Joanne Clifton was thrilled to win the 2016 Strictly come Dancing final with Ore Oduba, her celebrity partner in dance. Joanne, 33, was so pained after lifting the trophy that she couldn’t stand.
Although no one watching would have noticed, Joanne suffers from osteoarthritis in both knees — a condition she’d been diagnosed with the year before, aged just 31.
Fast forward nearly six years, her knees are now so stiff she can’t get out of her car without the aid of a special device to grip on to to lever herself out. She can’t run or jump and must be ultra-careful of housework that involves crouching.
Osteoarthritis affects about 8.5 million adult UK residents. This is when the protective cartilage around the bone ends starts to break down. It is generally caused by wear and tear and while the first twinges begin in the over-40s, by 65 at least 50 per cent of Britons will suffer from osteoarthritis to some degree in at least one joint — most commonly, the knees.

Joanne Clifton was thrilled to win the 2016 Strictly come Dancing final with Ore Oduba, her celebrity partner in dance. Joanne, 33, was so pained after lifting the trophy that she couldn’t stand.
But younger people can get it too due to obesity (which puts excess pressure on the joints), a sedentary lifestyle (which can stiffen joints, leading to wear and tear), genes or — as in Joanne’s case — from being very active.
‘The knee is one of nature’s most amazing structures — but most people don’t think enough about it until there’s a problem,’ explains Parag Jaiswal, an orthopaedic surgeon at the Royal Free Hospital in London.
‘Even knee experts like me can make mistakes. I ran more during lockdown to stay fit, but my trainers were worn out and had no shock absorbency. I then had a lot of knee pain and swelling.’
By the time she reached the Strictly final, Joanne’s knees had taken the brunt of intense training with broadcaster Ore. Their final show involved leaping on and off drum tops.
‘I was a bit silly — I put a great idea ahead of my own condition,’ she told Good Health. ‘I’d been told when I was diagnosed in 2015 to avoid high-impact movements. We’d been practising jumping all week.
‘By the Friday and Saturday, I was really struggling. I look back on that dance now and think: “Ooh, for the sake of my knees, why did I choreograph all that jumping?”.
‘After our last dance, I could only hobble up to Claudia [Winkleman]To get our points. But winning was a great feeling despite the pain.’
Joanne quit Strictly shortly after the final. This also meant the end to her career in ballroom dancing. She doesn’t say that arthritis forced her out but it’s hard to see how she could have gone on.

A downhill walk from her home to the station was agonising — on one occasion her knee seized up and she had to sit down ‘in tears’. She found a way of dragging her leg behind her and when pain struck, she ‘kept on going’
She is now 38 and lives in South London. Ex-world champions her parents and brother Kevin, 39 (an ex-Strictly dancer, who won the 2018 series along with his now girlfriend Stacey Dooley), are both Latin dance experts while Joanne is a ballet dancer.
‘Latin dancers dance on straighter legs and do hip actions,’ says Joanne. ‘I did 30-odd years of dancing with bent knees. They don’t have any arthritis whereas I know many ballroom dancers who’ve had knee replacements, because their cartilage is worn away by years of bent knees.’
She first had problems with her knees in her teens. By 26, she says: ‘The pains were worse. The crackling sound that my knees made was called crepitus. I used to laugh about it, I didn’t realise it was a medical condition.’ Called crepitus, the noise is caused by the rubbing of cartilage on the joint surface during movement.
After joining Strictly in 2014, Joanne suffered with bad knee pain on the 2015 tour but carried on until the day she woke ‘with a massive swollen knee’, unable to move.
‘I was in tears wondering if I’d get through it but I didn’t miss a show,’ Joanne recalls. Thanks to regular physiotherapy massages, and the strapping of her knees, she was able to get through.
After that, she saw a specialist and had an MRI done. She was told the cartilage in both knees was being worn away and she’d probably need a knee replacement one day. ‘I broke down in tears as dance was then my whole life,’ she says.
Warned to avoid high-impact movements, she was given exercises to strengthen muscles supporting the knee joints — including leg stretches, step-ups and knee squats. It was advised that she keep moving because sitting makes her joints stiff. Joanne found that walking downhill was more painful than climbing uphill, as the force on her knees is nearly four times stronger.
A downhill walk from her home to the station was agonising — on one occasion her knee seized up and she had to sit down ‘in tears’. She found a way of dragging her leg behind her and when pain struck, she ‘kept on going’.
The pain is due to the cartilage being damaged and losing its shock-absorbing capability. This forces the force through bone which is full of nerve endings. This is a ‘warning sign’ to seek medical help, says Mr Jaiswal, who also works at the private St John & St Elizabeth Hospital in London.
He says that new knee or hip pain lasting six to eight weeks should be reported to a doctor. ‘We can potentially prevent osteoarthritis from getting worse with lifestyle changes and injections designed to repair the damage and guide patients to manage their pain. There is great evidence that eating a plant-based diet, cutting out processed foods, sugar and red meat, along with fizzy drinks, can help by reducing inflammatory proteins called cytokines, which are secreted from immune cells.’
Anti-inflammatory steroid injections may be a short-term solution for some — ‘to get professionals through acute episodes’, for instance — but are not a long-term solution because of the risks, chiefly infection.
Injections called viscosupplementation can be used to top up levels of hyaluronic acid, a natural part of the fluid that cushions joints, but are expensive (£260 to £350 per injection) and are not available on the NHS.
Another option is PRP (platelet-rich plasma), drawn from the patient’s blood and considered more effective than hyaluronic acid. Platelets produce growth factors, which triggers the process of repair. This medication is also available at the Royal Free Hospital.
‘The key thing is that there should be some cartilage in that joint,’ says Mr Jaiswal. According to Mr Jaiswal, lifestyle, diet, and PRP injections were key factors in his case.
His MRI scan confirmed that he had some cartilage loss behind his kneecap. He also felt the pain and swelling in this area, but he was not diagnosed with osteoarthritis.
Joanne has found that devices to help arthritis sufferers are useful, including a special pillow for elevating her legs and a gadget called the Car Door Mate — a block-like device that wedges between the hinges of a car door so that the user can lean on it for support when getting out (she is an ambassador for the maker, Arthr).
For performances she can dance with the Addams family, for example, within her limitations and without further injury.
‘I do a tango and if I feel pain I’ll tell my dance partner (Cameron Blakely, who plays Gomez) and we won’t go too low in the lunges,’ she says. ‘I’ll also tell the choreographer and we adapt it.
‘There’s a joke in the show when the grandmother says: “I’m 102, I’ve got shingles and arthritis.” I’m thinking: “Yes and I’ve got it, too!”
‘So many people think it’s only found in older people. I need to get the message across that it’s nothing to feel embarrassed about — but do follow the doctor’s advice. I just wish I’d known about my condition earlier and done things to slow down the decline.
‘I’m feeling much more confident about the future now I’ve switched to doing something I love — and which is gentler on my joints.’
January 11, 2012: The Addams Family will resume their tour. Tickets, visit: theaddamsfamily.co.uk