'Arthritis' applies to numerous conditions with various causes and symptoms. What they tend to have in common is that they cause inflammation or erosion in the joints, often resulting in pain, swelling, stiffness and impaired movement (other parts of the body can also be affected).

Osteo-Arthritis is also referred to as 'wear and tear'. It affects most people to varying degrees, becoming apparent as our joints age. The most affected joints are knees and hips in males and hands in females around the menopause. The cartilage within joints roughens with use, particles of which can break loose and cause further damage. In reaction, the underlying bone thickens and 'spurs' or outgrowths of bone can result.

Rheumatoid Arthritis most commonly affects females between 30 and 50 years old and affects many parts of the body as well as the joints. It typically affects smaller joints (eg. knuckles) first, the lining of which becomes painfully inflamed and swollen. Over time the joint surfaces can erode and extra tissue can develop in and around joints.

Gouty Arthritis (or Gout) is caused by the build up of deposits of uric acid crystals in the body, particularly in the joints. If large deposits of these crystals are allowed to remain in the joints, over time permanent damage can result. Diet is generally a significant factor in Gouty Arthritis, which has been linked with foods rich in 'purins', such as red wine and red meat.

Sufferers of arthritic conditions will tend to experience periods of 'flare ups', when pain and swelling is particularly present, as well as 'remissions', when these improve. Massage is best avoided during flare ups, but can be very beneficial if performed regularly during periods of remission.

Massage can help to keep the affected joints as mobile as possible, alleviate pain, reduce frequency and severity of flare ups and reduce tension in associated muscles. Regular massage also helps ensure a good blood supply to the affected areas and can boost the immune system to help the body repair damage. Stress and tension may also be a factor in arthritis and massage is certainly ideal for helping to relieve these, with the bonus that you'll feel better too!

While drugs may benefit sufferers of some types of arthritis, many other factors can make a difference: changes to diet can have a real impact with some (eg. wheat and dairy sensitivities are common); regular, moderate exercise is essential for maintenance of healthy joints; supplements can play an important role - vitamin C and essential fatty acids are important for joint repair and glucosamine sulphate helps some; treatment with herbal remedies can also be useful for many.