When pain in the joints 90% of patients going in for knowledge in the Internet, and not to the rheumatologist. This desire to educate is commendable, yet his investigation does not become self-diagnosis. As arthritis of different etiology and arthritis have similar causes of pain symptoms and similar localization, they are often confused. But after self-treatment complaints are not only not going anywhere, but even worse. The fact that the difference between arthritis and osteoarthritis is not only a different suffix (where “it” means an acute, sudden and rapidly developing inflammation, and “-oz” - a chronic, slow growing disease).
The nature of arthritis and osteoarthritis is the same or different?
Arthritis is an inflammatory process, often associated with autoimmune diseases transferred infections, hormonal failure, and metabolic factors that affect overall health. While there are pathological changes of the synovial fluid (as in case of arthrosis there is a lack of it) and connective tissue.
Inflammation is usually manifested on the background of rheumatoid arthritis, ranging from 25-30 years, or urogenital, intestinal bacterial infections. The changes affect primarily the synovium of the joint, where the blood vessels.
Arthritis often gives complications on heart, kidneys and liver, not limited to joint damage.
Osteoarthritis is a degenerative disease without inflammation, which is linked to the natural wear of the articular surfaces. Thinning of cartilage can be caused by excess stress, hormonal changes, age-related changes in the body of the patient, disorders of the axial load (for example, when the bending posture or wrong broshennyh fractures).
Osteoarthritis is accompanied by decreased mobility in the joint and the formation of osteophytes. Unlike arthritis, it leads to local mechanical deformation of the joint capsule and bone, but does not affect other organs and systems. The disease attacks the whole cartilage in its entirety. Arthrosis may also be monitored inflammatory processes, but they are transient in nature and occur usually on the second and third stages of the disease.
What is the difference of arthritis and osteoarthritis is particularly noticeable is the age of onset of the disease. The vast majority of patients with osteoarthritis is in the age group 65 years or more, but the first symptoms can be observed and at the age of 45 years. Arthritis also affects young people of working age to 55 years of age and may occur even in children and adolescents.
Symptoms: the arthritis differs from osteoarthritis feel
The difference between arthritis and arthritis is that arthritis begins with swelling of the joints, erythema (skin redness and increase skin temperature), and sharp pain that is not associated with the intensity of the movements. Pain may even intensify at night (whereas arthrosis after a rest “cease”). The crunch of the arthritis is often lacking. Provokes the pathological condition is usually stress, fatigue, colds, tonsillitis, cystitis and more.
During an acute episode may be accompanied by:
- an increase in temperature;
- the increase of the joint due to swelling;
- lack of energy, fatigue;
- weight loss.
Depending on the etiology:
- pain in the urinary tract;
- negative symptoms organs with active perfusion (heart, lungs, kidneys, liver).
The first sign of osteoarthritis is usually muscle discomfort, tension and the emergence of a deaf crunch in the joints. Morning stiffness and other signals may appear much later. Symptoms develop gradually, the disease is characterized by slow character is important than osteoarthritis differ from arthritis. Progression appears:
- the reduction in the amplitude of movements;
- the changing contours of the joint;
- pain that increases after exercise.
Redness and paroxysmal character for arthritis are uncommon, if it is not complicated by arthritis.
The nature of the sensations arthritis and osteoarthritis may be similar, but their mechanisms are significantly different. Thus, the classical symptoms of arthritis (swelling, pain, redness of the skin) are formed as a result of synovial effusion, produced by synovial sheath inflammation. The symptoms of arthritis are associated with mechanical damage of the articular surface and bone, formation of bone spurs for the distribution of asthma burden.
Localization: what is the difference of arthritis and osteoarthritis?
Both diseases can affect any joint, but in most cases, localization of pathology may indirectly indicate its nature. So, for example, arthritis is the so-called “joint destruction” and “joints exception”, depending on the prevalence of the disease.
Primarily arthritis is striking:
- the wrist and metacarpophalangeal joints;
- the proximal interphalangeal joints;
- the knee and ankle;
- metatarsophalangeal (in particular, the joints of both big toes);
- elbow joints.
Lesions can be symmetrical in nature (rheumatoid arthritis) and asymmetric (psoriatic and other types).
Arthritis selects the load-bearing joints, which anatomically are experiencing heavy load. These include:
- the metacarpophalangeal joints of the fingers;
- the distal joints of the fingers;
- the intervertebral.
Arthritis differs from osteoarthritis of the joints in the diagnosis?
Primary diagnosis of arthritis and osteoarthritis involves visual inspection and palpation of the joints, which become a source of complaints. A hint can give and transferred earlier diseases, injuries.
To establish the difference between arthritis and arthrosis can comprehensive blood and urine analysis. It can establish the presence of bacterial pathogens, an increased level of leucocytes, rapid sedimentation of erythrocytes and other markers of inflammation (e.g., rheumatoid factor. If the result is “clean”, are assigned to other studies.
Radiograph shows osteoarthritis with narrowing of the joint space, thinning of the cartilage layer and, depending on the stage of the disease, the presence of osteophytes. Arthritis visible changes are not marked.
In diagnostics can be used by hardware methods of research (ultrasound, CT, MRI) and minimally invasive surgeries (arthroscopy).
What is the difference between arthritis and arthrosis
Let's start with predictions. Always incurable osteoarthritis - a chronic disease and it can only be contained. Arthritis can be chronic (rheumatoid, idiopathic, psoriatic), and transient phenomenon (infectious).
Let us consider peculiarities and fundamental differences in the treatment of these diseases.
Treatment of arthritis
To get rid of infectious arthritis before the onset of destructive changes in the joint is possible with the help of timely treatment with antibiotics. The key role played by the correct selection of the drug (for this, you may have to take the antibiogram). Because of self-medication in this case, you can lose precious time.
Rheumatoid arthritis requires lifelong treatment corticosteroids, cytotoxic drugs and NSAIDs. Their use requires regular consultation with a doctor because of the negative impact on the body (especially failure to comply with the dosages and the duration of the course). High efficiency is achieved new biologics - they reduce the severity of symptoms (pain and swelling).
Assigned if necessary analgesics - systemic or local action. Complex therapy also includes diet, physiotherapy, therapeutic gymnastics. If the disease has affected other organs, it is necessary to consult specialists.
Treatment of osteoarthritis
In the early stages of osteoarthritis highly effective medication and physiotherapeutic techniques, which enhance the regeneration, nutrition and moisture supply to the cartilage. Regular use of chondroprotectors can significantly improve the quality of life at all stages, except the last one.
Nonsteroidal anti-inflammatory drugs and corticosteroids are assigned symptomatically to reduce inflammation and begin the main therapy. On the same principle used analgesics - usually local, in the form of gels and creams. As arthritis, is shown therapeutic exercise and physical therapy, but methods will differ. Optimal choice: electrophoresis, magneto therapy, mud therapy and more.
What is the difference between arthritis and osteoarthritis? The emphasis is on “restoration” of the cartilaginous capsule. However, in advanced cases may require surgical treatment, up to the prosthetic joint.
Are these two diseases?
The symptoms of arthritis and osteoarthritis often occur together, which complicates the differential diagnosis. Inflammation may occur as a result of osteoarthritis, but osteoarthritis may develop on the basis of arthritis (for example, damaged cartilage tissue uric acid crystals).
Often the difference between arthritis and arthrosis was erased, therefore, in the diagnosis using a hybrid definition: osteoarthritis. It means the disease, which is degenerative and inflammatory symptoms (they appear simultaneously). This condition is common for the second or more stages of osteoarthritis, when the cartilage violation of the structure of the musculoskeletal system leads to local inflammation.
Prevention of arthritis involves avoiding harmful habits, healthy and orthopedic treatment and diet. Weight is regulated. Sports activities should be carried out regularly, but without overloading with pre-stretching. Shoes, a pillow, a workplace should be comfortable. Prevent arthritis important timely vaccination, treatment of infectious diseases, maintenance of dental health and high immunity. Avoid hypothermia, stress and physical overload!
I hope this information helped You to understand what is the difference between arthritis arthrosis!