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There are many degenerative diseases that involve our joints and their connective tissues. The causes of these afflictions are varied and include accidents, injuries, infections, hormone disorders, cancer, and aberrations of the immune system. Most of these conditions involving the joints can generate pain, stiffness, swelling, redness, increased warmth, or progressive limitation of motion. The involvement of a single joint or of several joints may actually be a manifestation of systemic illness or caused by a disorder confined to the particular joint. It is crucial to consider all of the above possibilities in ascertaining the precise cause. Some disorders are self-limited and leave no residual handicap, whereas other illnesses become chronic and may lead to progressive joint destruction.

An initial step in evaluating painful diseases of our joints is to confirm whether the symptoms involve the joint itself or the structures around the joint. Bursitis, tendonitis, and cellulitis can usually be distinguished from actual joint disease, through the withdrawal of joint fluid with a sterile needle and syringe, and its examination under the microscope. Accurately taken xrays are necessary to provide the most accurate diagnosis.

Depression or anxiety often exists in conjunction with joint symptoms. Most of the time “psychogenic rheumatism” coexists without obvious signs of abnormalities in the muscles or bones. Articular (joint) involvement manifests itself, however, by joint tenderness, increased warmth, redness, the collection of fluid in the joint, and restriction of motion. Sometimes in the knees, one feels a click or grating sensation with rapid movement. Be sure to look the body over in its entirety for other signs of disease. The eyes, the skin, any presence of fever, the blood pressure are all valuable indexes to a general state of health.

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