No pain no gain – Exercise is good for pain in hip and knee osteoarthritis

Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis
Paul S. Mueller, MD, MPH, FACP Reviewing Uthman OA et al., BMJ 2013 Sep 20; 347:f5555

There is good evidence that we should be prescribing exercise for people with osteoarthritic pain in the hip and knee.


An approach combining exercises to increase strength, flexibility, and aerobic capacity is likely to be most effective in the management of lower limb osteoarthritis.

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