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MANAGING ARTHRITIS PAIN: MEDICATIONS AND LIFESTYLE CHANGES
B Goyal1, S Bishnoi2, S Parveen3
11Department of Allied Healthcare & Sciences, Vivekananda Global University, Jaipur, India.
Georgian Medical News
|July 31, 2023
Summary
Physical therapy (PT) and lifestyle counseling (LC) are underutilized for knee osteoarthritis (OA), despite being effective. Pain medication prescriptions increased, while PT and LC usage remained low, indicating a need for better treatment strategies.
Area of Science:
- Orthopedics
- Physical Medicine
- Public Health
Background:
- Knee osteoarthritis (OA) is a prevalent condition requiring effective management strategies.
- Current treatment guidelines recommend a multimodal approach including physical therapy (PT) and lifestyle counseling (LC).
- Understanding prescribing patterns for knee OA is crucial for optimizing patient outcomes.
Purpose of the Study:
- To analyze triennial prescription rates of PT, NSAIDs, and narcotics for knee OA.
- To identify patient, doctor, and practice characteristics associated with treatment recommendations.
- To assess the comparative effectiveness and utilization of PT, LC, and pharmacotherapy for knee OA.
Main Methods:
- Analysis of the National Ambulatory Medical Care Survey data.
- Evaluation of prescription rates for NSAIDs, narcotics, and referrals for PT.
- Multivariable logistic modeling to identify factors influencing treatment decisions.
Main Results:
- Prescriptions for PT and LC were found to be underused in knee OA patients.
- Rates of NSAID and narcotic prescriptions increased over the study period.
- Treatment decisions were influenced by non-clinical factors like provider type and practice setting.
Conclusions:
- Physical therapy and lifestyle counseling are underutilized in knee OA management.
- There is a trend towards increased pain medication prescriptions.
- Treatment variability for knee OA is influenced by non-medical factors, highlighting areas for improved clinical practice and research.
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