10 Common Signs of Osteoarthritis You Shouldn’t Ignore

Imagine reaching for your morning coffee and suddenly your shoulder sounds like a rusty gate in an old sandstorm. Yes, we get you, not quite the way to start the day, and definitely not a sign to ignore. Those aches? They’re not just your body getting older. They’re warning signs your joints are sending an SOS. Osteoarthritis doesn’t just show up – it moves in like an uninvited guest, making simple things feel like a challenge. But here’s the thing: your body’s trying to tell you something. And we’re here to translate. In the next few minutes, we’ll break down the 10 signals your joints are desperately trying to communicate. No medical textbook mumbo-jumbo, just real talk about what’s happening inside you.

1. Understanding Osteoarthritis: A Brief Overview

What is osteoarthritis?

Osteoarthritis is a degenerative joint disease that occurs when the protective cartilage that cushions the ends of bones wears down over time. This condition can affect any joint in the body, but it most commonly impacts the knees, hips, hands, and spine.

Who is at risk for developing osteoarthritis?

Several factors can increase the risk of developing osteoarthritis:

  • Age: The risk increases as we get older.
  • Gender: Women are more likely to develop osteoarthritis, especially after menopause.
  • Obesity: Excess weight puts additional stress on weight-bearing joints, often leading to knee pain or hip pain causes.
  • Joint injuries: Previous injuries can lead to knee pain after exercise or hip pain dull ache later in life.
  • Genetics: Some people inherit a tendency to develop osteoarthritis.

The importance of early detection and treatment

Recognizing the signs of osteoarthritis early is crucial for managing the condition effectively. Early detection allows for prompt treatment, which can help:

  • Slow down the progression of the disease.
  • Reduce pain and improve joint function.
  • Maintain quality of life and independence.
  • Prevent or delay the need for surgical interventions like knee pain treatment at home.

2. Joint Pain and Stiffness: The Primary Indicators

Persistent pain in affected joints

One of the most common signs of osteoarthritis is persistent pain in the affected joints, such as knee joint pain or hip joint pain. This pain may:

Start as a dull ache or burning sensation

Worsen over time, particularly during or after physical activity.

Morning stiffness and difficulty in movement

Many people with osteoarthritis experience stiffness, particularly in the lower back or knees:

  • Stiffness often lasts less than 30 minutes.
  • Symptoms may improve with lower back stretches or gentle movement.

Pain that worsens with activity or at the end of the day

As the day progresses, you might notice:

  • Increased pain with prolonged activity
  • Discomfort that peaks towards the end of the day
  • Relief when resting the affected joint

3. Changes in Joint Flexibility and Range of Motion

Reduced joint flexibility

Osteoarthritis can lead to a decrease in joint flexibility, which may manifest as:

  • Difficulty bending or straightening the affected joint
  • A feeling of tightness or resistance when moving the joint
  • Gradual loss of full range of motion over time

Difficulty in performing everyday tasks

As joint flexibility decreases, you might find it challenging to:

  • Climb stairs or get in and out of a car
  • Open jars or grip objects tightly
  • Perform fine motor tasks like buttoning a shirt

Compensatory movements to avoid pain

To minimize discomfort, you might unconsciously develop new ways of moving, such as:

  • Limping or favoring one leg over the other
  • Using your hands differently to avoid stressing certain joints
  • Relying more on unaffected joints to compensate for the painful ones

4. Swelling and Tenderness Around Joints

Visible swelling in affected areas

Swelling is a common sign of osteoarthritis, particularly in larger joints like knees and ankles. You might notice:

  • A puffy or swollen appearance around the joint
  • Increased size compared to the unaffected joint
  • Swelling that comes and goes or persists over time

Warmth and tenderness to touch

Inflamed joints may feel warm to the touch and be tender when pressure is applied. This can include:

  • A noticeable increase in temperature around the affected area
  • Discomfort or pain when the joint is gently pressed
  • Increased sensitivity in the surrounding skin

Soft tissue inflammation around joints

The soft tissues surrounding the affected joint may also become inflamed, leading to:

  • A feeling of fullness or tightness in the joint area
  • Reduced flexibility in the surrounding muscles and ligaments
  • Visible changes in the contour of the joint

5. Bone Spurs and Joint Deformities

Formation of bone spurs

As osteoarthritis progresses, the body may try to repair the damage by creating bone spurs. These can:

  • Cause additional pain and stiffness
  • Be felt as hard lumps around the affected joint
  • Show up on X-rays as small, bony projections

Changes in joint appearance

Over time, you might notice visible changes in the affected joints, such as:

  • Enlarged or misshapen joints, particularly in the fingers
  • Knobby appearances at the joint sites
  • Asymmetry between corresponding joints on opposite sides of the body

Progressive joint misalignment

In advanced stages of osteoarthritis, joints may become misaligned, leading to:

  • Visible deformities, such as bowlegs or knock knees
  • Changes in gait or posture
  • Increased difficulty in performing normal joint movements

6. Grating Sensation and Popping Sounds

Crepitus: crackling or grating sensations

Crepitus refers to the feeling or sound of grinding, crackling, or popping in a joint. You might experience:

  • A sandpaper-like sensation when moving the joint
  • A feeling of roughness or unevenness during joint movement
  • Tactile vibrations that can be felt through the skin

Audible popping or clicking sounds

In addition to the sensation of crepitus, you might hear:

  • Clicking or popping sounds when bending or straightening the joint
  • Creaking noises during movement, especially in weight-bearing joints
  • Sounds that become more noticeable as the condition progresses

When to be concerned about joint sounds

While some joint sounds are normal, it’s important to pay attention to:

  • New or increased frequency of joint noises
  • Sounds accompanied by pain or discomfort
  • Changes in the type or volume of joint sounds

7. Muscle Weakness and Atrophy

Weakening of muscles around affected joints

Osteoarthritis can lead to weakening of the muscles surrounding the affected joints due to:

  • Reduced use of the joint because of pain
  • Changes in joint mechanics affecting muscle function
  • Reflexive muscle inhibition as a protective mechanism

Visible muscle wasting

In some cases, you might notice:

  • A decrease in muscle mass around the affected joint
  • Visible thinning or flattening of muscle contours
  • Asymmetry when comparing to the unaffected side

Impact on overall strength and stability

Muscle weakness associated with osteoarthritis can affect:

  • Balance and coordination, increasing the risk of falls
  • The ability to perform weight-bearing activities
  • Overall functional capacity in daily life

8. Fatigue and Sleep Disturbances

Increased tiredness and fatigue

People with osteoarthritis often experience increased fatigue, which can be attributed to:

  • Constant pain and discomfort
  • Reduced physical activity and deconditioning
  • The body’s ongoing inflammatory response

Difficulty sleeping due to joint pain

Osteoarthritis can significantly impact sleep quality:

  • Pain may make it difficult to find a comfortable sleeping position
  • Stiffness can cause discomfort when trying to fall asleep or upon waking
  • Frequent nighttime awakenings due to pain can disrupt sleep cycles

The cycle of pain, poor sleep, and fatigue

A vicious cycle can develop:

  • Pain leads to poor sleep
  • Lack of quality sleep increases pain sensitivity
  • Increased pain and fatigue further impact daily activities and sleep

9. Weather Sensitivity and Joint Pain

Increased pain during weather changes

Many people with osteoarthritis report that their symptoms worsen with certain weather conditions:

  • Cold and damp weather often exacerbates joint pain
  • Sudden changes in temperature or air pressure can trigger discomfort
  • Some individuals experience increased pain before or during rainy weather

Humidity and barometric pressure effects

Specific weather factors that may influence osteoarthritis symptoms include:

  • High humidity, which can increase joint inflammation
  • Drops in barometric pressure, which may cause tissues to expand and put pressure on joints
  • Rapid weather changes that don’t allow the body time to adjust

Seasonal variations in symptom severity

Some people with osteoarthritis notice patterns in their symptoms:

  • Winter months often bring increased joint stiffness and pain
  • Warmer, drier seasons may provide some relief
  • Transitions between seasons can be particularly challenging

10. Psychological Impact and Mood Changes

Living with osteoarthritis can take a toll on mental health:

  • Chronic pain can lead to feelings of helplessness and hopelessness
  • Anxiety about future pain or disability is common
  • The stress of managing a chronic condition can contribute to depression

Frustration with limited mobility

As osteoarthritis progresses, individuals may experience:

  • Frustration with the inability to perform previously easy tasks
  • Feelings of loss related to decreased independence
  • Anger or resentment towards the limitations imposed by the condition

Social isolation due to osteoarthritis symptoms

The physical and emotional impacts of osteoarthritis can lead to:

  • Withdrawal from social activities due to pain or mobility issues
  • Reluctance to make plans due to unpredictable symptoms
  • Feelings of loneliness or disconnection from others

Summary

Recognizing the signs of osteoarthritis is crucial for early intervention and effective management. The ten key signs to watch for include:

  1. Persistent joint pain and stiffness
  2. Changes in joint flexibility and range of motion
  3. Swelling and tenderness around joints
  4. Bone spurs and joint deformities
  5. Grating sensations and popping sounds
  6. Muscle weakness and atrophy
  7. Fatigue and sleep disturbances
  8. Weather sensitivity affecting joint pain
  9. Psychological impact and mood changes
  10. Social isolation due to symptoms

If you experience these symptoms, especially if they persist or worsen over time, it’s important to consult with a healthcare professional for proper diagnosis and treatment.

FAQs

At what age does osteoarthritis typically develop?

Osteoarthritis can develop at any age, but it’s most common in people over 50. However, younger individuals can develop it due to factors like joint injuries or genetic predisposition.

Can osteoarthritis be prevented?

While not all cases of osteoarthritis can be prevented, you can reduce your risk by maintaining a healthy weight, exercising regularly, protecting your joints during physical activities, and managing other health conditions that may contribute to joint damage.

How is osteoarthritis diagnosed?

Diagnosis typically involves a combination of physical examination, medical history review, and imaging tests such as X-rays or MRI scans. In some cases, blood tests or joint fluid analysis may be performed to rule out other conditions.

What treatments are available for osteoarthritis?

Treatment options include pain management (medications, topical treatments), physical therapy, lifestyle modifications, assistive devices, and in severe cases, surgical interventions like joint replacement.

Is exercise recommended for people with osteoarthritis?

Yes, regular exercise is generally recommended for people with osteoarthritis. Low-impact activities like swimming, cycling, and gentle stretching can help maintain joint flexibility, strengthen supporting muscles, and reduce pain. However, it’s important to consult with a healthcare professional to develop an appropriate exercise plan.

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Insights from Our Endocrinology Experts at Burjeel Hospital

November 14 marks World Diabetes Day, a global effort to raise awareness about the growing impact of diabetes, prevention strategies, and the latest advancements in diabetes care. At Burjeel Hospital, our endocrinology team is dedicated to empowering our community with essential knowledge and resources for managing and preventing diabetes.

Understanding Diabetes

Diabetes is a chronic condition affecting how the body processes blood glucose (sugar). There are two main types of diabetes:

  • Type 1 Diabetes: An autoimmune condition in which the body attacks insulin-producing cells in the pancreas, often diagnosed in younger people.
  • Type 2 Diabetes: The most common form, often linked to lifestyle factors like diet, exercise, and genetics, primarily affecting adults but increasingly seen in children and adolescents.

Why Is World Diabetes Day Important?

Diabetes continues to impact millions of lives worldwide, with rising cases of type 2 diabetes driven by lifestyle changes and urbanization. World Diabetes Day serves as a reminder to stay informed and proactive in managing health risks.

Expert Tips from Our Endocrinologists

At Burjeel, our endocrinologists recommend the following lifestyle practices to help prevent or manage diabetes effectively:

  1. Healthy Eating Habits: A balanced diet rich in whole grains, lean proteins, fruits, and vegetables helps manage blood sugar levels and maintain a healthy weight. Minimizing sugary foods and refined carbs is crucial.
  2. Regular Physical Activity: Engaging in daily physical activities like walking, jogging, or swimming can improve insulin sensitivity, reduce body fat, and support overall well-being.
  3. Routine Checkups and Monitoring: Regular checkups, including blood glucose and HbA1c testing, can help monitor blood sugar levels and detect any warning signs early.
  4. Stress Management: Chronic stress can raise blood glucose levels, especially in individuals with diabetes. Mindfulness practices like meditation, deep breathing, and hobbies can be helpful.
  5. Awareness of Symptoms: For early detection, it’s essential to recognize symptoms like frequent urination, excessive thirst, fatigue, and unexplained weight loss, which can be signs of diabetes.

Advancements in Diabetes Care at Burjeel

Our endocrinology department offers cutting-edge treatments and personalized care plans, including:

  • Continuous Glucose Monitoring (CGM): CGM devices help track blood sugar levels in real-time, allowing for better management.
  • Insulin Therapy: We provide advanced insulin therapies tailored to individual needs.
  • Diabetes Education Programs: Our patient education sessions cover lifestyle guidance, dietary advice, and medication management for sustainable diabetes care.

Join Us in Raising Awareness

On this World Diabetes Day, join Burjeel Hospital in spreading awareness and encouraging healthy practices that can reduce the burden of diabetes on individuals and families. Small steps today can lead to a healthier tomorrow.

Understanding Osteoporosis: Causes, Symptoms, and Prevention

As we age, our bodies undergo numerous changes, many of which can affect our bones. One of the most common conditions affecting bone health is osteoporosis—a silent disease that weakens bones, making them more prone to fractures. While osteoporosis can affect anyone, it is more prevalent among postmenopausal women, elderly individuals, and people with certain medical conditions.

What Is Osteoporosis?

Osteoporosis is a condition that results in weakened bones, increasing the risk of fractures, especially in the hips, spine, and wrists. The word “osteoporosis” literally means “porous bone,” which reflects the loss of bone density and strength over time. This condition occurs when the creation of new bone doesn’t keep up with the removal of old bone, leading to a fragile skeletal structure.

Causes and Risk Factors

Several factors can contribute to the development of osteoporosis, including:

  1. Age: Bone mass naturally decreases as we age, with most people reaching peak bone mass in their late 20s. After this, bone density gradually declines.
  2. Hormonal Changes: Women are at a higher risk of osteoporosis, especially after menopause when estrogen levels drop significantly. Estrogen is essential for maintaining bone density. Similarly, men with reduced testosterone levels may also face an increased risk.
  3. Genetics: A family history of osteoporosis or fractures may predispose you to developing the condition.
  4. Dietary Deficiencies: A lack of calcium and vitamin D weakens bones, making them more vulnerable to osteoporosis.
  5. Lifestyle Factors: Smoking, excessive alcohol consumption, a sedentary lifestyle, and a lack of weight-bearing exercises can contribute to bone loss.
  6. Medical Conditions and Medications: Certain conditions, such as thyroid problems, rheumatoid arthritis, or malabsorption syndromes, and medications like corticosteroids, can increase the risk of osteoporosis.

Symptoms of Osteoporosis

Osteoporosis is often called the “silent disease” because most people are unaware they have it until they experience a fracture. However, there are some signs to watch for:

  • Back pain: This can be caused by a fracture or collapsed vertebra.
  • Loss of height over time: Gradual loss of height can be an indication of osteoporosis-related vertebral compression fractures.
  • Stooped posture: Known as kyphosis, this can result from the weakening of the spine.
  • Fractures: Even minor falls or simple actions, such as bending over or coughing, can lead to fractures in people with severe osteoporosis.

Diagnosis and Testing

Osteoporosis is diagnosed through a bone density test, typically a dual-energy X-ray absorptiometry (DEXA) scan. This test measures the density of bones in your spine, hip, and other areas to assess your fracture risk.

Preventing Osteoporosis: Steps for Stronger Bones

While osteoporosis may not be entirely preventable, there are several steps you can take to protect your bones and reduce your risk:

  1. Calcium-Rich Diet: Ensure you’re getting enough calcium through dairy products, leafy greens, and fortified foods. Calcium is essential for maintaining strong bones.
  2. Vitamin D: Vitamin D helps your body absorb calcium. You can obtain it from sunlight, fortified foods, or supplements.
  3. Exercise Regularly: Weight-bearing exercises, such as walking, jogging, and strength training, help build and maintain bone density. Exercises like yoga and Pilates improve balance, reducing the risk of falls.
  4. Avoid Smoking and Excessive Alcohol: Smoking and drinking alcohol excessively can weaken bones, so it’s important to avoid these habits to protect your bone health.
  5. Bone-Strengthening Medications: If you are at high risk of fractures, your doctor may prescribe medications to help slow bone loss and rebuild bone density.
  6. Routine Screenings: If you are over 50 or have risk factors for osteoporosis, routine bone density screenings are crucial. Early detection allows for better management of the condition.

Managing Osteoporosis

If you have been diagnosed with osteoporosis, don’t lose hope. There are effective treatments available. Medications such as bisphosphonates, selective estrogen receptor modulators (SERMs), and hormone replacement therapy (HRT) can slow bone loss and reduce the risk of fractures. Your endocrinologist will help create a tailored plan to protect your bones and prevent further complications.

Conclusion

Osteoporosis is a serious but manageable condition. By adopting healthy lifestyle habits, staying informed about your bone health, and seeking early intervention, you can significantly reduce your risk of osteoporosis and maintain strong bones for life.

At Burjeel Hospital, we are committed to helping you achieve optimal health and wellness. If you are concerned about your bone health or want to learn more about osteoporosis, we encourage you to schedule a consultation with one of our specialists. Together, we can help you build stronger bones and lead a healthier, more active life.

Health risks of obesity

You must carefully read the “Consumer Information Use and Disclaimer” below in order to understand and correctly use this
information.

What is obesity?
Doctors define obesity based on a person’s “body mass index,” or “BMI.” For adults, weight and height
are used to calculate BMI (figure 1).
For people who are White, Hispanic, or Black:
● “Overweight” means a BMI between 25 and 29.9.
● “Obesity” means a BMI of 30 or greater.
For people who are Asian, the cutoff numbers are a little different:
● “Overweight” means a BMI between 23 and 25.
● “Obesity” means a BMI of 25 or greater.
In addition to figuring out your BMI, your doctor might also measure around your belly. This is called
“waist circumference.” Doctors call it “central obesity” when people carry extra weight in the belly area,
even if their BMI is normal.
Obesity increases the risks of many different health problems. It can also make it harder for you to
move, breathe, and do other activities.
What are the health risks of obesity? —
Having obesity increases a person’s risk of developing many health problems. Here are just a few
examples:
● Diabetes
● High blood pressure
● High cholesterol
● Heart disease (including heart attacks)
● Stroke
● Sleep apnea (a disorder that makes you stop breathing for short periods while asleep)
● Asthma
● Cancer
18/09/2024, 11:28 Patient Education – UpToDate® Lexidrug™
https://online.lexi.com/lco/action/pcm 1/4

Does having obesity shorten a person’s life? —
Yes. Studies show that:
● People with obesity die younger than people who are a healthy weight.
● The risk of death goes up the heavier a person is. The degree of increased risk depends on how long the person has had obesity, and on what other medical problems they have.

People with central obesity (extra weight in the belly area) might also be at risk of dying younger.

Can medical treatments help me lose weight? —

Yes. There are medicines and surgery to help with weight loss. These treatments are meant for people
who have not been able to lose weight through lifestyle changes such as diet and exercise.
Weight loss treatments do not take the place of diet and exercise. People who have the treatments
must also change how they eat and how active they are.
How can I prevent the problems caused by obesity? —
The best thing you can do is lose weight. But even if weight loss is not possible, you can improve your
health and lower your risk if you:
Become more active – Many types of physical activity can help, including walking. You can start
with a few minutes a day, and add more as you get stronger and build up your endurance.
Anything that gets your body moving is good for you. It is easier to create a habit if you choose
activities you enjoy.
Improve your diet – It is healthy to have regular meal times, eat smaller portions, and not skip
meals. Limit sweets, and avoid processed foods. Try to eat more vegetables and fruits instead. The
best weight loss plans help you have a healthy view of eating.
Quit smoking (if you smoke) – Some people start eating more after they stop smoking, so try to
make healthy food choices. Even if it increases your appetite, quitting smoking is still one of the
best things you can do to improve your health.
Limit alcohol – For females of any age, limit alcohol to no more than 1 drink a day. For males 64
and younger, limit alcohol to no more than 2 drinks a day. For males 65 and older, limit alcohol to
no more than 1 drink a day.
Keeping a diary might help you reach your daily goals. You can use a paper diary or app to help you
record:
● What you eat and drink
● Your physical activity
● Your weight


What causes obesity? —
Your genes affect your risk of obesity. But lifestyle also has a big impact. You can develop obesity if you
eat too much, eat unhealthy foods, move too little, and watch a lot of TV.

There are other things that seem to increase the risk of obesity that you might not know about. Here
are some:
● Mother’s habits during and after pregnancy – People who eat a lot of calories, have diabetes, or
smoke during pregnancy have a higher chance of having babies who have obesity as adults. Also,
babies who drink formula might be more likely than breastfed babies to develop obesity later in
life.
● Habits and weight gain during childhood – Children or teens who are overweight or have obesity
are more likely to have obesity as an adult.
● Sleeping too little – People who do not get enough sleep are more likely to develop obesity.
● Taking certain medicines – Long-term use of certain medicines can cause weight gain. If you are
concerned that one of your medicines might be making you gain weight, talk to your doctor or
nurse. They might be able to switch you to a different medicine.
● Certain hormonal conditions – Some hormonal problems can increase the risk of developing
obesity. For example, hypothyroidism can cause weight gain, along with other symptoms.

What if I want to get pregnant? —
If you are overweight or have obesity, it might be harder to get pregnant. For males, obesity can also
cause sex problems, like having trouble getting or keeping an erection. This is more likely if you also
have high blood pressure or diabetes.
What if my child has obesity? —
In children, obesity has many of the same risks as it does in adults. For example, it can increase the risk
of diabetes, high blood pressure, asthma, and sleep apnea. It can also cause added problems related to
childhood. For example, obesity can make children grow faster than normal and cause girls to go
through puberty earlier than usual.
When should I call the doctor? —
Call your doctor or nurse if you want to try to lose weight. They can help you do it in a healthy way.
It can also help to work with a dietitian (food and nutrition expert). They can help you choose healthy
foods and plan meals.
All topics are updated as new evidence becomes available and our peer review process is complete.
This topic retrieved from UpToDate on: Jul 13, 2024.

Find your height (in feet and inches) in the top row. Then, find your weight (in pounds) in the first
column. Now, find where the column for your height and the row for your weight meet. That is your
BMI. For example, if you are 5-feet-9-inches tall and you weigh 260 pounds, your BMI is 38.
Graphic 62886 Version 4.0
Consumer Information Use and Disclaimer:


Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or
medication information. It is not meant to be comprehensive and should be used as a tool to help the
user understand and/or assess potential diagnostic and treatment options. It does NOT include all
information about conditions, treatments, medications, side effects, or risks that may apply to a specific
patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or
treatment of a health care provider based on the health care provider’s examination and assessment of
a patient’s specific and unique circumstances. Patients must speak with a health care provider for
complete information about their health, medical questions, and treatment options, including any risks
or benefits regarding use of medications. This information does not endorse any treatments or
medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its
affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this
information is governed by the Terms of Use, available at
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