Nonpharmacological Approaches in Management of Hip and Knee Osteoarthritis-Related Pain
Pp. 13-20 (8)
Non-pharmacological approaches are highly recommended for osteoarthritis (OA) treatment
to reduce pain and improve function and quality of life. Based on international recommendations for the
management of OA, we summarize herein the non-pharmacological treatments that may exhibit some
analgesic effects in knee and hip OA. Studies on analgesic non-pharmacological approaches in OA
include exercise, patient education, orthoses, acupuncture, physical agents and balneotherapy. Even
though many of the published studies have methodological issues, it can be concluded that some of
these approaches demonstrate analgesic effects with fewer side effects compared with pharmacological
treatments. More evidence is available for knee OA than for hip OA for most of the
nonpharmacological treatments. In all cases, these approaches should be individualised to each patient
and can be combined together as well as combined with pharmacological management.
Pain, osteoarthritis, exercise, alternative treatment, education.