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Nonsurgical management of osteoarthritis, with an emphasis on nonpharmacologic measures Brandt KDArch Fam Med 1995[Dec]; 4 (12): 1057-64Osteoarthritis is treated primarily with nonsteroidal anti-inflammatory drugs. Concern is growing, however, among physicians and patients about the gastrointestinal side effects of these agents. Nonpharmacologic measures are underused in the treatment of osteoarthritis; isometric exercise and provision of social support may be as effective as nonsteroidal anti-inflammatory drugs in reducing pain and improving mobility in patients with knee osteoarthritis. Recent data argue persuasively for a change in our strategy for treatment of patients with osteoarthritis: the treatment program should emphasize nonpharmacologic measures, with drugs used in an adjunctive role. Only when this approach is not effective should nonsteroidal anti-inflammatory drugs be prescribed, and then, in the lowest dose needed for symptomatic relief.|Exercise Therapy[MESH]|Hot Temperature[MESH]|Humans[MESH]|Knee Joint[MESH]|Osteoarthritis/epidemiology/pathology/psychology/*therapy[MESH]|Prevalence[MESH]|Risk Factors[MESH]|Social Support[MESH]|United States/epidemiology[MESH] |
