By Dr Anindita Santosa, Consultant Rheumatologist
When “Normal” Aches Aren’t So Normal…
We often dismiss it with a casual “Aiya, it’s just age lah.” But what if those persistent morning aches, stiff fingers, or sore knees are not merely signs of ageing? In Singapore, too many individuals delay consulting a doctor, mistakenly believing joint pain is an inevitable part of growing older. However, early arthritis can cleverly disguise itself as simple wear-and-tear. Recognising and addressing it early can be transformative. Don’t let assumptions rob you of a pain-free future — act now and seek medical advice from a rheumatologist before it’s too late.
In this post, we’ll explore how to tell the difference between “everyday” joint discomfort and early arthritis, why it matters, and what steps you can take to protect your joints for the long run.
Understanding the Difference: Wear-and-Tear vs. Inflammation
Not all joint pain is created equal. To understand what’s happening, let’s look at two common types:
Osteoarthritis (OA): The Mechanical Type
Osteoarthritis represents a significant health challenge, manifesting when the essential cartilage that cushions your joints deteriorates over time. While it is predominantly associated with ageing, it is crucial to acknowledge that younger individuals are not spared. Those who have sustained injuries or subjected their joints to repetitive stress, such as through extensive squatting or heavy lifting, are at an increased risk.
Typical signs:
- Pain worsens with activity and improves with rest
- Stiffness that lasts less than 30 minutes in the morning
- Commonly affects knees, hips, spine, or base of the thumb
Inflammatory Arthritis: The Autoimmune Type
Inflammatory arthritis, including psoriatic arthritis, rheumatoid arthritis, and lupus, is a condition that arises when the immune system mistakenly targets joint tissue. This misguided attack can lead to debilitating pain and joint damage, underscoring the urgent need for awareness and intervention.
Typical signs:
- Morning stiffness lasting more than 30 minutes to an hour
- Swelling, warmth, or redness around joints
- Pain that may improve with movement but worsen at rest
- Fatigue or unexplained low-grade fever
This type often begins subtly, and early treatment can prevent joint damage and disability.
Who’s at Risk of Developing Arthritis?
While anyone can get arthritis, certain factors increase risk:
1. Age and Gender
Women, especially those aged 30–60, are more likely to develop autoimmune arthritis such as rheumatoid arthritis or lupus.
2. Family History
If your parents or siblings have arthritis, your risk rises — especially for autoimmune types.
3. Lifestyle and Occupation
- Repetitive strain or heavy lifting can accelerate cartilage wear.
- Smoking and/or vaping as well as obesity increase inflammation, worsening symptoms.
- Poor ergonomics (e.g., long desk hours without breaks) also add stress to joints.
4. Hormonal and Immune Factors
Hormonal changes, particularly after pregnancy or menopause, can unmask autoimmune conditions. Stress and infections sometimes act as triggers.
When to Seek Medical Advice
Many Singaporeans often choose to “wait it out” until the pain becomes severe and intolerable, but early consultation can prevent long-term damage. See a doctor or rheumatologist if you notice:
- Persistent joint pain or stiffness lasting more than six weeks
- Swelling or warmth around joints
- Morning stiffness lasting over 30 minutes
- Unexplained fatigue or rashes
- Difficulty performing daily activities (e.g., gripping, walking, climbing stairs)
Your rheumatologist might order blood tests (like rheumatoid factor or anti-CCP antibodies) and imaging (X-rays or ultrasound) to confirm diagnosis and guide treatment.
How Aaria Rheumatology Can Help
Living with ongoing joint pain can be discouraging, especially when simple tasks start to feel difficult. At Aaria Rheumatology, we believe joint pain should never be dismissed as “just ageing.”
Our specialist provides:
- Comprehensive evaluation to distinguish mechanical from inflammatory causes
- Targeted investigations to detect arthritis early
- Personalised treatment plans — from medication to joint-protective exercises
- Lifestyle guidance on diet, ergonomics, and stress management
Whether you’re waking up with stiff joints or noticing pain that won’t fade, our specialist helps you understand your condition and take proactive control. If your joint pain has been persisting, don’t wait — book a consultation today to get proper diagnosis and treatment.
Conclusion: Early Recognition Changes Everything
Not every ache means arthritis — but ignoring persistent pain can let early arthritis silently progress. Understanding the difference between normal wear and inflammation empowers you to act early, seek help, and stay active for years to come.
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Disclaimer:
This article is for general educational purposes and should not replace medical advice. If you experience persistent or worsening joint pain, consult a qualified healthcare professional.
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