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Osteoarthritis of the Knee: Review of Risk Factors and Treatment Programs with Special Reference to Evidence-Based Research

Al Mukaimi, Ali; El Salawi, Ehab and Lindstrand, Anders LU (2011) In Kuwait Medical Journal 43(3). p.176-188
Abstract
Osteoarthritis is a widespread disease leading to physical disability affecting quality of life. It is primarily regarded as a cartilage disease but affect all tissues of a joint. Osteoarthritis can be regarded as an organ failure. Knee osteoarthritis is common in Kuwait, especially in women. The main symptoms are pain, stiffness and weakness affecting knee function. The diagnosis is made by history and clinical examination. A weight-bearing radiograph will fully establish the diagnosis. Many of the patients are also obese, diabetic, hypertensive or affected by other organ failures. The aim is to reduce knee pain and improve knee function which is also beneficial for the other diseases. Initially, we recommend self-management by... (More)
Osteoarthritis is a widespread disease leading to physical disability affecting quality of life. It is primarily regarded as a cartilage disease but affect all tissues of a joint. Osteoarthritis can be regarded as an organ failure. Knee osteoarthritis is common in Kuwait, especially in women. The main symptoms are pain, stiffness and weakness affecting knee function. The diagnosis is made by history and clinical examination. A weight-bearing radiograph will fully establish the diagnosis. Many of the patients are also obese, diabetic, hypertensive or affected by other organ failures. The aim is to reduce knee pain and improve knee function which is also beneficial for the other diseases. Initially, we recommend self-management by information about knee osteoarthritis, daily exercise of any type which is pleasant for the individual like 'walking 10-30 minutes once or twice daily in order to induce light to moderate cartilage load. Further, regular muscle training to increase especially pelvis and lower leg strength and realistic programs to reduce weight is advised. Regular support by a primary care doctor, a physiotherapist or a coach is beneficial. The program is demanding, as it means a change of life-style. Different modalities of non-operative treatment are physiotherapy, pharmacological treatment by analgesics / NSAIDs / glucosamine and injection of steroids or hyaluronic acid. The effect of the pharmacological treatment programs vary. Often the outcome, by evidence based research, is low or at best moderate. If self-management and non-operative treatment fails and the symptoms are pronounced, surgery is an option. Knee prosthesis is the main alternative. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
knee, osteoarthritis, review, risk factors, treatment
in
Kuwait Medical Journal
volume
43
issue
3
pages
176 - 188
publisher
Kuwait Medical Association
external identifiers
  • wos:000295909900002
  • scopus:80052603254
ISSN
0023-5776
language
English
LU publication?
yes
id
46abece0-bfa9-4f5a-a377-537169dd787d (old id 2211780)
date added to LUP
2011-12-01 08:37:14
date last changed
2017-01-01 05:58:39
@article{46abece0-bfa9-4f5a-a377-537169dd787d,
  abstract     = {Osteoarthritis is a widespread disease leading to physical disability affecting quality of life. It is primarily regarded as a cartilage disease but affect all tissues of a joint. Osteoarthritis can be regarded as an organ failure. Knee osteoarthritis is common in Kuwait, especially in women. The main symptoms are pain, stiffness and weakness affecting knee function. The diagnosis is made by history and clinical examination. A weight-bearing radiograph will fully establish the diagnosis. Many of the patients are also obese, diabetic, hypertensive or affected by other organ failures. The aim is to reduce knee pain and improve knee function which is also beneficial for the other diseases. Initially, we recommend self-management by information about knee osteoarthritis, daily exercise of any type which is pleasant for the individual like 'walking 10-30 minutes once or twice daily in order to induce light to moderate cartilage load. Further, regular muscle training to increase especially pelvis and lower leg strength and realistic programs to reduce weight is advised. Regular support by a primary care doctor, a physiotherapist or a coach is beneficial. The program is demanding, as it means a change of life-style. Different modalities of non-operative treatment are physiotherapy, pharmacological treatment by analgesics / NSAIDs / glucosamine and injection of steroids or hyaluronic acid. The effect of the pharmacological treatment programs vary. Often the outcome, by evidence based research, is low or at best moderate. If self-management and non-operative treatment fails and the symptoms are pronounced, surgery is an option. Knee prosthesis is the main alternative.},
  author       = {Al Mukaimi, Ali and El Salawi, Ehab and Lindstrand, Anders},
  issn         = {0023-5776},
  keyword      = {knee,osteoarthritis,review,risk factors,treatment},
  language     = {eng},
  number       = {3},
  pages        = {176--188},
  publisher    = {Kuwait Medical Association},
  series       = {Kuwait Medical Journal},
  title        = {Osteoarthritis of the Knee: Review of Risk Factors and Treatment Programs with Special Reference to Evidence-Based Research},
  volume       = {43},
  year         = {2011},
}