William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
In this Article
- Osteoarthritis facts
- What is osteoarthritis?
- What is the difference between osteoarthritis and rheumatoid arthritis?
- What causes osteoarthritis?
- What are osteoarthritis symptoms and signs?
- How do health care professionals diagnose osteoarthritis?
- What is the medical treatment for osteoarthritis?
- "If I have minimal or no symptoms with early signs of osteoarthritis, what should I do?"
- What is the prognosis for patients with osteoarthritis?
- Is it possible to prevent osteoarthritis?
- What specialists treat osteoarthritis?
- What does the future hold for osteoarthritis?
- Where can people get more information about osteoarthritis?
- Find a local Rheumatologist in your town
What is the prognosis for patients with osteoarthritis?
The prognosis of patients with osteoarthritis depends on which joints are affected and whether or not they are causing symptoms and impaired function. Some patients are unaffected by osteoarthritis while others can be severely disabled. Joint replacement surgery for some results in the best long-term outcome. Finally, if one is concerned that osteoarthritis could be lead to injury of the internal organs, don't be. Osteoarthritis does not cause internal organ damage or blood-test abnormalities.
Is it possible to prevent osteoarthritis?
There is no prevention of osteoarthritis with the exception of avoiding joint injury.
What specialists treat osteoarthritis?
Osteoarthritis is treated by general practitioners, family practitioners, internists, orthopedists, rheumatologists, physical therapists, occupational therapists, orthotists, physiatrists, and other rehabilitation specialists.
What does the future hold for osteoarthritis?
In the future, medications may be available that protect the cartilage from the deteriorating consequences of osteoarthritis. Research into cartilage biology will eventually lead to new and exciting breakthroughs in the management of osteoarthritis.
Surgical innovation has led to a technique for the repair of isolated splits of cartilage (fissures) of the knee. In this procedure, a patient's own cartilage is actually grown in the laboratory, then inserted into the fissure area and sealed over with a "patch" of the patient's own bone covering the tissue. While this is not a procedure for the cartilage damage of osteoarthritis, it does open the door for future cartilage research. These and other developing areas hold promise for new approaches to an old problem.
Investigators at the National Institutes of Health have found that taking glucosamine did not significantly improve symptoms of osteoarthritis compared to placebo. Studies are under way to look at whether some glucosamine formulations may have advantages over others.
Research scientists have found that doxycycline, a tetracycline drug, has been shown to slow the progression of cartilage degeneration in the knees of patients with osteoarthritis. This effect seems to be a result of the drug's effect on enzymes that destroy cartilage rather than on their properties as antibiotics. More studies are needed to determine the significance of this interesting work.
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