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

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

3. Nonpharmacology Therapy
Wedge Orthotics
Patella Taping
Braces

4. Wedge Orthotics
Unloads more involved compartment
Expense issues

7. Taping
Corrects malalignment
Patella glide

8. 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:

9. 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

10. Braces:
Neoprene
Unloading

11. 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:
UpToDate: Nonpharmacologic Therapy of Osteoarthritis
Life Lessons