Explain the pain – Is it osteoarthritis or rheumatoid arthritis?

If opening jars becomes more difficult because of painful hands, or if climbing stairs produces pain in your knees, “arthritis” is often the first thing that comes to mind. The two most common forms of arthritis—osteoarthritis and rheumatoid arthritis—can cause similar aches and pains, but there are a few key differences between them. For example:

Onset. Osteoarthritis occurs when cartilage (tissue in your joints that cushions your bones) wears away. Pain occurs when bone rubs against bone. This type of arthritis pain tends to develop gradually and intermittently over several months or years.

Rheumatoid arthritis, on the other hand, is an inflammatory condition in which your immune system attacks the tissues in your joints. It causes pain and stiffness that worsen over several weeks or a few months. And joint pain isn’t always the first sign of rheumatoid arthritis—sometimes it begins with “flu-like” symptoms of fatigue, fever, weakness, and minor joint aches.

Location. Both osteoarthritis and rheumatoid arthritis can affect the hands. However, osteoarthritis often affects the joint closest to the tip of the finger, whereas rheumatoid arthritis usually spares this joint. And while rheumatoid arthritis can appear in any joint, its most common targets are the hands, wrists, and feet.

Type of stiffness. People often describe vague muscle aches as “stiffness,” but when doctors talk about “stiffness,” they mean that a joint doesn’t move as easily as it should. Stiffness may be prominent even when joint pain is not.

Mild morning stiffness is common in osteoarthritis and often goes away after just a few minutes of activity. Sometimes people with osteoarthritis also notice the same type of stiffness during the day after resting the joint for an hour or so. In rheumatoid arthritis, however, morning stiffness doesn’t begin to improve for an hour or longer. Occasionally, prolonged joint stiffness in the morning is the first symptom of rheumatoid arthritis.

Simple tips to protect your joints Medical professionals are an important part of managing arthritis. For example, your doctor can make sure you’re taking the right medications, and physical or occupational therapists can help you find safe and effective ways to exercise and modify your daily activities. But ultimately, the day-to-day work of managing your arthritis falls to you. One way you can be active in managing your arthritis is by adapting your daily routine to relieve pressure on your joints. The following techniques can help you avoid stiffness and lighten the burden on your joints. Keep moving. Avoid holding one position for too long. When working at a desk, for example, get up and stretch every 15 minutes. Do the same while sitting at home reading or watching television. Minimize the stress on your joints. Avoid positions or movements that put extra stress on joints. For example, opening a tight lid can be difficult if you have hand arthritis. One solution is to set the jar on a cloth, lean on the jar with your palm, and turn the lid using a shoulder motion. Better yet, purchase a wall-mounted jar opener that grips the lid, leaving both hands free to turn the jar. Discover your strength. Use your strongest joints and muscles to your advantage. To protect finger and wrist joints, push open heavy doors with the side of the arm or shoulder. To reduce hip or knee stress on stairs, lead with the stronger leg going up and the weaker leg going down. Plan ahead. Simplify life as much as possible. Eliminate unnecessary activities (for example, buy clothing that doesn’t need ironing). Organize work and storage areas; store frequently used items within easy reach. Keep duplicate household items in several places; for example, stock the kitchen and all bathrooms with cleaning supplies. Use labor-saving items and adaptive aids. In the kitchen, use electric can openers and mixers. In the bathroom, cut down on scrubbing by using automatic toilet bowl cleaners and, in showers or tubs, spray-on mildew remover. Other devices on the market can help you avoid unnecessary bending, stooping, or reaching. Make other home modifications. Using casters on furniture can make housecleaning easier. Make sure your bed is at the right height so it is easy to get in and out of. Putting a bathing stool in the tub or shower is a good idea for people who have arthritis in the legs. Ask for help. Achieve a balance by educating family members and friends about your arthritis and the limitations it imposes and enlisting their support. Ask for help with specific tasks.

(courtesy: HEALTHbeat)