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Treatment options for osteoarthritis.

Jason C Snibbe1, Ralph A Gambardella

  • 1Beverly Hills Orthopedic Group, Beverly Hills, Calif, USA.

Orthopedics
|March 8, 2005
PubMed
Summary

Osteoarthritis treatment for active individuals often involves physical therapy and weight loss. Viscosupplementation with hyaluronic acid injections effectively reduces knee osteoarthritis pain and improves function.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Sports Medicine

Background:

  • Osteoarthritis (OA) is a prevalent degenerative joint disease causing significant disability.
  • Active older adults with OA require effective management strategies.
  • Current OA treatments include physical therapy, weight loss, NSAIDs, corticosteroids, and viscosupplementation.

Purpose of the Study:

  • To review current treatment modalities for active patients with osteoarthritis.
  • To highlight the role of physical therapy, weight loss, and pharmacologic interventions.
  • To discuss the efficacy and risks associated with intra-articular corticosteroids and viscosupplementation.

Main Methods:

  • Literature review of osteoarthritis treatment options.
  • Analysis of non-pharmacologic and pharmacologic interventions.
  • Evaluation of intra-articular therapies including corticosteroids and hyaluronic acid.

Main Results:

  • Physical therapy and weight loss are foundational for active OA patients.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) aid physical therapy by reducing inflammation.
  • Intra-articular corticosteroids carry risks (tendon rupture, infection) and lack administration guidelines.
  • Viscosupplementation with hyaluronic acid shows promise for knee OA pain relief and functional improvement.

Conclusions:

  • Active individuals with osteoarthritis benefit from a multimodal treatment approach.
  • Viscosupplementation represents a viable option for managing knee osteoarthritis symptoms.
  • Further research is needed to establish guidelines for corticosteroid use in OA.

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