Arthritis between generations: how treatment differs between younger and older patients


While treatment plans for young and elderly patients vary, some tactics help arthritis sufferers of all ages.

Dr Ashwani Maichand, Head, Department of Orthopedics, CK Birla Hospital (right), Delhi, shares how arthritis treatment differs between young and old.

Arthritis presents unique challenges in different age groups, requiring personalized treatment approaches to address the diverse needs of young and older patients.

Young patients:

For children and adolescents with arthritis, early diagnosis and intervention are essential. Juvenile arthritis, which affects people under 16 years of age, requires a multidisciplinary approach involving pediatric rheumatologists, physical therapists, and occupational therapists. The primary goals of treatment are to maintain joint function, reduce inflammation, and promote healthy growth and development. Medications such as biologic agents, DMARDs, and nonsteroidal anti-inflammatory drugs (NSAIDs) are often used to treat symptoms and prevent long-term joint damage. Maintaining mobility and function requires physical treatment and educational support to help younger patients cope with the difficulties of having a chronic illness.

Older patients:

In older adults, arthritis often coexists with other age-related health conditions, complicating treatment strategies. The most common type of arthritis in older people is called osteoarthritis, and it usually affects weight-bearing joints such as the spine, hips, and knees. The goals of treatment are to improve joint function, reduce pain, and improve quality of life. The use of non-pharmacological treatments such as exercise, weight management, and the use of braces or canes as assistive devices is essential to control symptoms and preserve independence. To reduce pain and inflammation, doctors may prescribe acetaminophen, NSAIDs, and corticosteroid injections. Joint replacement surgery may be suggested in extreme circumstances to relieve pain and restore mobility.

While treatment plans for young and elderly patients vary, some tactics help arthritis sufferers of all ages. Changing your lifestyle to one that protects your joints, exercising regularly, and maintaining a healthy weight are important to control symptoms and stop the progression of the condition. Additionally, patient support and education are essential to empower people of all ages to actively participate in their treatment plans and achieve the best possible results.

Healthcare professionals can improve overall arthritis treatment and improve the quality of life for patients of all ages by identifying the unique needs of young and older patients with the condition and customizing treatment techniques accordingly.

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