Osteoarthritis of the knee and hip: Practical nondrug steps to successful therapy

For patients with ostheoarthritis nonpharmacologic treatment can be an effective adjunct to drug therapy. Patient education is essential; both community-based and independent self-care programs are available. Weight loss can improve function and alleviate symptoms; however, it is more effective when dietary modification is accompanied by increased physical activity. Physical therapy, including home exercise, may involve range of motion exercises to prevent loss of motion and quadriceps strengthening to relieve pain and improve function. In occupational therapy, patients learn proper techniques for joint protection during activities of daily living. Participation in aerobic conditioning programs improves aerobic capacity and walking speed. Orthoses may relieve pain and enhance joint stability.