Osteoarthritis is a degenerative joint disease that involves the progressive destruction of the cartilages in the joints that are located between the two connecting bones. The cartilage serves as a cushion in order for the two bones not to come in contact with each other and cause friction. The cartilage also is surrounded by synovial fluid, which serves as a lubricant for a smoother movement of the joints. When the cartilage is destroyed, the synovial fluid is also affected thereby contributing to a more problematic joint motion.
The weight plays an important role in the health of the joints especially the weight-bearing ones such as the hips, cervical spine, and the knees, but other joints may be affected as well. In osteoarthritis, the weight bearing joints are mostly affected. People who are overweight and obese puts additional stress on the weight bearing joints and may lead to the progressive destruction of the cartilage because of too much weight placed on them.
Obesity is one of the most common forms of secondary osteoarthritis, a class of osteoarthritis not linked to genetics. In fact, osteoarthritis is very common to overweight and obese individuals and they are 3 to 4 times more at risk for developing it than people with normal weight. There are an estimated 35% of individuals in the United States who are obese. In this regard, osteoarthritis is more common in the Western society because of increased number of obese individuals. Dr. Mohr, your Tampa chiropractor, can do an in-person consultation to discuss your risk factors, as well as a treatment plan to keep you stronger for longer.
The role of Adipose Tissues in the Development of Osteoarthritis
The presence of mechanical factors in obese individuals seems not only to be the problem in the development of osteoarthritis. Other internal factors in obese people may still play a role in osteoarthritis. One of these is the role of adipokines in obese individuals. Adipokines are adipose factors, which provide a metabolic link to osteoarthritis, as evidenced by the presence of osteoarthritis even in the non-weight bearing joints in obese individuals. Adipokines consist of adiponectin, visfatin, resistin, leptin and many others. Adipokines are studied to play a role in hemostasis, glucose and lipid metabolism, regulation of blood pressure, regulation of reproductive functions, sensitivity to insulin and bone metabolism. In this regard, the presence of lipid dysregulation as a result of obesity may play a role in the pathophysiology of osteoarthritis.
The role of Obesity-induced Atherosclerosis in Osteoarthritis
Obesity may also play a role in the development of atherosclerosis or the hardening of the arterial walls due to the presence of excessive lipids in the body. When atherosclerosis occurs, there is impaired circulation of blood in the joints and the bones. As a result, the affected joints undergo progressive degradation because of impaired shock absorbing capabilities. This may be due to intraosseus hypertension or the increased blood pressure in the bones.
The Role of Diabetes in Osteoarthritis
Obesity has been associated with the development of diabetes mellitus. Diabetes is also one of the common factors in the development of secondary osteoarthritis. This is linked to the development of advanced glycation end products in the articular cartilage, which increases the tendency to develop osteoarthritis.
Because of the big role of obesity in the progression of osteoarthritis, weight management and weight reduction has been one of the important treatments for osteoarthritis. If you’re looking for a chiropractor in Tampa, FL, look no further than the area’s best-rated, Dr. Mohr, and set up your initital consultation today.