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When you want to get moving for your health, how do you deal with your knee pain?

The American Academy of Orthopedic Surgeons evaluated the available scientific studies for effective treatment for mild knee osteoarthritis.  The 13 page summary is available online or read the condensed list here:

  1. Exercise – strong evidence for effectiveness
  2. Weight loss – moderate evidence for
  3. Acupuncture – strong evidence against
  4. Physical agents (TENS, ultrasound, etc.) – inconclusive
  5. Manual therapy (chiropractic, massage) – inconclusive
  6. Valgus-directing force brace – inconclusive
  7. Lateral wedge insoles – moderate evidence against
  8. Glucosamine and chondroitin – strong evidence against
  9. NSAIDs – strong evidence for
  10. Acetaminophen, opioids, pain patches – inconclusive
  11. Intraarticular corticosteroid injections – inconclusive
  12. Hyaluronic acid injections – strong evidence against
  13. Growth factor injections and/or platelet-rich plasma – inconclusive
  14. Needle lavage – moderate evidence against
  15. Arthroscopy with lavage and debridement – strong evidence against
  16. Partial meniscectomy in osteoarthritis patients with torn meniscus – inconclusive
  17. Valgus-producing proximal tibial osteotomy – limited evidence
  18. Free-floating interpositional device – no evidence; consensus against

Only two treatments were strongly suggested: NSAIDS and physical exercise. The evidence supports the use of self-management programs in patients with knee osteoarthritis. Looks like it is time to get MOVING for MOVEmber!  You can do it – one step at a time.  If you need help, the Avnew Health national network of physical therapists can ensure that your joints are ready to begin your path to better health.

List courtesy of http://www.sciencebasedmedicine.org

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