Osteoarthritis is a degenerative wear and tear process occurring in joints that are impaired by congenital defect, age, vascular insufficiency, previous disease or injury. It is by far the commonest variety of arthritis. If a joint were never put under stress it would never become osteoarthritic. Hence the relatively lightly stressed joints of the upper limb are in general, less prone to osteoarthritis than the heavily stressed joints of the lower limb. Nearly always, however there is a predisposing cause that accelerates the wear and tear process. Almost any abnormality of a joint may be responsible indirectly for the development of osteoarthritis- often many years later. Basic concept behind our treatment is to correct the metabolism, this enabling the micro-nutrients to be absorbed by the body.