More than 22% of North Americans have arthritis, approximately two-thirds are over the age of 65, and women are affected more commonly than men; it is the leading cause of disability in North America. The most common type is osteoarthritis/degenerative joint disease or ‘the wear and tear’ type, which is due to a breakdown of cartilage. Managing arthritis with a combination of chiropractic and acupuncture can be helpful.An inflammatory arthritis, such as rheumatoid or psoriatic arthritis, typically responds better to acupuncture. The treatment is very gentle, non-aggravating and is usually applied around, rather than directly in, the inflamed joints.