Multidisciplinary Integrative Approach to Treating Knee Pain in Patients with Osteoarthritis
Authors: Marc C. Hochberg
Journal: Annals of Internal Medicine (2003)

Editorials4 November 2003Multidisciplinary Integrative Approach to Treating Knee Pain in Patients with OsteoarthritisMarc C. Hochberg, MD, MPHMarc C. Hochberg, MD, MPHFrom University of Maryland School of Medicine; Maryland Veterans Affairs Health Care System Baltimore, MD 21201.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-9-200311040-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Home is he brought, and laid in his sumptuous bed,Where many skillful leaches him abide,To salve his hurts, that yet still freshly bled.Edmund Spenser, The Faerie Queene, book I, canto 5, lines 145147Osteoarthritis of the knee is a major cause of morbidity, physical limitation, and increased health care utilization, including total joint arthroplasty, among the elderly in developed countries. Because osteoarthritis has no cure, the important goal of therapy is to relieve pain and stiffness and maintain or improve physical function (1, 2). Nonpharmacologic therapy, which includes patient education, social support, physical and occupational therapy, aerobic and resistive exercises, ...References1. Felson DT, Lawrence RC, Hochberg MC, McAlindon T, Dieppe PA, Minor MA, . Osteoarthritis: new insights. Part 2: treatment approaches. Ann Intern Med. 2000;133:726-37. [PMID: 11074906] LinkGoogle Scholar2. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum. 2000;43:1905-15. [PMID: 11014340] CrossrefMedlineGoogle Scholar3. Hernndez-Daz S, Garca-Rodrguez LA. Epidemiologic assessment of the safety of conventional nonsteroidal anti-inflammatory drugs. Am J Med. 2001;110 Suppl 3A 20S-7S. [PMID: 11173046] CrossrefMedlineGoogle Scholar4. 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[PMID: 10192721] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Maryland School of Medicine; Maryland Veterans Affairs Health Care System Baltimore, MD 21201.Grant Support: By the Arthritis Foundation; Department of Veterans Affairs; National Institutes of Health; and Merck and Co., Inc.Disclosures:Consultancies: Abbott Laboratories, AstraZeneca, Aventis Pharmaceutical Co., Inc., Bristol-Myers Squibb, Eli Lilly, Inc., GlaxoSmithKline, Laboratories NEGMA, Merck & Co., Inc., Novartis, Procter & Gamble, Roche Pharmaceuticals, Scios Inc., Wyeth-Ayerst; Stock ownership or options (other than mutual funds): Johnson & Johnson, Eli Lilly, Inc., Merck & Co., Inc., Procter & Gamble, Schering-Plough.Corresponding Author: Marc C. Hochberg, MD, MPH, 10 South Pine Street, MSTF 834, Baltimore, MD 21201. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffectiveness of Leech Therapy in Osteoarthritis of the Knee Andreas Michalsen , Stefanie Klotz , Rainer Ldtke , Susanne Moebus , Gnther Spahn , and Gustav J. Dobos Metrics Cited ByUpdated Systematic Review and Meta-Analysis of Acupuncture for Chronic Knee PainC’mon, CAMTraditional Chinese medicine in the management of osteoarthritisAssessment of leech therapy for knee osteoarthritis: A randomized studyAcupuncture for Knee Osteoarthritis – a Randomised Trial Using a Novel ShamLong term effects of intra-articular botulinum toxin a for refractory joint painNutritional Supplements for Knee Osteoarthritis — Still No ResolutionNonsurgical Treatment of OsteoarthritisEffectiveness of Acupuncture as Adjunctive Therapy in Osteoarthritis of the Knee A Randomized, Controlled TrialBrian M. Berman, MD, Lixing Lao, PhD, Patricia Langenberg, PhD, Wen Lin Lee, PhD, Adele M.K. Gilpin, PhD, and Marc C. Hochberg, MD 4 November 2003Volume 139, Issue 9Page: 781-783KeywordsAcupunctureAnalgesicsGlucocorticoid therapyKneesNSAIDsOsteoarthritisPhysical functioningSalivaStiffnessSystematic reviews ePublished: 4 November 2003 Issue Published: 4 November 2003 CopyrightCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...