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Nonsurgical Management of Osteoarthritis, With an Emphasis on Nonpharmacologic Measures
Kenneth D. Brandt, MD
Arch Fam Med. 1995;4(12):1057-1064.
Abstract
Osteoarthritis is treated primarily with nonsteroidal anti-inflammatory drugs. Concern is growing, however, among physicians and patients about the gastrointestinal side effects of these agents. Nonpharmacologic measures are underused in the treatment of osteoarthritis; isometric exercises and provision of social support may be as effective as nonsteroidal anti-inflammatory drugs in reducing pain and improving mobility in patients with knee osteoarthritis. Recent data argue persuasively for a change in our strategy for treatment of patients with osteoarthritis: the treatment program should emphasize nonpharmacologic measures, with drugs used in an adjunctive role. Only when this approach is not effective should nonsteroidal anti-inflammatory drugs be prescribed, and then, in the lowest dose needed for symptomatic relief.
Author Affiliations
From the Department of Medicine and the Rheumatology Division, Indiana University School of Medicine, and the Indiana University Multipurpose Arthritis and Musculoskeletal Diseases Center, Indianapolis.
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