Osteoarthritis: Rapid Evidence Review

Mark H. Ebell

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms. Joint replacement may be considered for patients with moderate to severe pain and radiographically confirmed OA. Corticosteroid injections may be helpful in the short term. Vitamin D supplements, shoes specifically designed for persons with OA, antioxidant supplements, physical therapy for hip OA, ionized wrist bracelets, lateral wedge insoles for medial knee OA, and hyaluronic acid injections are not effective.

Original languageEnglish (US)
Pages (from-to)523-526
Number of pages4
JournalAmerican family physician
Volume97
Issue number8
StatePublished - Apr 15 2018

Fingerprint

Osteoarthritis
Knee Osteoarthritis
Pain
Knee
Replacement Arthroplasties
Tai Ji
Exercise Therapy
Tramadol
Hip Osteoarthritis
Injections
Shoes
Arthralgia
Hyaluronic Acid
Wrist
Ankle
Vitamin D
Radiography
Opioid Analgesics
Fingers
Hip

ASJC Scopus subject areas

  • Family Practice

Cite this

Osteoarthritis : Rapid Evidence Review. / Ebell, Mark H.

In: American family physician, Vol. 97, No. 8, 15.04.2018, p. 523-526.

Research output: Contribution to journalReview article

Ebell, MH 2018, 'Osteoarthritis: Rapid Evidence Review', American family physician, vol. 97, no. 8, pp. 523-526.
Ebell, Mark H. / Osteoarthritis : Rapid Evidence Review. In: American family physician. 2018 ; Vol. 97, No. 8. pp. 523-526.
@article{22a5a5ff2a974b539b9e48bda83dd5ec,
title = "Osteoarthritis: Rapid Evidence Review",
abstract = "Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms. Joint replacement may be considered for patients with moderate to severe pain and radiographically confirmed OA. Corticosteroid injections may be helpful in the short term. Vitamin D supplements, shoes specifically designed for persons with OA, antioxidant supplements, physical therapy for hip OA, ionized wrist bracelets, lateral wedge insoles for medial knee OA, and hyaluronic acid injections are not effective.",
author = "Ebell, {Mark H.}",
year = "2018",
month = "4",
day = "15",
language = "English (US)",
volume = "97",
pages = "523--526",
journal = "American Family Physician",
issn = "0002-838X",
publisher = "American Academy of Family Physicians",
number = "8",

}

TY - JOUR

T1 - Osteoarthritis

T2 - Rapid Evidence Review

AU - Ebell, Mark H.

PY - 2018/4/15

Y1 - 2018/4/15

N2 - Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms. Joint replacement may be considered for patients with moderate to severe pain and radiographically confirmed OA. Corticosteroid injections may be helpful in the short term. Vitamin D supplements, shoes specifically designed for persons with OA, antioxidant supplements, physical therapy for hip OA, ionized wrist bracelets, lateral wedge insoles for medial knee OA, and hyaluronic acid injections are not effective.

AB - Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms. Joint replacement may be considered for patients with moderate to severe pain and radiographically confirmed OA. Corticosteroid injections may be helpful in the short term. Vitamin D supplements, shoes specifically designed for persons with OA, antioxidant supplements, physical therapy for hip OA, ionized wrist bracelets, lateral wedge insoles for medial knee OA, and hyaluronic acid injections are not effective.

UR - http://www.scopus.com/inward/record.url?scp=85052119228&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052119228&partnerID=8YFLogxK

M3 - Review article

C2 - 29671497

AN - SCOPUS:85052119228

VL - 97

SP - 523

EP - 526

JO - American Family Physician

JF - American Family Physician

SN - 0002-838X

IS - 8

ER -