What symptoms look and feel like, and what to do if you can’t shake the ache
It’s not unusual to experience pain in your joints on occasion, especially if you’re active and participate in high-impact activities such as running. That unwanted ouch can be caused by injured muscles, tendons and ligaments around the joint, by tendonitis or by a sprain or a strain. But if you start experiencing aching, pain and stiffness on a routine basis — and particularly if the pain is right at the joint — you may be developing arthritis, says rheumatologist Uzma Haque, codirector of clinical operations at the Johns Hopkins Arthritis
Center in Baltimore. “The cardinal feature of arthritis is a swollen joint,” Haque says. “However, pain, discomfort and stiffness can be early signs.” Haque recommends paying attention to what triggers your symptoms: “If you walk a block and consistently have aching in your right knee, but it improves when you sit down, that’s when you should think, Do I need a medical evaluation?”
And yes, you might need to book that appointment even if you’re well under 50. Arthritis doesn’t only affect older people. Although your risk increases as you age, more than half of arthritis patients are younger than 65, according to the Centers for Disease Control and Prevention (CDC). It’s a leading cause of disability in the U.S., affecting around 54 million people.
Weight Loss: You may not want to hear it, but the extra pounds you’re carrying are putting stress on your joints. “For every pound you carry, the force on your knee is multiplied by three,” Rosian says. “If you gain 10 pounds, your knee feels 30 pounds of pressure. Maintaining an ideal body weight is critical for managing arthritis.”
Exercise: If you are in pain, you may be tempted to move less, but studies show physical activity helps reduce pain and improve movement in arthritis patients. “Keeping the muscles around your joint active and strong is key in protecting and stabilizing the joint,” Haque says. Low-impact activities like cycling or swimming will be easier on the joints.
Physical therapy: A physical therapist can teach you specific exercises to do to strengthen the muscles around your joint, Haque says. He or she can also work with you to correct any gait abnormalities that are putting extra stress on your knees, feet or hips.
Medication: If you have osteoarthritis, acetaminophen (Tylenol) is the safest overthe-counter pain reliever for long-term use, Rosian says, but NSAIDs (nonsteroidal anti-inflammatory drugs) like Advil or Motrin may be more effective if your joints are swollen and feel warm to the touch. Some NSAIDs are also available as liquids or gels, which can be rubbed on joints. For rheumatoid arthritis patients, early treatment with specific drugs can improve the long-term outcome.
Topical treatments: Over-the-counter or prescription creams and sports ointments can help relieve pain. Some patients have also reported success with cannabidiol (CBD) oils and creams, Rosian says. Joint supports or splints: A splint or brace can help support and protect a damaged joint. Some immobilize and rest the joint in the ideal position to minimize stress. Others provide support while you perform a task. Examples include wrist splints, knee braces and orthotics.
Injections: If you are still experiencing pain despite trying other therapies, your doctor may suggest injections of cortisone (or hyaluronic acid) for short-term relief. However, two recent studies suggest that repeated cortisone injections may lead to more joint damage and pain. Some doctors have started offering platelet-rich plasma (PRP) or stem cells as an alternative, but as of now there is no definitive proof of their effectiveness, Haque says. Surgery: Eventually, your doctor may recommend surgery to replace or stabilize your joint. There are many different surgical options, depending on where you have pain and how bad it is. For severe cases, you may need a total joint replacement.