wedge insoles and neutral insoles do not appear to be useful in osteoarthritis of the knee. Knee braces may help but their usefulness has also been disputed.
Among people with hip and knee osteoarthritis, an exercise in water may reduce pain and disability, and increase the quality of life in the short term.
Therapeutic exercise programs such as Aerobics and walking reduce pain and improve physical functioning for up to 6 months after the end of the program for people with knee osteoarthritis.
The pain medication Paracetamol (acetaminophen) is the first line treatment for osteoarthritis.
Failure to achieve desired pain relief in osteoarthritis after 2 weeks should trigger a reassessment of dosage and pain medication.
Weak opioids and stronger opioids, by mouth, are often prescribed, however, opioids are recommended only when first-line therapies have failed or are contraindicated. This is due to their small benefit and relatively large risk of side effects.
Oral steroids are not recommended in the treatment of osteoarthritis.
There are several NSAIDs available for topical use, including Diclofenac. A Cochrane review from 2016 concluded that reasonably reliable evidence is available only for use of topical Diclofenac and Ketoprofen in people aged over 40 years with painful knee arthritis.
Joint injection of Glucocorticoids leads to short term pain relief that may last between a few weeks and a few months.
Injections of hyaluronic acid have not produced improvement compared to placebo for knee arthritis but did increase the risk of further pain.
In ankle osteoarthritis, the evidence is unclear. The effectiveness of injections of platelet-rich plasma is unclear.
If the impact of symptoms of osteoarthritis on quality of life is significant and more conservative management is ineffective, joint replacement surgery or resurfacing may be recommended. Evidence supports the joint replacement for both knees and hips as it is both clinically effective, and cost-effective.
Surgery to transfer articular cartilage from a non-weight-bearing area to the damaged area is one possible procedure that has some success, but there are problems getting the transferred cartilage to integrate well with the existing cartilage at the transfer site.
Osteotomy may be useful in people with knee osteoarthritis but has not been well studied and it is unclear whether it is more effective than non-surgical treatments or other types of surgery.
Arthroscopic surgery is largely not recommended, as it does not improve outcomes in knee osteoarthritis, and may result in harm.
For people who have shoulder osteoarthritis and do not respond to pharmaceutical approaches, surgical options include a shoulder hemiarthroplasty (replacing a part of the joint), and total shoulder arthroplasty (replacing the joint).
Osteoarthritis other remedies
Avocado–soybean unsaponifiables (ASU) is an extract made from avocado oil and soybean oil that is sold under many brand names worldwide as a dietary supplement and as a drug in France.
Devil’s claw, curcumin, phytodolor, SKI306X and s-adenosylmethionine (SAMe) may be effective in improving pain. There is tentative evidence to support cat’s claw, hyaluronan, methylsulfonylmethane (MSM), and rose hip. A few high-quality studies of Boswellia serrata show consistent, but small, improvements in pain and function.
There is little evidence supporting benefits for some supplements, including the Ayurvedic herbal preparations with brand names Articulin F and Eazmov:
- Duhuo Jisheng Wan, a Chinese herbal preparation
- Fish liver oil
- Russian olive
- Herbal preparation Gitadyl
- Omega-3 fatty acids
- Brand-name product Reumalax
- Stinging nettle
- Vitamins A, C, and E in combination
- Vitamin E alone, Vitamin K, Vitamin D
- Willow Bark
There is insufficient evidence to make a recommendation about the safety and efficacy of these treatments.
Routine use of the dietary supplement s-adenosyl methionine is not advised as there have not been sufficient high-quality trials performed to evaluate its effectiveness.
Acupuncture and other interventions
While Acupuncture leads to improvements in pain relief, this improvement is small and may be of questionable importance. Acupuncture does not seem to produce long-term benefits.
While electrostimulation techniques such as TENS have been used for twenty years to treat osteoarthritis in the knee, there is no conclusive evidence to show that it reduces pain or disability.
A Cochrane review of low-level laser therapy found unclear evidence of benefit, whereas another review found short term pain relief for osteoarthritic knees.
There is no evidence of benefit from placing hot packs on joints.
There is low quality evidence that therapeutic ultrasound may be beneficial for people with osteoarthritis of the knee, however, further research is needed to confirm and determine the degree and significance of this potential benefit.
Osteoarthritis treatment in Ayurveda
Apart from the medicines, there are therapies in Ayurveda to treat osteoarthritis. There are several ayurvedic massage therapy centers which will have them. Some of these therapies are:
Abhyanga: Which is an herbal oil massage to stimulate strengthening of the tissues and improving blood circulation.
Sweda: Medicated steam bath for detoxification and reduction in body pain.
Njavarakizhi: Which is a rejuvenation massage and which also helps in strengthening the tissues.
Keep following few tips in mind along with treatment of Ayurveda for osteoarthritis:
- Walk daily for 30 to 40 minutes
- Do not over exert your self
- Include ghee and oil in a regular diet, in moderate quantities since they will help lubricate the tissues and joints
- Avoid packaged foods, junk food; prepare fresh food every day and try to eat it while it is hot
- Avoid soft and fizzy drinks at all costs since they harm the working of the body
- Avoid spicy, pungent and very oily food
Osteoarthritis treatment – Home Remedies
There is no cure for this disease; much like diabetes or any other chronic illness, management is your best bet. Besides taking proper medications following are home remedies that can help reduce the pain and suffering:
Use of Ginger for Osteoarthritis
Ginger shots on an empty stomach with a little bit of black pepper can help you manage the pain quite well. You can add a few drops of ginger oil to any carrier oil and massage the inflamed joint for pain relief.
Apples Cider Vinegar for Osteoarthritis
Apple Cider Vinegar is full of nutrients vital to the bone structure. Apple cider vinegar helps strengthen the bones and remove any toxicity that accumulates around the inflamed joints. Drinking apple cider vinegar in a cup of warm water with honey is quite effective.
Turmeric for Osteoarthritis
Golden milk is an excellent way of getting the nutrients in to fight off symptoms. Turmeric is also available in the form of capsule supplements for anyone who finds golden milk difficult to drink.
Honey and Cinnamon for Osteoarthritis
Honey and cinnamon is a soothing combination that instantly calms the burning sensation felt in joints Try to drink a warm glass of water will honey and cinnamon on an empty stomach each morning to manage the pain of arthritis
Epsom Salt Baths for Osteoarthritis
Soaking in warm water with Epsom salts can help reduce any pain that you may be suffering from. Try doing this twice or thrice a week to remove toxins from the body that cause inflammation.
Fish Oil for Osteoarthritis
Fish oil is a rich source of omega-3 and omega-6 fatty acids. Two spoonfuls each day can help improve the omega-3 levels in your body which in turn helps sooth the friction occurring in inflamed joints.
Icing Packs for Osteoarthritis
This is another excellent way of reducing pain after extended activity. Take an ice pack and place it between towels to apply to the affected joint for at least 15 minutes. Change sides and apply for another fifteen minutes if the pain has not subsided.
Exercise for Osteoarthritis
If you are suffering from the knee-joint pain you can place a folded towel under the joint and extend the leg forward to exercise the joint. Do this at least 10 times. Consult your physician and get a list of exercises that help reduce the friction occurring in the joint.
Massage for Osteoarthritis
This is also a crucial part of pain management. You can either consult your physician for the correct techniques to find online tutorials on exactly how to massage affected joints.
This can help reduce the inflammatory proteins and even prevent them from occurring. Avoiding processed food, junk food, and especially sodas can do wonders for you.
Although this is a chronic illness, it is best to face it head-on. Staying active eating clean and taking proper medication can be the key to a long pain-free life.
Touch therapy by Dr. Swami Hardas for Osteoarthritis
Siddha Spirituality of Swami Hardas Life System is more capable of solving the problems due to its pious intentions of serving selflessly. Dr. Swami Hardas, Inventor & Founder of Touch Therapy recommends it due to following various reasons:
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