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Osteoarthritis. How to manage pain and improve patient function
1Pain Services, Kaiser Permanente, Department of Family Practice, University of California, San Diego, USA.
Geriatrics
|October 20, 2001
Summary
Osteoarthritis (OA) treatment focuses on reducing pain and disability in individuals over 60. Management includes nonpharmacologic methods, medications like NSAIDs, and potentially surgery for improved quality of life.
Area of Science:
- Gerontology
- Rheumatology
- Orthopedics
Background:
- Osteoarthritis (OA) commonly affects individuals over 60, leading to pain and functional disability.
- Weight-bearing joints are most frequently impacted by OA.
- The primary treatment goal is to alleviate pain and enhance patient function and quality of life.
Purpose of the Study:
- To outline current treatment strategies for osteoarthritis.
- To detail both nonpharmacologic and pharmacologic management options.
- To emphasize individualized treatment planning for OA patients.
Main Methods:
- Review of established nonpharmacologic interventions for OA.
- Summary of pharmacologic therapies including analgesics and NSAIDs.
- Inclusion of complementary treatments, viscosupplementation, and surgical options.
Main Results:
- Nonpharmacologic approaches such as exercise, weight control, and patient education are safe and effective.
- Pharmacologic options range from acetaminophen to NSAIDs and opioids for pain management.
- Topical agents, viscosupplementation, and surgery offer additional therapeutic avenues.
Conclusions:
- Comprehensive OA management requires a multimodal approach tailored to the individual patient.
- Integrating conservative measures with pharmacologic and potentially surgical interventions optimizes outcomes.
- Effective OA treatment significantly improves patient function and quality of life.
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