Managing Knee Osteoarthritis: Key Treatment Strategies

Date: October 18, 2024

Treating Knee OA with Exercise:

Knee osteoarthritis (OA) can be a frustrating and debilitating condition, impacting everything from daily activities to overall quality of life. Fortunately, there are multiple strategies available that we utilize at Pain Free to help manage symptoms and improve function. Let’s explore the key treatment options available for knee OA, focusing on exercise, education, and additional support.

Getting Started With Exercise

When it comes to treating knee OA, exercise should be the first step in any management plan. Regular physical activity not only strengthens the muscles around the knee but also enhances overall joint stability.

Here’s a practical guide to structuring an exercise routine:

  • Strength Training: Aiming for 3 sets of 8-12 repetitions of each exercise, to help build muscle around the joint. Try to engage in these exercises 2-3 times a week.

It’s normal to experience some discomfort during workouts, but any pain should stay below a 5/10 rating and should return to baseline within 24 hours.

  • Aerobic Training: Brisk walking, swimming, cycling, or any form of exercise you enjoy for 150 minutes of moderate intensity a week.

The Power of Education

Beyond just physical activity, education plays a crucial role in managing knee OA. Patients often have misconceptions about their condition, such as believing that any pain indicates serious structural damage.

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By understanding the nature of OA and the benefits of joint loading, patients can reframe their approach to exercise.

Encouraging moderate-intensity activities, like swimming, dancing, or brisk walking, is vital. Aim for at least 45 minutes each week, gradually increasing to 150 minutes. This not only aids in managing OA but also promotes overall health.

For those struggling with weight management, it’s important to consider how excess body weight can add stress to the knee joint.

Referrals to a physician or dietitian may be beneficial in creating a comprehensive approach to health.

Second And Third Line Treatments

While exercise is foundational, sometimes additional support is necessary. Second-line treatments like manual therapy, dry needling, taping/bracing, and corticosteroid injections can help manage pain and keep individuals engaged in their exercise routines. When other treatments don’t provide sufficient relief, joint replacement surgery may be a viable option. Studies show that about 80-90% of patients have positive outcomes from this procedure, but it’s important to remember that patients who engage in exercise before and after surgery tend to have better recoveries.

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