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Condition guide · Rheumatology

Osteoarthritis

Stiff, aching joints that wear with use — what osteoarthritis is, why it happens, and how a consultant rheumatologist can help.

Osteoarthritis assessment at Bridge House Clinic
What is osteoarthritis?

Osteoarthritis is erosion-related joint pain — it develops when the smooth cartilage that cushions a joint gradually thins, so the joint becomes stiffer and more uncomfortable to move.

It's the most common form of arthritis and usually comes on slowly, most often in the knees, hips, hands and spine. The reassuring part: with the right plan, most people keep their joints moving comfortably and stay active.

01Symptoms

Symptoms of osteoarthritis.

They tend to build up gradually — often worse after activity, and easing with rest.

01Joint pain with useAn ache that comes on or worsens during and after activity, and tends to settle with rest.
02StiffnessA short spell of stiffness first thing in the morning, or after sitting still — usually easing within minutes of moving.
03Reduced movementThe joint doesn't bend or straighten as fully as it used to, making everyday tasks harder.
04Grating or swellingA grating sensation when you move the joint, and some may notice mild swelling or a bony feel around it.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

There's rarely a single cause. Osteoarthritis reflects the natural wear a joint takes over time, and some things make it more likely. It can affect one or several joints.

Age
Previous joint injury
Carrying extra weight
Family history
Repetitive joint stress
Other joint conditions
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.Pain is affecting daily lifeWhen joint pain starts limiting your walking, work or sleep, it's worth a proper assessment rather than pushing through.
II.It hasn't settled with self-careIf rest, movement and simple pain relief aren't keeping symptoms in check, a consultant can confirm what's going on and tailor a plan.
III.A joint is swollen, hot or rapidly worseSudden swelling, redness, warmth or a quick change deserves prompt review to rule out other causes.
Book an assessment
Osteoarthritis examination by a consultant
Diagnosing osteoarthritis at Bridge House Clinic
04How it's diagnosed

Confirmed clinically and with an X-ray.

A consultant rheumatologist diagnoses osteoarthritis from your history and a hands-on examination of the joint, supported by an X-ray where helpful to confirm the picture and rule out other causes. You leave with a clear explanation and a plan.

05Treatment

How osteoarthritis is treated.

We start with the least invasive option that will work for you, and build from there.

01Management plan

A tailored programme of movement, weight and pain-relief advice to keep the joint working and ease day-to-day symptoms.

02Joint injection — small area

A targeted injection into a smaller joint to settle pain and inflammation when symptoms need more than self-care.

03Joint injection — large area

A targeted injection for a larger joint, such as a knee or hip, to ease pain and help you stay mobile.

See how osteoarthritis is managed — with pricesConsultation with Dr Subhra Raghuvanshi is £220, with joint injection options published upfront. Where a price varies, fees are confirmed individually at your consultation.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Does osteoarthritis get worse over time? +

It can progress slowly, but it isn't inevitable that it becomes disabling. The right management plan helps many people keep their joints comfortable and active for years.

Is walking and exercise good or bad for osteoarthritis? +

Gentle, regular movement is one of the most helpful things you can do — it keeps the joint mobile and strengthens the muscles around it. A consultant can advise what's right for your joint.

How is osteoarthritis diagnosed? +

It's diagnosed from your history and an examination by a consultant rheumatologist, supported by an X-ray where helpful to confirm the picture and rule out other causes.

What does a joint injection involve? +

It's a targeted injection into the affected joint to ease pain and inflammation. Small-area injections are £350 and large-area injections from £450; your consultant will advise whether it's suitable for you.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.