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Feature Article

Osteoarthritis: a tailored management approach

David J. Hunter, Matthew J. Williams, Hans Lee, Vicky Duong, Shirley P. Yu

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© JAN-OTTO/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Management of patients with osteoarthritis should be tailored to the needs and goals of the individual patient. Key aspects of management are multidisciplinary care, patient education and implementation of referral pathways.

Key Points

  • Pain in osteoarthritis is best understood in the context of a biopsychosocial model.
  • The diagnosis of osteoarthritis should be based on a holistic assessment and judicious use of imaging.
  • Use of multidisciplinary teams, patient education and lifestyle modification are recommended to promote self-management and improve long-term outcomes.
  • Nonpharmacological and pharmacological interventions should be combined with an understanding of the patient’s comorbidities and baseline physical function.
  • Surgical intervention should only be considered when conservative management is exhausted.

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© JAN-OTTO/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© JAN-OTTO/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY