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Arthritis and arthrosis are often confused with each other, since both diseases are associated with joint damage and may manifest with pain, stiffness, and limited movement. Because of this, patients often perceive them as the same thing, although in fact these are different conditions with different causes of development and approaches to treatment.

To correctly assess the symptoms and not lose time, it is important to understand what the difference between arthritis and arthrosis is. This makes it possible to better navigate one’s own condition, understand in a timely manner when an orthopedic consultation is needed, and avoid complications associated with the progression of the disease.

What Are Arthritis and Arthrosis

Arthritis and arthrosis are joint diseases that have a different nature, although they may present with similar symptoms. In order to correctly understand the further differences, it is important to clearly define the essence of each of these conditions.

Arthritis is an inflammatory process in a joint. It may arise for various reasons: the development of infections, autoimmune disorders, metabolic disorders (for example, in gout), or after injuries. The inflammation affects the synovial membrane of the joint, and in some cases, the surrounding tissues as well. Arthritis is characterized by a more active course with periods of exacerbation, and systemic manifestations are also possible, in particular fever or general malaise.

Arthrosis is a chronic disease in which the destruction of the articular cartilage gradually occurs. Normally, cartilage ensures smooth gliding of the joint surfaces and reduces the load during movement. In arthrosis, these functions are disrupted, which leads to discomfort, pain, and limitation of mobility.

The development of arthrosis is associated with gradual structural changes in the tissues of the joint. Factors that may contribute to this process include age-related changes, injuries, excess body weight, anatomical features of the joints, as well as concomitant diseases that affect the condition of cartilage tissue. As a result, the cartilage loses its elasticity and the ability to fully perform its functions.

What Is the Difference Between Arthritis and Arthrosis

Specialists at “Oxford Medical” note that the key difference between arthritis and arthrosis is that arthritis is primarily inflammation, whereas arthrosis is a process of gradual destruction of the joint without a pronounced primary inflammatory component. This determines both the course of the disease and the approaches to treatment.

Main differences:

  1. Mechanism of development. Arthritis is associated with an inflammatory process in the joint. Arthrosis is associated with degenerative changes and destruction of cartilage.
  2. Nature of the course. Arthritis more often has an acute or wave-like course with periods of exacerbation. Arthrosis develops gradually and progresses over time.
  3. Extent of involvement. In arthritis, several joints may be affected simultaneously, sometimes symmetrically. Arthrosis is more often localized in one or several joints and usually is not accompanied by systemic manifestations.
  4. Approach to treatment. In arthritis, the main focus is on controlling inflammation. In arthrosis, it is on preserving joint function and slowing degenerative changes.

Thus, the difference between these diseases lies not only in the causes, but also in the nature of the course and approaches to therapy.

How Arthritis Differs from Arthrosis by Symptoms

Although both diseases manifest with pain and discomfort in the joints, the clinical picture has significant features.

The following are characteristic of arthritis:

  • pain at rest or at night;
  • pronounced swelling and redness in the area of the joint;
  • increase in local temperature;
  • prolonged morning stiffness (more than 30 minutes);
  • general symptoms are possible — weakness, increased body temperature.

The following are typical of arthrosis:

  • pain that intensifies during movement or physical exertion;
  • reduction of pain at rest;
  • crunching or a sensation of friction in the joint;
  • gradual limitation of mobility;
  • deformation of the joint in the later stages.

It is important to pay attention to when exactly the pain appears. In arthritis, it often bothers a person even at rest and may intensify at night or in the morning. In arthrosis, the pain usually occurs during movement or exertion and decreases after rest.

How to Correctly Diagnose the Disease

How to Correctly Diagnose the Disease

It is very difficult to distinguish these diseases by symptoms on your own, since in the early stages their manifestations may be similar. That is why, when pain, swelling, or limitation of joint mobility appears, it is important to consult a doctor in a timely manner. The optimal first step is an orthopedic consultation, during which the specialist evaluates the complaints, the nature of the symptoms, and performs an examination.

To уточнить диагноз doctor may prescribe additional examinations:

  • laboratory blood tests — help identify signs of inflammation or autoimmune processes;
  • joint X-ray — allows assessment of the condition of bone structures, the presence of narrowing of the joint space, or deformities;
  • ultrasound or MRI — are used for a detailed assessment of soft tissues, cartilage, ligaments, and the synovial membrane.

A comprehensive approach to diagnosis is of great importance, because only the combination of clinical assessment and instrumental methods makes it possible to accurately determine the cause of the symptoms. This is necessary for choosing effective treatment and preventing the progression of the disease.

The information in this article is provided for informational purposes only and is not a guide to self-diagnosis or self-treatment. If symptoms of the disease appear, you should consult a doctor.

Sources:

National Institute of Arthritis and Musculoskeletal and Skin Diseases

National Institute of Arthritis and Musculoskeletal

National Institute for Health and Care Excellence (NICE)