Treatment Options for Osteoarthritis

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by vl151
Last updated 5 years ago

Health & Fitness

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Treatment Options for Osteoarthritis

Intra-articular Corticosteroids - Associated with short-term benefit (up to 6 months) with few side effects (level 2 evidence)- Recommended if pain is refractory to full-dose acetaminophen

Platelet Rich Plasma- Autologous derivative of whole blood that contains high concentrations of growth factors and cytokines that influence the healing of tendon, ligament, muscle, and bone- Stop the pathway of cartilage breakdown -> chronic inflammation -> more destruction

Hyaluronic Acid Supplementation- Primary joint-protective component of synovial fluid via its viscous and elastic properties- Supplementation can promote in vivo IAHA production and provide an intra-articular anti-inflammatory effect

Exercise and Weight-Loss- Strength training (resistance training) reduces pain and improves physical function in patients with primary OA of knee (level 1 evidence)- Weight loss recommended for overweight patients (body mass index [BMI] > 25 kg/m2) with symptomatic OA of knee

Treatment Options for Osteoarthritis

Analgesics- Acetaminophen, NSAIDS, Tramadol, 1st line- Topical NSAIDS i.e. Diclofenac 1% gel (Pennsaid) improves pain, function and stiffness for 4 weeks (level 1 evidence) up to 12 weeks (level 2 evidence) - Side effect of dry skin

Others: Acupuncture, Surgical Hip/Knee Replacement with Physical Therapy

Osteopathic Techniques &Joint Manipulation


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