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Hi everyone, hemorrhoid also known as piles is very much painful and this is caused when tissues gets enlarge, or it becomes weak etc. The tissues gets swollen that contain veins and forms hemorrhoid. This is very much critical situation as the pain is not bearable and it should be cured as soon as possible.
Yes, degenerative changes can cause pain and stiffness. There is nothing much which you can do to stop the degenerative process except undergo physiotherapy and adopt as active a lifestyle as you can. Usually, physiotherapy and occasional pain killers help most people do better with respect to pain and stiffness.