Doctor Andrea Furlan explains that osteoarthritis is a slow and lowgrade inflammation that attacks the cartilage of the joints. The amount of pain a person has is not a good measure of how much damage there is in the cartilage. Some people have a lot of damage and not much pain, and others, have mild damage and feel a lot of pain.
Dr. Furlan explains what the drivers of ongoing chronic inflammation are, and how to prevent its progression.
Osteoarthritis affects a lot of people who are overweight and obese. The adipose tissue, or fat tissue, produces substances called "adipokines" and these substances maintain the proinflammatory state in our bodies. This proinflammatory state leads to the ongoing destruction of the cartilage that protects the joints.
If you want to slow the progression of osteoarthritis and decrease the intensity of pain, try these strategies: 1) lose weight, 2) move the joints as much as you can, 3) avoid central sensitization doing mindbody therapies, and 4) start an antiinflammatory diet.

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Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.

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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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