NONPHARMACOLOGIC THERAPY OF OSTEOARTHRITIS OF THE KNEE

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Presentation transcript:

NONPHARMACOLOGIC THERAPY OF OSTEOARTHRITIS OF THE KNEE Ann McBride, M.D. Primary Care Conference September 27, 2006 (No financial incentive)

Clinical Practice Review Osteoarthritis of the Knee, N Engl J Med, February 23, 2006

Nonpharmacology Therapy Wedge Orthotics Patella Taping Braces

Wedge Orthotics Unloads more involved compartment Expense issues

Taping Corrects malalignment Patella glide

87 pts osteoarthritis of the knee 1/3 therapeutic taping Rigid taping to correct glide 1/3 control taping Flexible taping 1/3 No taping Hinman, RS. BMJ, 2003;327:135-41.

After three weeks: 73% therapeutic taping group less pain and better function 50% control taping 10% no tape Benefits persisted three weeks after taping D/C’d

Braces: Neoprene Unloading

Bibliography Felson DT. Osteoarthritis of the Knee, N Engl J Med, 2006;354:841-8. Hinman, RS, Crossley KM, McConnell J, Bennell KL. Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial, BMJ, 2003;327:135-41. UpToDate: Nonpharmacologic Therapy of Osteoarthritis Life Lessons