Friendly Print preview
ARTHRITIS
FOUNDATION OF VICTORIA
www.arthritisvic.org.au ... (Copy
reviewed 2005)
ARTHRITIS - WHAT IS IT
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!
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:
- Disorders of bone:
- Disorders of muscle:
- Disorders of joints:
What can go wrong in joints?
- the cartilage can degenerate
- the joint lining can become inflamed
- the joint fluid can become inflamed
Click onto a label for more information
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.
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
|

|