KNEE ARTHRITIS TREATMENT WITHOUT SURGERY

Treatment for Arthritis in Knees without Surgery by Physiotherapy, Physiotherapy normally involves

  • Patient education regarding-avoid squatting, sitting crossed leg.

  • Exercises for strengthening of quadriceps and hamstring.

  • Activity modification.

  • Advice on weight loss.

  • Knee bracing-knee support with strap, off loading brace if there varus or valgus deformity.

“The Primary Treatment For Knee Osteoarthritis without Surgery is Conservative Management with Physiotherapy.” 

Other Non-Physiotherapy based Interventions Include Pharmacological Management:

  • Acetaminophen

  • NSAIDS

  • COX-2 inhibitors

  • Glucosamine and chondroitin sulfate

  • Corticosteroid injections

  • Hyaluronic acid

  • Platelet rich plasma therapy(PRP therapy)

  • Drug therapy alongside physiotherapy should be the first-line treatment for patients with symptomatic OA. There are a wide variety of NSAIDs available, however, caution should be used when prescribing NSAIDs due to their side effects.

  • Glucosamine and chondroitin sulfate are available as dietary supplements. They are structural components of articular cartilage, and the thought is that a supplement will aid in the health of articular cartilage.

  • Intra-articular corticosteroid injections may be useful for symptomatic knee OA.

  • Intra-articular hyaluronic acid injections injections are another inject-able option. Local delivery of Hyaluronic acid injection into the joint acts as a lubricant.

  • PRP therapy-Injection of PRP into the knee joint shows a decrease in pain and reduced the stiffness.

All Conservative Managements are more Effective in Early-Moderate Osteoarthritis. Hence Early Identification and Treatment is more Effective for Osteoarthritis of Knee.EVIDENCE BASED