As China begins to move into an aging society and as people’s economic standard of living increases with more concern for quality of life, more and more patients with osteoarthritis are coming to outpatient clinics. The common causes of osteoarthritis include increasing age, excessive exercise, obesity, and sequelae of trauma. Patients’ main complaints are often pain in the joints, aggravated by activity, or cold pain in the joints; some may experience swelling of the joints and a sensation of friction or clicking when moving. The prevalence of the disease is common in people over 45 years of age, with female patients more prone to develop the disease during the perimenopausal period due to changes in hormone levels. Clinical X-rays often reveal the presence of osteophytes or bone spurs, subarticular osteosclerosis, and cystic changes in cartilage, while MRI is more comprehensive. There is a growing clinical emphasis on the “pyramidal” treatment of arthritis, as follows: I. Early treatment of arthritis (tower base) Early osteoarthritis symptoms are mild, health education + medication is the main focus. Patients should be educated to change their physical exercise, less wear and tear on weight-bearing joints such as hip, knee and ankle joints, less climbing, less stairs, less squatting, less running and jumping, less tai chi, etc.; pay attention to keeping joints warm, warmth can promote blood circulation around joints, thus improving joint nutrient metabolism; at the same time, weight control, as the saying goes, “it’s hard to buy a thousand dollars to be thin in old age “The first medication is to pay attention to proper calcium supplementation after the age of 40, milk or soy milk cannot be stopped, and patients with arthritis symptoms can use joint cartilage protectors, such as hydrochloric acid or glucosamine sulfate, chondroitin sulfate, diacetin, etc. When oral medication is not effective, intra-articular injections of sodium vitreous acid can be used; if the pain is heavy Use pain medication. Second, the middle treatment of arthritis (tower body), arthroscopic minimally invasive treatment + drugs Arthritis further aggravated, there is a “bone spur” off the formation of free body; or in the knee joint, there is a meniscal tear; in the shoulder joint, dealing with shoulder impingement, etc., then you can use minimally invasive arthroscopic treatment methods, can be made for joint In this case, minimally invasive arthroscopic treatment can be used to clean the joint, flush it, polish the bone spur, remove the synovial membrane, and trim the meniscus, etc. Postoperative injection of sodium glacialate can nourish and lubricate the joint. Third, the late treatment of arthritis (the top of the tower), joint replacement When arthritis reaches an advanced stage, joint deformation occurs, the patient’s pain worsens, rest pain, night pain, walking distance is significantly shortened, in order to relieve pain and improve the quality of life, it is necessary to consider the ultimate treatment option for arthritis: joint replacement surgery.