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Arthritis

Pain, stiffness, and swelling don't all have the same cause — or treatment.

Arthritis is an umbrella term. Osteoarthritis (wear-related) and rheumatoid arthritis (autoimmune) are the two largest groups and need different treatment. Accurate diagnosis up front avoids years of wrong therapy.

Causes & risk factors

  • Osteoarthritis: age, prior injury, obesity, genetics
  • Rheumatoid: autoimmune, genetic, smoking
  • Gout: urate crystal deposition
  • Psoriatic arthritis: linked to psoriasis

Symptoms

  • Joint pain and stiffness
  • Morning stiffness >30 min suggests inflammatory cause
  • Swelling, warmth, or redness
  • Reduced range of motion
  • Systemic symptoms (fatigue, low-grade fever) in autoimmune forms

How it's diagnosed

  • History and exam
  • Inflammatory markers (ESR, CRP)
  • Rheumatoid factor, anti-CCP
  • Uric acid if gout suspected
  • X-ray, ultrasound, or MRI as indicated

Evidence-based treatment

  • Weight management and targeted exercise
  • Paracetamol and topical NSAIDs first-line for osteoarthritis
  • Disease-modifying antirheumatic drugs (methotrexate, biologics) for rheumatoid
  • Intra-articular steroid injections for flares
  • Joint replacement for end-stage osteoarthritis

Related symptoms

Arthritis — FAQ

Which specialist treats arthritis?

Osteoarthritis is typically managed by a GP or Orthopedist. Rheumatoid and other inflammatory arthritides are managed by Rheumatologists — ask your GP for a referral.