Osteoarthritis/arthrosis is a degenerative joint disease; affecting articulations especially weight bearing joints which are subjected to maximum” wear and tear”. Rather it is the end result of variety of patterns of joint failure. It is characterized by both degeneration of articular cartilage and simultaneous proliferation of new bones, cartilage and connective tissue.


AGE: There is a steady rise in degenerative changes in joints from the age of 30. By age of 65, 85% of people have some radiographic evidence of OA although only 25% may have symptoms.
SEX: More generalized and more severe on in older women.
GENETIC: It is genetically linked. Obesity and body mass index are particularly associated with knee OA. Cold and damp climates are also associated with more symptoms.
AETIOLOGY AND PATHOGENESIS: (Cause and Disease Process)
PRIMARY OA: If cause is unknown.
SECONDRY OA: When degenerative joint changes occur in response to a recognizable local/systemic factor.

Clinical Features

Synovial fluid is viscous and has a low cell count.
Symptoms are gradual in onset.
Pain is at first intermittent and aching and is provoked by the use of the joint. And relieved by rest.
As disease progresses movement of the joint becomes increasingly limited initially as a result of pain and muscular spasm but later because of capsular fibrosis, osteophyte formation and remodeling of bone.
There may be repeated effusions into joints especially after minor twists/injuries.
Crepitus may be felt/even heard.
Associated muscle wasting is an important factor in the progress of the disease.


Blood count and ESR are characteristically normal.
Synovial fluid is viscous and has a low cell count.
Radiological specific features
Joint space narrowing seen due to cartilage destruction.
Joint space remodeling follows destruction of the cartilage. The joint alignment is altered with formation of new bone and cartilage in the non stressed area resulting in peripheral osteophytosis.
Cyst or geode formation may be seen along with subchondral sclerosis.
Detached osteophytes / ossification of cartilaginous debris form loose bodies.


Treatment is directed towards relieving symptoms, maintaining and improving joint function and minimizing handicap.
For overweight weight reduction will benefit.
Muscle exercises to increase muscle tone and aerobic fitness benefit pain reduction and function even in the orderly.
Aids such as splints, walking sticks etc can help in reducing the condition in weight bearing joints and also in post-surgerical rehabilitation.
Occupational therapy services.

Homoeopathic Approach In Treatement Of Osteoarthitis

A. Grading of disease / symptoms
Sub acute
Acute exacerbation of chronic disease
Proper use of anti miasmatic remedies
Only under the guidance of qualified homoeopath

B. Grading of disease / symptoms
Serous Membrane
Circulation - Artery or venous
Bones and Articular surface