Arthritis Archive

Joints do not wear out from overuse. Osteoarthritis, the most common type of arthritis, occurs when the smooth cartilage that lines the joint deteriorates. This might occur because of an injury, age, family history, obesity, or a disease that causes joint inflammation.

There’s no one sound unique to a particular shoulder problem. That makes it hard to know what various shoulder noises are telling you. Possibilities include arthritis; bone breaks; rotator cuff tears; gas bubbles, loose parts, or bone spurs in the shoulder joint; neck problems; and bursitis. It’s advisable to investigate shoulder noises if they happen, along with shoulder pain, weakness, or limited movement, or if the sound followed a shoulder injury. It’s also smart (though not urgent) to ask a doctor about shoulder sounds that aren’t accompanied by other symptoms.

A recent study suggested a vegan diet is an effective treatment for rheumatoid arthritis, and its lead author also said that people should try changing their eating patterns before turning to medication. But there is no evidence that changes in diet can prevent joint damage that occurs in rheumatoid arthritis.

People with knee osteoarthritis often gain temporary pain relief from joint injections. However, there is uncertainty about long-term risks of steroid injections. A 2022 study suggests that the risk may be minimal if these injections are done infrequently.

Osteoarthritis in the hand is a painful condition that is more common in women than in men. While this condition can be debilitating, a number of strategies can be used to manage it, including using various topical, oral, and injected pain medications; splinting the joint; making lifestyle changes; and working with a hand therapist. Surgery may be an option when other measures have failed to control symptoms.

News briefs

When you have knee pain, you just want it to go away so you can walk without having to limp or wince with every step. And a small, randomized trial published online Jan. 12, 2021, by Annals of Internal Medicine found that one type of shoe might be best for the job. Researchers took 164 people ages 50 or older with moderate or severe knee arthritis and randomly assigned half of the group to wear stable, supportive shoes with thick soles that didn't bend much. The other half was assigned flat shoes with thin, flexible soles, which are believed by some to provide a benefit by allowing more natural movement of the leg and foot. Both groups wore their assigned shoes for six hours per day and took part in activities such as walking during that time. After six months, 58% of people in the stable, supportive shoe group reported a reduction in knee pain while walking, compared with 40% of people reporting pain reduction after wearing the flat, flexible shoes. In both groups, the pain reduction probably was a benefit of regular walking. The people wearing flexible shoes were also twice as likely to develop ankle or foot pain, compared with those wearing sturdy shoes. So if you have knee pain, keep walking — in sturdy shoes.

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