What is the difference between Osteoporosis and Osteoarthritis?

In the third video in our series of orthopaedic films we take a look at Osteoporosis and Osteoarthritis. Here our consultant orthopaedic surgeon Mr Andrew Goldberg shares with us the key differences between Osteoporosis and Osteoarthiritis. #thebarebones
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Osteoarthritis develops when the shock absorbing cartilage and related structures in your joints wear away. OA is experienced more frequently as people get older. This is because a person's joints wear down naturally over time, after years of use. Obesity and joint injury can exacerbate OA. Sometimes conditions such as rheumatoid arthritis, gout or pseudogout cause the cartilage to wear away, leading to arthritis. Symptoms of the condition include:
Pain - this can become worse when you move your join, weight bear, or at the end of the day
Stiffness - your joints may feel stiff especially after rest
Swelling - hard of soft swelling of the affected joint.
Osteoarthritis is diagnosed following a full medical assessment, which includes asking you questions, examining your joints and by performing X-Rays. The doctor will assess your joint for tenderness, creaking or grating sounds (crepitus), excess joint fluid, reduced movement, joint instability and muscle weakness. On the X-rays, the doctors looks for bony spurs, narrowing spaces between the bones, and bone hardening.
Most cases of arthritis are treated with physiotherapy, simple pain killers, activity modification, weight management and exercise. Swimming and cycling are good exercises that can help. Steroid injections can sometimes be used to help relieve symptoms.
If these measures fail to adequately control symptoms, and there is persistently poor mobility and quality of life then Joint replacement surgery may be considered for worn knees, hips, ankles, and shoulders. Here, the worn joint is replaced with an artificial joint to restore mobility and relieve pain. In some circumstances fusion surgery is recommended, but your specialist will discuss the best option for you.
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