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September 18, 2023

A Comprehensive Guide to 16 Common Orthopaedic Conditions

The importance of bones in living a healthy life is not unknown. They give us the freedom to move by supporting our bodies. But that’s not all! They also protect our internal organs, produce blood cells, and store and release fats and minerals.

However, bones are susceptible to conditions or injuries that affect various parts of the body. These problems, commonly known as orthopaedic problems, can cause pain, stiffness, swelling, deformity, or loss of function in the affected parts. Some orthopaedic problems are present at birth, while others develop over time due to trauma, infection, inflammation, degeneration, or cancer.

In this article, we take a look at some of the most common orthopaedic conditions and ways to prevent and treat them.


Common Orthopaedic Conditions

Our skeletal system consists of 206 bones which are attached to our muscles with the help of connective tissues. As we age, our joints become stiff, thus leading to various orthopaedic issues. Here are some of the most common orthopaedic conditions, which should be treated on time.

Osteoarthritis

This is the most common type of arthritis, affecting mainly the knees, hips, spine, and hands. Over time, the bone-end cushioning cartilage deteriorates, causing friction and irritation between the bones.

Osteoarthritis can make daily activities challenging and cause pain, stiffness, and reduced movement. Older people are more susceptible to developing osteoarthritis, overweight people, those with a family history of arthritis, and those with joint injuries.


Rheumatoid arthritis

Immune system dysfunction causes rheumatoid arthritis. It attacks the joints and other organs, causing chronic inflammation. It affects the synovium, the tissue that covers the joints and produces synovial fluid to lubricate them.

Rheumatoid arthritis can cause pain, swelling, warmth, redness, and joint deformity, especially in the hands and feet. It can also impact the heart, blood vessels, lungs, eyes, skin, and other organs. Rheumatoid arthritis is more common in women than men and usually occurs between the ages of 30 and 50.


Gout

An excess of uric acid causes gout, a form of arthritis. Uric acid is an unwanted by-product that the kidneys usually remove. But when the blood has too much uric acid, it can form crystals that get stuck in the joints and cause sudden, severe attacks of pain, swelling, warmth, and redness.

Gout affects only one joint at a time, often the big toe. Alcohol consumption, dehydration, eating specific foods (like red meat and shellfish), taking certain medications (like diuretics), and having kidney issues can all contribute to gout.


Osteoporosis

This condition makes the bones lose mass or density, making them weak and easy to break. Osteoporosis can increase the chance of fractures or cracks in the bones, especially in the wrist, hip, and spine.

Osteoporosis can be caused by age, hormonal changes (especially in women after menopause), low calcium or vitamin D intake, inactivity, smoking, drinking, the use of certain medicines (such as steroids or anticonvulsants), or other conditions (such as hyperthyroidism or celiac disease).


Fractures

These are injuries that cause breaks or cracks in the bones from trauma (like falls or accidents), overuse (like repeated stress or strain), or disease (like osteoporosis or cancer). Fractures can cause pain, bruising, swelling, deformity, or loss of function in the affected bone or limb. Depending on certain factors, fractures can be of many types:

  • Closed fracture: When a bone cracks but the skin doesn’t tear.
  • Open fracture: The bone breaks and pierces the skin, exposing the bone tissue to infection.
  • Displaced fracture: The broken bones are out of alignment and need surgery.
  • Nondisplaced fracture: The broken bones are still in alignment and do not need surgery to fix them.
  • Greenstick fracture: The bone bends but does not break. It is more common in children than adults because their bones are more flexible.
  • Comminuted fracture: A broken bone with more than two fragments.
  • Stress fracture: The bone develops a small crack from repeated stress or overuse. It often happens in athletes who do high-impact sports like running or jumping.

Scoliosis

A condition in which the spine bends abnormally sideways. The spine can also twist or rotate around its axis. Scoliosis can cause back pain, uneven shoulders, hips, and waist, and a noticeable hump on one side of the ribs. Scoliosis can be present at birth (congenital) or have no known cause (idiopathic).

Idiopathic scoliosis usually starts in adolescence and affects girls more than boys. Scoliosis can be mild or severe, depending on how much the spine curves.


Kyphosis

When the spine curves abnormally, it is known as kyphosis. The spine can look rounded or hunched. Kyphosis can cause back pain, stiffness, bad posture, breathing problems, or less mobility. It may be congenitally present at birth or develop later in life (acquired).

Aging, osteoporosis, spinal injuries, infections, tumours, and other conditions can all cause acquired kyphosis.


Spinal stenosis

In this condition, the spinal column, spinal canal, and nerve roots get narrower. It can squeeze the spinal cord or nerve roots and cause pain, numbness, tingling, weakness, or cramping in the back, neck, arm, or leg.

Spinal stenosis can also make it hard to urinate or eat. Age, arthritis, disc degeneration, bone spurs, and spinal injuries are all potential causes of spinal stenosis.


Herniated disc

This condition is where the cushion between the vertebrae, the soft gel-like material inside the spinal disc, sticks out or breaks via a crack in the disc’s cover. A herniated disc can squeeze the spinal cord or nerve roots and cause pain, numbness, tingling, weakness, and cramping in the back, neck, arm, and leg.

A herniated disc can also affect the bladder or bowels. Ageing, disc degeneration, trauma, lifting, twisting, or bending are all potential causes of herniated discs.


Carpal tunnel syndrome

Carpal tunnel is a common condition in which the median nerve, which connects the forearm to the hand, gets inflamed or squeezed in the wrist’s carpal tunnel. Pain, numbness, burning, weakness of the thumb, the index, middle, and ring fingers, and tingling can be symptoms of carpal tunnel syndrome. Carpal tunnel syndrome can also affect gripping strength and hand coordination.

Repetitive hand movements, wrist injuries, arthritis, diabetes, pregnancy, or thyroid issues are all potential causes of carpal tunnel syndrome.


Bursitis

In this condition, the bursae, little sacs packed with fluid cushioning the joints, get inflamed or infected. Bursitis can cause pain, swelling, warmth, redness, or limited movement at the affected joint. Every body part is susceptible to bursitis.

However, the shoulder, elbow, hip, knee, and heel are the most common. Bursitis can be caused by overuse, injury, infection, arthritis, gout, diabetes, and other conditions.


Tendonitis

Tendons are the fibrous cords that attach bones to muscles and transfer the contraction to the bones. Sometimes these tendons can get inflamed or irritated, leading to tendonitis. This can cause pain, swelling, warmth, redness, or limited movement at the affected tendon. All bodily tendons are susceptible to tendonitis; however, the shoulder (Rotator Cuff Tendonitis), elbow (Tennis or Golfer’s elbow), wrist (De Quervain’s Tenosynovitis), knee (Patellar Tendonitis), and heel (Achilles Tendonitis) are the most common.

Tendonitis can be caused by overuse, injury, infection, arthritis, gout, or diabetes.


Sprains

These are injuries that happen when the ligaments, which are robust bands of connective tissue, stabilise bones at joints and limit their movement to prevent damage, stretch, or tear due to too much stress or twisting. Sprains can cause pain, bruising, swelling, instability, or limited movement at the affected joint. The ankle (inversion sprain), knee (medial collateral ligament sprain), and wrist (scapholunate ligament sprain) are the most common joints to get sprained, but any joint in the body can get sprained.

The severity of sprains can vary depending on how much the ligament is damaged. Sprains can be classified into different grades:

  • Grade I sprain: This is a mild sprain where some ligament fibres are slightly torn or stretched.
  • Grade II sprain: This is a mild sprain where some ligament fibres are partially or moderately torn or stretched.
  • Grade III sprain: It is a serious sprain where the ligament is completely torn or stretched. There may also be damage to other structures, such as bones, cartilage, tendons, or nerves.

Strains

These injuries happen when the muscles or tendons, soft tissues that contract and relax to move the bones, get stretched or torn due to too much stress or overuse. It can cause pain, swelling, spasms, weakness, or limited movement in the affected muscle or tendon. The most common places for strains to occur in the body are the back (lumbar strain), neck (cervical strain), thigh (hamstring strain), calf (gastrocnemius strain), and groin (adductor strain).

Like sprains, strains are also classified into different levels based on how severe they are. The common grades of strain are:

  • Grade I strain: When some muscle or tendon fibres have minor tears or strains.
  • Grade II strain: When some muscle or tendon fibres are moderately torn or stretched.
  • Grade III strain: When the muscle or tendon is completely torn or severely strained. The nerves, blood vessels, bones, or other tissues may also be damaged.

Infections

The musculoskeletal system can get infected when bacteria, viruses, fungi, or parasites penetrate and multiply, resulting in inflammation, discomfort, swelling, redness, fever, or pus. Even though infections can affect any region of the musculoskeletal system, they are most frequently found in the joints (septic arthritis), bones (osteomyelitis), bursae (septic bursitis), tendons (septic tendinitis), and muscles (pyomyositis).

Injury, surgery, injections, foreign bodies, immunosuppression, diabetes, and poor hygiene are only a few of the causes of infections.


Tumours

The aberrant cell growths known as tumours in the musculoskeletal system can be benign (non-cancerous) or malignant (cancerous). A tumour can cause pain, swelling, deformity, or loss of function in the affected body part. Tumours can occur in any part of the musculoskeletal system but are often found in the bones, soft tissues, and nerves.

Some examples of bone tumours are osteoma, osteosarcoma, chondroma, and chondrosarcoma. Some causes of tumours are radiation therapy, environmental exposure, genetic changes, and chronic inflammation.


How Can You Prevent These Typical Orthopaedic Diseases?

Here are a few tips and recommendations to prevent common orthopaedic diseases:

  • Maintain a healthy weight: Too much weight strains the bones, joints, and other soft tissues, increasing the risk of osteoarthritis, fractures, and other orthopaedic diseases. A lighter weight eases the strain on the bones and joints and improves mobility and function.
  • Eat a healthy diet: A balanced diet can provide nutrients for strong bones and joints. Some essential nutrients are calcium, vitamin D, protein, magnesium, zinc, and omega-3 fatty acids. A healthy Bone requires vitamin D and calcium strength and density. For the development and repair of muscles, protein is crucial. Zinc and magnesium are essential for the metabolism of bones and healing. Omega-3 fatty acids lessen stiffness and discomfort in the joints because of their anti-inflammatory properties.
  • Regular exercise can strengthen muscles and bones and improve joint flexibility and stability. Additionally, exercise can aid in preventing conditions that damage your musculoskeletal system, such as obesity, osteoporosis, diabetes, and cardiovascular diseases.
  • Avoid drinking and smoking: Smoking can decrease blood flow to bones and joints, stopping them from healing and repairing. Drinking can interfere with calcium absorption, stop bone growth, and increase the risk of fractures and osteoporosis.
  • Practise ergonomics and good posture to prevent putting too much stress on your spine and other parts of your musculoskeletal system. Keeping your hips, shoulders, back, and head balanced and aligned is essential. Ergonomics means adjusting the workspace and tools to suit your needs and body type.

Here are some of the things you can do: Use a chair that supports your lower back and lets your feet touch the ground.

  • Use a desk that is at a comfortable height and allows your arms to rest at a right angle.
  • Keep your head and neck straight, and use a computer monitor at the same level as your eyes.
  • Keep your wrists straight, and use a keyboard and mouse close to your body.

Seek Support at the Right Time

Orthopaedic issues are common and can affect people of all ages. They can cause pain, swelling, stiffness, deformity, or loss of function in the musculoskeletal system. They can also affect quality of life, mental and physical health, independence, enjoyment, and self-esteem. However, there are ways to prevent and treat orthopaedic diseases and cope with their physical and psychological effects. By following some orthopaedic health tips and suggestions, one can maintain a strong musculoskeletal system and enjoy a better quality of life.



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