Is physiotherapy good for osteoarthritis?

Written by Guan Jing Tao
Orthopedics
Updated on November 14, 2024
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The answer is affirmative. For osteoarthritis, especially that caused by chronic diseases, local physiotherapy helps promote the dissipation of inflammation, the reduction of joint effusion, and the improvement of local tissue inflammation. Moreover, for some patients with osteophyte formation, consistent daily physiotherapy also aids in improving local pain and swelling, joint effusion, and other symptoms. It helps in promoting regional recovery and alleviating the further aggravation of local effusion and swelling.

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Is soaking feet good for osteoarthritis?

Osteoarthritis can benefit from soaking the feet in warm water, slightly hotter if possible, as the feet have numerous nerves. This can promote blood circulation and facilitate metabolism, such as the elimination of bodily waste, which is beneficial, especially for middle-aged and elderly people, in preventing cardiovascular and cerebrovascular diseases. Osteoarthritis depends on the location and is a chronic joint disease. Its primary pathological change is the degenerative alteration of the joint cartilage. Typically, this condition affects middle-aged and older individuals, more so women than men. Early changes include the deterioration of the joint cartilage, leading to the exposure of the subchondral bone, which can then cause periostitis, changes in the joint capsule, and surrounding muscles. Usually, it presents as rest pain, which may decrease with light activity. Treatment often involves nonsteroidal anti-inflammatory drugs or intra-articular injections of sodium hyaluronate for lubrication and joint protection. In severe cases, joint replacement, such as knee replacement, may be necessary. Thus, soaking the feet can be beneficial for those with osteoarthritis.

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What foods should be eaten for osteoarthritis?

Osteoarthritis in Traditional Chinese Medicine (TCM) is generally divided into two main categories. The first category is liver and kidney deficiency, commonly seen in older adults. For this condition, it is advocated to consume foods that nourish the liver and kidney. Black foods are considered to benefit the kidneys, such as black rice, black beans, black goat, and black pork. Other foods like He Shou Wu (Polygonum multiflorum), Rehmannia glutinosa, Coix seed, and Chinese yam also help nourish the liver and kidney and can be beneficial for the condition. The second category is Qi stagnation and blood stasis type, where it is recommended to eat foods that promote blood circulation and remove blood stasis. In Western medicine, there are no specific dietary recommendations for treating osteoarthritis, except for general advice for elderly women to consume calcium-rich foods to prevent bone-related issues. Foods recommended include milk, eggs, and lean meat, which are rich in protein and calcium, and it is encouraged to consume more of these.

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Osteoarthritis contraindications

Patients with osteoarthritis should reduce joint load and excessive movements, and obese patients should pay attention to weight loss to avoid aggravating cartilage damage. When symptoms are severe, a cane can be used to alleviate the burden on the joints. In terms of diet, one can eat more foods rich in vitamins, mainly various vegetables and fruits, and also consume foods high in calcium appropriately. Patients with arthritis should also pay attention to protecting the joint areas, and guard against cold and dampness to avoid exacerbating symptoms. When symptoms are severe, medication can also be used for treatment, such as anti-inflammatory analgesics and drugs that nourish cartilage, which can play a role in improving symptoms and delaying the progression of the disease. When mobility is impaired, surgical treatment might be necessary.

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What is osteoarthritis?

Osteoarthritis is a disease caused by degenerative changes in the joints. Symptoms primarily include swelling, pain, fluid accumulation, and restricted movement in the joint areas. In severe cases, it can even lead to joint deformity and dysfunction. Treatment for arthritis is mainly divided into non-surgical and surgical methods. Conservative treatment can be attempted first. Patients with arthritis should rest and avoid vigorous activities. Symptomatic treatment may include anti-inflammatory pain relievers, cartilage nutrition drugs, or intra-articular injections of hyaluronic acid. Additionally, hot compress physiotherapy and other methods can be used to alleviate symptoms. When conservative treatment is ineffective, or if there is deformity and dysfunction of the limbs, joint replacement surgery may also be considered.

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What should I do about osteoarthritis?

For the treatment of osteoarthritis, the main approach is still based on the severity of the patient's osteoarthritis to determine the corresponding treatment plan. If the osteoarthritis is very severe, severely affecting the patient's normal function, causing joint deformity, and affecting the patient's normal work or life, it is necessary to actively pursue joint replacement surgery. For cases where the symptoms of osteoarthritis are not very severe, choosing active conservative treatment is completely adequate. The most important thing is still to reduce the amount of exercise, pay attention to protecting the local joints, never let them get cold, often apply heat, and combine some medical treatments, such as using pain relief and cartilage-nourishing drugs. Common drugs like Nimodipine capsules and Glucosamine Hydrochloride have very good effects.