Is it really your osteoarthritis that's causing the pain? | Physioactif

Is it really your osteoarthritis that's causing you pain?

Written by:
Alexis Gougeon
Scientifically reviewed by:
Lorianne Gonzalez-Bayard
Embedded audio file

You've been diagnosed with osteoarthritis and now you're worried. Will it get worse? Will you lose your mobility? Perhaps you're afraid to move, fearing it might make things worse. These concerns are understandable, but the reality is often more encouraging than you might imagine.

Good news: Osteoarthritis doesn't always cause pain, and having pain doesn't always mean osteoarthritis is the cause.¹ Many people with significant osteoarthritis have no pain, and vice versa. What science teaches us about osteoarthritis and pain:
  • Osteoarthritis visible on imaging is often present without any pain
  • Sudden pain is generally not caused by osteoarthritis; it develops over years
  • Adapted physical activity improves osteoarthritis symptoms; it does not worsen them
  • Pain associated with osteoarthritis can be very well managed with the right strategies

This guide helps you understand the true relationship between osteoarthritis and pain. To learn more about different forms of osteoarthritis, consult our guide on knee osteoarthritis.

Osteoarthritis doesn't appear overnight

Osteoarthritis is a condition that develops over a lifetime. So, if you experience sudden pain, it means your body has been stressed more than usual or is currently less resilient (due to stress, fatigue, lack of sleep, etc.). You certainly don't have more osteoarthritis today than you did yesterday before the pain started. Therefore, the cause of the pain is often not osteoarthritis itself.

Osteoarthritis itself will not change. This is the first thing to accept and understand. Osteoarthritis is an irreversible degenerative condition. Osteoarthritis cannot be cured, BUT the pain associated with it can be treated.
In short: Pain ≠ Osteoarthritis
If you want to get better, it's important to stop focusing on osteoarthritis and instead concentrate on what can be changed. Pain occurs because there is excessive stress on one or more body structures (muscles, tendons, joints, ligaments, nerves, discs). To treat the pain, it's essential to identify the cause of this excessive stress, and that's precisely the role of a physiotherapist. Once the cause is identified, the excessive stress can be reduced through various methods such as:
  • A good balance of painful tasks, leisure activities, and sports
  • Exercises
  • Adjustments to postural habits or certain movements
  • Manual therapy performed by the physiotherapist

So, what can we really attribute to osteoarthritis?

  • Morning stiffness lasting less than 30 minutes that improves with movement
  • Cracking of the joints during movement
  • Swelling of the joint after a greater effort than usual
Regardless of the severity of osteoarthritis, we can always address the factors that increase excessive stress to help, or even resolve, the symptoms.

From now on, you can be confident that, regardless of your age, the degree of osteoarthritis, or your pain level, it is always possible to do something to improve the condition.

To learn more... 

You can listen to the podcast « Parle-moi de santé » produced by one of our physiotherapists, Alexis Gougeon. Episode #15 discusses osteoarthritis.

Episode 15 of Parle-moi de santé (osteoarthritis)

Click below to listen to episodes on podcast platforms:

Sources

  • Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis and cartilage. 2013 Sep 1;21(9):1145-53.
  • Zhang W, Doherty M, Peat G, Bierma-Zeinstra MA, Arden NK, Bresnihan B, Herrero-Beaumont G, Kirschner S, Leeb BF, Lohmander LS, Mazières B. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Annals of the rheumatic diseases. 2010 Mar 1;69(3):483-9.
  • Décary S, Feldman D, Frémont P, Pelletier JP, Martel‐Pelletier J, Fallaha M, Pelletier B, Belzile S, Sylvestre MP, Vendittoli PA, Desmeules F. Initial derivation of diagnostic clusters combining history elements and physical examination tests for symptomatic knee osteoarthritis. Musculoskeletal care. 2018 Sep;16(3):370-9.
  • Salamh P, Cook C, Reiman MP, Sheets C. Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta‐analysis. Musculoskeletal care. 2017 Sep;15(3):238-48.

10 Quick Tips for Understanding Your Pain

The ones that have made the biggest difference in my patients' lives. 1 a day, 2 minutes.

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10 Quick Tips for Understanding Your Pain

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