Osteoarthritis: Key Questions and Treatment Options

Regarding degenerative arthritis... some questions?

Hello, Dr.
Shi.
I apologize for bothering you again.
Your previous response alleviated much of my mother's concerns, thank you.
Now, I have a few questions that I hope you can answer:
1.
Due to the wear and tear of the cartilage in her knees, she experiences pain while walking and cannot stand for long periods.
Is it sufficient to just rely on medication? I have seen reports on television stating that medications for degenerative joint disease can harm the heart and kidneys.
What precautions should my mother take in this regard?
2.
Because the pain is quite severe, relatives and friends have recommended that my mother receive hyaluronic acid injections.
I am unsure if this type of injection would improve her condition.
Thank you.

moozarella, 20~29 year old female. Ask Date: 2006/03/22

Dr. Shi Guozheng reply Orthopedics

If arthritis is accompanied by heart and kidney issues, the treatment for arthritis must be chosen carefully.
Clinically, there are some medications that can be used, and it is advisable to discuss medication options with a physician.
Hyaluronic acid can be used for the treatment of osteoarthritis; it may be effective for some individuals while ineffective for others, so it may be worth trying.

Reply Date: 2006/03/22

More Info

Hello! Thank you for your questions regarding osteoarthritis (OA) and its treatment options. Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage, leading to pain, stiffness, and decreased mobility. It is essential to understand the implications of this condition and the various treatment options available.

1. Managing Pain and Medication Concerns:
Osteoarthritis can indeed lead to significant pain, especially in weight-bearing joints like the knees. While it may feel like the only option is to rely on medication, there are several strategies to manage OA symptoms effectively. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to alleviate pain and inflammation. However, as you mentioned, long-term use of these medications can pose risks to the heart and kidneys, particularly in older adults or those with pre-existing conditions.
To mitigate these risks, it is crucial for your mother to have regular check-ups with her healthcare provider to monitor her kidney function and cardiovascular health. Additionally, lifestyle modifications can significantly impact her condition. Encouraging her to maintain a healthy weight can reduce stress on the joints, and engaging in low-impact exercises, such as swimming or cycling, can help improve joint function without exacerbating pain. Physical therapy may also be beneficial, as a trained therapist can provide tailored exercises to strengthen the muscles around the knee, enhancing stability and reducing pain.

2. Hyaluronic Acid Injections:
Hyaluronic acid (HA) injections are a treatment option for osteoarthritis, particularly in the knee. HA is a naturally occurring substance in the synovial fluid of joints, and its injection aims to supplement the joint's lubrication and cushioning properties. Many patients report varying degrees of relief from pain and improved mobility after receiving HA injections. However, the effectiveness can differ from person to person.
It is essential to have realistic expectations regarding HA injections. While some individuals experience significant improvement, others may find minimal relief. The injections are generally considered safe, but like any medical procedure, they come with potential risks, such as infection or allergic reactions. Therefore, discussing the potential benefits and risks with a healthcare provider is crucial before proceeding with this treatment.

In summary, while osteoarthritis can be a challenging condition to manage, there are multiple avenues for treatment beyond just medication. Regular monitoring of health, lifestyle modifications, physical therapy, and considering options like hyaluronic acid injections can all contribute to better management of osteoarthritis symptoms. It is always advisable to have open discussions with healthcare providers to tailor a treatment plan that best suits your mother’s specific needs and health status. Thank you for reaching out, and I hope this information helps clarify your concerns!

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