Osteoarthritis
- Diagnosis, Imaging, Screening
- General Information
- Guidelines
- Internet Sites
- Risk Factors
- Risk Reduction
- Treatment
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Notes
The Guidelines section will contain 2008 and some 2007 updated published guidelines. To view Guidelines from previous years, view the Guideline sections or the Article sections or our Monthly Online Newsletter (under the Guidelines section).
Osteoarthritis
Daily Treatment Report
Cognitive Therapy-CBT-Psychotherapy
Device Therapy
Drug Side-Effects and Interactions
Drugs
Exercise
Exercise for osteoarthritis of the knee. (Cochrane Database Syst Rev. 2008)
Strength training for treatment of osteoarthritis of the knee: A systematic review. (Arthritis Rheum. 2008)
Effect of Therapeutic Exercise for Hip Osteoarthritis Pain: Results of a Meta-Analysis (Arthritis Care. 2008)
Physical Therapists' Use of Therapeutic Exercise for Patients With Clinical Knee Osteoarthritis in the United Kingdom: In Line With Current Recommendations? (Phys Ther. 2008)
Effect of therapeutic exercise for hip osteoarthritis pain: Results of a meta-analysis. (Arthritis Rheum. 2008) “CONCLUSION: Therapeutic exercise, especially with an element of strengthening, is an efficacious treatment for hip OA.”
Resistance Training for Medial Compartment Knee Osteoarthritis and Malalignment. (Med Sci Sports Exerc. 2008) “Conclusions—Neither BMI nor WC independently predicts death after AMI. Much of the inverse relationship between BMI and the rate of death after AMI is due to confounding by characteristics associated with survival. This study emphasizes the need to measure both BMI and WC because patients with a high WC and low BMI are at high risk of death.“
General Information
A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee (NEJM 2008) “Conclusions Arthroscopic surgery for osteoarthritis of the knee provides no additional benefit to optimized physical and medical therapy.”
Common Knee Surgery Called Unnecessary “One of the most common surgical procedures performed in the United States -- arthroscopy to treat arthritis in the knee -- is useless, researchers reported yesterday. A study involving 178 men and women found that those who underwent the surgery fared no better than those who received medication and physical therapy only. "I think we have definitive evidence that that procedure is ineffective," said Brian Feagan of the University of Western Ontario, whose findings are being published in today's issue of the New England Journal of Medicine. "If it isn't effective, patients should not be undergoing it." The study marks the second time a major study has questioned the operations, which can cost about $5,000 and are done on hundreds of thousands of Americans each year. In 2002, a study found the operations were no better than a sham procedure for arthritis. A year later, based on that and other studies, Medicare stopped paying for the operations for severe arthritis of the knee, and the number of claims for the procedure plunged.”
Management of Shoulder Osteoarthritis Reviewed “Primary osteoarthritis has no specific cause, whereas secondary osteoarthritis has a known cause or predisposing factor, such as a major shoulder traumatic injury, chronic dislocations, infection, congenital malformations, or chronic rotator cuff tear. • Mild degenerative joint disease can be treated with physical therapy and over-the-counter anti-inflammatory medications such as acetaminophen or NSAIDs; however, surgery is indicated for more severe cases.“
Chronic shoulder pain: part II. Treatment. (Am Fam Physician. 2008)
Osteoarthritis: Which Treatments Work And Which Don't?
Guidelines
New Guidelines Issued for Management of Hip and Knee Osteoarthritis
Immunotherapy
Internet Sites
Treatment Information
Drug-Food-Supplement Information
DrugDigest (drug interactions)
FDA - Drug Interactions: What You Should Know
NIH - Botanical Dietary Supplements: Background Information
NIH - Drug, Supplements, and Herbal Information
NIH - Herbal Supplements: Consider Safety, Too
NIH - Vitamin and Mineral Supplement Fact Sheets
Nutrition
Other
Other Treatments
Radiotherapy
Supplements-Vitamins-CAM
Supplements No Better Than Placebo In Slowing Cartilage Loss In Knees Of Osteoarthritis Patients “In a two-year multicenter study led by University of Utah doctors, the dietary supplements glucosamine and chondroitin sulfate performed no better than placebo in slowing the rate of cartilage loss in the knees of osteoarthritis patients.”
Glucosamine. (Am Fam Physician. 2008) “Despite conflicting results in studies, there is no clear evidence to recommend against its use. If physicians have patients who wish to try glucosamine, it would be reasonable to support a 60-day trial of glucosamine sulfate, especially in those at high risk of secondary effects from other accepted treatments. … Glucosamine should be used with caution in patients who have shellfish allergies or asthma, and in those taking diabetes medications or warfarin.”
Glucosamine sulfate might have no effect on pain or structural changes associated with osteoarthritis. (Nat Clin Pract Rheumatol. 2008)
Clinical review of chondroitin sulfate in osteoarthritis. (Osteoarthritis Cartilage. 2008)
Effect of Glucosamine Sulfate on Hip Osteoarthritis (Annals 2008)
Dietary Supplements for Osteoarthritis (Am Fam Physician. 2008) "Although the evidence is not entirely consistent, most research suggests that glucosamine sulfate can improve symptoms of pain related to osteoarthritis, as well as slow disease progression in patients with osteoarthritis of the knee. Chondroitin sulfate also appears to reduce osteoarthritis symptoms and is often combined with glucosamine, but there is no reliable evidence that the combination is more effective than either agent alone."
Surgery
Retention versus sacrifice of the posterior cruciate ligament in total knee replacement for treatment of osteoarthritis and rheumatoid arthritis (The Cochrane Database of Systematic Reviews 2008 Issue 3)
Transplantation
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