Treatment for Osteoarthritis Remains a Challenge

Osteoarthritis is the most common form of theSwimming is an excellent exercise as it minimizes
inflammatory joint disease arthritis, affecting over 21stress on the joints.
million Americans, including most people over 60. ThereThere are now over 100 arthritis medications being
are currently over 100 arthritis medications used toused to treat arthritis. Patients with mild to moderate
treat the condition, but no "magic bullet" to slow itsOA are usually advised to use over-the-counter
progress.arthritis medications like acetaminophen or NSAIDS
There are over 100 types of arthritis, defined as the(non-steroidal anti-inflammatory drugs) to combat the
breakdown and wearing away of cartilage (protein-likepain and swelling. Topical pain relieving creams
cushion) between the joints caused by inflammation.containing capsaicin, salycin, methyl salicylate or
Osteoarthritis arthritis, also called degenerative arthritismenthol can also provide relief, as can applying heat
or just OA, is the most common form of arthritis,and/or cold. Fish oils appear to have some
affecting over 20 million Americans. Osteoarthritis isanti-inflammatory properties. There is conflicting
more common in women than in men as we age, andevidence on the effectiveness of the supplements
over 30 percent of American females have somechondroitin and glucosamine.
form of it by 65.Celebrex is a form of NSAID called a COX-2 inhibitor
Osteoarthritis usually affects the hands, feet, spine,which specifically targets an enzyme (COX-2)
knees and hips, and is largely related to aging, althoughresponsible for arthritis inflammation and pain. 
heredity, injury and overuse can also play a role. TheCelebrex is commonly prescribed for osteoarthritis, and
most common osteoarthritis symptoms are pain,is less likely to cause stomach problems than traditional
swelling, warmth and stiffness in the effected joint. arthritis NSAIDs, although it does have occasional side
Affected joints may "crunch" or lock as the bones rubeffects.  It is also available as generic Celebrex
together. As the condition progresses, the joint(celecoxib).  Mobic (generic meloxicam) and Voltaren
becomes enlarged, and may develop bony spurs.(generic diclofenac) are other popular prescription
Symptoms vary between individuals and may comearthritis medications. Voltaren is also available as a
and go, with some people experiencing years betweentopical diclofenac gel.
flare ups.  Some people experience little pain despiteThe next level of treatment could involve injecting a
obvious joint degeneration on x-rays, while otherscorticosteroid into the affected joint, which can help
experience severe arthritis pain from the onset.ease inflammation and pain for weeks or months.
Osteoarthritis diagnosis can be made through simpleDurolane (hyaluronic acid) is another arthritis injection
identification of typical hard, bony enlargements of theprescription medication approved by the FDA for the
joints, such as the top joint of the finger (called atreatment of mild to moderate arthritis of the knee. It is
Heberden's node), or through x-rays, bone scans,a viscosupplementation (lubricating) arthritis medication
 joint fluid analysis, or a surgical technique calledsold in a pre-filled single use syringe, and provides up to
arthroscopy which uses a viewing tube to look insidesix months of pain relief.
of the joint.Arthritis sufferers who fail to achieve relief through
Unfortunately, there is no specific osteoarthritismore conservative medical treatments like weight loss,
treatment to halt or reverse this progressive disease.moderate exercise, NSAIDS, topical creams and
Patients are advised to rest sore joints to decreasecorticosteroid and hyaluronic injections may be
stress and swelling and the resulting pain. Moderatecandidates for surgery such as hip or knee
exercise can be helpful in retaining movement of thereplacements.
joint and strengthening the muscles around it.