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Joint pain

September 2010

FocusJoint pain

Arthritis disease

The use of complementary therapies

Volume 39, No.9, September 2010 Pages 638-640

Arthritis disease – the use of complementary therapiesMarie Pirotta MBBS, FRACGP, PhD, NHMRC Career Development Fellow, General Practice and Primary Health Care Academic Centre, University of Melbourne, and General Practitioner, Victoria.

Background

While effective drugs are available to deal with the symptoms and modify the progress of osteoarthritis and rheumatoid arthritis, these may cause serious adverse events and not all patients will obtain relief. Many people with these diseases use complementary medicines.

Objective

This article presents an overview of the evidence for the most promising complementary therapies for osteoarthritis and rheumatoid arthritis, with other information that general practitioners need to know.

Discussion

There is reasonable evidence to support the use of glucosamine, avocado/soybean unsaponifiables and chondroitin in osteoarthritis, and omega-3 fatty acids and gammalinolenic acid in rheumatoid arthritis. However, no current evidence does not equate to lack of effectiveness. Rigorous research into the use of complementary medicines in arthritis is evolving and many of the systematic reviews used in preparation of this article are being updated every few years to incorporate new trial evidence as it becomes available.

Osteoarthritis (OA) and rheumatoid arthritis (RA) are common causes of morbidity in Australia. In a South Australian Health Omnibus survey, 26% of participants aged 18 years and over reported having doctor-diagnosed arthritis; of these, two-thirds reported health related quality of life below that of Australian population norms.1

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Correspondence afp@racgp.org.au

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