Osteoarthritis is the most common arthritis. It affects almost 16 million people in the United States. The joints that carry weight are the ones most commonly affected. Most cases are in people over 45 years of age, although some cases can occur in situations after trauma or injury. There are familial types of osteoarthritis, as well as erosive osteoarthritis – a more aggressive type. The joints most affected are the distal joints of the hands and feet, hips, knees and spine. Increased weight can increase the risk and severity of this condition, especially for the knees.

The cause of this arthritis remains unclear.

There are recent studies to support the concept of inflammatory triggers for this condition. Therefore, investigations are underway to improve the therapies for osteoarthritis using anti-inflammatory models. There are specific guidelines from the American College of Rheumatology regarding the therapies for osteoarthritis.

These include acetaminophen, COX-2 inhibitors ( Celecoxib ), NSAID’s, proton-pump inhibitors, and analgesics, such as the newest formulation of combination tramadol and acetaminophen. (Ultracet)

Low impact, weight-bearing, aerobic exercises regularly, such as swimming, walking and water aerobics three times a week, will all help treat this condition. Intra-articular hyaluronic acid injections may also help with severe knee osteoarthritis. There are currently four products available in this class:
(Hyalgan , Synvisc , Supartz , Orthovisc ).