Knee Osteoarthritis Arthritis (Knee OA ) – Choose Physio
FACTS about OA Knee:
Osteoarthritis-Knee is treatable. There is a lot you can do to help yourself. Don't sit around and wait for a replacement.
You can self treat effectively if you understanding pain and how muscle strengthening decreases pain and swelling.
Just 5% weight loss with added specific muscle strengthening will help. A gym program will also improve your balance, flexibility, cardiovascular fitness and mental health.
Physiotherapy addresses pain related to osteoarthritic processes and mechanical stress due to uneven gait.
Pain can be attributed to poor hip, knee and patello-femoral joint (knee cap) and foot faulty mechanics. But your disability can be aggravated by faulty your thoughts and beliefs.
Diagnose your problem
Discover what factors can be improved with targeted treatment
Reduce your anxiety about pain and loss of function
Assist you to walk and be active
Teach you to reduce stress on your joints takes less strain
Tape and bracing and walking aids may help in the short term
Community classes or a gym program may reinforce your individual care.
The Shenton Park Arthritis and Osteoporosis Centre run a self-management course - Osteoarthritis of the Knee Education Program (OAK). See www.arthritiswa.org.au
Please call Helen 9381 6166 or Book Online www.intouch.physio
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In Touch Physiotherapy Assessment and Treatment
Accurate information about pain and osteoarthritis 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. There are guidelines for the treatment of osteoarthritis.
Q Does my OA knee need a clean?
There is no evidence an arthroscopy helps osteoarthritis. However it may help a structural problem like a large cartilage tear if it is blocking movement.
Do I need a knee replacement?
Only one third of people with osteoarthritis will experience disease progression. Two thirds don't worsen!
What's the best thing I can do for my 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. Check out useful information in My Pain Hub.
Staying active with added aerobic and strengthening will reduce pain, increase your ability to perform activities, and improve your quality of life.
Find something that you enjoy doing, is close by, and doesn't cost much. Swimming, water aerobics, tai chi or yoga, walking 6000 steps per day, and/or using weights or bands are all useful.
Find something that works for you!
Will exercise make my osteoarthritic knee worse?
If prescribed appropriately, exercise shouldn’t make your knee worse.
What about a knee brace?
Knee braces may be helpful in the short term, I can guide you with this choice.
Will PRP, corticosteroids, and stem cells help?
There is not enough evidence to support these. Short term benefits may provide a window of opportunity to exercise which then helps improvement.
Our joints show some wear changes with increasing age but this does not mean you have pain or will lose function.
Knee OA is almost 100% likely if you have all of the following signs and symptoms:
- Persistent activity-related knee pain
- Morning knee stiffness
- Reduced function with difficulty sitting or stand, walking or dressing or stair climbing.
- Crepitus/noise on knee movement
- Bony enlargement seen visually and felt on palpation.
How is Knee OA diagnosed without X-ray or MRI?
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 (< a half hour) of morning stiffness
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?
- Analgesics should be recommended to help enable physical function rather than to abolish pain
- Although management will differ for each individual – evidence proves that weight management and exercise are effective
- 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
- Arthritis & Osteoporosis WA
- Osteoarthritis of the Knee Education Program (OAK)
- Gentle Yoga aster
- Ankylosing Spondylitis Education Program
- Exercise Programs
- Support groups
Osteoarthritis-Knee Self Management Program
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.
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.
- Diagnose your problem so you know exactly what is wrong
- Discover what factors you need to improve to allow treatment to be targetted
- Help ease your pain so you become less anxious
- Assist you to walk more easily and do more activity
- Teach you how to strengthen your knee and hip so that the knee joint takes less strain
- Use tape or a brace to improve your function and
- 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)
Freedom to Move
In Touch Physiotherapy Hip Assessment and Treatment
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
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