Best-practice clinical management of flares in people with osteoarthritis: A scoping review of behavioral, lifestyle and adjunctive treatments

Bowden, Jocelyn L.; Kobayashi, Sarah; Hunter, David J.; Mills, Kathryn; Peat, George; Guillemin, Françis; Parry, Emma; Thomas, Martin J.; Eyles, Jillian

doi:10.1016/j.semarthrit.2021.04.017

Cited by 11 publications

(15 citation statements)

References 39 publications

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“…As highlighted by recent UK NICE guidelines,2 limited evidence is available to guide intervention and management advice specifically for flares. A recent scoping review of behavioural, lifestyle, and adjunctive treatments for flares highlighted the lack of evidence to underpin clinical practice 32. This review also confirmed a lack of evidence for outcomes beyond pain, limited understanding of symptom trajectories, and predominant research focus on the knee joints 32…”

Section: How Can Flares Be Managed?mentioning

confidence: 82%

Recognising and managing osteoarthritis flares in primary care

Parry,

Walker,

Thomas

2023

BMJ

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Section: How Can Flares Be Managed?mentioning

confidence: 82%

Recognising and managing osteoarthritis flares in primary care

Parry,

Walker,

Thomas

2023

BMJ

Self Cite

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“…In patients with osteoarthritis, acute exacerbation of joint pain, stiffness, or swelling, also known as a "flare-up," is well-recognized within the literature. [12][13][14][15][16] These flare-ups may be elicited by a variety of factors, including injury or trauma, environmental exposures, and physical activity. 12,13 Patients with coexisting OA and CTS may therefore be at an increased risk for flare-ups after CTR.…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14][15][16] These flare-ups may be elicited by a variety of factors, including injury or trauma, environmental exposures, and physical activity. 12,13 Patients with coexisting OA and CTS may therefore be at an increased risk for flare-ups after CTR.…”

Section: Introductionmentioning

confidence: 99%

Osteoarthritis Increases the Frequency and Duration of Postoperative Hand Clinic Visits after Carpal Tunnel Release

George,

Seitz,

Moura

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Carpal tunnel syndrome affects up to 6% of the general population, and surgical intervention is often required to ameliorate symptoms. Osteoarthritis (OA) is a common condition that often coexists with carpal tunnel syndrome. We hypothesized that patients with preexisting OA use more healthcare resources after carpal tunnel release (CTR) than patients without arthritis. Methods: This was a retrospective cohort study at a single academic center between January 1, 2018 and November 1, 2021. Patients who underwent CTR were included. Preoperative carpal tunnel symptoms, diagnostic tests, medications, and concomitant OA were abstracted. Hand, wrist, and basal joint arthritis were specified. The primary outcome was healthcare utilization represented by duration and frequency of hand clinic and occupational therapy (OT) follow-up. In total, 312 hands were included. Multivariable analysis was performed. Results: The average duration of hand clinic follow-up among patients without arthritis was 25.3 days compared with 87.1 days for patients with any arthritis (P = 0.0375) and 172 days for patients with wrist arthritis (P = 0.012). The average number of postoperative surgeon visits was increased in patients with hand arthritis, with an average of 2.3 visits versus 1.34 visits for patients without arthritis (P = 0.003). Both the number of OT visits and the duration of OT follow-up did not differ between cohorts. Conclusion: After CTR, patients with preexisting OA use more healthcare resources than patients without OA.

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“…Acupuncture is an effective non-drug strategy for treating acute and chronic pain ( 9 , 10 ). Pain, stiffness, or swelling are common symptoms of acute flare-ups in patients with KOA ( 11 ). Bartholdy et al ( 12 ) showed that a predefined and standardized “rescue” exercise may be beneficial in patients with exacerbated KOA symptoms.…”

Section: Introductionmentioning

confidence: 99%

Case report: Electroacupuncture for acute pain flare-up of knee osteoarthritis

Huang

Liang²,

Han³

et al. 2022

Front. Neurol.

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Acute pain flare-up of knee osteoarthritis (KOA) is a common disease in orthopedics and is mainly treated with analgesic drugs. Patients usually refuse to take western medicines orally owing to gastrointestinal side effects or unsatisfactory treatment results. We report the case of a 69-year-old woman who had an acute pain flare-up of right KOA induced by long-distance walking. As the patient refused medication, we used electroacupuncture (EA) to relieve her symptoms. EA with a 2-Hz frequency and a 1–2-mA intensity had an analgesic effect on the acute pain flare-up of KOA. After 12 weeks of EA intervention, the bone marrow edema-like lesions (BMLs) improved significantly, as depicted on magnetic resonance imaging of the knee joint. However, more powerful evidence is needed to understand the mechanism of the EA technique that alleviates BMLs of KOA.

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Best-practice clinical management of flares in people with osteoarthritis: A scoping review of behavioral, lifestyle and adjunctive treatments

Cited by 11 publications

References 39 publications

Recognising and managing osteoarthritis flares in primary care

Recognising and managing osteoarthritis flares in primary care

Osteoarthritis Increases the Frequency and Duration of Postoperative Hand Clinic Visits after Carpal Tunnel Release

Case report: Electroacupuncture for acute pain flare-up of knee osteoarthritis

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