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Cohort studies have demonstrated a clear association of obesity with the development of radiographic knee OA in women and a weaker association with hip OA. pain quotes Forms of arthritis. Whether obesity is a risk factor for the development of hand OA remains controversial. (more info on OA and Body Weight) Occupation-related repetitive injury and physical trauma contribute to the development of secondary (non-idiopathic) OA, sometimes occurring in joints that are not affected by primary (idiopathic) OA, such as the metacarpophalangeal joints, wrists and ankles. Although the prevalence of knee OA is greater in adults who have engaged in occupations that require repetitive bending and strenuous activities, an association with regular, intense exercise remains controversial. pain quotes Early symptoms of arthritis. While early studies in joggers failed to find a higher prevalence of OA of the knee in joggers compared to non-joggers, a recent study of the Framingham data base in elderly adults provided the first longitudinal association between high level of physical activity and incident knee OA. Low-impact and recreational exercises are unlikely to constitute a risk factor for knee OA, and are likely to benefit the cardiovascular system. Prior menisectomy is a significant risk factor in men for the development of OA in the knee. pain quotes Acupuncture arthritis. (top of page) Signs and Symptoms of OA OA is diagnosed by a triad of typical symptoms, physical findings and radiographic changes. The American College of Rheumatology has set forth classification criteria to aid in the identification of patients with symptomatic OA that include, but do not rely solely on, radiographic findings. (ACR Guidelines-Clinical Classification criteria for OA of the Hip) (ACR Guidelines-Clinical Classification criteria for OA of the knee) Patients with early disease experience localized joint pain that worsens with activity and is relieved by rest, while those with severe disease may have pain at rest.
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