Arthritis Treatments by Dr Howard Marans MD

Arthritis Treatments by Dr Howard Marans MD


Arthritis is a broad term that refers simply to inflammation of a joint, or a place at which two or more bones meet. The most common types of arthritis are osteoarthritis, post-traumatic arthritis, and rheumatoid arthritis. The majority of arthritis cases can be managed non-surgically, and most people with arthritis are able to live full lives not limited by their condition.


Other Forms of Arthritis


There are a variety of other forms of arthritis which are much more rare than the three described above. Examples include:


•    Infectious arthritis
•    Psoriatic arthritis
•    Juvenile rheumatoid arthritis
•    Gout
•    Reactive arthritis


Non-Surgical Treatments


In most cases, osteoarthritis can be treated without resorting to surgery. It’s preferable to avoid surgery whenever possible, since surgery comes with its own set of risks and costs which should always be taken into account.


Some non-surgical treatments that Dr. Howard Marans uses for osteoarthritis include:


•    Physical therapy – Physical therapy strengthens the muscles that support the joints and restores flexibility to stiff joints. Patients should keep doing the exercises they learn at physical therapy at home as often as recommended.

•    Lifestyle changes – Remaining active, avoiding high-impact activities, and maintaining proper body alignment can all prevent flare-ups of symptoms.

•    Weight loss – Excess weight places stress on the joints, which can exacerbate symptoms of osteoarthritis. For obese patients, losing as little as 10% of the body weight can produce a significant reduction in symptoms.

•   Medication – Non-steroidal anti-inflammatory drugs (NSAIDs) are the most common class of drugs used to treat osteoarthritis. NSAIDs are available over the counter, but you should only use them occasionally unless your doctor recommends otherwise. Taking NSAIDs on a regular basis increases the risk of bleeding and stomach ulcers.

•    Steroid injections – Injections of steroid medication into the joint can reduce inflammation dramatically.




In some cases, it is necessary to operate on a joint to restore function and control symptoms of arthritis. For example, if a large joint such as the knee or hip has sustained serious damage, it may be necessary to replace the damaged cartilage with a prosthesis.


Knee surgery and hip replacement surgery are invasive procedures, but Dr. Howard Marans recommends such procedures in cases where the condition is unlikely to respond to conservative treatments and the quality of life will be significantly increased by surgical treatment.


Finding the right treatment for your arthritis depends on the type of arthritis and its severity. OC Orthopedic can help you get the diagnosis and treatment you need.