As physical therapists we often treat patients with a diagnosis of Osteoarthritis (OA). OA has long been misunderstood and mischaracterized as an inevitable consequence of aging or simply as “wear and tear” on our joints. However, it’s time to change the narrative surrounding this prevalent condition and to approach it with a more nuanced understanding. By reframing our language and perspectives, we can change our outcomes when living with and managing OA and promote a more comprehensive approach to joint health.

Osteoarthritis: Beyond “Wear and Tear” or “Bone on Bone” 

Osteoarthritis is indeed one of the most common forms of arthritis, affecting millions worldwide. Contrary to the notion of it being solely a result of aging or wear on the joints, it’s crucial to recognize the complex interplay of various factors contributing to its development. Contributing factors to OA include our genetics, previous injuries, or certain metabolic conditions. Not only are there many contributing factors but there are also many ways to treat and manage OA.

Shifting Away from Stigmatizing Language

Just like with other conditions of the body that lead to discomfort, the words we use matter significantly when discussing or thinking about OA. Rather than framing it as an unavoidable consequence or attributing blame to specific factors, adopting a more compassionate and empowering dialogue toward osteoarthritic joints can improve our long-term outcomes. Using terms like “bone on bone” or “wear and tear” can inadvertently contribute to the stigma associated with OA and can hinder our healing. Moving away from thinking of the human body as a car with broken down machinery can help our journey to improved joint health.

Strategies and Treatment Options for OA

Though there are currently no curative interventions for OA, it is vital to know that it is a manageable health condition with various treatment options available to improve function and quality of life. Some of these treatment options include physical therapy, physical activity tailored to individual’s needs, various forms of pain management, and lifestyle modifications. In addition to treatment, restructuring the way in which we speak and think about OA is critical.

 Reframing and rethinking OA can lead to a more empowered and compassionate approach to joint health. Here are some common misconceptions and ways to reframe:

1. Misconception #1: Joint pain means worsening damage. This is false, pain can and often occurs in the absence of damage.
2. Misconception #2: Weight bearing through a joint with OA makes it worse. Actually, graduated load bearing can improve pain and function.
3. Misconception # 3: Exercise will cause worsening of OA. Quite the opposite! Regular, moderate exercise can actually help manage OA symptoms by strengthening muscles, improving joint flexibility, and reducing pain. Avoiding physical activity due to pain can lead to weakened muscles and increased joint stiffness.

Just as negative self-talk can worsen our mood, negative thoughts toward our arthritic joints can add to worsening pain. Being kind, compassionate, and patient when managing an arthritic joint is critical for outcomes. By shifting our conversations and thoughts from one of inevitability of a joint “giving out” to one of empowerment and understanding, we can better support living with OA.

 If you are challenged with OA-related pain, unsure of how to start exercising, or curious about how to manage OA – reach out to us at Beacon Physical Therapy!

Citations: 

1. Bunzli S, Taylor NF, O’Brien P, Wallis JA, Caneiro JP, Woodward-Kron R, Hunter DJ, Choong PF, Dowsey MM, Shields N. Broken Machines or Active Bodies? Part 1. Ways of Talking About Health and Why It Matters. J Orthop Sports Phys Ther. 2023 May;53(5):236–238. doi: 10.2519/jospt.2023.11879. PMID: 37104366.
2. Wang W, Niu Y, Jia Q. Physical therapy as a promising treatment for osteoarthritis: A narrative review. Front Physiol. 2022 Oct 14;13:1011407. doi: 10.3389/fphys.2022.1011407. PMID: 36311234; PMCID: PMC9614272.