A person with no clinical symptoms and X-ray findings of arthritis should be treated in the same way as someone with no symptoms and no X-ray findings. Both should eat right, exercise, and take the appropriate supplements. The key difference is that the person with X-ray findings may be at greater risk of developing symptoms sooner, and should take preventative measures as soon as possible. Routine screening with X-rays to look for arthritis damage is definitely not indicated because they expose the patient to unnecessary radiation and are costly.
Noticing signs of arthritis on X-ray should prompt a greater sense of urgency for the patient to take steps to reduce the risk of developing worsening arthritis, which likely will eventually lead to pain and suffering if it is not appropriately managed.