Royce Shook in Lifestyle, beBee in English, Healthy Living Workshop Creator, Facilitator and Trainer • Seniors Helping Seniors Health and Wellness Institute Nov 8, 2019 · 1 min read · +400

Saving your knees 1

We used to think that with the passage of time, a certain amount of wear and tear on your joints are inevitable. This is not true. Osteoarthritis is a condition once thought to be due simply to wear and tear on the cartilage of a joint. Osteoarthritis is now known to be a complex process that involves an active disease process.

Normal joint surfaces are covered with a smooth layer of cartilage. This cartilage is the surface that is worn thin in a condition called osteoarthritis. The problem that causes osteoarthritis is due to more wearing away (degradation) and less repair of the cartilage surface. There is both a mechanical (wearing away) part of osteoarthritis, and a biologic (abnormal joint biology) part of the disease.

Research over the past decade has focused on finding the underlying causes of osteoarthritis, and how understanding these causes may shape future treatments. The medical community is now aware that patients who have osteoarthritis likely have multiple risk factors that have led to their development of this condition.

It is known that osteoarthritis tends to affect older individuals, but it is not clear why some people develop arthritic changes in their 40s and 50s, while others live long lives with few joint problems.

People once thought that osteoarthritis was simply due to the demands an individual placed on their joints throughout life. Many people attribute their arthritis to the activities of their youth. But it really is not that simple. Many people who run and play competitive sports have no problems with arthritic joints.

It is now understood that osteoarthritis is not an inevitable part of ageing. It seems as though a combination of different factors leads to the development of osteoarthritis in individuals. In different people, different factors may be more important, but it is unusual to have just one underlying problem that causes osteoarthritis.

If you have osteoarthritis physicians must better understand the disease to best find an individual solution. While osteoarthritis was once thought to be confined to the cartilage surface, it is now known that osteoarthritis affects the entire joint causing loss of cartilage, damage to bone, the formation of bone spurs, and inflammation of the soft tissues.

Cartilage undergoes a normal cycle of breakdown and repair, but in the condition of osteoarthritis, the cartilage is not replaced effectively, and ultimately the joint lining wears thin. The fundamental problem of osteoarthritis is thought to be the imbalance between fresh cartilage production, and natural degradation.

As the joint surface wears away, the body attempts to correct the problem. Your body will initiate an inflammatory response to the joint, causing swelling. New bone in the form of bone spurs is created to increase the joint surface area. Unfortunately, your body cannot compensate for the cartilage that is lost, and the painful condition of osteoarthritis is the result.

Saving your knees 1

morine johnson Nov 8, 2019 · #5

nice one

Ken Boddie Nov 8, 2019 · #4

#3 Thanks, @Ian Weinberg ...
I put you on the spot,
But your comments help a lot,
In our understanding of this sore condition,
Though an expert brain mechanic,
With accomplishments titanic,
It appears you're quite the general physician.

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Ian Weinberg Nov 8, 2019 · #3

#1 The component that is looming larger in this pathology and the pathology of spinal disc degeneration is indeed, chronic inflammation. While it is true that wear and tear are important predisposing influences, chronic inflammatory activity can act as both an initiator of the process as well as aggravator and perpetuator.

And so @Ken Boddie I guess -

The bone aint alone
Nor the joint the sole point
For the inflamed are left untamed
By a scorn blood borne
And sadly but badly
May conspire the mire
That brings on the pain that leads to the cane

+1 +1
Ken Boddie Nov 8, 2019 · #1

More questions than answers here, Royce. So just who is the beBee's knees when it comes to preventive care and much needed knee knowledge? Any tips, @Ian Weinberg, on who or which institution is closest to the bone on understanding this highly inflammatory subject? in other words:
What's the prognosis,
On this osteoporosis?
And who do you suppose is,
The best at diagnosis?

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