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Falling Apart at 40? Not So Fast!

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Conventional wisdom holds that osteoarthritis is an "old person's" disease, you know, something your grandmother might have. It is also widely regarded as an unavoidable part of the aging process. But what if you have OA and you are not yet old (relatively speaking, of course)?

 

I was diagnosed with OA of the knee exactly one week after my fortieth birthday.  I've spent the last five years coping with chronic pain from cervical spondylosis, but my neck problems began after an injury, so even though I don't like it, at least I understand why it hurts. This knee pain really caught me off guard. I'm not overweight, and while I've always been active, I've never participated in a marathon, competitive gymnastics, or any other type of extreme sport that I imagine would prematurely wear out your joints.  I just woke up one morning and my knee was stiff and swollen. X-rays revealed quite severe OA, which surprised me, as I had never had any symptoms, or any discomfort. Less than two months later, my knee completely locked-up and I couldn't walk. I was promptly scheduled for arthroscopic surgery, and because the damage was so extensive (I had very little cartilage left), the surgeon performed  micro-fracture surgery which left me on crutches for almost three months. To add insult to injury - and I mean this literally -  at my final surgical check-up with my physician, when I asked whether I should avoid certain activities, because, as I said "I don't want to make it worse", his curt reply was "Oh, it's definitely going to get worse. I didn't even work on the bad side of your knee".

 

Say what?

 

Since being diagnosed with OA, I have spent many hours searching the internet - in vain, it seems - for, if not necessarily a cure, then at least some type of therapy that could slow the inevitable joint damage associated with this debilitating disease. The thing that struck me during my research is that the majority of information available on the web addresses arthritis care primarily as an aging issue. This makes sense, considering that arthritis is very common after age 65 and quite rare prior to age 40, but it's nonetheless frustrating. What about those of us who aren't quite old, don't need to lose weight, already eat well (most of the time!) and who are active and want to stay that way? Just tell me what to do and I'll do it!


This quest for better information was my main motivation for starting this blog. I know there are others out there like me who probably know a lot more than I do. My wish is to connect with and share ideas with my fellow active arthritis sufferers who want more than to merely copewe want more details, more options, more opportunities.

 

Got some great tips for dealing with arthritis? I'd love to hear from you! You can also visit my blog for more on arthritis and fitness at http://www.down-dog-amy.blogspot.com

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down-dog-amy 5 pts

Being on crutches stinks - I have three kids, and had my surgery right before school got out, so I was on crutches almost the entire summer. I've tried a glucosamine/chondroitin/msm supplement. It made my hands feel better (have arthritis there, too), but I can't tell if it's done much for my knee.
I've also been told to expect a knee replacement down the road, but like you, fell like I'm still to young, and it's really not something to look forward to. I'd like to put it off as long as possible.
I know well how frustrating it is not to be able to run/walk long distances when you are used to being active, and with kids, being sedentary is not really an option. I haven't tried tai chi, but I do really love how yoga helps me feel. I am lucky to have a fabulous teacher who knows a lot about anatomy, and helps me with accommodations to protect my knee.
I'm going to read up on De Novo, I have not heard about that. Thanks for sharing - hang in there!

msmcfad 5 pts

While I have not been diagnosed with OA specifically, I did end up having microfracture on my knee less than three months after a simpler procedure to just trim the meniscus. Apparently something happened and a piece of my cartilage broke off and was floating around in there, and as you know cartilage does not re-grow once it's been damaged. I was two knee surgeries into things, several months on crutches and one horrible looking quad muscle later and realizing there was no "quick fix" for this.

Unfortunately, I'm still there! Microfx helped somewhat, but it's been several years for me now and I'd say it's probably time to do something else. I can't run, can hardly walk long distances, and both of those are things I did do before all this started. To have that taken away was definitely a downer. The doctors say I'm too young for knee replacement, and I agree, as that's at least a partial amputation. I am constantly researching, and my money is on autologous stem cells, but I don't actually *have* that kind of money right now...I need it to become a covered procedure. It's still experimental, actually I don't believe it's in clinical trials in the US anywhere, although you can pay to have it done.

De Novo is another one I've looked seriously at. But...that's a big surgery and more time on crutches, so I'd need to be mentally prepared for that again. Life doesn't slow down and I have kids to deal with.

It will be interesting to see what else you're able to find out there to help deal with this. I've tried the glucosamine supplements, MSM etc. I've done the various hyaluronic acid injections which didn't help much (did them two years in a row).

I've heard Tai Chi is fantastic.

Good luck!

S