Arthritis is usually categorized as either Osteoarthritis
(OA) or Rheumatoid Arthritis (RA). RA is a connective tissue disease.
As with other connective tissue diseases, onset and progression vary
greatly with periods of exacerbation (flares) and remissions. Joint
inflammation during flares actually erodes the protective cartilage
away, causing significant pain, loss of movement and mobility.
OA is also commonly referred to as degenerative joint
disease (DJD). It is a chronic and progressive degeneration of the joints
in our body, often causing bony spurs or "lipping" at the
joint surface. The cartilage that protects the joint surface wears away
over time from either excessive major stresses or repetitive minor stresses.
Pain limits active movement, which causes muscle weakness, contracture
and increased pain.
Treatment for both conditions include posture and body
mechanics training, joint protection principles, energy conservation
techniques, supportive or corrective devices or bracing, pain management
and gentle stretching and strengthening techniques. It is important
to remember that treatment varies depending on whether you are in a
flare (or have acute inflammation) or a remission period. Careful coordination
with your physical therapist is important to prevent exacerbation of
these conditions.