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Osteoarthritis guidelines

Guidelines for Osteoarthritis Treatment

The Arthritis Foundation is proud to have partnered with the American College of Rheumatology (ACR) on the development and release of these guidelines for the management of osteoarthritis (OA) of the hand, knee and hip. The guideline process included input from OA patients recruited through the Arthritis Foundation pharmacological), which this guideline addresses and which represent effective interventions for controlling symptoms and improving function. Osteoarthritis is characterised pathologically by localised loss of cartilage, remodelling of adjacent bone and associated inflammation. A variety of traumas may trigger the need for a joint to repair itself This guideline covers assessing and managing osteoarthritis in adults. It covers both pharmacological and non-pharmacological treatments. It promotes effective treatment options to control joint pain and improve function in people with osteoarthritis This guideline applies to people with a working diagnosis of osteoarthritis who present for treatment or whose activities of daily living are significantly affected by their osteoarthritis. The management of neck or back pain related to degenerative changes in spine are not part of this guideline

OARSI guidelines for the non-surgical management of knee osteoarthritis external link opens in a new window Published by: Osteoarthritis Research Society International Last published: 201 Objective. To develop an evidence‐based guideline for the comprehensive management of osteoarthritis (OA) as a collaboration between the American College of Rheumatology (ACR) and the Arthritis Foundation, updating the 2012 ACR recommendations for the management of hand, hip, and knee OA Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treatment ACR Guidelines In 2020, the American College of Rheumatology (ACR) published new guidelines for comprehensive management of hand, hip, and knee osteoarthritis. 1 As opposed to its 2012 recommendations, 4 this update was developed from an internal systematic review of randomized controlled trials (RCTs)

Many patients with a clinical diagnosis of osteoarthritis (OA) are treated with a combination of nonpharmacologic and pharmacologic modalities (1). The American College of Rheumatology (ACR) last published recommendations for the management of hip and knee OA in 2000 (2), with 1Marc C. Hochberg, MD, MPH: University of Marylan The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) is a not-for-profit organization, dedicated to a close interaction between clinical scientists dealing with bone, joint and muscle disorder, pharmaceutical industry developing new compounds in this field, regulators responsible for the registration o This Guidelines summary covers assessing and managing osteoarthritis in adults. It covers both pharmacological and non-pharmacological treatments. It promotes effective treatment options to control joint pain and improve function in people with osteoarthritis. This summary includes recommendations that are relevant to the primary care setting Aquí nos gustaría mostrarte una descripción, pero el sitio web que estás mirando no lo permite The Royal Australian College of General Practitioners (RACGP) first developed Guidelines for the non-surgical management of hip and knee osteoarthritisin 2009. Since then, there has been substantial progress in evaluating the effectiveness and safety of commonly used and new therapies for osteoarthritis (OA)

Osteoarthritis: care and management - NIC

  1. Clinical Practice Guideline on Treatment of Osteoarthritis of the Knee (2nd Edition) Clinical practice guidelines (CPG) provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and postoperative procedures. Multidisciplinary clinician work groups and AAOS staff work together to synthesize published research with the aim.
  2. Osteoarthritis is a common degenerative disorder of the articular cartilage associated with hypertrophic changes in the bone. 1 Risk factors include genetics, female sex, past trauma, advancing..
  3. Objective: To update and expand upon prior Osteoarthritis Research Society International (OARSI) guidelines by developing patient-focused treatment recommendations for individuals with Knee, Hip, and Polyarticular osteoarthritis (OA) that are derived from expert consensus and based on objective review of high-quality meta-analytic data..
  4. (2008) - Osteoarthritis: National Clinical Guideline for Care and Management in Adults. The CPG was evaluated using the Appraisal of Guidelines for Research and Evaluation (AGREE) II prior to them being used as references. A total of 14 clinical questions were developed under different sections

Guidelines on osteoarthritis have been issued by the following organizations: American College of Rheumatology (ACR)/Arthritis Foundation - Management of hand, hip, and knee osteoarthritis.. MOUNT LAUREL, N.J., March 4, 2014, —The Osteoarthritis Research Society International (OARSI) releases new evidence-based guidelines for the non-surgical treatment of osteoarthritis of the knee that, for the first time, are targeted to differing patient characteristics. These guidelines, which wer To update and expand upon prior Osteoarthritis Research Society International (OARSI) guidelines by developing patient-focused treatment recommendations for individuals with Knee, Hip, and Polyarticular osteoarthritis (OA) that are derived from expert consensus and based on objective review of high-quality meta-analytic data Patients suffering from osteoarthritis (OA) should follow treatment guidelines that can help increase movement and reduce pain. The hips and knees are the most common joints to be affected by OA due to the amount of weight-bearing force that is applied to these joints

Overview Osteoarthritis: care and management Guidance

OARSI GUIDELINES FOR THE NON-SURGICAL MANAGEMENT OF KNEE, HIP, AND POLYARTICULAR OSTEOARTHRITIS 2019. November issue of Ostoearthritis and Cartilage, 27/11, available online now at The Ottawa Panel guidelines on programmes involving therapeutic exercise for the management of hand osteoarthritis external link opens in a new window Brosseau L, Thevenot O, MacKiddie O, et al. The Ottawa Panel guidelines on programmes involving therapeutic exercise for the management of hand osteoarthritis If osteoarthritis is suspected and alternative conditions have been excluded, assess the person to guide appropriate management.. Ask about: The location, onset, duration, progression, pattern, and severity of symptoms, such as pain and stiffness. Any risk factors for osteoarthritis.; Any history of trauma or systemic symptoms, which may indicate an alternative diagnosis TREATMENT OF OSTEOARTHRITIS OF THE KNEE . EVIDENCE-BASED GUIDELINE . 2. ND. EDITION . Adopted by the American Academy of Orthopaedic Surgeons . Board of Director

Diagnosing and Managing Hand Osteoarthritis

Treatment Guidelines for Hand Osteoarthritis. November 18, 2019. Rheumatology Network Editorial Staff. Rheumatology Network Editorial Staff. In this slideshow, we revisit the American College of Rheumatology 2012 Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee.. The EULAR task force has presented these recommendations for managing and treating hand osteoarthritis: A combination of pharmacologic (drug) and non-pharmacologic (non-drug) treatments, individualized for the hand osteoarthritis patient, is recommended. Therapy for hand osteoarthritis should be individualized for the patient guidelines by developing patient-focused treatment recommendations for individuals with Knee, Hip, and Polyarticular osteoarthritis (OA) that are derived from expert consensus and based on objective review of high-quality meta-analytic data Osteoarthritis is a leading cause of disability and source of societal cost in older adults. With an ageing and increasingly obese population, this syndrome is becoming even more prevalent than in previous decades. In recent years, we have gained important insights into the cause and pathogenesis of pain in osteoarthritis. The diagnosis of osteoarthritis is clinically based despite the.

Osteoarthritis Clinical practice guidelines Knee Hip Non-surgical management summary Objective: To update and expand upon prior Osteoarthritis Research Society International (OARSI) guidelines by developing patient-focused treatment recommendations for individuals with Knee, Hip The full list of the 2019 recommendations and the supporting evidence for them is available at Clinical Practice Guidelines Osteoarthritis. ACR released the 2019 Treatment Guidelines for OA following its November 2019 annual meeting, for which Vizuri had been selected to orally present results from its Phase 2 trial, VZU00025, a randomized. The ACR guidelines emphasize the use of acetaminophen as first-line treatment for osteoarthritis of the hip and knee.8 - 10 One randomized, double-blind, crossover trial showed that, compared. Osteoarthritis guidelines: Barriers to implementation and solutions - 09/06/16 Doi : 10.1016/j.rehab.2016.01.007 Sarah Ferreira de Meneses a , b , Francois Rannou c , David J. Hunter b ,

Severe Hand Osteoarthritis Strongly Correlates With Major

Everything NICE has said on the care and management of osteoarthritis in adults in an interactive flowchar Adults with osteoarthritis. Note: This guideline does not address people with predisposing and associated conditions including: Spinal, neck and back pain ; Crystal arthritis (gout or pseudo-gout) Inflammatory arthritis (including rheumatoid arthritis, psoriatic arthritis and the seronegative arthritides) Septic arthriti

Osteoarthritis: National Clinical Guideline for Care and

The objective was to develop evidence -based recommendations and a research and educational agenda for the non-pharmacological management of hip and knee osteoarthritis (OA). The multidisciplinary task force comprised 21 experts: nurses, occupational therapists, physiotherapists, rheumatologists, orthopaedic surgeons, general practitioner, psychologist, dietician, clinical epidemiologist and. Maintain Range of Motion Movement is medicine for joints. Make a habit of putting your joints through their full range of motion, but only up to the point where it doesn't cause more pain. Gentle stretching, raising and lowering legs from a standing or seated position, daily walks and hobbies such as gardening can help Osteoarthritis from BMJ aims to provide you with a mixture of the most important resources that we publish on osteoarthritis as well as the latest, continually updated research articles from the BMJ and all of our specialist journals, plus online education from BMJ Learning Consider manipulation and stretching (particularly for osteoarthritis of the hip) Consider interventions to achieve weight loss for those who are overweight or obese. Consider transcutaneous electrical nerve stimulation (TENS) for pain relief. Consider appropriate footwear with shock-absorbing properties

Osteoarthritis - Guidelines BMJ Best Practic

  1. Abstract Objective The purpose of this paper is to revise the 2010 Dutch guideline for physical therapy (PT) in patients with hip or knee osteoarthritis (OA), issued by the Royal Dutch Society for.
  2. Brown GA. AAOS clinical practice guideline: treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. J Am Acad Orthop Surg 2013;21:577-9. Bannuru RR, Schmid CH, Kent DM, et al. Comparative Effectiveness of Pharmacologic Interventions for Knee Osteoarthritis: A Systematic Review and Network Meta-analysis
  3. Following a protocol designed by the authors and adherent to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a librarian-assisted literature search of the MEDLINE database was performed on April 1, 2013 using the Medical Subject Heading (MeSH) search term osteoarthritis with the publication type guideline, and subsequently with keywords.
  4. Osteoarthritis (OA) is a potentially debilitating disorder that can place serious limitations on patient functionality and overall quality of life. 1 Traditionally considered a disease of the elderly, more recent perceptions of OA reveal a broad spectrum of age and disease severity among patients. 2,3 Because there are no curative or disease-modifying therapies for patients with OA at present.
  5. Targeting treatment: how to use this algorithm. Starting at the centre and working outward, the treatments are arranged in the order in which they should be considered for people with osteoarthritis, given that individual needs, risk factors and preferences will modulate this approach.In accordance with the recommendations in the guideline, there are three core interventions which should be.
  6. Osteoarthritis of the Knee-AAOS Guidelines By Dr. Kamal Kant Published On 2018-10-24T19:00:54+05:30 | Updated On 24 Oct 2018 1:30 PM GMT The American Academy of Orthopaedic Surgeons (AAOS) recently released its revised clinical practice guideline (CPG) on the treatment of osteoarthritis of the knee

2019 American College of - Wiley Online Librar

Osteoarthritis guidelines, diagnosis, treatment options, and images at Epocrates Online, the leading provider of drug and disease decision support tools Guideline for the management of knee and hip osteoarthritis ; Printer-friendly version. Guideline for the management of knee and hip osteoarthritis (link is external) Mesh Headings: Osteoarthritis | Guidelines Portal reference number: 2597. Publication Date Power JD et al. Fatigue in osteoarthritis: a qualitative study. BMC Musculoskelet Disord. 2008;9:63. Wallis JA et al. What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthritis Cartilage. 2013;21(11):1648-59 Despite the newest guideline, the researchers stated in their conclusion, A large research agenda remains to be addressed, with a need for more options with greater efficacy for the millions of people worldwide with osteoarthritis Publication date: Available online 3 March 2016 Source:Annals of Physical and Rehabilitation Medicine Author(s): Sarah Ferreira de Meneses, Francois Rannou, David J. Hunter Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treat..

Osteoarthritis guidelines: Barriers to implementation and

Around 27 million Americans have osteoarthritis (OA), a degenerative joint disease. Ongoing loss of cartilage causes joint pain and reduced range of motion. and T = type. There are no established FITT guidelines for people with OA. Use the FITT guidelines for apparently healthy adults, but adjust for your own pain, stability, and functional. Osteoarthritis: Structural Endpoints for the Development of Drugs August 2018. Download the Draft Guidance Document Read the Federal Register Notice. Draft. Not for implementation

New ACR Guideline Supports Pharmacologic Treatment for

To draw up the guidelines, the group searched four databases for articles about the surgical treatment of hip osteoarthritis in adults, published between January 1990 and April 2016 Osteoarthritis Research Society International (OARSI) guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis can be a helpful resource (Bannuru, 2019). Dr Neogi is authoring the upcoming American College for Rheumatology (ACR) guidelines which should be out in 2020 This is an update on 2012 guidelines in which direct patient participation has been incorporated for the first time. The guidelines have been published in Arthritis Care and Research. Osteoarthritis (OA) is a common disease that affects the entire joint, involving the cartilage, joint lining, ligaments, and bone Acupuncture: Some guidelines recommend that acupuncture should not be used for treating patients with osteoarthritis, while others provide recommendations in favour of acupuncture or advise it could be used in specific circumstances, e.g. in patients with contraindications to conventional treatments. 10, 19 These diverse recommendations come from differing interpretations of the available. EULAR Recommendations and initiatives. The EULAR Committees regularly establish and publish recommendations for the treatment of various rheumatic disorders

As in the 2012 guideline, we continue to strongly recommend the use of exercise to reduce pain and improve functioning for patients with osteoarthritis, noted Dr. Kolasinki. The variety of exercise options that are available and effective is broad, including aerobic activities (like walking and using a stationary bike), as well as strengthening, neuromuscular, and aquatic exercises 1 Treatment of Osteoarthritis of the Knee, 2nd edition SUMMARY OF RECOMMENDATIONS This summary of the AAOS clinical practice guideline, Treatment of Osteoarthritis of the Knee 2nd edition, contains a list of the evidence based treatment recommendations and includes only less invasive alternatives to knee replacement Clinical guidelines in Australia recommend considering joint replacement surgery for severe osteoarthritis if all conservative treatment options have failed (RACGP 2018). These procedures restore joint function, help relieve pain and improve the quality of life of the affected person

Osteoarthritis: Care and Management in Adults. London: National Institute for Health and Care Excellence (UK); 2014 Feb. (NICE Clinical Guidelines, No. 177.) Guideline development group member Treatment for knee osteoarthritis (OA) has evolved with new guidelines from the Arthroscopy Association of Canada (AAC), following earlier guidelines published by Osteoarthritis Research Society International (OARSI). The guidelines provide suggestions for patients with knee OA, including the role of joint injections in improving pain, function, and stiffness in patients with mild to moderate. There Are Updated Treatment Guidelines for Osteoarthritis and Here's What You Should Know About Them The new OA guidelines are designed more like a menu from which patients and providers can choose one or more approved items on the Management of Osteoarthritis of the Hip. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will see that the recommendations wer The recommendations on the diagnosis of osteoarthritis are based on the National Institute of Health and Care Excellence (NICE) clinical guideline Osteoarthritis: care and management [], the European League Against Rheumatism (EULAR) expert consensus document EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis [Zhang et al, 2010], and expert opinion in review articles.

Exercise prescription for minimizing the risk of Osteoarthritis should include individuals following the UK Physical Activity Guidelines for aerobic and strength training. A combination of strength, flexibility and aerobic work is most beneficial with aquatic and land-based exercise equally as effective Osteoarthritis is the most common type of joint disease, affecting more than 30 million individuals in the United States alone. [] It is the leading cause of chronic disability in older adults, costing the US greater than $185 billion annually. [] It can be thought of as primarily a degenerative disorder with inflammatory components arising from the biochemical breakdown of articular (hyaline. treatment guidelines For the first time, OARSI has developed guidelines for the non-surgical treatment of osteoarthritis of the knee that are stratified to each of four patient groups: patients with knee-only OA and no comorbidities, patients with knee-only OA with comorbidities, patients with multi-joint OA and no comorbidities, and patients with multi-joint OA with comorbidities [Osteoarthritis] is a leading cause of disability, particularly in older adults, and the management recommendations are not just for the individuals with osteoarthritis, but for the public health [community] at large, Sharon Kolasinski, MD, a professor of clinical medicine at the University of Pennsylvania, and lead author on the updated practice guideline for OA, said during a press. Current guidelines and expert panels generally discourage arthroscopic therapy for patients with degenerative knee disease, including radiographic osteoarthritis and meniscal tears

ESCEO: The European Society for Clinical and Economic

NICE osteoarthritis guideline NICE guideline Guidelines

American College of Rheumatolog

Proportion and associated factors of meeting the 2018 Physical Activity Guidelines for Americans in adults with or at risk for knee osteoarthritis. Osteoarthritis Cartilage. 2020;28:774-81. Chang GH, Felson DT, Qiu S, Guermazi A, Capellini TD, Kolachalama VB Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition, is based on a systematic review of the current scientific and clinical research. This guideline contains 15 recommendations, replaces the 2008 AAOS clinical practice guideline, and was reevaluated earlier than the 5-year recommendation of the National Guideline Clearinghouse because of methodologic concerns.

Osteoarthritis is the most prevalent form of arthritis, with an associated risk of mobility disability (defined as needing help walking or climbing stairs) for those with affected knees being greater than that due to any other medical condition in people aged3 65.w1 The societal burden (both in terms of personal suffering and use of health resources) is expected to increase with the increasing. Osteoarthritis (OA) is the most common type of arthritis. It affects more Canadians than all other forms of arthritis combined. OA is a progressive disease of the whole joint that leads to breakdown of joint cartilage and the underlying bone Osteoarthritis can affect any joint, but it commonly occurs in big toe, bases of the thumb, small joints of the fingers, lower back and neck, hips and knees. Osteoarthritis Symptoms Pain: The intensity of pain increases with the severity of the condition After managing the pain, core interventions for all patients with osteoarthritis, with or without comorbidities, are land-based exercise, weight management, strength training, water-based exercise, self-management and education. 3 Exercise is universally recommended by clinical guidelines, and should be individualised after patient assessment. Meta-analyses have shown exercise to have small to.

Osteoarthritis of the Knee - Clinical Practice Guideline

{{configCtrl2.info.metaDescription} Osteoarthritis (OA) of the lower limb affects millions of people worldwide, and results in pain and reduced function. We reviewed guidelines We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies Osteoarthritis and Cartilage is the official journal of the Osteoarthritis Research Society International.. It is an international, multidisciplinary journal that disseminates information for the many kinds of specialists and practitioners concerned with osteoarthritis Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.(Institute of Medicine, 1990) Issued by third-party organizations, and not NCCIH, these guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients

Osteoarthritis: Diagnosis and Treatment - American Family

  1. Knee Osteoarthritis: Guidelines for Surgery Dec 16, 2016 According to current estimates, 27 million adults in the United States—or more than 10% of the adult population—have clinical osteoarthritis, a condition that ranks among the leading causes of hospitalization
  2. The guidelines on management of osteoarthritis (OA) of the hand, hip, and knee were released on January 6, 2020, by the American College of Rheumatology (ACR) and the Arthritis Foundation (AF). Physical, Psychosocial, and Mind-Body Approaches . Exercise is strongly recommended for patients with knee, hip, and/or hand OA
  3. Osteoarthritis (OA) is a condition that affects the whole joint including bone, cartilage, ligaments and muscles. Although often described as 'wear and tear', OA is now thought to be the result of a joint working extra hard to repair itself

OARSI guidelines for the non-surgical management of knee

This exercise sheet, published by Arthritis Research UK, provides useful information for patients with osteoarthritis on how to get active and provides suggestions for simple exercises that they can do at home. Welcome to Guidelines. This site uses cookies, some may have been set already Here at osteoarthritis.org, all of the content is based on extensive research and the guidelines available for diagnosis and treatment of the disease. All information is in-line with the recommendations from international organizations, such as OARSI (Osteoarthritis Research Society International) Researchers simplify and streamline guidelines for managing knee osteoarthritis. The burden of knee osteoarthritis is set to continue to increase around the world

Osteoarthritis of the knee develops in several stages. At stage 1 there is minor damage, but stage 4 may need surgery. In this article, we describe these stages and the treatments for each stage This article discusses the modern guidelines concerning the management of osteoarthritis of the hip and knee. Written by Prof David Hunter MBBS, MSc, M SpMed, PhD, FRACP. Professor Hunter is a rheumatology clinician researcher with a focus on osteoarthritis (OA) Osteoarthritis and the resultant pain and disability is a significant and pressing problem across the world as identified in a number of international reports. According to the World Health Organization, 9.6% of men and 18.0% of women older than 60 years of age worldwide have symptomatic osteoarthritis (OA), making OA one of the most prevalent chronic diseases Osteoarthritis is more common in older people because they have been using their joints longer. Women are more likely to develop osteoarthritis than men, especially after age 50. People who have jobs that require the same movement over and over (like painting or lifting) are at higher risk

Osteoarthritis symptoms can usually be managed, although the damage to joints can't be reversed. Staying active, maintaining a healthy weight and some treatments might slow progression of the disease and help improve pain and joint function 1 . Guideline for the management of knee and hip osteoarthritis . Consultation draft - November 2017 Technical documen

Arthroscopic debridement of the knee for osteoarthritis

Osteoarthritis treatments include lifestyle changes, over-the-counter medications, prescription drugs, physical therapy, and even surgery Definitions of the strength of recommendations (Strong, Moderate, Limited, Inconclusive, and Consensus) are provided at the end of the Major Recommendations field.Note from the American Academy of Orthopaedic Surgeons (AAOS): This summary of the AAOS clinical practice guideline Treatment of Osteoarthritis of the Knee contains a list of the evidence-based treatment recommendations and.

Ultrasound-guided Intraarticular Hip Injection forCase Study in Dermatology: Tender Papules on Elbows, HandsArachnoiditis: Diagnosis and TreatmentAcromio-Clavicular Joint Injury - JUNIORBONES

14.1 Please select terms from the MeSH database that describes the main content of the guidelines: Mesh › Diseases- [C] › Musculoskeletal Diseases- C05 › Joint Diseases- C05.550 › Arthritis- C05.550.114 › Osteoarthritis- C05.550.114.60 Osteoarthritis of the cervical spine may be defined as a degenerative disorder of C1-C7, complicated by inflammatory reactions. It is a very complex disease with multiple causes[1] which affects the intervertebral discs, vertebral bodies, intervertebral ligaments, the hyaline cartilage, the underlying bone, joint capsule and zygoapophyseal joints Osteoarthritis produces pain, stiffness and reduced movement of the affected joint, which ultimately affects ones ability to do physical activities, reducing quality of life. Symptoms Osteoporosis is called the silent thief because it can progress without symptoms until a broken bone occurs Most clinical practice guidelines recommend antidepressants for long term (chronic) back pain and hip and knee osteoarthritis, yet evidence supporting their use is uncertain Osteoarthritis of the spine may show up as stiffness and pain in the neck or lower back. In some cases, arthritis-related changes in the spine can cause pressure on the nerves where they exit the spinal column, resulting in weakness, tingling, or numbness of the arms and legs Osteoarthritis patients are mostly affected in the hands, hips and knees, experiencing pain, aching, stiffness, decreased range of motion and swelling. Osteoarthritis is estimated to affect over 30 million people in the Unites States alone,* this equals almost 1 in every 10 people dealing with the painful effects of arthritis

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