{"id":5697,"date":"2022-05-20T23:09:17","date_gmt":"2022-05-20T23:09:17","guid":{"rendered":"https:\/\/www.liveyourlifept.com\/blog\/?p=5697"},"modified":"2022-05-20T23:09:17","modified_gmt":"2022-05-20T23:09:17","slug":"best-approach-to-managing-osteoarthritis","status":"publish","type":"post","link":"https:\/\/liveyourlifept.com\/blog\/2022\/05\/20\/best-approach-to-managing-osteoarthritis\/","title":{"rendered":"Best Approach to Managing Osteoarthritis"},"content":{"rendered":"\n<p>According to a study in&nbsp;<em>Arthritis Care &amp; Research<\/em>, people with hip and knee OA use oral pain medications far more than nondrug alternatives. Of the nearly 1,200 patients in the study, 70 to 82 percent took pain relievers; fewer than half tried&nbsp;physical therapy&nbsp;or other nondrug options. Most were overweight, and none got the minimum 150 minutes of physical activity a week the Centers for Disease Control and Prevention recommends for good health.<\/p>\n\n\n\n<p>That\u2019s a problem, says Laith Jazrawi, MD, an orthopedic surgeon and chief of sports medicine at NYU Langone Medical Center in New York City. \u201cWe know that compared to people who are sedentary,&nbsp;patients who are more active have less pain&nbsp;and better function.\u201d<\/p>\n\n\n\n<p>Dr. Jazrawi recommends 150 minutes a week of brisk&nbsp;walking, cycling and&nbsp;weight training&nbsp;for people with arthritis. Even 45 minutes a week of moderate to vigorous physical activity might improve function, according to a 2017 study.<\/p>\n\n\n\n<p>Here are the American College of Rheumatology\u2019s recommendations for managing hip and knee OA symptoms:<\/p>\n\n\n\n<p><strong>Nondrug Therapies<\/strong><\/p>\n\n\n\n<p>Strong recommendations:<\/p>\n\n\n\n<ul><li>Land-based or water exercises<\/li><li>Weight loss, if needed<\/li><\/ul>\n\n\n\n<p>Secondary recommendations:<\/p>\n\n\n\n<ul><li>Self-management programs<\/li><li>Manual therapy in combination with supervised exercise (physical therapy)<\/li><li>Psychosocial therapies, such as cognitive behavioral therapy (CBT)<\/li><li>Hot and cold packs<\/li><li>Tai chi<\/li><li>Acupuncture&nbsp;or transcutaneous electrical nerve stimulation (TENS) for knee (not hip) OA patients with severe pain who aren\u2019t joint replacement candidates<\/li><\/ul>\n\n\n\n<p><strong>Drug Therapies<\/strong><\/p>\n\n\n\n<p>Strong recommendations:<\/p>\n\n\n\n<ul><li>None<\/li><\/ul>\n\n\n\n<p>Secondary recommendations:<\/p>\n\n\n\n<ul><li>Acetaminophen<\/li><li>Oral or topical NSAIDs<\/li><li>Corticosteroid joint injections<sup>1<\/sup><\/li><\/ul>\n\n\n\n<p>For more information on arthritis, visit the <a href=\"arthritis.org\">Arthritis Foundation\u2019s website.<\/a><\/p>\n\n\n\n<p><strong>Resources<\/strong><\/p>\n\n\n\n<p><sup>1<\/sup>\u201cBest Approach to Managing.\u201d <em>Osteoarthritis<\/em>, 18 Oct. 2018, blog.arthritis.org\/osteoarthritis\/tips-oa-management\/#more-190.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to a study in&nbsp;Arthritis Care &amp; Research, people with hip and knee OA use oral pain medications far more than nondrug alternatives. 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