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New Osteoarthritis Treatment Guidelines
New recommendations for non-drug osteoarthritis treatment highlight the importance of adapted physical activity, weight loss, and avoiding ineffective therapies like cryo/thermo-therapy.
French
France
HealthLifestyleTreatmentExerciseDietPain ManagementOsteoarthritis
Société Française De RhumatologieHaute Autorité De SantéSiel Bleu
Yves-Marie Pers
- What treatments are deemed ineffective for osteoarthritis?
- The recommendations strongly advise against treatments like ultrasound, electromagnetic waves, shock waves, laser therapy, and cryo/thermo-therapy for osteoarthritis, except possibly in very acute phases. These methods lack proven effectiveness for long-term management.
- What role does diet and weight loss play in osteoarthritis?
- Weight loss is another key factor in osteoarthritis management, as it reduces stress on affected joints. A Mediterranean diet is recommended to support weight loss, as opposed to fad diets with no proven benefits, like gluten-free or lactose-free diets.
- What is the role of spa treatments in osteoarthritis management?
- While spa treatments are popular, their efficacy is questionable unless integrated with therapeutic education and adapted physical activity. The thermal waters themselves don't have proven curative properties for osteoarthritis.
- What advice is given regarding footwear and other supportive measures?
- Choosing appropriate footwear is recommended, with soft soles offering better shock absorption. Joint support orthoses (braces) can also help manage pain during acute episodes. The overall message is that while osteoarthritis is progressive, active management can significantly impact the disease's course.
- What are the key non-pharmacological recommendations for osteoarthritis management?
- The new recommendations highlight that adapted physical activity (APA) is crucial for managing osteoarthritis pain and improving quality of life. It reduces the need for medication and improves mobility, contrary to the misconception that movement worsens the condition.