Can Osteoarthritis Progression Be Stopped? (2024)

Question: Four years ago, I was diagnosed with osteoarthritis (OA) in my right ankle. Now X-rays show OA in my spine, neck, knuckles, wrists and knees. Can you tell me what caused OA to spread this way, and is there anything I can do to stop it?

Answer: OA is a degenerative disease of cartilage and results in overgrowth of bone underneath the cartilage. In some people, a traumatic joint injury can lead to OA, while in others genetics may play a role. The disease usually begins with a single large joint, such as a hip or knee. But it is not uncommon for a smaller joint, such as an ankle, to be affected initially – particularly if that joint has had a significant injury, such as a sprain or cartilage tear.

While OA can be limited to a single joint, in many cases it progresses to involve other joints, often in a sequential fashion as you describe. In some cases, pain from OA in one joint (such as an ankle or knee) can prompt you to walk, stand or move differently. This can, in turn, force other joints (such as the hip or joints of the spine) out of alignment and predispose them to OA as well.

Unfortunately, we don't fully understand the reasons OA progresses or have therapies to effectively stop the progression. For OA in general, the most helpful advice is to maintain an ideal weight, avoid overusing joints that are damaged and follow a plan of exercise that strengthens the muscles supporting the joint. Your doctor or physical therapist should be able to help you with any of these.

Grant W. Cannon, MD
Professor of Medicine, Division of Rheumatology
University of Utah
Salt Lake City, Utah

Can Osteoarthritis Progression Be Stopped? (2024)

FAQs

Can Osteoarthritis Progression Be Stopped? ›

Unfortunately, we don't fully understand the reasons OA progresses or have therapies to effectively stop the progression. For OA in general, the most helpful advice is to maintain an ideal weight, avoid overusing joints that are damaged and follow a plan of exercise that strengthens the muscles supporting the joint.

Does osteoarthritis ever get better? ›

Osteoarthritis is a long-term condition and cannot be cured, but it doesn't necessarily get any worse over time and it can sometimes gradually improve. A number of treatments are also available to reduce the symptoms. Mild symptoms can sometimes be managed with simple measures, including: regular exercise.

Can you live a long life with severe osteoarthritis? ›

The short answer is that yes, you can live a long life with knee osteoarthritis. That being said, it's important to understand that everyone's experience with the condition is different. Some people may experience more severe symptoms than others, making it more difficult to live an active and healthy lifestyle.

How do you stop osteoarthritis from progressing? ›

Slowing Osteoarthritis Progression
  1. Maintain a Healthy Weight. Excess weight puts additional pressure on weight-bearing joints, such as the hips and knees. ...
  2. Control Blood Sugar. ...
  3. Get Physical. ...
  4. Protect Joints. ...
  5. Choose a Healthy Lifestyle.

Will I end up in a wheelchair with osteoarthritis? ›

Severe Osteoarthritis and mobility

The pain while often manageable with drugs can combine with joint stiffness and loss of dexterity to require the use of a wheelchair to help alleviate the conditions. Many patients opt of mobility scooters, but the majority start with a standard wheelchair.

Has anyone reversed osteoarthritis? ›

Although you cannot reverse OA, it is possible to manage it and slow down its progression. Before you try any treatment or supplement, you should discuss them with your healthcare provider. Some products can interfere with your medications and cause side effects.

Can osteoarthritis go into remission? ›

While remission is possible in RA and, in fact, is the goal of RA treatment, OA is generally not discussed in terms of “remission,” primarily because there are no treatments to date that can halt the disease progression. How fast the disease progresses differs from person to person.

Is osteoarthritis considered a permanent disability? ›

Yes, osteoarthritis is considered a disability according to the SSA.

What is the number one treatment for osteoarthritis? ›

Exercise is one of the most important treatments for people with osteoarthritis, whatever your age or level of fitness. Your physical activity should include a combination of exercises to strengthen your muscles and exercises to improve your general fitness.

At what stage is osteoarthritis considered a disability? ›

Most people over age 60 have osteoarthritis to some degree. However, few people qualify for benefits for pain alone. Disability occurs when arthritis symptoms reach the point of keeping your from walking or using your hands for tasks such as typing.

Does walking worsen osteoarthritis? ›

Some people worry that exercising could make their arthritis worse. But the truth is being active is good for us and helps keep our joints healthy. “All the evidence suggests that exercising helps to strengthen your joints, maintain flexibility and improve your general health,” explains David.

What is end stage osteoarthritis? ›

End-stage arthritis is the progressive wearing down of the cartilage that is present between the bones of a joint causing the bones to come in contact with each other and painfully rub against each other during movement of the joint. This results in severe pain with loss of movement and function.

Does sitting worsen osteoarthritis? ›

If a person sits too long at their desk all day not only will their joints get stiff but their muscles will shorten. Muscle tightness can also increase stress on the joints which will then in-turn increase the pain in those joints affected by RA or OA.

What is the new hope for osteoarthritis? ›

The finding that methotrexate is effective for symptomatic hand osteoarthritis and inflammation offers new hope to patients. Clinicians are often challenged with limited effective treatment options for hand osteoarthritis, which is a major cause of pain and disability, affecting 44% of women and 38% of men.

What is the life expectancy of someone with osteoarthritis? ›

There is no cure for knee osteoarthritis (KOA) and typically patients live approximately 30-years with the disease. Most common medical treatments result in short-term palliation of symptoms with little consideration of long-term risk.

Can you fully recover from osteoarthritis? ›

There's no cure for osteoarthritis, but the condition does not necessarily get any worse over time. There are a number of treatments to help relieve the symptoms. The main treatments for the symptoms of osteoarthritis include: lifestyle measures – such as maintaining a healthy weight and exercising regularly.

Has anyone ever recovered from osteoarthritis? ›

It is a long-term and progressive condition which affects people's mobility and has historically had no cure.

Can osteoarthritis ever be reversed? ›

Osteoarthritis symptoms can usually be managed, although the damage to joints can't be reversed. Staying active, maintaining a healthy weight and receiving certain treatments might slow progression of the disease and help improve pain and joint function.

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