Pain, spine & orthopaedic care in Ocean & Monmouth County, NJ
Rheumatology

Joint arthritis: hips, knees, shoulders and hands

Arthritis in the hips, knees, shoulders or hands can limit daily activity. Learn about symptoms and non-surgical options at GSMC, New Jersey.

Rheumatology’s role: A rheumatologist can tell inflammatory arthritis apart from osteoarthritis and gout, and can treat autoimmune causes with DMARDs or biologics.

For full details on this condition, see our main page: Joint Arthritis.

Overview

Joint arthritis refers to arthritis in the peripheral joints, such as the knees, hips, shoulders, hands and feet. It may be degenerative (osteoarthritis) or inflammatory (such as rheumatoid arthritis).

Treatment aims to control pain, improve function and slow progression where possible. Options include exercise, weight management, bracing, medication and image-guided joint injections.

Watch and learn

Video: “How to Stay Active With Osteoarthritis? - Mayo Clinic” from Mayo Clinic on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube

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Common symptoms

  • Joint pain and stiffness
  • Swelling
  • Reduced motion
  • Pain with walking, stairs or gripping

Causes and risk factors

  • Cartilage wear
  • Autoimmune inflammation
  • Old injuries
  • Excess load on the joint

How it is diagnosed

Your clinician will review your history, examine the joint and may order X-rays, ultrasound, MRI or blood tests to look for inflammation or other causes.

Treatment options

  1. Self-care and lifestyle

    Stay active with low-impact exercise, manage weight and protect painful joints.

  2. Physical therapy and medications

    Physical or occupational therapy and medicines that are safe for you.

  3. Injections and nerve blocks

    Corticosteroid or hyaluronic acid injections may help selected joints.

  4. Minimally invasive procedures

    PRP is an evolving, usually self-pay option for some patients.

  5. Surgical evaluation

    Arthroscopic surgery or joint replacement referral when appropriate.

Frequently asked questions

What helps joint arthritis day to day?

Low-impact exercise, strengthening, weight management and pacing activities often help. Your clinician may add medication or injections.

How often can I have a joint injection?

It depends on the medication and the joint. Steroid injections are usually limited to a few per year in the same joint.

Do you offer joint replacement?

GSMC does not perform joint replacement. If replacement becomes appropriate, we can discuss referral options.

This page is general patient education and does not replace advice from your own clinician. Individual results vary.

Talk with a GSMC specialist

We will review your history and imaging and explain your options. Many plans, including Medicare, are accepted. We verify benefits before scheduling procedures.