Non-Surgical Osteoarthritis Relief

Have you or someone you know been diagnosed with arthritis? Have you had a scan showing “bone on bone” or been told you’ll inevitably need a joint replacement? We are here to challenge these assumptions and suggest some non-surgical osteoarthritis relief!

Understanding Osteoarthritis (OA)

First, let’s discuss osteoarthritis (OA). OA affects the whole joint, including bone, cartilage, ligaments, and muscles. Often described as ‘wear and tear,’ OA is now thought to result from a joint working extra hard to repair itself.

Osteoarthritis vs Osteoporosis

Osteoporosis is often confused with osteoarthritis since people often have both. While osteoarthritis is a complex disease that causes joint pain and reduces joint mobility and function, osteoporosis is the loss of bone mass, increasing the risk of fractures.

Prevalence and Influencing Factors

According to the Royal Australian College of General Practitioners (RACGP), one in 11 Australians, or over 2.1 million, has osteoarthritis. Factors influencing the development of arthritis include genetics, choice of sport at a young or middle age, and body weight.

Commonly Affected Joints

Arthritis can affect any joint but is most common in the knee, hip, fingers, and spine. Knee and hip arthritis can make daily activities like walking up stairs, getting in and out of the car, or rising from a low sofa challenging.

Challenging Historical Beliefs

Historically, it was believed that the only option for managing OA was to “rest up” until surgery. Joint replacements for hip and knee osteoarthritis are some of the most common and successful operations. However, recent research has debunked these beliefs. While there is no “cure” for osteoarthritis, a diagnosis does not mean a life sentence.

Our Approach to Management

This is where we come in! Imaging (such as X-rays or MRIs) is only one puzzle piece. Your physiotherapist can perform a detailed assessment of joint range of motion and strength to understand your capabilities better and then work with you to develop a personalized plan.

Available Treatments for Osteoarthritis Relief

There are treatments available to manage OA symptoms, focusing on reducing pain and improving function. The recently updated RACGP guidelines recommend that everyone with osteoarthritis be offered exercise, education, and weight management guidance if necessary.

Addressing Exercise Concerns

“But it hurts when I exercise,” you might say. Symptoms may fluctuate, but these changes do not equate to increased joint damage or OA progression. Initially, exercise may be a little uncomfortable, but this should settle when the exercise stops. Alternative options like hydrotherapy can be considered if land-based exercises are unsuitable. The buoyancy of the water can reduce the load on the joints while building muscle strength. Like medications, exercise must be prescribed at the right dose and duration to be effective. Your physiotherapist will guide you through this process and ensure appropriate modifications.

Considering Surgery

If surgery becomes necessary, there are considerations to determine whether it might be a good option for knee osteoarthritis. This is something your physio can help guide you through. Two main surgeries are frequently offered – keyhole (arthroscopy) and joint replacement. Keyhole surgery may benefit other knee conditions but is not usually recommended for people with osteoarthritis. Joint replacement can be effective if provided to the right person.

Contact Us

If this information resonates with you, book an appointment with one of our physiotherapists to learn how we can assist you with non-surgical osteoarthritis relief.

Published June 14, 2024