This disorder usually affects older people. The joints tend to become more "rough" and stiff causing pain and difficulty in walking. Initially the symptoms may be less evident but, as time goes by, the pains tend to become acute and permanent. In some cases the pain persists even during the night. The first treatment to be considered may be of an anti-pain or anti-inflammatory nature, any walking aids, physiotherapy and an appropriate diet to facilitate the loss of excess weight which  is very detrimental for the joints.