Arthritis is inflammation of one or more joints. Osteoarthritis is the commonest form of arthritis. It is also known as degenerative joint disease. According to the Arthritis Foundation, this chronic disease affects more than 27 million Americans. More than half the seniors over age 65 have evidence of osteoarthritis. Osteoarthritis occurs when the joint cartilage breaks down over time. It most commonly affects joints of the hands, hips, knees, lower back and neck.
Risk factors for osteoarthritis
- Previous joint injuries
- Older age
- Female gender
- Bone deformities
- Occupations with repetitive stress on a particular joint
Common symptoms of arthritis
- Joint pain
- Joint stiffness
- Swelling
- Loss of flexibility
- Grating sensation
How is osteoarthritis diagnosed?
X-ray imaging of affected joints may reveal narrowing of the joint space, which indicates that the cartilage is worn out. Bone spurs may be seen around the joint.
What lifestyle modifications are recommended?
Maintaining function and preventing disability is key to living well with arthritis. Exercise is important to preserve joint function and improve flexibility. Yoga and Tai Chi offer gentle exercises that help balance, posture and flexibility. Physical therapy is useful to strengthen the muscles around the joints and increase range of motion. Weight loss is recommended for persons who are overweight as it reduces the stress on weight bearing joints. Assistive devices such as canes or walkers prevent falls.
How is osteoarthritis treated?
There is no cure for osteoarthritis. Tylenol, Ibuprofen and other pain relievers reduce joint pain and maintain joint movement. For severe pain narcotics are often prescribed. Injections of steroid or hyaluronic acid into the joint may provide pain relief for longer periods. Studies on glucosamine and chondroitin have show mixed results. Both heat and cold packs can relieve pain in the joints. There are many over-the-counter creams for temporary relief of arthritis pain.
When is surgery needed?
Sometimes joint pain is so severe that it affects a person’s daily activities. Joint replacement is considered as a treatment when severe joint pain or dysfunction is not relieved by less invasive therapies. Joint replacement surgery involves removing the damaged surfaces of the joints and replacing them with metal prosthesis. The surgery is usually done by an orthopedic surgeon. Hip and knee joints are the commonly replaced joints and can last for 15 to 20 years depending upon use. Following joint replacement surgery, seniors are able to enjoy an active, pain-free lifestyle.

Each year thousands of caring individuals use the Charitable Gift Annuity to secure a lifetime income and provide critical financial support for Salvation Army programs and services in their communities. This time-tested technique has resulted in many gifts that otherwise might not have been made.
Long before the phrase “evidence based” became a buzzword, Child & Family Service (CFS) was providing award-winning evidence-based services. Founded in 1980, the Honolulu Gerontology Program, as it was then known, was incorporated into Child & Family Service in 1985. The following year the program received both the Department of Human Service’s Secretary’s Award for Excellence in Health Promotion and the Administration on Aging’s Project Health Award. In 1999, it received the Best Practice Award from the Health Promotion Institute of the National Council on Aging, and in 2002, CFS developed the No Fear of Falling program.
In today’s economy, it seems that everything old is new again … albeit with a bit of a twist. Years ago, it was common for older couples – and frequently widows – to rent out rooms for extra income. Taking in boarders was a viable way to supplement income.
Most of them are quickly diagnosed and easy to treat with corrective lenses. Still, millions of people in developing nations are pushed deeper into poverty, simply because they don’t have glasses. For children, clear vision means a better education, healthier development and a better quality of life. For adults, it means greater employment opportunity and economic strength. For seniors, it means less dependence on others. Sunglasses that offer protection against harmful UVA/UVB rays are also important to preserve eye health.

Rita Lontayao grew up on Kaua‘i. She married her husband in 1935 and lived with him in plantation housing, where they worked and raised their family. After many years on the plantation, her husband passed away. Then a few months later, the plantation closed, forcing her to move to alternate housing. She recalls the uncertainty of that time when she did not know how she would make ends meet without her husband, or his source of income.
Recently, Meals On Wheels Association of America President and CEO, Enid Borden, visited Lanakila Meals on Wheels in Liliha.
15 Craigside is Hawai‘i’s newest not-for-profit senior living community. It welcomed its first residents on March 4, 2011. It is the first continuing care retirement community in Hawai‘i geared to moderate-income seniors who believed that a retirement community with a full continuum of care was not possible until now.
15 Craigside also offers a number of attractive lifestyle features, including a small e-café/bistro with wireless communication and technology, and a private dining area for special occasions, complete with a quality menu selection of many types of cuisines to entice the palate.
The development of the community brings life to the perception that 15 Craigside is a place where active and happy seniors want to spend the “best years” of their lives. “Imagine the possibilities!” says White with enthusiasm, “What would you be able to do if you had someone else cooking and cleaning and maintaining your home? We have seniors who engage in writing and painting, creating Websites, learning how to ‘Skype,’ volunteering and doing things that they never had time to do before. It is an exciting time providing the means for a very fulfilling life.”