Description

Osteoarthritis (OA) is the most common form of arthritis and a long-term condition that affects the joints. It develops when the protective cartilage covering the ends of bones gradually becomes damaged or changes over time. Cartilage normally helps bones move smoothly and acts as a cushion during movement. When this tissue becomes thinner or damaged, the bones and surrounding joint structures can become irritated, resulting in pain, stiffness, swelling, and reduced movement.

Osteoarthritis can affect almost any joint, but it most commonly develops in the knees, hips, hands, spine, and feet. It is more common as people get older, but osteoarthritis is not simply an unavoidable part of aging. Younger people can also develop OA after a joint injury, repeated stress, certain medical conditions, or because of other risk factors.

Unlike rheumatoid arthritis, osteoarthritis is not primarily an autoimmune disease. It involves changes to cartilage, bone, joint tissues, and inflammation within the joint. As the condition progresses, the joint may become less flexible and everyday activities can become difficult.

Common osteoarthritis symptoms include joint pain during or after movement, stiffness after periods of inactivity, swelling, tenderness, reduced range of motion, and a grating or clicking sensation when the joint moves. Symptoms can vary from mild to severe and may come and go.

Knee osteoarthritis can make walking, climbing stairs, standing, or getting up from a chair difficult. Hip osteoarthritis may cause pain in the hip, groin, thigh, or buttock and can make walking uncomfortable. Hand osteoarthritis can interfere with gripping, writing, opening containers, or other everyday activities.

Several factors can increase the risk of osteoarthritis. Age is an important factor, but excess body weight, previous joint injuries, repetitive stress, muscle weakness, genetics, and certain joint abnormalities can also contribute.

There is currently no treatment that completely reverses established osteoarthritis, but symptoms can often be managed effectively. Treatment may include exercise, weight management, physical therapy, pain-relieving medicines, supportive devices, injections in selected cases, and surgery for severe joint damage.

Early management can help people remain active, maintain joint function, and improve their quality of life.

Causes

Osteoarthritis develops through a combination of changes involving cartilage, bone, the joint lining, ligaments, and surrounding muscles.

Healthy cartilage provides a smooth surface that allows bones to move easily against each other. In osteoarthritis, cartilage gradually changes and may become thinner or damaged.

The underlying bone may become denser and develop abnormal growths called bone spurs, also known as osteophytes.

The joint may also undergo changes in its structure and function, which can contribute to pain and stiffness.

Age is one of the strongest risk factors. As people get older, the likelihood of developing osteoarthritis increases.

However, aging alone does not guarantee that someone will develop painful osteoarthritis.

Being overweight or obese can increase the risk, particularly for weight-bearing joints such as the knees and hips. Extra body weight increases mechanical stress on these joints and may also contribute to inflammation.

Previous joint injuries can increase the risk of osteoarthritis. A sports injury, fracture, ligament damage, or surgery involving a joint may lead to arthritis years later.

Repeated movements or long-term physical stress can also contribute. Certain occupations and sports may place repeated pressure on specific joints.

Genetics can influence the likelihood of developing osteoarthritis. Some people inherit joint characteristics that make them more susceptible.

Muscle weakness can affect joint stability and may increase stress on certain joints.

Abnormal joint structure or alignment can cause uneven pressure across the joint and increase the risk of cartilage damage.

Certain metabolic or inflammatory conditions may also increase the likelihood of developing osteoarthritis.

Osteoarthritis is not contagious, and it is not caused by a single infection.

It is also different from rheumatoid arthritis, although both conditions can cause joint pain and stiffness.

Symptoms

Osteoarthritis symptoms usually develop gradually and may become more noticeable over time. The severity of symptoms does not always match the amount of joint damage seen on imaging.

Joint pain is one of the main symptoms of osteoarthritis. Pain often becomes worse during or after activities that place stress on the affected joint.

For example, knee osteoarthritis may cause pain while walking, climbing stairs, squatting, or standing for long periods.

Joint stiffness is also common, especially after waking up or remaining inactive for a while. Stiffness associated with osteoarthritis often improves after gentle movement.

Swelling may develop around an affected joint because of inflammation or changes within the joint.

The joint may feel tender when pressure is applied.

A reduced range of motion can make it difficult to fully bend or straighten the affected joint.

Some people notice clicking, cracking, or grinding sensations when moving a joint. This is sometimes called crepitus.

Muscle weakness may develop around the affected joint, particularly when pain causes a person to become less active.

In hand osteoarthritis, the fingers may become painful, stiff, or enlarged around certain joints. Grip strength can decrease.

Hip osteoarthritis may cause pain in the groin, thigh, buttock, or sometimes the knee.

Knee osteoarthritis can cause difficulty walking, climbing stairs, kneeling, or standing up from a chair.

Spinal osteoarthritis may cause neck or back stiffness and discomfort. In some cases, changes in the spine can affect nearby nerves.

Symptoms may become worse during periods of increased activity and improve with rest.

Some people experience periods when symptoms suddenly become more noticeable.

Advanced osteoarthritis can cause persistent pain, significant stiffness, joint deformity, and difficulty performing normal daily activities.

Persistent joint pain or swelling should be evaluated by a healthcare professional because several other conditions can cause similar symptoms.

Prevention

Osteoarthritis cannot always be prevented, especially when age and genetic factors play a role. However, several measures can help reduce the risk or delay the development of symptomatic joint disease.

Maintaining a healthy body weight is one of the most important preventive measures, particularly for protecting the knees and hips.

Regular physical activity helps strengthen muscles and maintain joint flexibility.

Exercise should be increased gradually, particularly after a period of inactivity. Using proper technique can reduce unnecessary strain.

Strengthening the muscles around the knees and hips can improve joint support.

People involved in sports should use appropriate protective equipment and follow safe training practices.

Proper treatment and rehabilitation after a joint injury may help reduce the risk of future joint problems.

Avoiding repetitive joint stress where possible can also be beneficial. People whose jobs require repetitive lifting, kneeling, or other physically demanding activities should use appropriate techniques and take regular breaks when possible.

Maintaining good posture and using proper body mechanics can reduce unnecessary stress on the spine and other joints.

A balanced diet containing vegetables, fruits, whole grains, lean proteins, and healthy fats supports overall health and healthy body weight.

Adequate sleep and stress management can also help people manage chronic pain more effectively.

People with early joint symptoms should seek medical advice rather than ignoring persistent pain.

Early treatment can help maintain mobility and prevent people from becoming inactive because of pain.

Osteoarthritis is a common long-term joint condition, but it does not mean that a person must stop being active. With appropriate exercise, weight management, physical therapy, pain control, and lifestyle changes, many people can continue their normal activities.

Severe or persistent joint pain, significant swelling, joint deformity, or difficulty walking should be evaluated by a healthcare professional.

Although osteoarthritis-related cartilage damage cannot usually be completely reversed, effective management can reduce symptoms and improve daily function. In advanced cases, joint replacement surgery can provide significant relief.

Understanding the risk factors, recognizing symptoms early, protecting joints from unnecessary injury, and maintaining an active lifestyle are important steps toward better joint health.

Medical Information Trust
Evidence-Based Information
Last Updated: October 28, 2026
YMYL Compliant

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider. In an emergency, call emergency services immediately.