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Osteoarthritis: What You Need to Know

By Jordan Brocker PT, DPT, CSSS | Foothills Queen Creek

Osteoarthritis is a normal bodily condition caused by wear and tear to the body, which leads to the deterioration of joint cartilage. This leaves bones unprotected, and eventually, the joint’s deterioration can become so extreme that it leaves bone to rub against bone. The joint fluid that helps lubricate the joint for a normal, smooth function also deteriorates, leading to resisted motion and often audible sounds when moving. Both factors play a role in the pain and limitation of the affected joints.

Unfortunately, there are no means for entirely reversing arthritis that has already developed. However, and more importantly, there is something you can do about it. Research and my professional experience have shown that physical therapy can help to alleviate pain and discomfort caused by osteoarthritis, so your recovery is more than just good enough, and you can continue performing the activities you enjoy.

Osteoarthritis: Important Factors to Address

  • Weakness and flexibility in muscles related to affected joints
  • Stability of associated joints
  • Specific joint motion and mobility
  • Body mechanics that are influenced by different joints
  • Balance and proprioception for lower extremity joints
  • Muscle endurance

Patient with osteoarthritis gets stretched by Physical Therapist.

How Physical Therapy Can Manage Osteoarthritis

Physical therapy reduces the impairments caused by a person’s arthritis by addressing each of the above factors appropriately and uniquely for each individual. Everyone will have different causative factors that change how their arthritis is experienced and how it progresses. Your physical therapist must address these issues adequately for you to receive the most significant benefit from treatment. Physical therapy will allow optimal function of the arthritic joint to prevent further deterioration and promote its current integrity.

For example, a widespread arthritic joint is the knee. Often, degeneration in the knee’s lateral (outside) aspect can occur at a higher level than the medial (inside) joint due to more force being applied to the outside of the knee during weight-bearing activities. The knee position that causes this is known as genu valum and is seen when the knee is positioned toward the middle of the body, not the hip. The culprits responsible for this positioning are often weak hip and ankle muscles. Therefore, addressing the weaknesses in these muscle groups and applying them to activities (like walking or bending/squatting) could help reduce the abnormal forces on the knee, thus reducing irritation.

Physical therapist helps patient build strength with osteoarthritis.

Tailored Exercise Program for Osteoarthritis Management

As physical therapists, we observe the local joints and the entire body to assess possible areas of impairment and then improve the body mechanics of an individual. Based on our evaluation process, we create a program of specific exercises to best benefit each person’s needs. We work towards creating independence with a home exercise program that allows them to continue the exercises. With a proper understanding of the concepts behind the exercises for continued rehabilitation.

Many factors may dictate the effectiveness of treating osteoarthritis. Such as the severity of the issue, current or prior level of function, joint deformation, or other bone diseases. If these factors are present, it does not mean a person cannot do anything about their arthritis. However, it may affect the degree of improvement that can occur and how long it takes to improve. Ultimately, doing something about osteoarthritis will be much more beneficial than staying idle and allowing the process to continue. The degree of improvement you could achieve might change your life by taking action!

Foothills Sports Medicine Physical Therapy is dedicated to providing hands-on, individualized care to people of all ages with myriad afflictions. Our physical therapists are committed to your full recovery. Schedule a free assessment with a highly trained staff, or contact one of our many valley-wide locations.

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