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Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

Rice, D; McNair, P; Huysmans, E; Letzen, J; Finan, P
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http://hdl.handle.net/10292/12948
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Abstract
Osteoarthritis (OA) is a leading cause of chronic pain and disability in older adults, which most commonly affects the joints of the knee, hip, and hand. To date, there are no established disease modifying interventions that can halt or reverse OA progression. Therefore, treatment is focused on alleviating pain and maintaining or improving physical and psychological function. Rehabilitation is widely recommended as first-line treatment for OA as, in many cases, it is safer and more effective than the best-established pharmacological interventions. In this article, we describe the presentation of OA pain and give an overview of its peripheral and central mechanisms. We then provide a state-of-the-art review of rehabilitation for OA pain—including self-management programs, exercise, weight loss, cognitive behavioral therapy, adjunct therapies, and the use of aids and devices. Next, we explore several promising directions for clinical practice, including novel education strategies to target unhelpful illness and treatment beliefs, methods to enhance the efficacy of exercise interventions, and innovative, brain-directed treatments. Finally, we discuss potential future research in areas, such as treatment adherence and personalized rehabilitation for OA pain.
Keywords
Osteoarthritis; Musculoskeletal pain; Rehabilitation medicine; Physiotherapy; Psychology; Non-pharmacological
Source
Journal of Clinical Medicine, 8(11), 1769.
Item Type
Journal Article
Publisher
MDPI AG
DOI
10.3390/jcm8111769
Publisher's Version
https://www.mdpi.com/2077-0383/8/11/1769
Rights Statement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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