Osteoarthritis Treatment

Everything You Need To Know


Osteoarthritis (OA) affects millions of adults in the United States, making it the most common form of arthritis. Contrary to past beliefs, OA isn’t solely a consequence of aging but rather a complex disease impacting various joint tissues. Let’s delve into its causes, symptoms, and effective management strategies.

Knee Osteoarthritis Anatomy

Causes of Osteoarthritis:

  • Age: While OA risk increases with age, it’s not exclusive to older adults.
  • Joint Injury: Injuries like fractures or tears can accelerate OA development.
  • Overuse: Repetitive joint use in certain jobs or sports may contribute to OA.
  • Obesity: Excess weight stresses joints and promotes inflammation.
  • Musculoskeletal Abnormalities: Structural misalignment can hasten OA progression.
  • Weak Muscles: Inadequate muscle support can lead to poor joint alignment.
  • Genetics and Gender: Family history and gender can influence OA susceptibility.
  • Environmental Factors: Occupation, physical activity level, prior joint injuries, obesity, diet, hormones, and bone density also play roles.


  • Pain: Joint pain during or after activity is a common symptom.
  • Stiffness: Morning stiffness or stiffness after rest is typical.
  • Limited Range of Motion: Joints may have reduced flexibility.
  • Audible Signs: Clicking or popping sounds during joint movement.
  • Swelling: Inflammation around the joint may occur.
  • Muscle Weakness: Weakness around the affected joint.
  • Instability: Feeling of joint instability or buckling.

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Potential Consequences:

  • Impact on Health: OA can lead to complications such as obesity, diabetes, and heart disease due to reduced physical activity.
  • Increased Fall Risk: Individuals with OA are prone to falls and fractures due to weakened muscles and impaired balance.


  • Medical Evaluation: Includes history, physical examination, and lab tests.
  • Imaging: X-rays and MRIs help visualize joint damage
Knee Osteoarthritis Xray


  • Medication: Analgesics, NSAIDs, corticosteroids, and other drugs alleviate pain and inflammation.
  • Nondrug Therapies: Exercise, weight loss, physiotherapy, and assistive devices help manage symptoms.
  • Surgery: Joint replacement surgery may be considered for severe cases.

Physiotherapy Treatment

In addition to medication and self-care strategies, physiotherapy plays a vital role in managing osteoarthritis. Physiotherapists, with their expertise in movement and rehabilitation, offer tailored interventions to alleviate pain, improve mobility, and enhance overall function. Here are key components of physiotherapy treatment for OA:

  • Exercise Prescription: Physiotherapists design exercise programs tailored to individual needs, focusing on strengthening exercises to stabilize joints, range-of-motion exercises to reduce stiffness, aerobic exercises to improve stamina and weight management, and balance exercises to prevent falls. These exercises are performed under supervision and gradually progressed to achieve optimal outcomes.
  • Manual Therapy: Hands-on techniques such as joint mobilization and manipulation help improve joint mobility, reduce pain, and enhance function. Manual therapy interventions are personalized based on the specific joint affected and the individual’s tolerance.
  • Modalities: Physiotherapists may utilize modalities such as heat, cold, ultrasound, electrical stimulation, and therapeutic taping to alleviate pain, reduce inflammation, and promote tissue healing. These modalities complement other treatment approaches and may provide temporary relief from OA symptoms.
  • Education and Self-Management: Educating patients about their condition, joint protection techniques, ergonomic principles, and self-management strategies empowers them to take an active role in managing their OA. Physiotherapists provide valuable guidance on lifestyle modifications, adaptive equipment usage, and activity modification to optimize function and minimize joint stress.
  • Functional Training: Functional training focuses on improving the performance of daily activities by addressing specific movement patterns and functional limitations related to OA. Physiotherapists implement task-specific exercises and functional simulations to enhance functional independence and quality of life.
  • Progressive Rehabilitation: Rehabilitation for OA is a dynamic process that evolves over time based on the individual’s progress and changing needs. Physiotherapists continually assess outcomes, adjust treatment plans, and provide ongoing support to ensure optimal rehabilitation outcomes and long-term management of OA.

Incorporating physiotherapy into the management of osteoarthritis offers comprehensive care that addresses the underlying biomechanical, functional, and psychosocial aspects of the condition. By working closely with physiotherapists, individuals with OA can optimize their treatment outcomes, improve their quality of life, and regain control over their joint health.


  • Maintain Healthy Weight: Weight management reduces stress on joints.
  • Control Blood Sugar: High glucose levels can worsen OA symptoms.
  • Maintain Range of Motion: Regular movement keeps joints healthy.
  • Protect Joints: Proper warm-up, using protective gear, and balancing rest and activity are crucial.
  • Relaxation: Stress management techniques promote overall well-being.
  • Healthy Lifestyle: Balanced nutrition, no smoking, moderate alcohol consumption, and adequate sleep contribute to better health.

In conclusion, OA is a multifaceted condition that requires comprehensive management approaches. By understanding its causes, recognizing symptoms, and adopting appropriate treatments and lifestyle changes, individuals can effectively manage OA and maintain a good quality of life.

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By recognizing and harnessing the power of exercise in improving your health, individuals can take proactive steps towards enhancing their overall well-being and quality of life.

Based on 14 reviews
Enkhbayar Lalidaa
Enkhbayar Lalidaa
I had shoulder injury. I'm getting much better since I seen Milos
Haisan F
Haisan F
Great service from a very knowledgeable professional! Appreciate the ongoing support.
Stefan Dencic
Stefan Dencic
The Online Physical trainers and physiotherapists are amazing professionals. I visited them about an issue with my tight hamstrings and they provided me with a systematic approach to unlocking them and getting me back to sport. I am an exercise professional myself and recommend my clients to visit OP for any of their Physio needs. If you would like a truly client focused and educational experience then please see the team at Online Physical.
Sonja Smout
Sonja Smout
I have Fibromyalgia and I have been a patient of Milos' for almost a year. At first I was skeptical that online physiotherapist could help with my chronic pain, but I'm glad I gave it a try. Under his guidance I have made significant improvements in my strength, endurance and ability to function. I still have pain, but less than before and my quality of life and level of functioning is SO much better. I've also seen improvement in my fatigue. I highly recommend anyone with chronic pain to see Milos.
Darina Igić
Darina Igić
Dr. Milos helped me alot with my recovery. Online sesions are so useful and time saving All recommendations
Kickin It With KiKz
Kickin It With KiKz
Legendary service, knows what he’s talking about. Helped me out with my knee post ACL 👍
Filip Vasic
Filip Vasic
Highly knowledgeable, very relatable (difficult to find) and you can feel the care when consultations are one. I really like him, hope you guys feel what i felt when using Dr Mish!
Mateja Stojkovic
Mateja Stojkovic
Veljko Stojkovic
Veljko Stojkovic
Hurt my knee, didnt have time to go see a physio during the week. Virtual therapy saved me alot of time! Ow and Milos is great too ;)
Aaron Mandanici
Aaron Mandanici
The best thing I’ve done post injury, rehab and recovery. Milos is a book of knowledge and helped not only work through current injury management and recovery, but changed my lifestyle and also injury prevention for the future. Can not recommend Online Physical highly enough! Thanks Milos!
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