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2000
Volume 17, Issue 2
  • ISSN: 2589-9775
  • E-ISSN: 2589-9783

Abstract

Osteoarthritis (OA) is a disease characterized by degeneration of cartilage or wear and tear. OA is a cause of disability and health issues. It is a disease that affects more than 500 million adults annually worldwide, of which India accounts for about 22 to 39% of OA patients. The most common type of osteoarthritis is knee OA. Pathogenesis of OA requires evolution in basic science and clinical research to enhance our understanding of the pathogenesis and as well as different treatment options. It is mainly classified as primary and secondary OA. The treatment for OA can only reduce the symptoms and cannot cure the disease itself, including pharmacological treatment, like non-steroidal anti-inflammatory drugs (NSAIDs), acting on COX1 (cyclooxygenase 1) and COX2 (cyclooxygenase 2) enzymes. Non-pharmacological treatments for OA include exercise like walking, and aerobic exercise, diet, weight loss, hot and cold therapy, as well as electrotherapy, which improves muscle strength and decreases joint pain. Surgical treatment is the last treatment option for OA patients, which includes arthroscopy and joint replacement therapy. Thus, necessary precautions should be taken for joints to be healthy and disease-free.

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2025-09-11
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References

  1. UsenboA. KramerV. YoungT. MusekiwaA. Prevalence of arthritis in africa: A systematic review and meta-analysis.PLoS One2015108e013385810.1371/journal.pone.013385826241756
    [Google Scholar]
  2. LequesneM. BrandtK. BellamyN. MoskowitzR. MenkesC.J. PelletierJ.P. AltmanR. Guidelines for testing slow acting drugs in osteoarthritis.J. Rheumatol. Suppl.19944165717799389
    [Google Scholar]
  3. BerenbaumF. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!).Osteoarthritis Cartilage2013211162110.1016/j.joca.2012.11.01223194896
    [Google Scholar]
  4. VincentT.L. Of mice and men: Converging on a common molecular understanding of osteoarthritis.Lancet Rheumatol.2020210e633e64510.1016/S2665‑9913(20)30279‑432989436
    [Google Scholar]
  5. SalterR.B. FieldP. The effects of continuous compression on living articular cartilage.J. Bone Joint Surg. Am.1960421319010.2106/00004623‑196042010‑00004
    [Google Scholar]
  6. MankinH.J. The reaction of articular cartilage to injury and osteoarthritis (first of two parts).N. Engl. J. Med.1974291241285129210.1056/NEJM1974121229124064610388
    [Google Scholar]
  7. BerenbaumF. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!).Osteoarthritis Cartilage.20132111621Epub 2012 Nov 27.10.1016/j.joca.2012.11.01223194896
    [Google Scholar]
  8. SokoloveJ. LepusC.M. Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretations.Ther. Adv. Musculoskelet. Dis.201352779410.1177/1759720X1246786823641259
    [Google Scholar]
  9. AltmanR. AschE. BlochD. BoleG. BorensteinD. BrandtK. ChristyW. CookeT.D. GreenwaldR. HochbergM. HowellD. KaplanD. KoopmanW. LongleyS. MankinH. McShaneD.J. MedsgerT. MeenanR. MikkelsenW. MoskowitzR. MurphyW. RothschildB. SegalM. SokoloffL. WolfeF. Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee.Arthritis Rheum.19862981039104910.1002/art.17802908163741515
    [Google Scholar]
  10. AltmanRD. Criteria for classification of clinical osteoarthritis.J Rheumatol Suppl.1991271022027107
    [Google Scholar]
  11. Osteoarthritis: National clinical guideline for care and management in adults, national collaborating centre for chronic conditions (UK).(Ed), Royal College of Physicians (UK), London2008
    [Google Scholar]
  12. BortoluzziA. FuriniF. ScirèC.A. Osteoarthritis and its management - Epidemiology, nutritional aspects and environmental factors.Autoimmun. Rev.201817111097110410.1016/j.autrev.2018.06.00230213694
    [Google Scholar]
  13. CreamerP HochbergM C why does osteoarthritis of the knee hurt--sometimes.Rheumatology199736772672810.1093/rheumatology/36.7.726
    [Google Scholar]
  14. Patient EducationOsteoarthritis Treatment (Beyond the Basics).Up To Date2021
    [Google Scholar]
  15. KrizJ. SeegenschmiedtH.M. BartelsA. MickeO. MueckeR. SchaeferU. HaverkampU. EichH.T. Updated strategies in the treatment of benign diseases—a patterns of care study of the german cooperative group on benign diseases.Adv. Radiat. Oncol.20183324024410.1016/j.adro.2018.02.00830197936
    [Google Scholar]
  16. di Laura FratturaG. FilardoG. GiunchiD. FuscoA. ZaffagniniS. CandrianC. Risk of falls in patients with knee osteoarthritis undergoing total knee arthroplasty: A systematic review and best evidence synthesis.J. Orthop.201815390390810.1016/j.jor.2018.08.02630174378
    [Google Scholar]
  17. XingD. WangQ. YangZ. HouY. ZhangW. ChenY. LinJ. Evidence‐based guidelines for intra‐articular injection in knee osteoarthritis: Formulating and evaluating research questions.Int. J. Rheum. Dis.20182181533154210.1111/1756‑185X.1336730146747
    [Google Scholar]
  18. YusufE. Pharmacologic and non-pharmacologic treatment of osteoarthritis.Curr. Treatm. Opt. Rheumatol.20162211112510.1007/s40674‑016‑0042‑y
    [Google Scholar]
  19. ZhangW. RobertsonW.B. ZhaoJ. ChenW. XuJ. Emerging trend in the pharmacotherapy of osteoarthritis.Front. Endocrinol.20191043110.3389/fendo.2019.0043131312184
    [Google Scholar]
  20. HoldenM.A. NicolsonP.J.A. ThomasM.J. CorpN. HinmanR.S. BennellK.L. Osteoarthritis year in review 2022: Rehabilitation.Osteoarthritis Cartilage202331217718610.1016/j.joca.2022.10.00436244626
    [Google Scholar]
  21. HochbergM.C. AltmanR.D. BrandtK.D. ClarkB.M. DieppeP.A. GriffinM.R. MoskowitzR.W. SchnitzerT.J. Guidelines for the medical management of osteoarthritis.Arthritis Rheum.199538111535154010.1002/art.17803811037488272
    [Google Scholar]
  22. MillerG.D. NicklasB.J. DavisC. LoeserR.F. LenchikL. MessierS.P. Intensive weight loss program improves physical function in older obese adults with knee osteoarthritis.Obesity20061471219123010.1038/oby.2006.13916899803
    [Google Scholar]
  23. StephenP. Obesity and Osteoarthritis: Disease genesis and nonpharmacologic weight management,Medical Clinics of North America200993114515910.1016/j.mcna.2008.09.011
    [Google Scholar]
  24. EzzoJ HadhazyV BirchS LaoL KaplanG HochbergM BermanB Acupuncture for osteoarthritis of the knee: A systematic review.Arthritis Rheum.200144481982510.1002/1529‑0131(200104)44:4<819::AID‑ANR138>3.0.CO;2‑P
    [Google Scholar]
  25. ManheimerE. ChengK. LindeK. LaoL. YooJ. WielandS. van der WindtD.A.W.M. BermanB.M. BouterL.M. Acupuncture for peripheral joint osteoarthritis.Cochrane Libr.20101CD00197710.1002/14651858.CD001977.pub220091527
    [Google Scholar]
  26. DeareJ.C. ZhengZ. XueC.C.L. LiuJ.P. ShangJ. ScottS.W. LittlejohnG. Acupuncture for treating fibromyalgia.Cochrane Libr.201320135CD00707010.1002/14651858.CD007070.pub223728665
    [Google Scholar]
  27. KimE.J. LimC.Y. LeeE.Y. LeeS.D. KimK.S. Comparing the effects of individualized, standard, sham and no acupuncture in the treatment of knee osteoarthritis: A multicenter randomized controlled trial.Trials201314112910.1186/1745‑6215‑14‑12923782709
    [Google Scholar]
  28. Araya-QuintanillaF Cuyúl-VasquezI Does acupuncture provide pain relief in patients with osteo-Arthritis knee? An overview of systematic reviews.J Bodyw Mov Ther202229117126
    [Google Scholar]
  29. DantasLO OsaniMC BannuruRR Therapeutic ultrasound for Knee osteoarthritis: A systematic review and meta-analysisWith grade quality assessment.Braz J Phys Ther.202125688e9710.1016/j.bjpt.2021.07.003
    [Google Scholar]
  30. Alqualo-CostaR RampazoEP ThomeGR PerraciniMR LiebanoRE Interferential current and photobiomodulation in Knee osteoarthritis: a randomized, placebo-controlled, double-Blind clinical trial.Clin Rehabilitation2021351413e2710.1177/02692155211012004
    [Google Scholar]
  31. ChaturvediR. JoshiS. Effect of transcranial direct current stimulation (tDCS) and transcutaneous electrical nerve stimulation (TENS) in knee osteoarthritis.Physiotherapy Quarterly2021293687510.5114/pq.2021.105887
    [Google Scholar]
  32. LawsonD DeganiAM LeeK BeerEI GohlkeKE HamidiKN ColerMA TewsNM Use of transcutaneous electrical nerve stimulation along with functional tasks for immediate pain relief in individuals with knee osteoarthritis.Eur J Pain.202226375476510.1002/ejp.1903
    [Google Scholar]
  33. MaheuE Soriot-ThomasS NoelE GanryH LespessaillesE CortetB Wearable transcutaneous electrical nerve (actiTENS®) is effective and safe for the treatment of knee osteoarthritis pain: a randomized controlled trial versus weak opioid.Ther Adv Musculoskelet Dis.20221759720211066233
    [Google Scholar]
  34. ReichenbachS JüniP HincapieCA SchneiderC MeliDN SchürchR StreitS LucasC MebesC RutjesAWS CostaBR da Effect of transcutaneous electrical nerve Stimulation (TENS) on knee pain and physical function in patients with symptomatic knee osteoarthritis: the ETRELKA Randomized clinical trial.Osteoarthritis Cartilage202230426e35
    [Google Scholar]
  35. TiktinskyR ChenL NarayanP. Electrotherapy: Yesterday, today and tomorrow.Haemophilia20101612613110.1111/j.1365‑2516.2010.02310.x
    [Google Scholar]
  36. CiubeanA.D. UngurR.A. IrsayL. CiorteaV.M. BordaI.M. DogaruG.B. TrifaA.P. VesaS.C. BuzoianuA.D. Polymorphisms of FDPS, LRP5, SOST and VKORC1 genes and their relation with osteoporosis in postmenopausal Romanian women.PLoS One20191411e022577610.1371/journal.pone.022577631774873
    [Google Scholar]
  37. EleazuI.C. Jones-O’ConnorM. HonigbergM.C. The impact of premature menopause on future risk of cardiovascular disease.Curr. Treat. Options Cardiovasc. Med.202022127710.1007/s11936‑020‑00854‑6
    [Google Scholar]
  38. OsiriM WelchV BrosseauL SheaB McGowanJ TugwellP WellsG Transcutaneous electrical nerve stimulation for knee osteoarthritis. Cochrane Database Syst Rev.20092000400282310.1002/14651858.CD002823
    [Google Scholar]
  39. RutjesA.W.S. NüeschE. SterchiR. JüniP. Therapeutic ultrasound for osteoarthritis of the knee or hip.Cochrane Libr.20101CD00313210.1002/14651858.CD003132.pub220091539
    [Google Scholar]
  40. UngurR. DroncaM. CrăciunE.C. RusuR.L. VăleanuM. OnacI. BordaI.M. IrsayL. Improvement of total antioxidant status, a possible bioeffect of the ultrasound therapy - a pilot study.Rev. Rom. Med. Lab.2011192177183
    [Google Scholar]
  41. S˘varcovaJ. TrnavskýK. ZvárováJ. The influence of ultrasound, galvanic currents and shortwave diathermy on pain intensity in patients with osteoarthritis.Scand. J. Rheumatol.198817sup67838510.3109/030097488091053063502576
    [Google Scholar]
  42. AlfredoP.P. BjordalJ.M. DreyerS.H. MenesesS.R.F. ZaguettiG. OvanessianV. FukudaT.Y. JuniorW.S. MartinsR.Á.B.L. CasarottoR.A. MarquesA.P. Efficacy of low level laser therapy associated with exercises in knee osteoarthritis: A randomized double-blind study.Clin. Rehabil.201226652353310.1177/026921551142596222169831
    [Google Scholar]
  43. Bruce-BrandR.A. WallsR.J. OngJ.C. EmersonB.S. O’ByrneJ.M. MoynaN.M. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial.BMC Musculoskelet. Disord.201213111810.1186/1471‑2474‑13‑11822759883
    [Google Scholar]
  44. AtamazF.C. DurmazB. BaydarM. DemirciogluO.Y. IyiyapiciA. KuranB. OncelS. SendurO.F. Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenter study.Arch. Phys. Med. Rehabil.201293574875610.1016/j.apmr.2011.11.03722459699
    [Google Scholar]
  45. UngurR.A. FloreaA. TăbăranA.F. ScurtuI.C. OnacI. BordaI.M. IrsayL. CiorteaV.M. DroncaE. ZdrengheaM.T. SuciuŞ.M. Chondroprotective effects of pulsed shortwave therapy in rabbits with experimental osteoarthritis.Rom. J. Morphol. Embryol.201758246547228730231
    [Google Scholar]
  46. OnacI. SingureanuV. MoldovanG. UngurR. High frequency pulsatile electromagnetic fields and ultrasound pulsatile fields impact on germination dynami of ocimumbasilicum L. and O. basilicum var. purpurascensBenth., observed with open-source software.Not. Bot. Horti Agrobot. Cluj-Napoca2016441414710.15835/nbha44110328
    [Google Scholar]
  47. IrsayL. UngurR.A. BordaI.M. TicaI. IliescuM.G. CiubeanA.D. PopaT. CintezaD. PopaF.L. BondorC.I. CiorteaV.M. Safety of Electrotherapy Treatment in Patients with Knee Osteoarthritis and Cardiac Diseases.Life (Basel)20221211169010.3390/life1211169036362845
    [Google Scholar]
  48. MoreB. Optimizing Pharmacological Treatment of Osteoarthritis.Acta Scientific Pharmacology2020121320
    [Google Scholar]
  49. GrahamG.G. ScottK.F. Mechanism of action of paracetamol.Am. J. Ther.2005121465510.1097/00045391‑200501000‑0000815662292
    [Google Scholar]
  50. CarlsonC. Effectiveness of the World Health Organization cancer pain relief guidelines: an integrative review.J. Pain Res.2016951553410.2147/JPR.S9775927524918
    [Google Scholar]
  51. KamathA. Paracetamol in osteoarthritis: NICE guidelines or not so nice.J. Postgrad. Med.201460221210.4103/0022‑3859.13237024823532
    [Google Scholar]
  52. ChandrasekharanN.V. DaiH. RoosK.L.T. EvansonN.K. TomsikJ. EltonT.S. SimmonsD.L. COX-3, a cyclooxygenase-1 variant inhibited by acetaminophen and other analgesic/antipyretic drugs: Cloning, structure, and expression.Proc. Natl. Acad. Sci. USA20029921139261393110.1073/pnas.16246869912242329
    [Google Scholar]
  53. BottingR. COX-1 and COX-3 inhibitors.Thromb. Res.20031105-626927210.1016/S0049‑3848(03)00411‑014592546
    [Google Scholar]
  54. TowheedT. MaxwellL. JuddM. CattonM. HochbergM.C. WellsG.A. Acetaminophen for osteoarthritis.Cochrane Libr.200620101CD00425710.1002/14651858.CD004257.pub216437479
    [Google Scholar]
  55. RahmeE BarkunA NedjarH GaugrisS WatsonD Hospitalizations for upper and lower GI events associated with traditional NSAIDs and acetaminophen among the elderly in Quebec, Canada.Am J Gastroenterol20081034872882
    [Google Scholar]
  56. PincusT KochGG SokkaT LefkowithJ WolfeF JordanJM LutaG CallahanLF WangX SchwartzT AbramsonSB CaldwellJR HarrellRA KremerJM LautzenheiserRL MarkensonJA SchnitzerTJ WeaverA CumminsP WilsonA MorantS FortJ A randomized, double-blind, crossover clinical trial of diclofenac plus misoprostol versus acetaminophen in patients with osteoarthritis of the hip or knee.Arthritis Rheum.200144715871598
    [Google Scholar]
  57. PincusT. SwearingenC. CumminsP. CallahanL.F. Preference for nonsteroidal antiinflammatory drugs versus acetaminophen and concomitant use of both types of drugs in patients with osteoarthritis.J. Rheumatol.20002741020102710782831
    [Google Scholar]
  58. TaiF.W.D. McAlindonM.E. Non-steroidal anti-inflammatory drugs and the gastrointestinal tract.Clin. Med. (Lond.)202121213113410.7861/clinmed.2021‑003933762373
    [Google Scholar]
  59. DayRO GrahamGG Non-steroidal anti-inflammatory drugs.BMJ2013346195
    [Google Scholar]
  60. ArnsteinP.M. Evolution of topical NSAIDs in the guidelines for treatment of osteoarthritis in elderly patients.Drugs Aging201229752353110.2165/11631550‑000000000‑0000022559274
    [Google Scholar]
  61. McCarbergB. TenzerP. Complexities in the pharmacologic management of osteoarthritis pain.Curr. Med. Res. Opin.201329553954810.1185/03007995.2013.78539123489409
    [Google Scholar]
  62. SinusasK. Osteoarthritis: Diagnosis and treatment.Am. Fam. Physician20128514956[Erratum in: Am Fam Physician. 2012 Nov 15;86]. [10]. [:893. PMID: 22230308].22230308
    [Google Scholar]
  63. LitwicA. EdwardsM.H. DennisonE.M. CooperC. Epidemiology and burden of osteoarthritis.Br. Med. Bull.2013105118519910.1093/bmb/lds03823337796
    [Google Scholar]
  64. MichaelJ.W.P. Schlüter-BrustK.U. EyselP. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee.Dtsch. Arztebl. Int.2010107915216210.3238/arztebl.2010.015220305774
    [Google Scholar]
  65. AnandacoomarasamyA. MarchL. Current evidence for osteoarthritis treatments.Ther. Adv. Musculoskelet. Dis.201021172810.1177/1759720X0935988922870434
    [Google Scholar]
  66. BijlsmaJ.W.J. BerenbaumF. LafeberF.P.J.G. Osteoarthritis: An update with relevance for clinical practice.Lancet201137797832115212610.1016/S0140‑6736(11)60243‑221684382
    [Google Scholar]
  67. CutoloM. BerenbaumF. HochbergM. PunziL. ReginsterJ.Y. Commentary on recent therapeutic guidelines for osteoarthritis.Semin. Arthritis Rheum.201544661161710.1016/j.semarthrit.2014.12.00325677861
    [Google Scholar]
  68. ZhangW. MoskowitzR.W. NukiG. AbramsonS. AltmanR.D. ArdenN. Bierma-ZeinstraS. BrandtK.D. CroftP. DohertyM. DougadosM. HochbergM. HunterD.J. KwohK. LohmanderL.S. TugwellP. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines.Osteoarthritis Cartilage200816213716210.1016/j.joca.2007.12.01318279766
    [Google Scholar]
  69. JüniP. HariR. RutjesA.W.S. FischerR. SillettaM.G. ReichenbachS. da CostaB.R. Intra-articular corticosteroid for knee osteoarthritis.Cochrane Libr.2015201511CD00532810.1002/14651858.CD005328.pub326490760
    [Google Scholar]
  70. AldenK.J. HarrisS. HubbsB. KotK. IstwanN.B. MasonD. Micronized dehydrated human amnion chorion membrane injection in the treatment of knee osteoarthritis—a large retrospective case series.J. Knee Surg.202134884184510.1055/s‑0039‑340095131779034
    [Google Scholar]
  71. TangJ.Z. NieM.J. ZhaoJ.Z. ZhangG.C. ZhangQ. WangB. Platelet-rich plasma versus hyaluronic acid in the treatment of knee osteoarthritis: A meta-analysis.J. Orthop. Surg. Res.202015140310.1186/s13018‑020‑01919‑932912243
    [Google Scholar]
  72. Di MartinoA. Di MatteoB. PapioT. TentoniF. SelleriF. CenacchiA. KonE. FilardoG. Platelet-rich plasma versus hyaluronic acid injections for the treatment of knee osteoarthritis: Results at 5 years of a double-blind, randomized controlled trial.Am. J. Sports Med.201947234735410.1177/036354651881453230545242
    [Google Scholar]
  73. SpakováT. RosochaJ. LackoM. HarvanováD. GharaibehA. Treatment of knee joint osteoarthritis with autologous platelet-rich plasma in comparison with hyaluronic acid.Am. J. Phys. Med. Rehabil.201291541141710.1097/PHM.0b013e3182aab7222513879
    [Google Scholar]
  74. FilardoG. Di MatteoB. Di MartinoA. MerliM.L. CenacchiA. FornasariP. MarcacciM. KonE. Platelet-rich plasma intra-articular knee injections show no superiority versus viscosupplementation.Am. J. Sports Med.20154371575158210.1177/036354651558202725952818
    [Google Scholar]
  75. PatersonK.L. NichollsM. BennellK.L. BatesD. Intra-articular injection of photo-activated platelet-rich plasma in patients with knee osteoarthritis: A double-blind, randomized controlled pilot study.BMC Musculoskelet. Disord.20161716710.1186/s12891‑016‑0920‑326861957
    [Google Scholar]
  76. SuK. BaiY. WangJ. ZhangH. LiuH. MaS. Comparison of hyaluronic acid and PRP intra-articular injection with combined intra-articular and intraosseous PRP injections to treat patients with knee osteoarthritis.Clin. Rheumatol.20183751341135010.1007/s10067‑018‑3985‑629388085
    [Google Scholar]
  77. YuW. XuP. HuangG. LiuL. Clinical therapy of hyaluronic acid combined with platelet‑rich plasma for the treatment of knee osteoarthritis.Exp. Ther. Med.20181632119212510.3892/etm.2018.641230186448
    [Google Scholar]
  78. TavassoliM JanmohammadiN HosseiniA KhafriS Esmaeilnejad-GanjiSM Single- and double-dose of platelet-rich plasma versus hyaluronic acid for treatment of knee osteoarthritis: A randomized controlled trial.World J Orthop.2019109310326
    [Google Scholar]
  79. ParkY.B. KimJ.H. HaC.W. LeeD.H. Clinical efficacy of platelet-rich plasma injection and its association with growth factors in the treatment of mild to moderate knee osteoarthritis: A randomized double-blind controlled clinical trial as compared with hyaluronic acid.Am. J. Sports Med.202149248749610.1177/036354652098686733523756
    [Google Scholar]
  80. CooperI.D. Bibliometrics basics.J. Med. Libr. Assoc.2015103421721810.3163/1536‑5050.103.4.01326512226
    [Google Scholar]
  81. HorikawaA. MiyakoshiN. ShimadaY. KodamaH. Comparison of clinical outcomes between total knee arthroplasty and unicompartmental knee arthroplasty for osteoarthritis of the knee: A retrospective analysis of preoperative and postoperative results.J. Orthop. Surg. Res.201510116810.1186/s13018‑015‑0309‑226510773
    [Google Scholar]
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