Arthritis

Overview

Arthritis refers to inflammation of joints leading to pain, stiffness, and reduced mobility. It is one of the most common chronic conditions affecting adults, especially with increasing age. The disease may involve one or multiple joints and can significantly affect daily activities and quality of life.

Common types include:

  • Osteoarthritis – wear-and-tear degeneration of cartilage (most common)

  • Rheumatoid arthritis – autoimmune inflammatory arthritis

  • Inflammatory spondyloarthropathies – such as ankylosing spondylitis

  • Crystal arthritis – gout and pseudogout

Causes and Risk Factors

The causes vary depending on type but generally include:

  • Age-related cartilage degeneration

  • Autoimmune immune system activation (rheumatoid arthritis)

  • Previous joint injury or overuse

  • Obesity causing mechanical stress

  • Genetic predisposition

  • Metabolic disorders (uric acid in gout)

These processes result in joint inflammation, cartilage destruction, and chronic pain.

Common Symptoms

Typical symptoms include:

  • Persistent joint pain

  • Morning stiffness (lasting >30 minutes in inflammatory arthritis)

  • Swelling and warmth around joints

  • Reduced range of motion

  • Difficulty walking or gripping objects

  • Joint deformity in long-standing disease

Pain often worsens with activity in osteoarthritis and improves with activity in inflammatory arthritis.

Screening and Prevention

There is no universal screening test, but early diagnosis prevents joint damage.

Preventive measures:

  • Maintain healthy weight

  • Regular low-impact exercise (walking, swimming)

  • Avoid repetitive joint strain

  • Early treatment of autoimmune disease

  • Adequate calcium and vitamin D

Early medical consultation for persistent joint swelling prevents disability.

Treatment Approaches

Treatment depends on the type and severity of arthritis.

Conservative treatment

  • Physiotherapy and strengthening exercises

  • Weight reduction

  • Activity modification

Medications

  • Pain relievers (paracetamol, NSAIDs)

  • Disease-modifying drugs (DMARDs) for rheumatoid arthritis

  • Biologic therapies for autoimmune arthritis

  • Steroid injections in joints

Procedures

  • Joint replacement surgery in severe degeneration

Role of Radiation Therapy in Arthritis Pain

Low-dose radiation therapy has been used in certain chronic inflammatory and degenerative joint conditions when conventional therapy fails, particularly in:

  • Painful osteoarthritis

  • Heel spur (plantar fasciitis)

  • Tennis elbow

  • Frozen shoulder

  • Small joint inflammatory arthritis

Very small anti-inflammatory radiation doses are delivered to the affected joint.
These doses are much lower than cancer treatment doses and work by:

  • Reducing inflammatory cell activity

  • Decreasing pain mediators

  • Improving joint mobility

Treatment is painless, outpatient-based, and often provides long-lasting relief when medications are inadequate or contraindicated.

Cutting-Edge Care by Dr. Rajesh Natte

Dr. Rajesh Natte, an expert in precision radiation oncology, uses advanced radiotherapy technology both for cancer care and selected benign painful conditions.

With Image-Guided Radiotherapy (IGRT) and highly conformal planning techniques, extremely low doses can be accurately delivered to inflamed joints while protecting surrounding tissues.

The same advanced technology is also used in treating colorectal cancers, where precise radiation targeting allows:

  • Better tumor control

  • Preservation of bowel function

  • Reduced side effects

  • Shorter treatment duration

This integration of technology and individualized care ensures patients receive safe and effective treatment tailored to their condition.

Conclusion

Arthritis is a common but manageable condition. Early diagnosis, lifestyle modification, medications, and physiotherapy form the backbone of treatment. In selected chronic painful cases, low-dose radiation therapy offers an effective non-invasive option for long-term pain relief.

Through modern precision radiotherapy and compassionate care, Dr. Rajesh Natte provides advanced treatment for both arthritis pain and colorectal cancer — improving comfort, function, and quality of life.