Clinicians need to combat the self-defeating action of many patients with osteoarthritis of the knee who limit their activity in order to avoid pain
. A study among older Dutch patients shows that, despite the discomforts, maintenance of muscle strength plays a pivotal role in helping them cope with their disability. Dr Martin Steultjens. and colleagues at the Netherlands Institute of Health Services Research Center in Utrecht, said their study confirms the link between lack of activity and progressive physical deterioration in patients with osteoarthritis (OA) of the knee.
They think their findings make a powerful case for the importance of routine exercise to sustain the muscle strength and mobility for all people with OA. Most of the patients tended to avoid physical activity because of a fear of, or an actual increase, in pain.
This reduces pain in the short-term, but their physical condition deteriorates, with muscle weakness leading to joint weakness and reduction of ability to carry a load. Their condition comes full circle with increased disability leading to more avoidance.
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