Manipulation for Osteoarthritis: NICE guidelines update

Revised guidelines for Osteoarthritis state: Manipulation- an advised treatment for osteoarthritis, particularly for osteoarthritis of the hip.

The guidance highlights that the core treatment for osteoarthritis remain exercise- this not only helps relieve pain for some people but also improves function. The symptoms, such as pain and limited joint movement can be managed by muscle strengthening, exercise and weight loss if the person is overweight.

“Manual therapy, both manipulative and stretching should be considered as an adjunct to core treatments (such as exercise), particularly for osteoarthritis of the hip.”

Osteoarthritis is a common condition with associated pain, joint stiffness and reduced quality of life. It affects the joints, most commonly the knees, hips and spine and small joints of the hands, but it can also occur in other joints. Damage and loss of joint-lining cartilage, damage to adjacent bone, and inflammation of the tissues around the joint are the main characteristics of the condition. Osteoarthritis is the most common form of arthritis, with around 1 million people seeing their GP about it every year. It accounts for 115,000 hospital admissions in the UK each year. The condition can affect people’s ability to undertake daily activities, and is one of the leading causes of pain and disability worldwide.

This guideline information is available on the NICE website .

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