{"id":22921,"date":"2025-07-15T11:41:45","date_gmt":"2025-07-15T11:41:45","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=22921"},"modified":"2026-05-20T09:20:27","modified_gmt":"2026-05-20T09:20:27","slug":"arthrose-et-arthrite-les-distinguer","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/arthrose-et-arthrite-les-distinguer\/","title":{"rendered":"Osteoarthritis and Arthritis : Why is it essential to distinguish between them?"},"content":{"rendered":"<h2 class=\"wp-block-heading\"><strong>Two joint diseases, but two distinct mechanisms<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/coulinmedical.com\/en\/larthrose-mieux-comprendre-cette-maladie\/\" data-type=\"post\" data-id=\"23049\">Osteoarthritis<\/a><\/strong>\u00a0and the<strong>arthritis<\/strong>\u00a0are two joint pathologies that are frequently confused. Both cause pain, stiffness and discomfort when moving, but their causes, development and treatments are radically different.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin emphasizes the importance of not confusing them: a\u00a0<strong><a href=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" data-type=\"link\" data-id=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" target=\"_blank\" rel=\"noopener\">diagnosis<\/a> accurate<\/strong>\u00a0is the condition for appropriate and effective treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is osteoarthritis?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Osteoarthritis is a disease&nbsp;<strong>degenerative<\/strong>, linked to the progressive wear of the cartilage that covers the ends of the bones. As this cartilage deteriorates, the bones rub against each other, causing:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>mechanical pain (appearing mainly during exertion or at the end of the day).<\/li>\n\n\n\n<li>joint stiffness after immobility.<\/li>\n\n\n\n<li>sometimes visible deformities of the joint.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Osteoarthritis mainly affects:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the knees, hips, hands and spine.<\/li>\n\n\n\n<li>people over 50 years old.<\/li>\n\n\n\n<li>joints that are stressed or misaligned.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It&#039;s a disease&nbsp;<strong>chronic and non-inflammatory<\/strong>, whose progression is slow but continuous. It cannot be completely cured, but its symptoms can be relieved and its worsening slowed down thanks to appropriate treatment: rehabilitation, infiltrations, regenerative treatments or surgery if necessary.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is arthritis?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L&#039;<strong>arthritis<\/strong>, unlike osteoarthritis, refers to a&nbsp;<strong>joint inflammation<\/strong>It does not result from mechanical wear, but from a disruption of the immune system, an infection or a metabolic disorder that causes an inflammatory reaction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The most common forms are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>rheumatoid arthritis (autoimmune disease).<\/li>\n\n\n\n<li>psoriatic arthritis.<\/li>\n\n\n\n<li>Infectious or reactive arthritis.<\/li>\n\n\n\n<li>gout (microcrystalline arthritis linked to uric acid deposits).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unlike osteoarthritis, arthritis can occur&nbsp;<strong>at any age<\/strong>, including in young adults. It manifests itself through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>inflammatory pain (present at rest and at night).<\/li>\n\n\n\n<li>Joint swelling often associated with heat and redness.<\/li>\n\n\n\n<li>prolonged morning stiffness (lasting several tens of minutes).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The treatment of arthritis is essentially based on a&nbsp;<strong>targeted medical approach<\/strong>, often coordinated with a rheumatologist. It may include anti-inflammatories, immunosuppressive background treatments, or biotherapies in severe cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How to tell the difference?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">To distinguish osteoarthritis from arthritis, several criteria are essential:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-white-background-color has-background has-fixed-layout\"><tbody><tr><td><strong>Criteria<\/strong><\/td><td><strong>Osteoarthritis<\/strong><\/td><td><strong>Arthritis<\/strong><\/td><\/tr><tr><td><strong>Mechanism<\/strong><\/td><td>Mechanical wear of cartilage<\/td><td>Inflammation of the joint<\/td><\/tr><tr><td><strong>Age<\/strong><\/td><td>Especially after 50 years old<\/td><td>At any age, often young adult&nbsp;<\/td><\/tr><tr><td><strong>Type of pain<\/strong><\/td><td>Mechanical (during exercise, at the end of the day)<\/td><td>Inflammatory (at rest, at night)<\/td><\/tr><tr><td><strong>Stiffness<\/strong><\/td><td>Brief, after the immobility<\/td><td>Prolonged, especially in the morning<\/td><\/tr><tr><td><strong>Affected joints<\/strong><\/td><td>Knees, hips, spine, hands<\/td><td>Small joints, wrists, ankles<\/td><\/tr><tr><td><strong>Swelling<\/strong><\/td><td>Rare or moderate<\/td><td>Frequent, with warmth and redness<\/td><\/tr><tr><td><strong>Evolution<\/strong><\/td><td>Slow, gradual<\/td><td>By pushes, variable<\/td><\/tr><tr><td><strong>Treatment<\/strong><\/td><td>Mechanical, regenerative or surgical<\/td><td>Medical (anti-inflammatories, immunosuppressants)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">This distinction between osteoarthritis and arthritis is crucial, because it directly conditions the therapeutic strategy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Why is this distinction essential ?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">To confuse&nbsp;<strong>osteoarthritis<\/strong>&nbsp;And&nbsp;<strong>arthritis<\/strong>, it is risking:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>to miss an inflammatory or autoimmune disease.<\/li>\n\n\n\n<li>to adopt an inappropriate, or even useless, treatment.<\/li>\n\n\n\n<li>to delay the implementation of essential long-term treatment.<\/li>\n\n\n\n<li>to misdirect the patient in their care pathway.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is why Dr. Coulin works in&nbsp;<strong>close collaboration with rheumatologists<\/strong>&nbsp;in order to guarantee a reliable diagnosis and care adapted to each patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Osteoarthritis and arthritis: two different therapeutic approaches<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>For osteoarthritis<\/strong>&nbsp;: the goal is to relieve symptoms, preserve mobility and slow progression. This involves physiotherapy, infiltrations (hyaluronic acid, PRP, Arthrosamid\u00ae), correction of mechanical axes, and, as a last resort, surgery (osteotomy or prosthesis).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>For arthritis<\/strong>&nbsp;: the goal is to control inflammation and stop flare-ups. This often requires long-term drug treatment, prescribed by a rheumatologist, in addition to rehabilitation to maintain joint mobility.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Do you experience persistent joint pain, whether at rest or during exercise ?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr Coulin welcomes you to Geneva to establish a clear diagnosis, analyze your imaging tests and guide you towards the most appropriate treatment, whether medical, regenerative or surgical.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An accurate diagnosis makes it possible to distinguish between&nbsp;<strong>osteoarthritis<\/strong>&nbsp;And&nbsp;<strong>arthritis<\/strong>, and therefore to choose the most effective therapeutic strategy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Les sympt\u00f4mes se ressemblent, mais les causes sont tr\u00e8s diff\u00e9rentes.<br \/>\nConfondre arthrose et arthrite peut retarder le bon diagnostic  et donc le bon traitement. Voici comment faire la diff\u00e9rence pour mieux prendre en charge votre sant\u00e9 articulaire.<\/p>","protected":false},"author":1,"featured_media":24764,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[103,104],"tags":[],"class_list":["post-22921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suivi-et-reeducation","category-comprendre-informer"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22921","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=22921"}],"version-history":[{"count":19,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22921\/revisions"}],"predecessor-version":[{"id":24765,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22921\/revisions\/24765"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24764"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=22921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=22921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=22921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}