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Hip and Knee Osteoarthritis Guideline for Nonsurgical Management
Hello, I'm Norman Swan. Welcome to this programon the new guidelines for the nonsurgical managementof hip and knee osteoarthritis. It's a timely program, as we're broadcastingduring Arthritis Awareness Week. Arthritis, as you know, is a major causeof disability and chronic pain. There's around 100 different formsof arthritis, and osteoarthritis is the most common.
This program is the thirdin a series of four on the musculoskeletal guidelines that have been developedby the Royal Australian College of GPs and approved by the NH and MRC. This program will cover the diagnosisof osteoarthritis and discuss recommendednonpharmacological and pharmacological interventions in a multidisciplinaryprimary healthcare setting.
As always,you'll find a number of resources available on the Rural Health EducationFoundation's website: Let's meet our panel. Geoff McColl is a rheumatologistand professor of Medical Education and Trainingat the University of Melbourne. Welcome, Geoff. Thank you, Norman. Geoff is the current president ofthe Australian Rheumatology Association and was part of the working partydeveloping this guideline.
Rana Hinman is a physiotherapistand senior lecturer in the University of Melbourne Schoolof Health Sciences. Welcome, Rana. Rana has particular expertisein evaluating conservative treatments for osteoarthritis, and was alsoa member of the working party. Michael Yellandis a general practitioner and associate professorof Primary Health Care at Griffith University in Queensland.Welcome, Michael. His teaching and research interestsfocus on evidencebased diagnosis
and the treatmentof musculoskeletal pain. And David Ng, who's a pharmacist and director of the South Australianand Northern Territory Branch of the Pharmaceutical Societyof Australia. Welcome, David. Thank you, Norman. From the home of fish oil. That's correct. We'll talk about fish oil later to see whether or not it'sthe magic panacea for osteoarthritis.
Many myths about osteoarthritis,Geoffreyé There are many myths, Norman. Probably the best place to start is that this is an illness that you acquireas you grow old that you can do nothing about. You're just going to creak your wayto the wall at the bottom of the garden. Absolutely. There's a certain acceptancethat this is the way it will be. NORMAN:Are you telling me it's reversibleé
KT Tape Medial Knee Pain
For medial knee pain on the inside of the knee KT Tape can be an effective method of reducingsymptoms which may be caused by a variety of factors for this application I'm going to have you straighten your kneeall the way down and have you tear off an Istrip off the roll. and you are going to tear the paper in the middle of thetape and as you are applying stretch in this technique to the tape make sure you apply even pressure
on the tape, and not actually pinching the middle of the tape on one sideor the other. Ok, and just below the bottom portion of thatkneecap I want to lay the tape down with full stretch and then stretching that tape as you lay it down and pinch off that tape really good right there and then bend the knee up. And you are going to lay the tape down without any tension it's important to not put any tension on the anchor
same thing on the other side rub that tape on with the waxy side the paper pretty vigorouslyso you get that glue to adhere for the second strip of tape in this applicationwe tear another Istrip and you are going to tear off an anchor piece up by the logo and place that anchor
about two to three inches above the knee on theinside portion of the knee then rub that on and as you peel that paper off and you apply it over the inside or medial portion of your knee you are going to put full tension on that tape Go ahead and lay that tape down okay and then stopping just below the knee lay the remainder of the tape down with
no tension rubbing that tape on to ensure better adherence of thetape to the skin creates a little friction and heats up the adhesive and this tape will stick better as you start tomove with it and that's it.