Thanks
Orthopaedic Surgeon
Osteoarthritis is a condition of mulitifactorial aetiology in which aging, mechanical, genetic, humeral and cultural factors are known contributors. The natural history of Osteoarthritis is variable. It may remain asymptomatic or be associated with episodes of pain and stiffness in the affected joint.
Once it starts it never stops but its progression can be slowed with appropriate intervention.
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I'm 64 year old woman who has osteoarthritis in my neck,spine,shoulders,hands,hips (had right hip replaced 13yrs ago), knees & toes. My mother & grand Aunty have both had hip replacements & suffer extensive osteoarthritis. My 40 yr old daughter has knee & hand pain. So I agree that part of the problem is hereditary. I don't believe it has much to do with lifestyle as my grand Aunty & I have never smoked, drank alcohol nor been drug takers. My mother & daughter do have the occasional drink.I take no medication except panadol. So much for Timothy Shakespeare's poor decision making & lifestyle choices theory. There are 5 generations alive in my family so we're a relatively healthy lot except for arthritis.
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Chiropractor
No.
It is wear and tear that occurs in damaged or dysfunctional discs and joints.
Inflammation follows due to tissue damage and the approximation of joint surfaces.
Just as the soles of your shoes wear more on the outer heel and toe if your foot is pronating when you walk, so too will discs that are excessively or incorrectly load bearing in your spine.
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Orthopaedic Surgeon
I'm afraid I don't understand how you can possibly say no to this.
These are facts, not discussion points. They are well documented throughout the medical literature.
Your description is correct for one part of the arthritic process but ignores several other aetiologies and unfortunately is too simplistic to cover the entire disease process.
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Chiropractor
Poor decision making and lifestyle choices are learned behaviours not hereditary. Just because your father has it does not mean you will get it.
i can not comment on the rest of your understanding of my answer.
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Chiropractor
I agree with Dr Sher's answer - the actual cause is often poorly understood, but it definitely has a genetic predisposition.
You could have a genetic scoliosis (curve in the spine), which is a known factor for developing Osteo Arthritis. Whether you display actual symptoms (pain, discomfort, stiffness etc) as also variable - some people have advanced degeneration, but never know they have a problem.
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Health Professional
The latest free-access paper that I can find showing that genetics *is* a risk factor for osteoarthritis is here: http://www.ncbi.nlm.nih.gov/pubmed/22763110
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Physiotherapist
While genetics do add some increased risk of Osteo Arthritis the other factors mentioned by Doron & Timothy have a great impact on symptoms.
Maintaining flexibility and strenght plus a healthy weight are great ways to reduce your genetic predisposition to developing this debilitating disease.
It is possible to function normally by minimising the progress of degeneration in affected joints/areas.
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Chiropractor
Thanks for your input Simon. A good read for professionals dealing in this area.
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