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Osteoarthritis (OA) occurs when the cartilage (a tough, but flexible spongy tissue at the ends of bones in the affected joint) doesnât work as well as it should, this causes the ends of bones glide against each other with more friction. This joint disease manifests itself by generating some symptoms.n diagnosing OA, physical examination is usually the first step. In this procedure, your doctor will closely evaluate and examine the affected joint physically through symptoms that appear. The following are some major concern that will be closely evaluated in physical examination: 1  The level of jointâs range motion!
Here is the typical pattern that you can expect to see in a joint with osteoarthritis: 1  Joint space begins to narrow as a result of cartilage degeneration. 2  Bone tries to repair itself and there is bone remodeling in the forms of subchondral sclerosis and osteophytes.