MANAGING WITH OSTEOARTHRITIS
Early diagnosis and immediate treatment are the best tools for successfully managing
OA, but there are other important factors, which include:
- Making healthy lifestyle choices
- Managing stress and depression
- Avoiding joint damage
- Balancing periods of rest and activity.
Treatment Options
The main goals for the treatment of OA are:
- Controlling pain
- Improving ability to take part in daily activities
- Slowing down the progression of the disease
Treatment plans will usually contain a combination of the following therapies:
- Exercise
- Weight control
- Joint protection
- Physical and/or occupational therapy
- Medication
- Surgery in severe cases
General Pain Management with Medications
The majority of people with OA will take medications at some point
for pain relief. The following are types of drugs that can be used in the management
of OA pain:
- Analgesics – pain relief drugs that are usually used for
people with mild-to-moderate pain. An example of an analgesic is acetaminophen or
paracetamol (e.g. Tylenol™).
- Topical Analgesics – creams or ointments that are rubbed over the effected area
for pain relief. These are available over-the-counter and can be used in combination
with oral drug therapies.
- Nonsteroidal Anti-inflammatory Drugs (NSAIDS) – drugs
that aid in reducing inflammation and swelling as well as help with pain relief.
They are recommended for people who have moderate-to-severe pain and signs of inflammation.
- Cox-2-Drugs – class of drugs which are targeted NSAIDs
that don’t cause the stomach irritation sometimes associated with traditional NSAIDs.
- Injectable Glucocorticoids – steroids that are injected
into the joint for fast pain relief. Recommended as an alternative first therapy
for people with moderate-to-severe knee pain with signs of inflammation who do not
receive relief from acetaminophen. These injections may only be given in the same
joint three or four times a year.
- Viscosupplements – therapy used specifically for knee
osteoarthritis that must be administered by an orthopaedic surgeon. It involves
a series of injections over a period of weeks into the joint of hyaluronic acid,
a substance found in the body that gives joint fluid its viscosity.
Information cited from the Arthritis Society and the Arthritis Foundation
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