Degenerative Joint Disease and How Physical Therapy Can Help You
Evidence-Based Care for Osteoarthritis, Joint Pain, and Mobility Limitations
Degenerative joint disease (DJD), also known as osteoarthritis, occurs when the protective cartilage within a joint gradually wears down over time. As cartilage thins, joints may become painful, stiff, or less mobile, making everyday activities more difficult.
Although degenerative joint disease most commonly affects the knees, hips, hands, and spine, symptoms and severity vary from person to person. Left untreated, joint pain and stiffness can gradually impact mobility, independence, and quality of life.
At Bay State Physical Therapy, our expert physical therapists provide evidence-based care to help patients throughout Massachusetts and Rhode Island reduce pain, restore movement, and stay active. Through individualized treatment plans focused on movement, strength, and long-term function, we help patients move better, feel better, and live better.

What Is Degenerative Joint Disease?
Cartilage is the smooth, rubber-like tissue that cushions the ends of bones, helping joints move comfortably and absorb force during everyday activities. As cartilage wears down over time, bones may move less efficiently against one another, leading to pain, stiffness, swelling, and reduced mobility.
Degenerative joint disease is often referred to as osteoarthritis, the most common form of arthritis. While age is a risk factor, joint degeneration can also result from previous injuries, repetitive stress, muscle weakness, or altered movement patterns.
Degenerative joint disease commonly affects the:
- Knees
- Hands
- Shoulders
- Hips
- Spine
Some individuals experience mild symptoms, while others develop significant limitations that affect daily activities and overall function.
How Osteoarthritis Can Affect Daily Activities
Osteoarthritis often develops gradually, with symptoms becoming more noticeable over time. Many individuals first experience mild stiffness in the morning or discomfort after prolonged activity before symptoms begin affecting everyday movement.
Degenerative joint disease may make it more difficult to:
- Climb stairs
- Walk longer distances
- Get in and out of a car
- Kneel or squat comfortably
- Grip or carry objects
- Exercise or participate in recreational activities
- Complete household chores
Joint pain often causes people to move differently to avoid discomfort. Over time, these movement changes can place additional stress on surrounding muscles and joints, leading to weakness, balance deficits, and decreased activity tolerance.
Early intervention and conservative care can help reduce symptoms, preserve function, and keep you moving.
Common Causes of Degenerative Joint Disease
Several factors can contribute to degenerative joint disease, including:
- Natural aging and cartilage wear
- Repetitive stress or overuse
- Previous joint injuries
- Muscle weakness or imbalance
- Excess body weight
- Genetics and family history
- Inflammatory or metabolic conditions
- Reduced physical activity
At Bay State Physical Therapy, our team evaluates joint mobility, muscle strength, balance, posture, and movement patterns to identify factors contributing to pain and functional limitations.
Symptoms of Osteoarthritis and Degenerative Joint Disease
Osteoarthritis and degenerative joint disease can affect people differently depending on the joint involved and the severity of cartilage wear. Many individuals first notice mild stiffness or discomfort that gradually becomes more noticeable during everyday activities.
Common symptoms include:
- Joint pain during or after activity
- Grinding, popping, or clicking sensations
- Morning stiffness
- Muscle weakness around the joint
- Swelling or tenderness
- Difficulty walking, climbing stairs, or gripping objects
- Reduced range of motion
- Reduced tolerance for daily activities
What you experience may change over time, with some days feeling better than others. While symptoms can make movement more challenging, they do not have to prevent you from staying active and doing the things you enjoy.
If joint pain, stiffness, or reduced mobility are affecting your daily routine, exercise, or quality of life, a physical therapist can help you manage symptoms, improve function, and maintain an active, independent lifestyle.
How Physical Therapy Helps Osteoarthritis
Physical therapy is considered a first-line treatment for osteoarthritis because it addresses the mechanical factors that contribute to joint pain and dysfunction.
Rather than focusing solely on symptoms, physical therapy helps improve movement quality, strengthen supporting muscles, and reduce stress placed on affected joints.
Your treatment plan may include:
Strengthening Exercises
Strengthening the muscles surrounding a joint helps absorb force, improve stability, and reduce stress on irritated joint surfaces.
Mobility Training
Stretching and range-of-motion exercises help maintain flexibility, reduce stiffness, and support healthy joint movement.
Manual Therapy
Hands-on treatment techniques may help reduce pain, improve function and restore more comfortable movement.
Low-Impact Strengthening and Exercise Guidance
Activities such as walking, cycling, or aquatic exercise help improve endurance, support joint health, and maintain overall fitness.
Balance and Functional Training
Improving balance, coordination, and movement patterns helps reduce fall risk and improve confidence with daily activities.
Education and Joint Protection Strategies
Our physical therapists provide guidance on body mechanics, activity modification, and home exercises to support ongoing joint health.
Evidence-Based Osteoarthritis Treatment at Bay State Physical Therapy
Many individuals with degenerative joint disease improve with conservative care and do not require surgery. Physical therapy is often recommended as an early treatment option because it helps improve strength, mobility, and joint mechanics without long-term reliance on medication.
Physical therapy also helps identify contributing factors outside the affected joint. Weakness, mobility limitations, poor movement mechanics, and balance deficits can all influence pain and function.
As the Northeast’s leading provider of expert physical therapy, Bay State Physical Therapy delivers personalized orthopedic care focused on helping patients maintain independence and continue participating in the activities they enjoy.
Our expert physical therapists create individualized treatment plans focused on:
- Improving strength and joint stability
- Reducing pain and stiffness
- Restoring mobility and flexibility
- Improving balance, movement quality, and long-term joint health
- Helping patients return to work, exercise, and daily activities
Through evidence-based care and individualized progression, we help patients improve function, regain movement, and maintain an active lifestyle.
Why Patients Choose Bay State Physical Therapy
Patients throughout Massachusetts and Rhode Island trust Bay State Physical Therapy for expert orthopedic care and evidence-based treatment of musculoskeletal conditions. Our team is committed to personalized care that helps patients improve function, maintain independence, and continue doing the activities they enjoy.
Move Better. Feel Better. Live Better. It’s more than just our mantra- it’s what we are committed to empowering our patients to do!
Frequently Asked Questions About Osteoarthritis and Degenerative Joint Disease
At Bay State Physical Therapy, our expert physical therapists help patients throughout Massachusetts and Rhode Island manage arthritis symptoms while maintaining long-term mobility and independence.
For many individuals, physical therapy may help delay or avoid joint replacement surgery by improving strength, stability, and movement quality. Our physical therapists work closely with patients across Massachusetts and Rhode Island to develop personalized treatment plans based on their symptoms, goals, and lifestyle.
If walking causes discomfort, a physical therapist can evaluate your gait, strength, and movement patterns to help identify strategies that reduce joint stress while keeping you active.
High-impact or poorly tolerated activities may temporarily aggravate symptoms, but avoiding activity altogether can contribute to weakness, stiffness, and decreased mobility over time. A physical therapist can help you identify exercises that are safe and effective for your specific condition.
For many people, symptoms improve as the joint warms up and movement increases throughout the day. Persistent or worsening stiffness should be evaluated by a healthcare professional.
If weather-related symptoms interfere with your daily activities, physical therapy may help improve joint mobility, strength, and symptom management strategies throughout the year.
- Walking
- Cycling
- Swimming or aquatic exercise
- Stretching and mobility exercises
- Balance training
At Bay State Physical Therapy, our physical therapists create individualized exercise programs to help patients throughout Massachusetts and Rhode Island improve mobility, reduce pain, and maintain an active lifestyle.
Patients throughout Massachusetts and Rhode Island turn to Bay State Physical Therapy for evidence-based care designed to help them live the active lifestyles they want, maintain independence, and move with confidence.
Schedule an Evaluation for Degenerative Joint Disease at Bay State Physical Therapy
Joint pain and stiffness may be common with age, but they do not have to limit your ability to stay active and independent. With the right treatment plan, many individuals with degenerative joint disease and osteoarthritis can reduce pain, improve function, and continue doing the activities they enjoy most.
Our physical therapists create personalized treatment plans designed to reduce pain, improve function, and help you maintain an active, independent lifestyle. Through personalized treatment plans focused on strength, mobility, balance, and long-term joint health, we help patients maintain function and independence at every stage of life.
If joint pain interferes with work, exercise, daily activities, or your quality of life, we’re here to help. Complete the form below or find a Bay State Physical Therapy location near you to schedule an evaluation today and take the first step toward moving with greater comfort and confidence.
Virtual Physical Therapy for Degenerative Disc Disease
A diagnosis of degenerative disc disease does not tell the whole story of how you move or what you can do. Virtual physical therapy can help appropriate patients work on the stiffness, weakness, and activity limitations associated with ongoing back symptoms. Your therapist can guide a personalized exercise program, help you adjust daily tasks, and progress activity at a manageable pace. Care focuses on improving your function and confidence, rather than reversing changes in the discs.
Start Virtual Physical Therapy Within 24–48 Hours
Get personalized care from a licensed Bay State physical therapist through convenient, one-on-one video visits. Appointments are available within 24–48 hours for eligible patients located in Massachusetts. Complete our form, and our Virtual PT team will help you get started.
Virtual Physical Therapy for Arthritis-Related Joint Pain
Joint stiffness and discomfort can make it tempting to do less, especially when you’re unsure which exercises are appropriate. Virtual physical therapy provides individualized guidance for staying active with arthritis. Your therapist can help you practice exercises, adjust their difficulty, and find manageable ways to build strength and mobility. Your plan will focus on the activities you want to maintain or regain, with ongoing adjustments based on your symptoms and progress.
Start Virtual Physical Therapy Within 24–48 Hours
Get personalized care from a licensed Bay State physical therapist through convenient, one-on-one video visits. Appointments are available within 24–48 hours for eligible patients located in Massachusetts. Complete our form, and our Virtual PT team will help you get started.
