J Knee Surg 2019; 32(01): 046-054
DOI: 10.1055/s-0038-1676107
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Noninterventional Therapies for the Management of Knee Osteoarthritis

Joseph Dadabo
1  Department of Physical Medicine and Rehabilitation, McGaw Medical Center of Northwestern University, Chicago, Illinois
2  Department of Physical Medicine and Rehabilitation, Shirley Ryan Ability Lab, Chicago, Illinois
,
Julia Fram
3  Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Prakash Jayabalan
2  Department of Physical Medicine and Rehabilitation, Shirley Ryan Ability Lab, Chicago, Illinois
4  Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

06 June 2018

15 October 2018

Publication Date:
26 November 2018 (eFirst)

Abstract

The goal of the practitioner managing a patient with knee osteoarthritis (OA) is to minimize pain and optimize their function. Several noninterventional (noninjectable) therapies are available for these individuals, each having varying levels of efficacy. An individualized approach to the patient is most beneficial in individuals with knee OA and the treatment plan the practitioner chooses should be based on this principle. The focus of this article is to provide an up-to-date overview of the treatment strategies available, evidence to support them, and in whom these treatments would be most appropriate. These include exercise (aerobic and resistance), weight loss, bracing and orthotics, topical and oral analgesic medications, therapeutic modalities, and oral supplements.