Osteoarthritis: what you need to know

By means of Jordan Brocker PT, DPT, CSSS | Foothills of Queen Creek

Osteoarthritis is a normal physical condition caused by wear and tear on the body, leading to deterioration of the articular cartilage. This leaves the bones unprotected and eventually the deterioration of the joint can become so extreme that the bone rubs against the bone. The synovial fluid that helps lubricate the joint for normal, smooth function also deteriorates, leading to resistance to movement and often audible noises during movement. Both factors play a role in the pain and limitation of the affected joints.

Unfortunately, there are no means to completely reverse arthritis that has already developed. But, and more importantly, there is something you can do about it. Research and my professional experience have shown that physiotherapy can help relieve the pain and discomfort caused by osteoarthritis, so that your recovery is more than adequate and you can continue to do the activities you enjoy.

Osteoarthritis: important factors to address

• Weakness and flexibility in muscles related to affected joints
• Stability of associated joints
• Specific joint movement and mobility
• Body mechanics affected by different joints
• Balance and proprioception for the joints of the lower extremities
• Muscle endurance

How physiotherapy can treat osteoarthritis

Physical therapy reduces the limitations caused by a person’s arthritis by addressing each of the above factors appropriately and uniquely for each individual. Everyone will have different causative factors that change how their arthritis is experienced and how it progresses. Your physical therapist should address these issues appropriately so that you can get the greatest benefit from treatment. Physiotherapy will allow optimal function of the arthritic joint to prevent further deterioration and promote its current integrity.

For example, a widely arthritic joint is the knee. Often, degeneration of the lateral (outer) aspect of the knee can occur at a higher level than the medial (inner) joint due to more force being placed on the outside of the knee during weight-bearing activities. The knee position that causes this is known as genu valum and is seen when the knee is positioned towards the center of the body, not towards the hip. The culprits responsible for this positioning are often weak hip and ankle muscles. Therefore, targeting the weaknesses in these muscle groups and incorporating them into activities (such as walking or bending/squatting) could help reduce abnormal forces on the knee, reducing irritation.

Tailor-made exercise program for the treatment of osteoarthritis

As physiotherapists, we observe local joints and the entire body to assess possible areas of disability and then improve an individual’s body mechanics. Based on our evaluation process, we create a program of specific exercises to best meet each person’s needs. We work to create independence with a home exercise program that allows them to continue the exercises. With a good understanding of the concepts behind the exercises for continued rehabilitation.

Many factors can determine the effectiveness of osteoarthritis treatment. Such as the severity of the problem, current or previous level of function, joint deformity or other bone diseases. If these factors are present, it does not mean that a person cannot do anything about their arthritis. However, it can affect the amount of improvement that can occur and how long it takes to improve. Ultimately, doing something about osteoarthritis will be much more helpful than sitting still and allowing the process to continue. The amount of improvement you can achieve could change your life if you take action!

Foothills Sports Medicine Physical Therapy is committed to providing hands-on, individualized care to people of all ages with numerous conditions. Our physiotherapists are committed to your complete recovery. Schedule a free assessment with highly trained staff, or contact one of our many locations throughout the valley.

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