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How to treat or cure osteoarthritis

Reviewed by medical experts · For informational purposes only

Introductory summary

How osteoarthritis is managed: exercise, weight care, pain relief and surgery when needed.

There is no known cure that restores worn cartilage, but osteoarthritis can be managed well. The goals are to lower pain, keep you moving and protect function.

Core of treatment (first line)

  • Education and self-management: understanding the condition reduces fear of movement
  • Exercise: land-based or water-based strength and aerobic exercise. Supervised physiotherapy helps many people.
  • Weight management: for those with overweight, a big benefit for knee and hip
  • Pain relief: topical NSAIDs first, then paracetamol or short courses of oral NSAIDs if safe for you

Next steps if still limited

  • Injections, braces, insoles or walking aids
  • Specialist review for persistent pain
  • Joint replacement for severe disease when other measures have failed. Outcomes for knee and hip replacement are generally good.

Ayurvedic support

Some people add Ayurvedic care such as oil therapies, Panchakarma or herbs. Evidence is limited and varied, so use it as an adjunct. Choose qualified practitioners and tell your doctor, especially if you take other medicines.

What to avoid

Unproven "cure" injections, steroid-laced powders and treatments that promise to regrow cartilage.

See a doctor if you cannot walk normally, pain disturbs sleep, or the joint looks deformed.

When to get help

Book a visit with your doctor or an orthopaedic or rheumatology clinic if joint pain keeps returning, limits walking, stairs or sleep, or if you are unsure which treatments are safe with your other medicines. Early advice often avoids unnecessary scans, tablets and bed rest, and lets you start the right exercise plan sooner.

Remember

Treat osteoarthritis as a long-term plan: movement, weight care, safe pain relief and review.

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