Knee osteoarthritis can be a debilitating condition, causing pain and stiffness that can greatly impact quality of life. While painkillers and anti-inflammatory drugs are commonly used to manage symptoms, non-drug therapies such as knee braces and water-based exercise are emerging as effective alternatives. A recent review of 12 non-drug therapies for knee osteoarthritis found that knee braces and water-based exercise were among the most effective at reducing pain and improving mobility.
The wear and tear of cartilage in the knee joint leads to inflammation, pain, and stiffness in osteoarthritis. Traditional treatments like shoe insoles, tape support, and laser therapy aim to relieve symptoms, but the effectiveness of these methods can vary. In a comprehensive analysis of 139 randomised controlled trials involving over 9600 adults with knee osteoarthritis, knee braces were identified as the most effective treatment for pain and stiffness, followed by water-based exercise.
The review also ranked other physical therapies in terms of effectiveness, with land-based exercise, high-energy laser therapy, and high-energy sound wave therapy showing promise. However, the researchers cautioned that the evidence for these treatments is not strong enough to guide clinical practice. Many of the studies had small sample sizes and varied treatment durations, which could impact the reliability of the results.
Despite the limitations of the study, the findings provide valuable insights into the most effective non-drug therapies for knee osteoarthritis. By focusing on the top-performing treatments like knee braces and water-based exercise, clinicians can tailor treatment plans to better alleviate symptoms and improve patient outcomes. Further research is needed to validate these findings and explore the potential benefits of combining non-drug therapies with conventional drug treatments.
In conclusion, while knee osteoarthritis poses challenges for both patients and healthcare providers, non-drug therapies like knee braces and water-based exercise offer promising alternatives for symptom management. By prioritizing evidence-based treatments and further research in this area, we can better support individuals living with knee osteoarthritis and enhance their quality of life.