Episode 32: Aches and Pains: An Overview of Osteoarthritis Treatment
In our 32nd episode we review the therapeutic options for the treatment of osteoarthritis. We first deal with lifestyle interventions for osteoarthritis. We consider the pain pharmaceuticals like acetaminophen, topical or oral NSAIDs, and opiates as well as some of the other osteoarthritis therapies such as glucosamine or steroid injections. We also summarize a number of other interventions (cold compresses to surgical debridement).
Show Notes
1) Obesity and hip OA
2) Exercise for OA of the knee
3) Aquatic exercise for knee and hip OA
4) Glucosamine for OA
5) Topical NSAIDs for OA
Longterm efficacy of topical nonsteroidal antiinflammatory drugs in knee OA
Topical diclofenac for OA of the knee
Meta-analysis of topical NSAIDs for OA
Meta-analysis of topical NSAIDs for OA
BMC Musculoskeletal Disorders 2004;5:28
6) Oral NSAIDs including COX-2s for OA
7) Oral NSAIDs vs Acetaminophen
A meta-analysis
A systematic review
Versus diclofenac/misoprostol
Arthritis Rheum 2001;44:1587-98
8) Steroid injections for OA of the knee
Can Fam Physician 2004;50:241-8
9) Opioids for OA
Oxycodone
Arch Intern Med 2000;160:853-60
Codeine
Morphine
J Pain Symptom Manage 2002;23:278-91
Tramadol
10) Hyaluronic acid injections
Meta-analysis showing no effect
Cochrane review showing an effect
11) Surgical debridement
Cochrane review showing no benefit
12) Other
TENS
Cochrane review
Thermotherapy
Cochrane review
Ultrasound
Cochrane review
Balneotherapy for OA (Mineral Baths)
Cochrane review
Acupuncture
Meta-analysis
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