Dadabo Joseph, Fram Julia, Jayabalan Prakash
Department of Physical Medicine and Rehabilitation, McGaw Medical Center of Northwestern University, Chicago, Illinois.
Department of Physical Medicine and Rehabilitation, Shirley Ryan Ability Lab, Chicago, Illinois.
J Knee Surg. 2019 Jan;32(1):46-54. doi: 10.1055/s-0038-1676107. Epub 2018 Nov 26.
The goal of the practitioner managing a patient with knee osteoarthritis (OA) is to minimize pain and optimize their function. Several noninterventional (noninjectable) therapies are available for these individuals, each having varying levels of efficacy. An individualized approach to the patient is most beneficial in individuals with knee OA and the treatment plan the practitioner chooses should be based on this principle. The focus of this article is to provide an up-to-date overview of the treatment strategies available, evidence to support them, and in whom these treatments would be most appropriate. These include exercise (aerobic and resistance), weight loss, bracing and orthotics, topical and oral analgesic medications, therapeutic modalities, and oral supplements.
治疗膝关节骨关节炎（OA）患者的从业者的目标是将疼痛降至最低并优化其功能。有几种非介入性（非注射）疗法可供这些患者使用，每种疗法的疗效各不相同。对于膝关节OA患者，采用个性化方法最为有益，从业者选择的治疗方案应基于这一原则。本文的重点是提供现有治疗策略的最新概述、支持这些策略的证据，以及这些治疗最适合哪些患者。这些治疗方法包括运动（有氧运动和抗阻运动）、减肥、支具和矫形器、局部和口服止痛药物、治疗方式以及口服补充剂。
