Pain from arthritis can be constant or it may come and go. It may occur when at rest or while moving. Pain may be in one part of the body or in many different parts. Some types of arthritis cause the skin over the affected joint to become red and swollen, feeling warm to the touch.
Osteoarthritis is a degenerative disease that worsens over time, often resulting in chronic pain. Joint pain and stiffness can become severe enough to make daily tasks difficult.
An osteoarthritis flare-up is an episode of increased pain, stiffness, and fatigue that appears without warning to disrupt your normal routine. Usually, flare-ups can last for hours, days, or weeks.
Pain at rest or nocturnal pain is a feature of severe osteoarthritis. Morning stiffness lasting less than 30 minutes is common.
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain. Psoriatic arthritis (PsA) is an inflammatory disease that affects the skin and joints.
The main symptoms of osteoarthritis are pain and sometimes stiffness in the affected joints. The pain tends to be worse when you move the joint or at the end of the day. Your joints may feel stiff after rest, but this usually wears off fairly quickly once you get moving. Symptoms may vary for no obvious reason.
If you experience a flare of symptoms this is usually linked to an episode of inflammation within the joint. It is therefore usual for a flare up to last between 6 and 12 weeks.
PsA is often undiagnosed and can be misdiagnosed for rheumatoid arthritis (RA) or osteoarthritis (OA), especially in a non-rheumatologic setting [7–9]. RA is a chronic inflammatory arthritis typified by pain, swelling, and stiffness of the joints, particularly symmetric small-joint synovitis of the hands and feet [10].
Osteoarthritis symptoms range from stiffness and mild pain to persistent, severe joint pain. Common signs include swelling and tenderness, stiffness after getting out of bed, and a crunching feeling or sound of bone rubbing on bone.
You may feel tired, weak and ill. Some sufferers feel feverish, sweaty and lose their appetites, which can lead to weight loss. Many say they feel like they've been hit by a bus. As the joint lining becomes increasingly inflamed they swell and become red and hot to the touch.
Osteoarthritis is generally a slowly progressive disorder. However, at least 1 in 7 people with incident knee osteoarthritis develop an abrupt progression to advanced-stage radiographic disease, many within 12 months.
Reported joint pain from osteoarthritis ranges from dull and aching to sharp and piercing. The pain may worsen during movement. It is also possible for the pain to lessen during activity and then worsen after the activity ends, as joints cool down. As symptoms progress, the pain may be felt almost constantly.
Although RA is clearly associated with higher levels of inflammation, OA is by no means a 'noninflammatory' condition.
In addition to age and secondary causes such as inflammatory arthritis and prior injury/ trauma, several other risk factors increase the chance of developing osteoarthritis including obesity, diabetes, elevated cholesterol, sex, and genetics. Obesity is a risk factor for osteoarthritis, particularly of the knee.
Experts confirm that once OA starts, it may take years to reach a severe stage. However, in extreme cases, OA progresses rapidly to complete the destruction of the cartilage within a few months. Some of the factors that determine the rate of OA progression include: The severity of your symptoms at the time of diagnosis.
Diagnosis of Osteoarthritis
Having a physical exam to check your general health, reflexes, and problem joints. Having images taken of your joint using: X-rays, which can show loss of joint space, bone damage, bone remodeling, and bone spurs. Early joint damage does not usually appear on x-rays.
Conventional radiographs – Routine X-ray examinations
Regardless of the joint that is affected, osteoarthritis is revealed on conventional radiographs (X-rays) by characteristics that are distinct from other joint disorders, such as rheumatoid arthritis.
In osteoarthritis the joints may feel achy and tender, but they might not look very swollen or feel warm (the way joints affected by RA do). There may be more swelling after physical activity, and more swelling as the condition becomes more advanced.
Studies have shown fatigue to be common among people with osteoarthritis and a factor in their quality of life. 1 Fatigue is typically associated with rheumatoid arthritis, lupus, and other inflammatory rheumatic conditions, but it can be seen in osteoarthritis as well.
The main symptoms of osteoarthritis are pain and stiffness in your joints. This can make it difficult to move the affected joints and do certain activities. The symptoms may come and go, which can be related to things like your activity levels and even the weather. In more severe cases, the symptoms can be continuous.
While OA can be limited to a single joint, in many cases it progresses to involve other joints, often in a sequential fashion as you describe.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
Over-the-counter NSAIDs , such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), taken at the recommended doses, typically relieve osteoarthritis pain. Stronger NSAIDs are available by prescription.
Watch for these potential signs and symptoms of arthritis: Pain, swelling, or stiffness in one or more joints. Joints that are red or warm to the touch. Joint tenderness or stiffness.