Choose Physio for Knee Osteoarthritis Arthritis (OA Knee)

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There are many myths about OA Knee. Here are some questions and facts:

Osteoarthritis-Knee is treatable. You don’t need to sit around and wait for a replacement joint as there is a lot you can do to help yourself.

You can self treat effectively if you uunderstand why pain is occurring, and how muscle weakness adds to pain and swelling.

A specific home based muscle strengthening can be useful for Osteoarthritis-Knee, while a gym program will improve your balance, flexibility and cardiovascular fitness.

knee-strengthening-for-osteoarthritis mobilisation-of-an-osteoarthritic-patello-femoral-joint

Physiotherapy addresses pain related to underlying osteoarthritic changes or added stress related to uneven gait and limping.
Whether it is from the patello-femoral joint, the main knee joint, or more related to weakness of your hip, knee and foot muscles we can help.

Physiotherapy can:

  1. Diagnose your problem so you know exactly what is wrong
  2. Discover what factors you need to improve to allow treatment to be targetted
  3. Help ease your pain so you become less anxious
  4. Assist you to walk more easily and do more activity
  5. Teach you how to strengthen your knee and hip so that the knee joint takes less strain
  6. Use tape or a brace to improve your function and
  7. Explain how to choose a walking aid if needed

Just one or two further consultations will enable you to learn and feel confident with specific retraining exercises.

Community classes or a gym program then allow you to exercise optimally and may provide “add on” information that might be helpful.

The Arthritis and Osteoporosis Centre in Shenton Park run evening self-management courses – Osteoarthritis of the Knee Education Program (OAK)

Check out  Calendar of Events view here www.arthritiswa.org.au
Please call 93882199 or book online and receive a $10 discount!

Playing in the ocean

Freedom to Move

OA Hip assessment

In Touch Physiotherapy Hip Assessment and Treatment

Moving Hand joints

In Touch Physiotherapy Finger and Hand Assessment and Treatment

Looking for support from others with Osteoarthritis-Knee?

Join a support group to get connected – WA Metro and Country Contact www.arthritiswa.org.au

Free Information Booklets, Get Your Free Copy
BOOKING ESSENTIAL: For more info please  click here.

Accurate information about osteoarthritis of the knee will empower you to make efficient choices about treatments that you find in the media or on Google.

Don’t waste money on non-evidence based treatments. Ask your therapist if they follow guidelines for osteoarthritis.

Does my OA knee need a clean out?

When people ask about a ‘clean out’, they often mean an ‘arthroscopy’. There is no evidence an arthroscopy helps osteoarthritis alone. It may be useful if there is a structural problem within the knee, such as a large cartilage tear that is causing problems.

Do I need a knee replacement for my OA Knee?

Research suggests that only one third of people with osteoarthritis will experience disease progression. Two thirds don’t worsen! Where possible, it is best waiting until the age of 70 for initial joint replacement to reduce the need for future revision.

Joint replacement is indicated for if you have failed a physical rehabilitation management program and still have significant disability and pain. For example, if your pain is like a constant tooth ache and you need pain medication for relief or to sleep.

What’s the best thing I can do for my OA knee?

A good exercise program is as effective as anti-inflammatory medication without the risk. An appropriate exercise program is safe and effective to manage the symptoms of osteoarthritis. The link below takes you to some useful exercise information in My Pain Hub.

Staying active is one of the best things that you can do to manage your osteoarthritis.  Exercise helps reduce pain, increases your ability to perform activities, and increases your quality of life.  Ideally you should include both aerobic and strengthening exercises.

You are most likely to stick with an exercise program if you find something that you enjoy doing. Swimming or water aerobics, tai chi or yoga, walking 6000 steps per day, and/or using weights or bands to do strengthening exercises for the muscles around your knee are all useful.  Find something that works for you to keep you motivated!

Will exercise make my osteoarthritic knee worse?

If prescribed appropriately, exercise shouldn’t make your knee worse over time. It could actually lead to an increase in your capacity, physical activity and quality of life – including your ability to walk and negotiate stairs.

What about a knee brace?

According to the research, knee braces are not considered to be the best first line of treatment. However, for some people, a knee brace may be helpful! Your health care professional will help guide you about this decision.

I have heard a bit about PRP, corticosteroids and stem cells – will they help?

There is not enough evidence to support the use of most injectables. Short term benefits gained corticosteroid injection could provide a window of opportunity to exercise. This assists in overall functional improvements.

diagnosis of knee OA is almost 100% likely if you have all of the following signs and symptoms:

  1. Persistent activity-related knee pain
  2. Morning stiffness
  3. Reduced function – sitting to stand, walking, dressing etc
  4. Crepitus/noise on movement
  5. Restricted knee movement, inability to squat, go up and down stairs
  6. Bony enlargement seen visually and felt on palpation.

How is Knee OA diagnosed without X-ray or MRI? 

Although age of onset, symptoms and progression of OA will vary between patients, there are several ‘typical features’ of OA. 

  • Age > 40 years
  • Activity-related joint pain ie it hurts when you move and may ache afterwards
  • Short duration of (or no) morning stiffness (< a half hour)
  • Symptoms affect only one or a few joints

MRI should be considered only if there is suspicion of serious pathology not detected by X-ray as radiological features of OA typically have a low correlation to OA symptoms. Some X-RAYS reveal severe damage in people who don’t have knee pain. Other knees can look normal on MRI despite marked difficulty with function.

Only severe night pain, gross resticion of meovment and major reduction in function are indicators of the possible need for a total knee replacment consultation with an orthopaedic surgeon.

How should knee OA be managed?

  1. Analgesics should be recommended to help enable physical function rather than to abolish pain
  2. Although management will differ for each individual –  evidence proves that weight management and exercise are effective
  3. Intervention should be assessed regularly against individual goals to determine whether you are improving

Aim for pain control in Osteoarthritis:

  • Exercise increases function and quality of life and pain
  • Strength and aerobic greater improvement if exercises combines with weight loss
  • Greater weight loss leads to greater decrease in OA pain and function
  • Aim = 10% or even 5kg helps reduce pain in women with OA

Obesity is the single most modifiable factor in the development of systemic inflammation in osteoarthritis. Elevation of inflammatory factors lead to cartilage degradation, catabolism and pain. Obese people have higher levels of these factors.

Individual assessment: In Touch Physiotherapy

I will diagnose your problem and how it is affecting your life.

My aims are to:

  • Support you in losing weight
  • Improve mobility of your knee cap, knee and hip joints to assist your gait
  • I can advise you on walking aids
  • Increase the strength of your hip, knee and foot core muscles to take some strain off your OA joint.
  • Provide you with information to help treat and care for yourself
  • Discover what aspects of your lifestyle you can work on to improve to reduce pain
  • Let you know of community courses and classes that may help
  • Help you Learn to feel confident with specific retraining exercises

Helpful Courses at www.arthritiswa.org.au:

Classes allow you to exercise optimally in the community and often provide information that might be helpful. Speaking to others with similar problems may be supportive. More information click here  or Please call 93882199 or book online.

Looking for support from others with the same problem as you? Join a support group to get connected WA Metro and Country

  1. Arthritis & Osteoporosis WA
  1. Osteoarthritis of the Knee Education Program (OAK)
  1. Gentle Yoga aster
  1. Ankylosing Spondylitis Education Program
  1. Exercise Programs
  1. Support groups

Osteoarthritis-Knee Self Management Program

Posted By Helen Potter Subiaco On 05 October 2016 | Filed Under In Touch PhysiotherapyPhysiotherapyTips

Osteoarthritis-Knee is treatable. You don’t need to sit around and wait for a replacement joint as there is a lot you can do to help yourself.

You can self treat effectively if you uunderstand why pain is occurring, and how muscle weakness adds to pain and swelling.

A specific home based muscle strengthening can be useful for Osteoarthritis-Knee, while a gym program will improve your balance, flexibility and cardiovascular fitness.

knee-strengthening-for-osteoarthritis mobilisation-of-an-osteoarthritic-patello-femoral-joint

Physiotherapy addresses pain related to underlying osteoarthritic changes or added stress related to uneven gait and limping.
Whether it is from the patello-femoral joint, the main knee joint, or more related to weakness of your hip, knee and foot muscles we can help.

Physiotherapy can:

  1. Diagnose your problem so you know exactly what is wrong
  2. Discover what factors you need to improve to allow treatment to be targetted
  3. Help ease your pain so you become less anxious
  4. Assist you to walk more easily and do more activity
  5. Teach you how to strengthen your knee and hip so that the knee joint takes less strain
  6. Use tape or a brace to improve your function and
  7. Explain how to choose a walking aid if needed

Just one or two further consultations will enable you to learn and feel confident with specific retraining exercises.

Community classes or a gym program then allow you to exercise optimally and may provide “add on” information that might be helpful.

The Arthritis and Osteoporosis Centre in Shenton Park run evening self-management courses – Osteoarthritis of the Knee Education Program (OAK)

Check out  Calendar of Events view here www.arthritiswa.org.au
Please call 93882199 or book online and receive a $10 discount!

Playing in the ocean

Freedom to Move

OA Hip assessment

In Touch Physiotherapy Hip Assessment and Treatment

Moving Hand joints

In Touch Physiotherapy Finger and Hand Assessment and Treatment

Looking for support from others with Osteoarthritis-Knee?

Join a support group to get connected – WA Metro and Country Contact www.arthritiswa.org.au

Free Information Booklets, Get Your Free Copy
BOOKING ESSENTIAL: For more info please  click here.

Accurate information about osteoarthritis of the knee will empower you to make efficient choices about treatments that you find in the media or on Google.

Don’t waste money on non-evidence based treatments. Ask your therapist if they follow guidelines for osteoarthritis.

Contact Helen@intouch.899design.com.au for any information

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