Exercise – Non-impact exercise such as walking, swimming and cycling keeps muscle strength and tone. Hip joint stretches to keep the hip supple are beneficial. A consultation with a physiotherapist for education and a home exercise program can be useful.
Walking stick – Using a walking stick in the opposite hand reduces load in the hip and usually increases your walking distance. A strong stick of correct length with a non slip rubber end is best.
Paracetamol – A simple but safe analgesic when used correctly. Often needs to be used 3 or 4 times a day (1000mg / 2 tablets on each occasion). This can be safely used by most people at prolonged periods at these doses.
Natural remedies – Often not proven but some people gain relief from various naturopathic potions, magnets, acupuncture and the like. This affect may be placebo but some plant substances have proven anti-inflammatory effects. You should check the use of these with your local Doctor as some may react with other medicines or be dangerous.
Glucosamine and Chondroitin Sulphate – The most common arthritis remedies at the present time. There is some early evidence that over time they may help to maintain articular cartilage and slow progression of Osteoarthritis. Nothing can ‘put cartilage back’ after Osteoarthritis is established. Some people also report a reduction in arthritis symptoms when taking these substances. Their main side effect is diarrhoea. They should not be taken if you are pregnant or allergic to shellfish.
Fish oils – Have been associated with some improvement in cartilage quality and may be beneficial.
Anti-inflammatories (NSAID’s) – Several types of Non steroidal anti-inflammatories are available. They can be very effective in reducing pain and swelling associated with osteoarthritis. All these medications have potential side effects and are not always tolerated. The most common effects are: exacerbating asthma, stomach upset (ulcers etc), increased blood pressure and ankle swelling.
Weight loss – There is no doubt that if you are above ideal weight, weight loss can have a significant impact in reducing pain from osteoarthritis. Weight loss can also reduce the risk of anaesthetic complications and wound healing. Many people after loosing weight no longer need surgery for their Osteoarthritis. You may be given an ideal weight to attain prior to consideration for surgery. Consulting a dietician may be beneficial.
Injections– Cortisone injections into the knee can be helpful for a couple of months but do not provide long term relief. They have some negative effects and cannot be used repetitively. They may be very helpful in specific circumstances such as to reduce fluid in the joint.