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Best Treatment Approach for Knee or Hip Osteoarthritis

If you or someone you know is dealing with knee or hip osteoarthritis, you may be wondering about the best treatment approach. Before considering surgery, it is recommended to explore non-surgical options first. A recent study examined different treatment groups for knee and hip osteoarthritis patients and evaluated their effectiveness and cost. The results showed that patients who received manual therapy and/or supervised exercises experienced greater improvements in their symptoms and had the added benefit of cost savings. These findings highlight the importance of a multimodal approach to managing conditions like osteoarthritis, and chiropractors can play a key role in providing conservative yet effective treatment options. By focusing on reducing pain and improving function, these interventions can help patients delay joint replacement surgery and improve their quality of life.

Best Treatment Approach for Knee or Hip Osteoarthritis

Background Information on Knee or Hip Osteoarthritis

Definition of Knee or Hip Osteoarthritis

Knee or hip osteoarthritis is a condition characterized by progressive pain and disability in the affected joint, which may eventually lead to the need for joint replacement surgery. Osteoarthritis is the most common form of arthritis and is caused by the breakdown of cartilage in the joint, leading to bone-on-bone friction and inflammation. This condition can significantly impact a person’s quality of life and daily activities.

Symptoms and Progression of Knee or Hip Osteoarthritis

The symptoms of knee or hip osteoarthritis can vary from person to person, but common symptoms include joint pain, stiffness, swelling, and decreased range of motion. As the condition progresses, these symptoms may worsen, making it difficult to perform everyday tasks such as walking, climbing stairs, or even getting out of a chair. The progression of osteoarthritis is often gradual but can vary in severity depending on various factors such as age, lifestyle, and overall health.

Impact of Knee or Hip Osteoarthritis on Daily Life

Knee or hip osteoarthritis can have a significant impact on a person’s daily life. The chronic pain and functional limitations associated with this condition can restrict mobility, decrease independence, and interfere with activities of daily living. Simple tasks like walking, dressing, or taking care of household chores can become challenging and painful. It is essential to address and manage knee or hip osteoarthritis effectively to maintain a good quality of life and overall well-being.

Clinical Guidelines for Non-Surgical Treatment

Importance of Non-Surgical Treatment Options

Clinical guidelines emphasize the importance of exploring non-surgical treatment options as the initial approach to managing knee or hip osteoarthritis. These non-surgical interventions aim to alleviate pain, improve function, and enhance the quality of life without the need for invasive procedures. Non-surgical treatments also help delay or avoid the need for joint replacement surgery, which is often considered a last resort when conservative measures fail to provide adequate relief.

Overview of Available Non-Surgical Treatment Options

There are several non-surgical treatment options available for knee or hip osteoarthritis. These may include medications, physical therapy, weight management, assistive devices (such as braces or canes), lifestyle modifications, and complementary therapies (such as acupuncture or chiropractic care). The choice of treatment depends on the individual’s specific needs, preferences, and the severity of their condition. A healthcare professional can help determine the most suitable non-surgical treatment plan for each patient.

Benefits of Non-Surgical Treatment for Knee or Hip Osteoarthritis

Non-surgical treatment options for knee or hip osteoarthritis offer several benefits. These interventions can effectively manage pain, improve joint function, and increase mobility, allowing individuals to maintain an active lifestyle. Non-surgical treatments also have a lower risk of complications compared to surgical procedures, and they are often more cost-effective. Additionally, non-surgical approaches can be customized to the patient’s needs, ensuring personalized care and better outcomes.

Best Treatment Approach for Knee or Hip Osteoarthritis

Study on Treatment Approaches for Knee or Hip Osteoarthritis

Objective of the Study

A study published in 2018 aimed to evaluate the effectiveness and cost-effectiveness of different treatment approaches for knee or hip osteoarthritis. The researchers sought to identify the best approach that would provide optimal clinical outcomes and cost savings for patients with this condition.

Participant Recruitment Criteria

The study recruited 206 patients who met the American College of Rheumatology’s clinical criteria for diagnosing knee and/or hip osteoarthritis. Participants had no prior history of rheumatoid arthritis or joint replacement and had not used opioid or corticosteroid medication in the previous month. The participants were willing to complete the proposed intervention and a two-year follow-up period.

Description of the Treatment Groups

The participants were randomly assigned to one of four treatment groups: 1) usual care alone, 2) usual care plus supervised exercises, 3) usual care plus manual therapy, and 4) usual care plus combined supervised exercises and manual therapy. The exercise and manual therapy groups received ten initial treatment sessions, followed by two “booster” sessions at four and thirteen months. All participants received ongoing usual care from their medical providers throughout the study.

Measurement of Treatment Effectiveness

The researchers used the Western Ontario and McMaster (WOMAC) osteoarthritis index to measure the effectiveness of the treatment approaches. This index assesses pain, stiffness, and physical function. The researchers analyzed the WOMAC scores to determine which treatment approach provided the best combination of cost effectiveness and clinical effectiveness.

Results of the Study

Improvements in WOMAC Scores

At the conclusion of the study, participants in the exercise and/or manual therapy groups (groups 2, 3, and 4) showed greater improvements in their WOMAC scores compared to the usual care-only group. These interventions effectively reduced pain, improved joint stiffness, and enhanced physical function, leading to a better overall quality of life.

Cost Savings Associated with Manual Therapy and/or Exercise

In addition to clinical improvements, the study also found that the exercise and/or manual therapy groups presented the greatest cost savings in healthcare spending and related expenditures. These non-surgical interventions proved to be more cost-effective compared to usual care alone, potentially reducing the financial burden on individuals and healthcare systems.

Conclusion on the Best Treatment Approach

Based on the study findings, a multimodal approach involving manual therapies and supervised exercise emerged as the best treatment approach for knee or hip osteoarthritis. This combination of non-surgical interventions not only improved clinical outcomes but also offered significant cost savings. By adopting a multimodal approach, healthcare providers can effectively manage knee or hip osteoarthritis, reduce pain, improve function, and enhance the overall well-being of their patients.

Multimodal Approach to Knee or Hip Osteoarthritis

Benefits of a Multimodal Approach

A multimodal approach to knee or hip osteoarthritis involves utilizing various non-surgical treatment options concurrently. This approach offers several benefits, such as targeting different aspects of the condition, optimizing treatment outcomes, and improving the overall effectiveness of care. By combining multiple interventions, individuals with knee or hip osteoarthritis can experience comprehensive relief and optimal management of their symptoms.

Explanation of Manual Therapies

Manual therapies, such as chiropractic care, are an essential component of a multimodal approach to knee or hip osteoarthritis. Chiropractors use manual techniques, such as spinal adjustments and joint mobilizations, to improve joint alignment, reduce pain, and enhance joint function. Manual therapies can also address muscular imbalances, improve flexibility, and promote overall musculoskeletal health.

Explanation of Supervised Exercise

Supervised exercise programs play a crucial role in the multimodal management of knee or hip osteoarthritis. These programs involve tailored exercises designed to strengthen the muscles around the affected joint, improve joint stability, and enhance overall physical function. A healthcare professional or physical therapist supervises the exercises to ensure proper technique, safety, and progression.

Role of Chiropractors in Osteoarthritic Management

Chiropractors play a vital role in the management of knee or hip osteoarthritis. Through their expertise in manual therapies and patient-centered care, chiropractors can provide effective non-surgical treatment options that address the root causes of the condition and improve overall joint health. Chiropractors can also collaborate with other healthcare professionals to create individualized treatment plans and ensure comprehensive care for individuals with knee or hip osteoarthritis.

Understanding the ChiroTrust Pledge

Explanation of the ChiroTrust Pledge

The ChiroTrust Pledge is a commitment made by Doctors of Chiropractic who have taken the pledge to provide their patients with convenient, affordable, and mainstream chiropractic care. By taking this pledge, chiropractors agree not to use unnecessary long-term treatment plans or therapies, ensuring that patients receive the most appropriate and effective care for their specific conditions.

Mission of ChiroTrust

The mission of ChiroTrust is to promote patient-centered chiropractic care that prioritizes convenience, affordability, and adherence to mainstream healthcare standards. ChiroTrust aims to empower patients by connecting them with chiropractors who have taken the pledge, ensuring they receive high-quality care that is both effective and accessible.

Locating Chiropractors Who Have Taken the Pledge

To locate a Doctor of Chiropractic who has taken The ChiroTrust Pledge, individuals can simply search online using the keywords “The ChiroTrust Pledge” and the name of their town in quotes (e.g., “ChiroTrust Pledge” “Olympia, WA”). This search will help individuals find chiropractors in their area who are committed to providing patient-centered care in line with the principles of ChiroTrust.

Additional Resources

Content Courtesy of

The content of this article is courtesy of, an organization dedicated to providing reliable and accurate information about chiropractic care. offers a wealth of resources and articles to help individuals understand the benefits of chiropractic care and make informed decisions about their health.

Contact Information for Power Health Chiropractic

For individuals seeking chiropractic care in Reno, NV, Power Health Chiropractic provides comprehensive and patient-centered services. Located at 1175 Harvard Way, Reno, NV 89502, Power Health Chiropractic can be reached at (775) 329-4402. They offer personalized treatment plans and strive to deliver convenient, affordable, and effective chiropractic care to their patients.

Subscribe for Health Updates

If individuals wish to receive health updates and stay informed about the latest advancements in non-surgical treatment options for knee or hip osteoarthritis, subscribing to relevant newsletters or publications can be beneficial. This allows individuals to access valuable information, research findings, and expert insights that can help them make informed decisions about their treatment and overall well-being.


The information provided in this article should not be substituted for medical or chiropractic advice. It is essential to consult with a healthcare professional familiar with one’s medical history for any health concerns or decisions. The content of this article is for informational purposes only and should not replace personalized medical guidance.

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