The treatment plan may include medication, weight control, physical therapy, and especially the patient education about the disease. If failed, joint replacement surgery will help patient to relieve the symptoms and gain better movement. Treatment of osteoarthritis also depends on which joint(s) affected, severity of the disease and especially the patient’s chronic disease (s) which contributes to the selection of the type of medications and physical therapy. The changes of personality and everyday movement which may associate with the patient’s occupation are also important in the planning of treatment for the patient.
Treatment of osteoarthritis can help a patient to alleviate the pain, increase the ability of movement, and perform daily activities.
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Osteoarthritis results in the decrease of joint movement which in turn decreases daily activities. Physical therapists and occupational therapists play an important role in the treatment of osteoarthritis in order to relieve the joint ache/pain and increase joint movement.
Benefits of physical therapy include
Strengthening of muscles surrounding the joint and increase of joint movement.
Introduction of assistive devices for the movement such as canes, crutches, walkers, etc.
Provision of education in heat and cold therapy in order to reduce aches/pain
Assistance in wearing and adjusting devices to fit the joint properly and appropriately.
Provision of education in the proper use of joints, in order to prevent joint trauma.
Provision of recommendation for the proper and appropriate selection of patient shoes.
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Joint stretching Slow and gentle joint stretching will help prevent stiffness and ease joint movement, particularly in the morning time when joint stiffness usually takes place. Joint stretching may be performed on own at home with instructions from the physical therapist or in recreational style such as yoga or Chinese-boxing dance. Aerobic exercise Aerobic exercise is an important part of osteoarthritis treatment. It helps relieve the pain, enhance the strength of the muscles surrounding the joint, reduce body weight and generally improve joint function. Water exercise such as water walking or swimming makes use of water to support the body weight which helps reduce the loading to the joint while enhancing the strength of the muscles surrounding the joint. Walking is also another good exercise but running that puts weight on knee joints and ankles may cause the pain in the knee joints or ankles to get worse. Weight control Weight reduction helps decrease the development of osteoarthritis and delay the progression of the affected joint(s), particularly the weight-bearing joints such as spine, hips, knees and ankles. Weight reduction also helps decrease blood pressure and blood lipids and improve general health of the body. The principle of the weight reduction is to decrease the calorie content of foods in combination with the exercise. The patient should always consult with a physician before using any weight loss medication and discuss with a physician to get informed about your appropriate body weight. Patient education Understanding of osteoarthritis is a key to the successful treatment. Although it may not completely cure the disease, but you and your physician can assist in controlling the disease. As for the patient, he (she) can help improve the treatment if he (she) Learns about osteoarthritis as much as possible through discussion with his (her) physician. Learns to accept that the ability to perform some routine activities may be decreased and, at the same time, learns with intention to find out the routine activities that still can be performed with happiness, joy and without worsening the affected joint(s). Talks to friends and family members about what osteoarthritis feels like for him (her) so that they can understand about it. Learns to have an optimistic view of the world. Medications include analgesics, non-steroidal anti-inflammatory, steroid injections, Hyaluronic acid or hyaluronan injection and topical analgesics. Other treatment options include surgery, acupuncture and dietary supplements.
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