Page 5 - Osteoarthritis
P. 5

and in between the fibers.  The fibers provide


            structure and hold the water molecules in place.

            The water molecules in turn provide cushion and


            resistance to compression, protecting the bone.

                It is necessary to understand this structure in

            order to understand how the cartilage works and


            what can happen to it to cause arthritis. If the fibers

            are damaged or decreased, they are less capable of


            holding water and serve less well as a cushion.

            When we overuse a tissue, it can become damaged.


            In this case the fibers inside the cartilage become

            damaged. This makes the tissue as a whole less

            strong and durable so that the next time it is placed


            under stress or overused, it is more likely to be

            damaged further. With time, this cartilage can


            become so damaged that it is no longer present in

            certain areas between the bones.


                  Another factor that contributes to the

            degradation of cartilage is the fact that it is


            avascular.  This means that there are no blood

            vessels inside of  the cartilage.  In order to repair


            any damage done to the cartilage, raw materials

            need to be brought in to replace the damaged tissue.

            These raw materials are brought via the blood
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