Arthritis Specialist

Wolfson Orthopedics

Nikolaj Wolfson, MD, FRCSC, FACS

Board Certified Orthopedic Surgeon located in Lower Pacific Heights, San Francisco, CA

Arthritis is the leading cause of disability in the United States, affecting more than 54 million people. Board-certified orthopedic surgeon Nikolaj Wolfson, MD, provides personalized treatment for patients with arthritis at Wolfson Orthopedics in the Lower Pacific Heights neighborhood of San Francisco. For comprehensive arthritis care, including nonsurgical and surgical treatments, call or book an appointment online today.

Arthritis Q & A

What is arthritis?

Arthritis encompasses more than 100 types of joint diseases that cause pain and stiffness. The team at Wolfson Orthopedics treats many types of arthritis, including:


Osteoarthritis affects more than 30 million adults in the United States, making it the most common form of the disease. Osteoarthritis occurs when the cartilage in your joints breaks down over time, which may cause your bones to grind against one another. 

Rheumatoid arthritis

Rheumatoid arthritis (RA) is an inflammatory autoimmune condition, which means your immune system attacks your healthy cells by mistake. This disease often affects your joints, but RA can also spread to other parts of your body, including the lungs and brain.


Gout is a type of arthritis that may result from a buildup of uric acid in your blood. Gout usually affects only one joint at a time, most often the big toe. 

Who gets arthritis?

The team at Wolfson Orthopedics treats arthritis in patients of all ages, including children ages 12 and older. However, the most common types of arthritis become more prevalent with increasing age. 

Certain factors may put you at greater risk of developing arthritis, such as having a previous joint injury or being overweight. 

What are the symptoms of arthritis?

Arthritis symptoms vary depending on the type and severity of the disease, as well as the joint it affects. Pain, stiffness, and swelling in the affected joint are the most common signs and symptoms of arthritis. 

In large, weight-bearing joints like the knees and hips, arthritis can cause debilitating pain that limits everyday activities, such as walking and climbing stairs. 

How is arthritis treated?

First, your Wolfson Orthopedics provider reviews your symptoms and medical history. They perform a physical exam and may take tests, such as an X-ray and blood tests. 

Then, the team at Wolfson Orthopedics develops a customized treatment plan. They work with you as a partner in your own treatment so you can return to normal activities as quickly and safely as possible. 

The team at Wolfson Orthopedics always explores nonsurgical treatments first, such as:

  • Lifestyle changes
  • Physical therapy
  • Medications
  • Steroid injections
  • Platelet-rich plasma (PRP) injections

Advanced arthritis may require joint replacement surgery. If surgery is necessary, the team at Wolfson Orthopedics uses minimally invasive procedures whenever possible, including arthroscopy and direct anterior hip replacement. 

If you think you have arthritis, call Wolfson Orthopedics or book an appointment online today. 

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