12/10/2025
𝗪𝗼𝗿𝗹𝗱 𝗔𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝗲𝘀 𝗗𝗮𝘆 : 𝟭𝟮𝘁𝗵 𝗢𝗰𝘁𝗼𝗯𝗲𝗿
𝙏𝙤 𝙥𝙧𝙤𝙫𝙞𝙙𝙚 𝙩𝙝𝙚 𝙗𝙚𝙨𝙩 𝙘𝙖𝙧𝙚 𝙛𝙤𝙧 𝙥𝙖𝙩𝙞𝙚𝙣𝙩𝙨 𝙬𝙞𝙩𝙝 𝙊𝙨𝙩𝙚𝙤𝙖𝙧𝙩𝙝𝙧𝙞𝙩𝙞𝙚𝙨 (𝙊𝘼) 𝙞𝙣 𝙋𝙝𝙮𝙨𝙞𝙤𝙩𝙝𝙚𝙧𝙖𝙥𝙮
Diagnosis for OA is a clinical diagnosis for people aged 45 or older presented with activity related joint pain and morning stiffness less than 30 min. Inaging is not the first line for diagnosis if not presented with atypical symptoms such as such as sleep disturbances, psychological disturbances, may lead to changing treatments frequently within 24 hours and frequent flare-ups.When managing patients with OA, patient education is a mandatory step. Always, tailor education to their needs, language and culture. And, always make sure to actively involve patient and family for the shared decision making.
Explain to people with osteoarthritis that, it is diagnosed clinically and usually does not need imaging to confirm the diagnosis and management should be guided by symptoms and physical function and the core treatments for the condition are therapeutic exercise and weight management (if appropriate), along with information and support.
𝗗𝗢 𝗡𝗢𝗧 𝗠𝗔𝗞𝗘 𝗧𝗛𝗘𝗠 𝗦𝗨𝗙𝗙𝗘𝗥𝗘𝗗 𝗙𝗢𝗥 𝗪𝗘𝗔𝗥 𝗔𝗡𝗗 𝗧𝗘𝗔𝗥.
Always, provide educational information with visual cues, you may use images, or ask patient to browse themselves with you at assessment table it self. And, advise them where they can find further information on osteoarthritis and how it develops (including flares and progression over time), and information that challenges common misconceptions about the condition, specific types of exercise, managing their symptoms, how to access additional sources of information and support after consultations, such as peer-to-peer support and support groups, benefits and limitations of treatment etc.
𝗣𝗵𝘆𝘀𝗶𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗥𝗲𝗰𝗼𝗺𝗲𝗻𝗱𝗮𝘁𝗶𝗼𝗻𝘀 𝗳𝗼𝗿 𝗢𝘀𝘁𝗲𝗼𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀:
• Therapeutic Exercises : Specific or Aerobic, Follow F**T Principle, Document appropriately, Make short videos from patient's mobile if they want remind at home
• Consider supervised exercise sessions
• Consider Adherence and Pain : Educate pain is a protective symptoms that can arise with early exercises, yet adherence to specific therapeutic exercises in optimal dosage can offer positive functional and qualitty of life outcomes.
• Weight management is a key approach in
managing OA : Always keep records of weight and BMI, make goals, celebrate achievements, educate how weight management reduces pain and how it can be proportionate to the pain perception. Always, record pain outcome measures.
• Manual Therapy : Only for hip and knee arthrities where appropriate, But not a strong recomendation.
• Electrotherapy : WEAK RECOMENDATIONS. ( Do not use TENS, UST, IFT, Laser, SWD, NMES as insufficient evidence in beneficial effects of these modalitis for OA).
• Accupuncture or Dry Needing : WEAK RECOMENDATION (Do not use for OA)
• Walking aids may recomend where appropriate, braces, insoles are also recommended but not as routine practice.
Follow Up : Patient initiated follow-ups are the best. Recommend follow-ups only when need to overcome limitations.
𝙍𝙚𝙛𝙚𝙧𝙚𝙣𝙘𝙚 : 𝙉𝙄𝘾𝙀 𝙜𝙪𝙞𝙙𝙚𝙡𝙞𝙣𝙚𝙨 (19 𝙊𝙘𝙩𝙤𝙗𝙚𝙧 2022) (𝙊𝙨𝙩𝙚𝙤𝙖𝙧𝙩𝙝𝙧𝙞𝙩𝙞𝙨 𝙞𝙣 𝙤𝙫𝙚𝙧 16𝙨: 𝙙𝙞𝙖𝙜𝙣𝙤𝙨𝙞𝙨 𝙖𝙣𝙙 𝙢𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩)
𝗥𝗡𝗖 𝗝𝗮𝘆𝗮𝗻𝗮𝘁𝗵
