Gaps in appropriate use of treatment strategies in osteoarthritis.

Journal Article (Journal Article;Review)

Optimal management of osteoarthritis (OA) requires a combination of therapies, with behavioral (e.g., exercise and weight management) and rehabilitative components at the core, accompanied by pharmacological treatments and, in later stages, consideration of joint replacement surgery. Although multiple sets of OA treatment guidelines have been developed, there are gaps in the implementation of these recommendations. Key areas of concern include the underuse of exercise, weight management, and other behavioral and rehabilitation strategies as well as the overuse of opioid analgesics. In this review, we describe the major categories of treatment strategies for OA, including self-management, physical activity, weight management, physical therapy and other rehabilitative therapies, pharmacotherapies, and joint replacement surgery. For each category, we discuss the current evidence base to report on appropriate use, data regarding adherence to treatment recommendations, and potential approaches to optimize use.

Full Text

Duke Authors

Cited Authors

  • Allen, KD; Golightly, YM; White, DK

Published Date

  • October 2017

Published In

Volume / Issue

  • 31 / 5

Start / End Page

  • 746 - 759

PubMed ID

  • 30509418

Electronic International Standard Serial Number (EISSN)

  • 1532-1770

Digital Object Identifier (DOI)

  • 10.1016/j.berh.2018.05.003


  • eng

Conference Location

  • Netherlands