Treatments
The goals of treatment are to relieve pain, maintain and improve joint mobility, and to minimize further joint damage. Osteoarthritis cannot be cured, but there are several types of treatment available to alleviate the symptoms, including non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, ketoprofen and naproxen for pain relief; COX 2 inhibitors, such as celecoxib which act like NSAIDs but are often more tolerable; and steroids, such as cortisone, which are injected directly into the affected joint to help relieve pain. Artificial joint fluid (such as Synvisc) is sometimes injected into affected knees by an orthopedic surgeon, and joint surgery may be necessary to replace or repair damaged joints in severe cases of OA. Many of these treatments may have associated risks and side effects. Patients should talk to their doctor about current treatment options and weigh the benefits against the risks in their own situation.
Glucosamine and chondroitin sulfate are over-the-counter supplements that may help relieve pain in some patients with OA, though their effectiveness is still being evaluated. Exercise, particularly in water, and weight loss, as well as good nutrition and the use of hot and cold treatments may help increase and maintain mobility.
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