I have knee arthritis. Can Physio Help?

Over the past few years, more and more research has been showing that individuals suffering from knee arthritis have significantly better results than those having arthroscopic surgery.

Physiotherapist design and tailor a program that suits each individual needs. This is important because we are not all alike.

Evidence #1

Reference: N Engl J Med 2008 Sept 11; 359(11)

This study looked at arthroscopic surgery in patients with moderate to severe arthritis of the knee.

Patients were randomly assigned to :

Arthroscope and Physiotherapy treatment

Physiotherapy treatment only

Conclusion: Even 2 years after the study, those in the physiotherapy only group did as well as those in the surgical group. The key difference was that those in the surgical group had the surgical risks associated with all surgeries and post operative pain while those in the physiotherapy group only did not.

Remember: Physiotherapy is more than exercises. Some generic ones are important but you should discuss these with your therapist to avoid aggravating the joints further.

Evidence #2

Reference: Ann of Internal Med. 2000 Feb 1; 132(3)

This study looked at the effectiveness of Manual Trained Physiotherapists (like those trained at Sheddon Physiotherapy and Sports Clinic) on patients with arthritis of the knee.

Patients were randomly assigned to:

Manual Physiotherapy treatment

Placebo treatment only

Conclusion:

(a) The patients in the group receiving the Specialized Training of the Physiotherapists did statistically and significantly better than those in the placebo group.

(b) The Specialized Manual Training of the Physiotherapists lasted for up to a year later.

(c) A year later, 20% had undergone a knee replacement whereas in the group receiving the Physiotherapy Manual Treatment, less than 5% received surgery.

SO: These studies show that surgery is not the best option for arthritis and that it will likely lengthen the time before any surgical intervention is done.

Why deal with surgical risks and pain, if you are not going to be better for it??

Remember:

Physiotherapy is more than exercises. Some generic ones are important but you should discuss these with your therapist to avoid aggravating the joints further.

If you have questions regarding arthritis, please do not hesitate to contact one of our therapists at Sheddon Physiotherapy and Sports Clinic at (905) 849-4576.

By Dana Clark