Keep moving to ease pain of knee arthritis, review says

November 6, 2012 by Kathleen Doheny
Keep moving to ease pain of knee arthritis: review
Researchers found aerobic, water exercise reduced pain, boosted function in patients.

(HealthDay)—Adults with painful osteoarthritis of the knee should turn to exercise—aerobic, aquatic or strength training—as a good nonsurgical way to ease their pain and improve their functioning, a new review suggests.

To reach this conclusion, Dr. Tatyana Shamliyan, a senior research associate at the University of Minnesota, and her colleagues reviewed 193 studies that were published between 1970 and 2012.

"Several guidelines recommend nondrug treatment, including exercise, , tai chi and esthetics," Shamliyan said. Her team analyzed the evidence and came up with results that were sometimes at odds with those guidelines.

They looked at how the therapies affected pain, functioning and disability.

"Based on the analysis, we can't conclude sustained benefit with tai chi, manual therapy or massage, or transcutaneous electrical [nerve] stimulation," she said.

The electrical stimulation reduced pain, she found, for very short time periods, less than six weeks. Over time, the pain actually got worse, she noted.

The investigators found few physical worked to reduce pain or improve functioning or levels of disability.

Shamliyan said it's important for those with knee pain from —the "wear-and-tear" form—get a prescriptive exercise program of aerobics, aquatics or from a physical therapist.

The research is published in the Nov. 6 issue of the .

In the analysis, the researchers also found that perseverance counted. "We found some evidence that adherence, compliance with the exercise recommended was associated with better outcomes," she said.

However, the study authors did not find good evidence that more was any better than .

The U.S. Agency for Healthcare Research and Quality funded the research.

affects about 28 percent of those older than 45 in the United States, the study authors said, and 37 percent of those over 65.

Nonsurgical treatments are aimed at reducing or controlling pain, helping physical functioning, preventing disability and improving quality of life.

The findings are no surprise to Dr. Benjamin Bengs, an assistant professor of orthopedic surgery at UCLA Medical Center, Santa Monica, and the University of California, Los Angeles, David Geffen School of Medicine.

"There is evidence to show that physical therapy, aerobic and aquatic exercise and strength training all improve quality of life," he said.

The researchers also showed that certain therapies were not effective, Bengs noted, although he would not discount them so quickly. "Given the potential for placebo effect, I would not rule out these [other treatments]," he added.

Often, Bengs said, his patients will be convinced a treatment that has no science to back it up is helping them. If it does, and it's not harmful, he doesn't see a problem.

He did suggest that some of the nonsurgical treatments work better when done in tandem with surgery.

And, Bengs agreed that people do better when they adhere to the exercise program prescribed for them.

Both Bengs and Shamliyan also advised maintaining a healthy weight to improve .

Explore further: Putting your foot in it: but shoes can make a difference

More information: To learn more about knee pain, visit the target="_new">U.S. National Library of Medicine.

Related Stories

Weight loss + exercise helps knees

November 16, 2011

(Medical Xpress) -- Weight loss combined with exercise reduces pain and improves mobility in people with knee osteoarthritis, according to research presented by Professor of Health and Exercise Science Steve Messier earlier ...

Factors impacting benefit of exercise in knee OA identified

November 2, 2012

(HealthDay)—For patients with knee osteoarthritis, self-reported knee instability and fear of physical activity correlate with the likelihood of treatment response following a therapeutic exercise program, according to ...

Few PT interventions effective for knee osteoarthritis

November 6, 2012

(HealthDay)—Only a few physical therapy (PT) interventions are effective for knee pain secondary to osteoarthritis, specifically exercise and ultrasonography, according to a review published in the Nov. 6 issue of the Annals ...

Recommended for you

Team finds gene that confirms existence of psoriatic arthritis

February 5, 2015

PsA is a common form of inflammatory form of arthritis causing pain and stiffness in joints and tendons that can lead to joint damage. Nearly all patients with PsA also have skin psoriasis and, in many cases, the skin disease ...

Blocking one receptor could halt rheumatoid arthritis

September 10, 2014

Researchers at the University of Illinois at Chicago College of Medicine have shown for the first time how the activation of a receptor provokes the inflammation and bone degradation of rheumatoid arthritis—and that activation ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.