Improving Symptoms in Knee Osteoarthritis: Can We Get There From Here?
Authors: Lisa A. Mandl
Journal: Annals of Internal Medicine (2017)

Editorials4 April 2017Improving Symptoms in Knee Osteoarthritis: Can We Get There From Here?Lisa A. Mandl, MD, MPHLisa A. Mandl, MD, MPHFrom Hospital for Special Surgery/Weill Cornell Medicine, New York, New York.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0330 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Chronic knee pain, which is predominantly due to osteoarthritis, is associated with significant disability and decreased quality of life. With the aging of the U.S. population, the medical community has braced itself for a tsunami of elderly patients with chronic knee pain—a reasonable response to the projection that almost half of U.S. adults will develop osteoarthritis in at least 1 knee by age 85 years (1). However, the fact that 50% of all persons with symptomatic knee osteoarthritis are younger than 65 years is less appreciated (2). These patients will need effective pain therapy for decades. Because osteoarthritis currently has ...References1. Murphy L, Schwartz TA, Helmick CG, Renner JB, Tudor G, Koch G, et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum. 2008;59:1207-13. [PMID: 18759314] doi:10.1002/art.24021 CrossrefMedlineGoogle Scholar2. Deshpande BR, Katz JN, Solomon DH, Yelin EH, Hunter DJ, Messier SP, et al. Number of persons with symptomatic knee osteoarthritis in the US: impact of race and ethnicity, age, sex, and obesity. Arthritis Care Res (Hoboken). 2016;68:1743-1750. [PMID: 27014966] doi:10.1002/acr.22897 CrossrefMedlineGoogle Scholar3. Li LC, Sayre EC, Kopec JA, Esdaile JM, Bar S, Cibere J. Quality of nonpharmacological care in the community for people with knee and hip osteoarthritis. J Rheumatol. 2011;38:2230-7. [PMID: 21807776] doi:10.3899/jrheum.110264 CrossrefMedlineGoogle Scholar4. Dobson F, Bennell KL, French SD, Nicolson PJ, Klaasman RN, Holden MA, et al. Barriers and facilitators to exercise participation in people with hip and/or knee osteoarthritis: synthesis of the literature using behavior change theory. Am J Phys Med Rehabil. 2016;95:372-89. [PMID: 26945211] doi:10.1097/PHM.0000000000000448 CrossrefMedlineGoogle Scholar5. Yang S, Dubé CE, Eaton CB, McAlindon TE, Lapane KL. Longitudinal use of complementary and alternative medicine among older adults with radiographic knee osteoarthritis. Clin Ther. 2013;35:1690-702. [PMID: 24145044] doi:10.1016/j.clinthera.2013.09.022 CrossrefMedlineGoogle Scholar6. Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, et al. Effectiveness of an Internet-delivered exercise and pain-coping skills training intervention for persons with chronic knee pain. A randomized trial. Ann Intern Med. 2017;166:453-62. doi:10.7326/M16-1714 LinkGoogle Scholar7. Pew Research Center. Internet/Broadband Fact Sheet. Washington, DC: Pew Research Center; 2017. Accessed at www.pewinternet.org/fact-sheet/internet-broadband on 8 February 2017. Google Scholar8. Hawker GA, Badley EM, Borkhoff CM, Croxford R, Davis AM, Dunn S, et al. Which patients are most likely to benefit from total joint arthroplasty? Arthritis Rheum. 2013;65:1243-52. [PMID: 23459843] doi:10.1002/art.37901 CrossrefMedlineGoogle Scholar9. Mallen CD, Thomas E, Belcher J, Rathod T, Croft P, Peat G. Point-of-care prognosis for common musculoskeletal pain in older adults. JAMA Intern Med. 2013;173:1119-25. [PMID: 23699833] doi:10.1001/jamainternmed.2013.962 CrossrefMedlineGoogle Scholar10. Beissner K, Parker SJ, Henderson CR, Pal A, Iannone L, Reid MC. A cognitive-behavioral plus exercise intervention for older adults with chronic back pain: race/ethnicity effect? J Aging Phys Act. 2012;20:246-65. [PMID: 22015623] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Hospital for Special Surgery/Weill Cornell Medicine, New York, New York.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0330.Corresponding Author: Lisa A. Mandl, MD, MPH, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10024; e-mail, [email protected]edu.This article was published at Annals.org on 21 February 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain Kim L. Bennell , Rachel Nelligan , Fiona Dobson , Christine Rini , Francis Keefe , Jessica Kasza , Simon French , Christina Bryant , Andrew Dalwood , J. Haxby Abbott , and Rana S. Hinman Metrics 4 April 2017Volume 166, Issue 7Page: 531-532KeywordsDisabilitiesDisclosureElderlyExerciseExercise therapyInternetKneesOsteoarthritisTelemedicineYoung adults ePublished: 21 February 2017 Issue Published: 4 April 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...