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Ostearthritis can lead to deformities of joints and there is a variety called erosive osteoarthritis which can produce bony deformities
Usually it is not difficult to differentiate RA from osteoarthritis as former has typical joint distribution with swelling and tenderness and most of the times it is a symmetric joint problem.The X-ray changes of RA are also quite typical and also blood tests like RA factor and anti-CCP antibodies are positive in 70-80 % of the patients with RA .Although Lyme disease in chronic stage can lead to joint disease but it is mainly a large joint disease.
So if you have an evaluation by the physician or a rheumatologist and he has ruled out possibility of an inflammatory arthritis like RA then you most likely have osteoarthritis
You can take some anti-inflammatory like Ibuprofen or Naproxen with PPI and if it doesn,t relieve the pain do see your doctor for an examination
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