Tuesday, June 30, 2009

Alternate Recommendations

I was interested to note the recommendations of the Medical Journal of Australia. There are a few noted differences to those given by the American Academy of Orthopaedic Surgeons.
Rather than a simple "yes" or "no" to all treatment options, they suggest a sequence of treatments to be used as the disease progresses.
They advocate the use of glucosamine as it is a safe supplement (except for those with shellfish allergies) and as such the benefits are likely to outweigh any risks.
The use of intra-articular hyaluronic acid injections is noted to be expensive, not covered by insurance, and having results similar to oral non-steroidal anti-inflammatory medication.
As usual, a strong "thumbs up" has been given to weight loss and exercise.
The flow chart on the right is the suggested treatment progression.
The article is not long and is easy to read. To read it all, click here.

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