The American Academy of Orthopaedic Surgeons (AAOS) has recently updated it’s knee OA treatment guidelines, following results in recent research.
Mostly they are unchanged from the major recommendations which I reported on back in April 2012 for hand, hip and knee OA treatment but there are two important updates.
(Both of these tie in with things I have reported on many time in the past and you can use the site search to find out more).
This is how News Medical explained the updates on knee OA treatment:
- Acetaminophen: The recommended dosage was reduced from 4,000 mg to 3,000 mg a day. This is not a change made by AAOS specifically for OA patients, but an overall change made by the FDA since 2009 for individuals who use acetaminophen (paracetamol).
- Intra-articular Hyaluronic Acid (HA): Intra-articular hyaluronic acid is no longer recommended as a method of treatment for patients with symptomatic osteoarthritis of the knee. The 2009 guidelines review was inconclusive regarding this treatment method.
What Are The Current Knee OA Treatment Guidelines?
The 2012 knee OA treatment guidelines were
1. Strongly recommended nonpharmacologic modalities were aerobic, aquatic, and/or resistance exercises as well as weight loss for overweight patients.
2. Conditionally recommended nonpharmacologic modalities included medial wedge insoles for valgus knee OA, subtalar strapped lateral insoles for varus knee OA, medially directed patellar taping, manual therapy, walking aids, thermal agents, tai chi, self management programs, and psychosocial interventions.
3. Conditionally recommended pharmacologic modalities included acetaminophen, oral and topical NSAIDs, tramadol, and intraarticular corticosteroid injections; intraarticular hyaluronate injections, duloxetine, and opioids were conditionally recommended in patients who had an inadequate response to initial therapy.
Interestingly NO pharmaceutical treatments were strongly recommended and that is still the case.
New Update to my Book on Natural Knee OA Treatment
I have just completed my new book.It is designed to be the ultimate guide on How to Treat Osteoarthritis Naturally. I cover all these recommendations plus a whole lot more and it includes a physical therapy program. You will learn how to self massage and have a full exercise program of stretching and strengthening. Most importantly it will also contain a short questionnaire so you know you are doing the correct amount of each type of exercise.
You can read about it here and it will will cover all the best knee OA treatment for you.