How to manage arthritis?! New guidelines.

The American College of Rheumatology and Arthritis Foundation have put out new practice guidelines on how to manage osteoarthritis (OA).

Photo by Elly Fairytale on

Arthritis affects over 300 million people worldwide.  The most common joints affected are knees, hips, and hands.

Treatment suggestions


  1. Exercise
  2. Tai chi
  3. Lose weight!  …even a 5% weight loss helps.
  4. Tibio-femoral knee braces may help decrease knee pain and increase walking speed.
  5. Acupunture and heat or cold interventions may help


  1. NSAIDs (ibuprofen and naproxen) oral or topical (cream)  provide temporary improvement
  2. Corticosteroid injections into the joints help knee and hip OA.

What has been shown to not help?  Transcutaneous electrical nerve stimulation (TENS units) does not improve knee OA.  Bisphosphonates, methotrexate, and hydroxychloroquine do not improve pain or function. Platelet-rich plasma, stem cells, and hyaluronic acid have failed to demonstrate clinical benefit in trials. 

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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