chronic O.A patients

[Canuck Physio]

These patients are complex because depending on many variables;
- joint space
- bony spurs
- articular surface abrasion
- loose bodies
- deformity
- decreased synovial lubrication
- decrease muscle force output
- altered biomechanics
and others

significantly effect the results possible. One thing I would state is even though Glucosamine And Chondroitin have not been shown to reduce pain I would recommend prescribing these in light of studies showing that joint space is 'less' diminished over time with concomitant exercise therapy.

The goal is to continue the exercise sessions and ideally you want an extensive progressive home exercise programme to give to your patients

[rosekh]

Thank u for ur opinion i believe also the patients should stick to their exercise program at home not just doing it in the session