|Other new recommendations for Arthrtis patients in the new Guidelines for medical Doctors are:
- Do not offer acupuncture for the management of osteoarthritis. [new 2014]
- Do not refer for arthroscopic lavage and debridement (commonly known as an Arthroscope) unless the person has knee osteoarthritis with a clear history of mechanical locking (amended 2014)
- Do not offer intra-articular injections (cortisone etc) for the management of osteoarthritis (new 2014)
Effective treatments recommended in the new guidelines include:
- Offer interventions to achieve weight-loss as a core treatment.
The new treatment for Arthritis: Exercise.
- Advise people to exercise as a core treatment irrespective of age, co morbidity, pain severity or disability. Exercise should include: local muscle strengthening and general aerobic fitness.
- Manipulation and stretching should be considered as an adjunct to core treatments, particularly for osteoarthritis of the hip. [Since 2008]
- In a large randomized clinical trial done in 2004 Manipulation was shown to be even more effective than exercise for patients with hip arthritis. (3)
It is interesting to think that what we were once so certain of, we are now most certain is not.
Quote of the day “ “If we doctors threw all our medicines into the sea, it would be that much better for our patients and that much worse for the fishes.”
Supreme Court Justice Oliver Wendel Holmes, MD
Yours in health,
Dr. Trent is a Sports and wellness Chiropractor at LIFE CHIROPRACTIC OXENFORD. He is a dad, surfer, paleoer, crossfitter, Blogger, wellness speaker and Co-Founder of EPIC HEALTHSTYLE. He is a sought after speaker and has taught thousands of people in business’s, schools and community groups where health really comes from.
1. American Journal of Medicine 1998 (Jul 27);105(1B):31–38
2. Osteoarthritis: the care and management of osteoarthritis in adults, Clinical guideline Methods, evidence and recommendations 9 August 2013 viewed 1/09/2013 at http://www.nice.org.uk/nicemedia/live/13505/64904/64904.pdf
3. 2004 Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis & Rheumatism 51 (5): 722–9.