“…Captive adult elephants often suffer from arthritis and degenerative joint diseases (Ruthe, 1961;Salzert, 1972;Hittmair and Vielgrader, 2000;Forstenpointner et al, 2001;Hittmair et al, 2001). Hard surfaces such as concrete which produce a damp and cold environment, wet and muddy conditions, as well as restricted movement are reported to be the major causes of these problems (Schmidt, 1986;Rü edi, 1995;Hittmair and Vielgrader, 2000). Loss of proteoglycans and collagen damage are the first characteristics of osteoarthritis (Freeman, 1999;Bank et al, 2000;DeGroot et al, 2004).…”