Page 5 - Osteoarthritis
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     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





