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Osteoarthritis

Description

The literal meaning of the word osteo is bone and arthritis is inflammation of joints, hence, osteoarthritis is a chronic (long term) condition affecting small joints. It is the most common form of arthritis and mostly affects hands, knees, hips, and spine. Osteoarthritis causes irreversible damage to the joints. Osteoarthritis causes the cartilage in a joint to become stiff, thereby, decreasing its ability to act as a shock absorber.

Causes

Known causes of osteoarthritis are:

  • Heredity,
  • Obesity,
  • Injury,
  • Overuse of joints,
  • Other diseases like rheumatoid arthritis can also cause osteoarthritis,
  • Ageing,
  • Poor posture,
  • Female gender.
Risk factors

Few factors that can be changed which may help to some extent:

  • Obesity can increase the load on joints, making them vulnerable to OA and fractures.
  • Less Calcium intake weakens the bones.
  • Body posture e.g. sitting in the office, standing for a longer period of time while cooking or cleaning, frequent climbing of stairs, kneeling.
  • Too much or too less activity can also lead to joint problems.
  • Fall and injury to the joint like in athletes.

Factors that can’t be changed at all:

  • The weakening of bones in Old age.
  • Women after menopause undergo hormonal changes and this might be a cause of OA in elder women.
  • (Genetics) A family history of arthritis.
  • Bone and cartilage deformities in some birth defects.
  • Bleeding disorders like hemophilia (bleeding in joint space may cause hardening of cartilage) and avascular necrosis( less blood supply to joints)
  • Diseases affecting joints like gout and rheumatoid arthritis.

 

Symptoms
  • Pain when walking or moving the joint.
  • Swelling and tenderness in joints after even the slightest activity.
  • Stiffness in joints (knees and wrists) after sitting for a long time or waking-up.
  • Hard lump like structures (bone spurs) can be felt near the tender joint.
  • Limited movement of joints.
  • Grating sounds are heard on moving joints.
  • Backache is a common problem and limits a person to certain activities only.
Diagnosis

The doctor will examine the joints’ appearance and movement for possible signs of arthritis.

In addition, he will prescribe:

  • Lab tests like blood tests (to check the presence of rheumatoid arthritis factors) and joint-fluid tests (a needle goes in the joint to draw out joint fluid to check for gout and infections)
  • X-Rays will show signs of joint space enlarging due to thinning of cartilage, presence of bone spurs and MRI will help see bones and cartilage.
Management

Simple tips can create a difference! Try reducing extra weight, doing yoga and gentle exercises to help stiff joints and changing the usual ways of sitting and standing.

Dietary changes by eating fresh fruits and vegetables rich in vitamin C (citrus fruits, tomatoes, berries), vitamin D and calcium (milk, yogurt, eggs, fish),  and food rich in antioxidants (green veggies and carrots, apricots). Spices like turmeric and ginger have anti-inflammatory effects.

Medicines like acetaminophen and NSAIDs for pain and inflammation.

Surgery to replace severely damaged joints, realign the damaged joint by putting in a part of healthy bone in stress bearing area, injecting lubricant or corticosteroid into joint space to reduce friction and relieve pain.

When to consult a doctor?

You should consult a doctor if the stiffness and pain in your joints does not go away on taking pain relieving medicines, your symptoms worsen, or there is a general feeling of discomfort and fatigue.

Available Medicine for Osteoarthritis

Celbexx 100mg

Rs.140

Getz Pharma

Artiflex 200mg

Rs.235.29

Stand Pharm

Artocel 100mg

Rs.60

Honig

Bixo 100mg

Rs.45

Vega

Bixo 200mg

Rs.85

Vega

Bloxib 200mg

Rs.100

Bloom Pharma

Bloxib 200mg

Rs.165

Bloom Pharma

Calaxib 200mg

Rs.103

Metro

Celbexx 200mg

Rs.240

Getz Pharma

Celconid 100mg

Rs.60

Caraway

Cele 100mg

Rs.60

TG Pharma

Cele 200mg

Rs.103

TG Pharma

Celecodale 200mg

Rs.103

Oakale Pharma

Celecomed 200mg

Rs.98

Mediate

Celecoxx 100mg

Rs.130

Semos

Celecoxx 200mg

Rs.103

Semos

Celecoxx 200mg

Rs.175

Semos

Celetab 100mg

Rs.23.75

Indus Pharma

Celetab 200mg

Rs.37.5

Indus Pharma

Celewin 200mg

Rs.125

Wns Field

Celewin 200mg

Rs.240

Wns Field

Celicob 200mg

Rs.80

Votex

Celoflex 100mg

Rs.23.75

Ambrosia

Celoflex 200mg

Rs.97.5

Ambrosia

Celoxib 200mg

Rs.105

Zaka Health Car

Celstar 200mg

Rs.269

Pharmatec

Celtic 200mg

Rs.103

Genome Pharma

Celzib 100mg

Rs.47.5

Well & Well

Celzib 200mg

Rs.103

Well & Well

Cobix 200mg

Rs.103

EG Pharma

Conxib 200mg

Rs.240

Convell

Coxban 200mg

Rs.103

Rakahposhi

Coxia 200mg

Rs.103.23

Genome Pharma

Dorsiflex 100mg

Rs.100

Nexpharm

Dorsiflex 200mg

Rs.75

Nexpharm

Dorsiflex 200mg

Rs.200

Nexpharm

Ecoloxib 100mg

Rs.165

Navegal

Ecoloxib 200mg

Rs.215

Navegal

Ecoxib 100mg

Rs.60

Epoch

Ecoxib 200mg

Rs.103

Epoch

Emphatic 100mg

Rs.60

Hygeia

Empathic 200mg

Rs.103

Hygeia

Eraxib 100mg

Rs.60

Medela

Eraxib 200mg

Rs.100

Medela

Gauld 100mg

Rs.55

Karachi Chemical

Gauld 200mg

Rs.92

Karachi Chemical

Geocoxib 100mg

Rs.60

Geofman

Geocoxib 200mg

Rs.103

Geofman

Gilbex 100mg

Rs.95

Gillman

Gilbex 200mg

Rs.103

Gillman

Lecoxib 100mg

Rs.60

Paramount

Lecoxib 100mg

Rs.114

Paramount

Lecoxib 200mg

Rs.103

Paramount

Lecoxib 200mg

Rs.196

Paramount

Medicoxib 100mg

Rs.75

Mediceena

Moveryl 100mg

Rs.92.5

Sami

Moveryl 200mg

Rs.132.5

Sami

Nuzib 100mg

Rs.85

Bosch

Nuzib 200mg

Rs.140

Bosch

Postaglin 100mg

Rs.70

Medicraft

Rival 100mg

Rs.50

L A Kurative

Rival 100mg

Rs.95

L A Kurative

Rival 200mg

Rs.103

L A Kurative

Seleco 100mg

Rs.80

Wilshire

Seleco 100mg

Rs.100

Wilshire

Seleco 200mg

Rs.150

Wilshire

Seloxx 100mg

Rs.60

Efroze

Seloxx 200mg

Rs.134

Efroze

Selxib 200mg

Rs.118

Fynk

Wecox 200mg

Rs.103

Wise Pharma

Rheuoxib 100mg

Rs.100

Highnoon

Cartigen 500/400mg

Rs.118.5

Getz Pharma

Pat-4

Rs.1200

Jns International Pvt. Ltd.

Acti-joint 500mg / 400mg

Rs.325

Acti-Med Pharma

Acti-joint 500mg / 400mg

Rs.400

Acti-Med Pharma

Arthicare 500mg / 400mg

Rs.47058

Searle

Arthicare 500mg / 400mg

Rs.1390

Searle

Flexeze 500mg / 400mg

Rs.260

Biogenics

Flexeze 500mg / 400mg

Rs.375

Biogenics

GC-Plus 500mg / 400mg

Rs.448

Wilshire

Gevolox Plus 500mg/400mg

Rs.368

Hilton

Joinix 500mg / 400mg

Rs.16

Shrooq

Joint care 500mg / 400mg

Rs.160

Schazoo Pharmaceuticals

Jovit 500mg / 400mg

Rs.170.5

Shaigan

Osamine 500mg / 400mg

Rs.15

Neutro

Osamine 500mg / 400mg

Rs.10588

Neutro

Ostego 500mg / 400mg

Rs.350

Wilshire

Pat-4 500mg/400mg

Rs.400

Mass-PH Health

Artrodar 50mg

Rs.275.4

Highnoon

Diarox 50mg

Rs.181.79

Atco

Dicerin 50mg

Rs.27

MAQ

Dicerin 50mg

Rs.338.33

MAQ

Diora 50mg

Rs.810

Getz Pharma

Diritis 50mg

Rs.720

Mcolson

Dycer 50mg

Rs.270

Bloom Pharma

Karty 50mg

Rs.931.5

CCL

Rein 50mg

Rs.336.63

S.J. & G. Fazul Ellahie

Cartigen 500/400mg

Rs.118.5

Getz Pharma

Pat-4

Rs.1200

Jns International Pvt. Ltd.

Eventone-c Cream

Rs.1395

Pharma Health

Gebon

Rs.400

Genix

Gebon

Rs.400

Genix

Biolan Gel

Rs.368

GlaxoSmithKline

Hylo 0.002

Rs.190

Helix Pharma