Osteoarthritis (OA) is one of those conditions that many people assume is just “part of getting older.” While age is a factor, the reality is a bit more complex. Osteoarthritis is the most common form of arthritis, affecting millions worldwide. It develops when the protective cartilage that cushions the ends of bones wears down over time. But cartilage loss isn’t the whole story—changes also occur in the bone, joint capsule, and surrounding muscles, which all contribute to stiffness, pain, and reduced mobility.

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Why Osteoarthritis Appears

Osteoarthritis can be driven by a mix of factors:

  • Ageing: Wear and tear over time contributes to gradual breakdown.
  • Genetics: Some people inherit a higher risk.
  • Injury: Past joint injuries can accelerate degeneration.
  • Overuse or Repetitive Stress: Think of years of sports, manual labour, or even repetitive work tasks.
  • Lifestyle: Obesity, lack of physical activity, and poor muscle strength all increase stress on joints.

How OA Shows Up in Different Joints

Osteoarthritis doesn’t look the same in every joint. For example:

  • Spine: OA in the spine often appears as stiffness in the neck (cervical spine) or lower back (lumbar spine), sometimes contributing to nerve irritation or radiating discomfort.
  • Hips and Knees: These weight-bearing joints often show swelling, stiffness, and pain with movement—big contributors to reduced mobility.
  • Hands and Wrists: OA here can cause bony enlargements and decreased grip strength, making everyday tasks like opening jars a challenge.
  • Shoulders: While less common, shoulder OA can lead to grinding sensations and restricted overhead movements.

How Chiropractic Care Can Help

Here’s the good news: while chiropractic care can’t “cure” osteoarthritis, it can help manage the symptoms and improve quality of life. Chiropractors often work as part of a broader care team, providing:

  • Joint Mobilisation and Gentle Adjustments
    These techniques may help maintain mobility in affected joints, reduce stiffness, and improve functional movement.
  • Soft Tissue Therapy
    Techniques such as trigger point therapy or stretching can ease muscle tightness around arthritic joints, reducing compensatory strain.
  • Exercise Prescription
    Targeted exercises can strengthen supporting muscles, improve balance, and reduce stress on the joints. Regular physical activity is strongly recommended in OA management.
  • Lifestyle and Ergonomic Advice
    Chiropractors can guide patients on movement strategies, pacing, and posture adjustments that help protect joints during daily life.

It’s also common for chiropractors to integrate care with other therapies—like physiotherapy, occupational therapy, and medical management (e.g., pain relief or injections). Research shows that multidisciplinary approaches are most effective in managing osteoarthritis.

When to Seek Outside Help

While chiropractic care can be a valuable part of managing OA, there are times when referral to another healthcare professional is needed. These include:

  • Severe joint swelling, warmth, or redness (possible inflammatory arthritis or infection).
  • Rapid worsening of symptoms or sudden inability to bear weight.
  • Neurological changes such as loss of bladder/bowel control or significant weakness.
  • When surgical options may be necessary, especially for advanced hip or knee OA.

Chiropractors are trained to recognise when a case requires medical referral, ensuring patients get the right care at the right time.

Curiously Aligned Take

Osteoarthritis might be common, but it doesn’t mean you’re doomed to stiff joints and less activity. With the right approach—including chiropractic care, exercise, and sometimes help from other professionals—you can stay active, reduce pain, and keep doing the things you love.


References

  1. Cross, M., et al. (2014). The global burden of hip and knee osteoarthritis: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases, 73(7), 1323–1330.
  2. Hunter, D. J., & Bierma-Zeinstra, S. (2019). Osteoarthritis. The Lancet, 393(10182), 1745–1759.
  3. Blagojevic, M., et al. (2010). Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage, 18(1), 24–33.
  4. Silverwood, V., et al. (2015). Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage, 23(4), 507–515.
  5. Neogi, T. (2013). The epidemiology and impact of pain in osteoarthritis. Osteoarthritis and Cartilage, 21(9), 1145–1153.
  6. Corbett, M., et al. (2013). Standardising osteoarthritis management: the role of non-surgical interventions. BMJ Open, 3(11), e003436.
  7. Brosseau, L., et al. (2012). The Ottawa Panel clinical practice guidelines for the management of osteoarthritis in adults who are obese or overweight. Physical Therapy, 92(6), 804–821.
  8. Fransen, M., et al. (2015). Exercise for osteoarthritis of the knee: a Cochrane systematic review. Cochrane Database of Systematic Reviews, (1).
  9. Bannuru, R. R., et al. (2019). OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and Cartilage, 27(11), 1578–1589.

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MEET THE AUTHor

Hi, I’m Beccy — chiropractor, wellness enthusiast, and curious explorer of all things life. At Curiously Aligned, I share evidence-based health tips, practical chiropractic know-how, and a sprinkle of lifestyle adventures — from hobbies at home to travel escapes and everything in between!