Diseases of the joints in the elderly are a frequent reason for disability. An initial assessment of the patient is important for selecting the appropriate hospitalization. Exclusion of infections is mandatory. The peculiarity of rheumatic diseases in the elderly, e.g., rheumatoid arthritis, polymyalgia rheumatica, is discussed, as well as the problem of osteoarthritis which shows a progressing disability in only half of the patients. Long-term nursing is required more for polymorbidity than for osteoarthritis. The optimal care is provided by a team composed of nurse, physio- and ergotherapist, and social attendant in close cooperation with the physician; the goal is self-sufficiency and hospital discharge for even the severely disabled patient.