Osteoarthritis is the wearing down of cartilage on joints, and when cartilage wears away, bones are left to rub directly on each other. Bone-on-bone rubbing of facet joints can inflame medial branch nerves, resulting in intense facet joint pain.
Pender Island (Saanich: stÌeyÌÉs) is one of the Southern Gulf Islands located in the Gulf of Georgia, British Columbia, Canada.Pender Island is approximately 34 km 2 (13 sq mi) in area and is home to about 2,250 permanent residents, as well as a large seasonal population.he islands, along with Pender Harbour on the Sunshine Coast, were given their current name by Captain Richards for Staff Commander, later Captain, Daniel Pender, RN who surveyed the coast of British Columbia aboard HMS Plumper, HMS Hecate and the Beaver from 1857 to 1870.
Vancouver Island is part of British Columbia, Canada. As well as the island itself, it is also a region which includes the Gulf Islands in the Strait of Georgia. It is often referred to by the locals as simply 'The Island'.Vancouver Island is the largest island off the west coast of North America at about 450km long and up to about 90km wide.It has a population of over 700,000 people, with a little less than half of those living in the Greater Victoria area.y ferry [edit]. The most common way to get to Vancouver Island is by BC Ferries [3] . There is regular ferry service from Tsawwassen (near Vancouver) to Swartz Bay (Near Victoria), Tsawwassen to Duke Point (near Nanaimo) and Horseshoe Bay (Near Vancouver) to Departure Bay (in Nanaimo).