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You are more likely to develop osteoarthritis if there is a family history. The genetics of arthritis are poorly understood. Other risk factors include age, previous injury that has damaged the cartilage and obesity/being overweight.
The initial treatment of arthritis is non-operative. It involves a series of measures to reduce the load going through the joint and control the pain. There is no cure for osteoarthritis and most of our management aims to slow its progression.