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ARTHRITIS FOUNDATION OF VICTORIA
www.arthritisvic.org.au  ... (Copy reviewed 2005)

ARTHRITIS - WHAT IS IT


Definitions

The word arthritis comes from Greek:  arth- = joint and -itis = inflammation.

So, arthritis really means inflammation of the joint.

However, arthritis is not a single condition. There are well over 100 kinds of arthritis, all of which affect one or more joints in the body, and some of these forms of arthritis don't involve any inflammation.

Perhaps it is more useful to think of arthritis meaning problems with the joint!


What Can Go Wrong in a Joint?

The various forms of arthritis are part of a  group of diseases called "musculo-skeletal" disorders.

These conditions affect bones, muscles and joints, for example:


The Anatomy of a Joint

Click onto a label for more information

Joint.gif (31661 bytes)

A joint is a meeting of two bones so that movement can occur.


Parts of a typical joint:

Cartilage
This is a strong, smooth material which forms a cushion at the end of each bone in a joint. It absorbs shock and prevents bone from rubbing against bone. If the cartilage is damaged or degenerates, osteoarthritis can occur.
Synovial Membrane
This membrane encloses the synovial sack, filled with a lubricating fluid which protects and lubricates the joint. Synovitis occurs when this membrance becomes inflamed, and is typical of rheumatoid arthritis. An infection can also cause inflammation in the synovial fluid. The deposit of crystals in the synovial fluid is a characteristic of gout.
Bursa
This is a small lubricating sac which is not actually part of the joint but which lubricates the movement of muscle over muscle and of muscle over bone. The bursa can become inflamed causing bursitis.
Muscle
The muscles move bones by contracting and expanding. In conditions such as polymyalgia rheumatica, the muscles become inflamed.
Tendon
The tendon is a fibrous cord that attaches muscle to bone. Tendinitis is inflammation of the tendon.
Ligament
The ligaments are short fibrous cords that attach bone to bone, making up the joint capsule. A problem called enthesopathy occurs when ligaments become inflamed, as in ankylosing spondylitis.

Forms of Arthritis

Dr James Fries has developed eight categories of arthritis which help understand how arthritis affects different structures of the body. His book "Arthritis, A Take Care of Yourself Health Guide" is highly recommended and is available through Arthritis Victoria. He is also the co-author, with Dr Kate Lorig, of the "Arthritis Helpbook" which is the basis of the Arthritis Self Management Course offered in community settings through Arthritis Victoria.

For more detailed information on the categories or on the specific conditions, click on the blue text.

The Eight Categories

Category What's happening? Who is affected? Most typical conditions Typical places affected
Inflammatory Inflamed membrane of the joint Any age, mostly women Rheumatoid Arthritis Fingers, wrists, knees
Attachment Arthritis
(enthesopathy)
Inflamed ligament or tendon attachment to bone Mostly men, onset age 15-40 Ankylosing spondylitis Low back, heels
Crystal Arthritis Chemical crystals in the joint fluid Mostly men, onset age 35-90 Gout Knee, ankle, big toe
Joint Infection Bacteria in the joint fluid Any age, either sex Staphylococcus
Gonococcus
Knee, hip, shoulder
Cartilage degeneration Breakdown of joint cartilage Either sex, age 45-90 Osteoarthritis End finger joints, hips, knees, neck, low back
Muscle Inflammation Inflamed muscle tissues Either sex, any age Polymyalgia rheumatica
Polymyositis
Muscles, not joints
Local conditions Local injury Either sex, any age Bursitis (housemaid's knee)
Tendinitis (tennis elbow)
Low back strain
Frozen shoulder
Elbow, shoulder, low back
General conditions Poorly defined Either sex, any age Fibromyalgia All over

  Date Last Reviewed by NEVDGP: 20 August, 2006

Back to Arthritis Foundation 'Main Types' index