This is a joint disease of most people over the age of sixty-five. Around the age of forty-five, many people begin to show signs of cartilage damage in their joints. Eventually most will have some type of osteoarthritis. It is also called degenerative joint disease or degenerative arthritis.
Severity of this condition varies greatly. Sometimes it causes no more than mild aches and pains or it can be disabling. Those who have stressed their joints playing sports on the job may develop osteoarthritis earlier, or in a more severe form.
What happens in the joints:
The ends of the bones in the joints are covered by a material called cartilage that acts as a cushion and provides a smooth gliding surface for joint motion. Synovial fluid, made up of a substance called hyaluronic acid, and lines the joints, acting as a shock absorber and lubricates the joints.
With age, cartilage begins to lose its flexibility and becomes more vulnerable to damage form overuse or injuries. How fast this can happen varies; families may pass along genes that cause cartilage to break down earlier. Injuries from playing sports or doing heavy labor, such as construction work, can also cause cartilage breakdown. Bones begin to thicken or change shape and joint space narrows, causing inflammation and pain. Sometimes bone comes in direct contact with other bone, causing pain and limited movement.
Some signs and symptoms:
Pain is the major symptom of osteoarthritis and cartilage loss. Some people also experience swelling and inflammation. Others may feel no pain.
Osteoarthritis usually affects the joints of the knees, hips, hands, neck and lower back. Sometimes the big toe or bony spurs on the fingers are included.

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