Osteoarthritis and Aging: Young Adults with Osteoarthritis

Abstract

Despite perceptions that osteoarthritis only affects older adults, many people develop osteoarthritis before 65 years of age and live decades with pain and disability. It is critical to understand why some adults develop osteoarthritis early in life and the consequences of aging with osteoarthritis. Over half of people diagnosed with symptomatic knee osteoarthritis are under 65 years of age. Key risk factors are joint injury, certain occupations (e.g., tactical athletes), obesity, and aberrant hip shape. Young adults with osteoarthritis report significant mental health concerns and challenges engaging in the workforce. Primary/secondary prevention strategies need more attention. For young adults with osteoarthritis, education and self-management strategies, particularly as part of a coordinated care strategy, may be ideal. Many people live decades with osteoarthritis and need proactive treatment strategies to delay the need for joint replacement. We urgently need to further study young adults with osteoarthritis.