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Pain, Stiffness, and Swelling...Learn new approaches and options to relieve these symptoms.

In addition to the breakdown of cartilage and changes in the bone, the fluid in the joint called synovial fluid may play a role in OA. In the joint, synovial fluid lubricates the joint and is needed for joint movement. Joint fluid is made up mostly of a substance called hyaluronan. In OA, there may be more hyaluronan than usual. However, its quality is not as good, which may reduce its protective function.

SYMPTOMS
Usually joints affected by Osteoarthritis hurt or are stiff mostly after you've overused them or after periods of inactivity. You probably will find it difficult to move the joint when first getting up in the morning, or following more than usual use of the joint.

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IF you don't move and exercise, the muscles surrounding the affected joint will become weaker and sometimes even smaller in size. The weak muscles may not be able to support the joint as well. This may lead to more joint pain. You also may notice that your coordination, walking and posture become affected.

OA IN THE HIPS
If your hips are affected by OA, you may feel pain in the groin, inner thigh or buttock. Some people feel referred pain in the knee or along the side of the thigh. This means people think pain is in an area where there isn't OA. The pain, limited mobility or weakness may cause you to limp when you walk.

OA IN THE KNEES
You may feel pain when you move your knee, you may also feel a "grating" or catching" sensation in your knee when you move it. It may be painful to walk up or down stairs or to get up from a chair. If the pain prevents you from moving or exercising your leg, the large muscles in your thigh may become weaker.

OA IN THE FINGERS
OA in the finger joints can cause pain and swelling. Bony growths (spurs) may form at the margins of the joints. If these spurs are in the end joints of the fingers, they are called Heberden's nodes. If they are in the joints in the middle of the fingers, they are called Bouchard's nodes.

You may notice redness, swelling, tenderness and aching in the affected joint, especially in the early stages of OA as these nodes are formed. These nodes may make your finger joints painful and the joints appear enlarged. Activities requiring pinching movements of your fingers may be difficult.

OA IN THE FEET
If OA affects your feet, you may feel pain and tenderness in the large joint at the base of the big toe. Wearing tight shoes and high heels can worsen the pain.

OA IN THE SPINE
Chronic breakdown of the discs in the spine and resulting bony overgrowth may cause stiffness and pain in the neck and lower back. This also may place extra pressure on the nerves in the spinal cord. This is commonly referred to as pinched nerves. You may feel pain in your neck, shoulder, arm, lower back or legs. Involvement of the spinal nerves in OA also may be associated with weakness or numbness in your arms or legs.

DIFFERENCES BETWEEN OA AND RA
Some people confuse Osteoarthritis (OA) with rheumatoid arthritis (RA). As you'll see in the table on the next web page, these diseases are very different. However, some people can have both OA and RA at the same time.

Some people also may confuse OA with Osteoporosis. Both diseases involve bone problems, but they are not the same. Osteoporosis causes bones to lose mass and become brittle. This can lead to painful fractures.

WHAT CAUSES OSTEOARTHRITIS
The cause of OA is not known. However, research has shown that there are several factors that increase your risk of developing OA. These factors include heredity, obesity, joint injury, repeated overuse of certain joints, muscles weakness, and nerve injury and aging.

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