{"id":9950,"date":"2025-10-10T12:42:26","date_gmt":"2025-10-10T09:42:26","guid":{"rendered":"https:\/\/chpc.gr\/general-issues-en\/%ce%bf%cf%83%cf%84%ce%b5%ce%bf%ce%b1%cf%81%ce%b8%cf%81%ce%af%cf%84%ce%b9%ce%b4%ce%b1-%ce%bc%ce%ac%ce%b8%ce%b5-%cf%80%cf%8e%cf%82-%ce%bc%cf%80%ce%bf%cf%81%ce%b5%ce%af%cf%82-%ce%bd%ce%b1-%cf%84%ce%b7\/"},"modified":"2025-10-30T12:27:56","modified_gmt":"2025-10-30T10:27:56","slug":"osteoarthritis-learn-how-to-treat-it-naturally-and-effectively","status":"publish","type":"post","link":"https:\/\/chpc.gr\/en\/problems-advice-en\/osteoarthritis-learn-how-to-treat-it-naturally-and-effectively\/","title":{"rendered":"Osteoarthritis: Learn How to Manage It   Naturally and Effectively"},"content":{"rendered":"\n<p><br><strong>By <\/strong><a href=\"https:\/\/chpc.gr\/en\/our-team\/zacharias-sifakis\/\"><strong>Zacharias Sifakis<\/strong><\/a><strong> &amp;<\/strong><a href=\"https:\/\/chpc.gr\/en\/our-team\/charalampos-mpolis\/\"> <strong>Charalampos Bolis<\/strong><\/a><\/p>\n\n\n\n<p><strong>Osteoarthritis (OA)<\/strong> is one of the most common and chronic joint conditions.<br>It causes <strong>degeneration of the cartilage<\/strong> \u2014 the \u201ccushion\u201d that protects the bones and allows smooth, pain-free movement.<br>It appears most often in the <strong>knees, hips, and hands<\/strong>, and affects more than <strong>300 million people worldwide<\/strong> (Fransen et al., 2015).<br>Its prevalence increases with <strong>age<\/strong>, <strong>obesity<\/strong>, and <strong>low levels of physical activity<\/strong> (Conley et al., 2023).<\/p>\n\n\n\n<p>\ud83d\udd39 <strong>What Causes Osteoarthritis?<\/strong><\/p>\n\n\n\n<p>OA develops when the natural balance between cartilage wear and repair is disrupted.<br>When the degeneration process outweighs the repair process, the cartilage thins, the bones rub against each other, and pain appears (Conley et al., 2023).<\/p>\n\n\n\n<p><strong>The main risk factors include:<\/strong><\/p>\n\n\n\n<p>\u2022 \ud83e\uddd3 Age<br>\u2022 \ud83d\udc69\u200d\ud83e\uddb0 Gender (women are more often affected)<br>\u2022 \u2696\ufe0f Obesity<br>\u2022 \ud83e\uddec Heredity<br>\u2022 \ud83e\udd15 Previous joint injury (van Doormaal et al., 2020)<\/p>\n\n\n\n<p>\ud83d\udd39 <strong>What Are the Symptoms?<\/strong><\/p>\n\n\n\n<p>The most common signs of OA include:<br>\u2022 Pain and stiffness, especially in the morning<br>\u2022 Swelling (edema)<br>\u2022 Joint deformity<br>\u2022 Reduced range of motion<br>\u2022 Difficulty performing simple daily activities, such as:<br>          o walking,<br>          o climbing or descending stairs,<br>          o sitting down or standing up from a chair,<br>          o standing for long periods or getting dressed (Raposo et al., 2021).<\/p>\n\n\n\n<p>\ud83d\udcaa <strong>Movement Is the Best Medicine<\/strong><\/p>\n\n\n\n<p>Although there is no drug that can \u201ccure\u201d OA, there are many effective ways to <strong>control the symptoms<\/strong> and <strong>maintain joint function<\/strong>.<br>Scientific evidence shows that the following approaches are the most beneficial:<\/p>\n\n\n\n<p><strong>1\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Therapeutic Exercise<\/strong><\/p>\n\n\n\n<p>Exercise is the <strong>first and most important line of treatment<\/strong> for OA (Fransen et al., 2015; Raposo et al., 2021).<br>It may include:<br>\u2022 Aerobic activities (e.g. walking, cycling)<br>\u2022 Strength and resistance exercises<br>\u2022 Holistic methods such as <strong><a href=\"https:\/\/chpc.gr\/en\/services\/clinical-pilates\/\">Clinical Pilates<\/a><\/strong> and <strong>Tai Chi<\/strong><\/p>\n\n\n\n<p>A <strong>personalized exercise program<\/strong>, with gradual progression in intensity and duration, has been shown to <strong>improve strength, reduce pain, and increase mobility<\/strong>.<br>Even <strong>home-based or online programs<\/strong> have demonstrated excellent results (Mao et al., 2024; Si et al., 2023).<br>\ud83d\udc49 <a href=\"https:\/\/chpc.gr\/en\/prevention-wellness-en\/how-much-exercise-is-enough\/\">Read more about the importance of exercise here<\/a><\/p>\n\n\n\n<p><strong>2\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Manual Therapy<\/strong><\/p>\n\n\n\n<p><strong>Manual Therapy techniques<\/strong> help <strong>reduce pain<\/strong> and <strong>improve range of motion<\/strong>, especially in patients with knee or hip OA (Tsokanos et al., 2021).<br>Combining <strong>Manual Therapy with therapeutic exercise<\/strong> provides better outcomes than either approach alone (Sampath et al., 2015).<\/p>\n\n\n\n<p><strong>3\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Patient Education<\/strong><\/p>\n\n\n\n<p>Education is a key component of treatment.<br>When patients understand what OA is, how it affects daily life, and what they can do to manage it, they gain <strong>greater control and confidence<\/strong> (Conley et al., 2023).<\/p>\n\n\n\n<p><strong>4\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Weight Management<\/strong><\/p>\n\n\n\n<p>Losing <strong>5\u20137% of body weight<\/strong> can significantly reduce pain and improve function, especially in overweight individuals (van Doormaal et al., 2020).<\/p>\n\n\n\n<p><strong>5\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Medication<\/strong><\/p>\n\n\n\n<p>In some cases, the physician may recommend <strong>non-steroidal anti-inflammatory drugs (NSAIDs)<\/strong> for short-term use to help manage pain (Conley et al., 2023).<\/p>\n\n\n\n<p><strong>6\ufe0f<\/strong><strong>\u20e3<\/strong><strong> Surgical Treatment<\/strong><\/p>\n\n\n\n<p>Surgery (e.g. joint replacement) is considered <strong>only when conservative methods fail<\/strong> and the pain severely limits quality of life (Gademan et al., 2016).<\/p>\n\n\n\n<p>\ud83c\udfe5 <strong>How Physiotherapy Can Help<\/strong><\/p>\n\n\n\n<p>At <strong><a href=\"https:\/\/chpc.gr\/en\/\">Chania Physiotherapy Clinic<\/a><\/strong>, every patient is assessed individually, and a <strong>personalized rehabilitation program<\/strong> is designed, combining:<br>\u2022 Therapeutic Exercise<br>\u2022 Manual Therapy<br>\u2022 Education &amp; Guidance<\/p>\n\n\n\n<p>Our goal is to:<br>\u2022 reduce pain,<br>\u2022 improve mobility,<br>\u2022 strengthen muscles and stability,<br>\u2022 and help each person return to an <strong>active, pain-free daily life<\/strong>.<\/p>\n\n\n\n<p>\ud83d\udc49 <strong>Movement is medicine.<\/strong> With the right physiotherapeutic guidance, OA can be managed effectively \u2014 and quality of life can be significantly improved.<\/p>\n\n\n\n<p>\ud83d\udcda <strong>References<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Fransen M. et al. <em>Exercise for osteoarthritis of the knee: a Cochrane systematic review.<\/em> British Journal of Sports Medicine, 2015.<\/li>\n\n\n\n<li>Conley J. et al. <em>Core Recommendations for Osteoarthritis Care: A Systematic Review of Clinical Practice Guidelines.<\/em> Arthritis Care &amp; Research, 2023.<\/li>\n\n\n\n<li>Raposo M. et al. <em>Effects of exercise on knee osteoarthritis: A systematic review.<\/em> Musculoskeletal Care, 2021.<\/li>\n\n\n\n<li>van Doormaal M. et al. <em>A clinical practice guideline for physical therapy in patients with hip or knee osteoarthritis.<\/em> Musculoskeletal Care, 2020.<\/li>\n\n\n\n<li>Mao J. et al. <em>Efficacy of home-based exercise in the treatment of pain and disability at the hip and knee in patients with osteoarthritis.<\/em> BMC Musculoskeletal Disorders, 2024.<\/li>\n\n\n\n<li>Si H. et al. <em>Effectiveness of home-based exercise interventions on pain, physical function and quality of life in individuals with knee osteoarthritis.<\/em> Journal of Orthopaedic Surgery and Research, 2023.<\/li>\n\n\n\n<li>Tsokanos A. et al. <em>The Efficacy of Manual Therapy in Patients with Knee Osteoarthritis.<\/em> Medicina, 2021.<\/li>\n\n\n\n<li>Gademan M. et al. <em>Indication criteria for total hip or knee arthroplasty in osteoarthritis.<\/em> BMC Musculoskeletal Disorders, 2016.<\/li>\n\n\n\n<li>Sampath K. et al. <em>The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis.<\/em> Clinical Rehabilitation, 2015.<\/li>\n<\/ol>\n\n\n\n<p><strong>Authors:<\/strong><br><em>Zacharias Sifakis, BSc, OMT, MHCPC, MAACP, MMACP, CGIMS<\/em> \u2014 Specialist Physiotherapist in Musculoskeletal and Sports Rehabilitation<em> Charalampos Bolis, MSc, BSc, MT<\/em> \u2014 Physiotherapist specialized in Sports Physiotherapy, Pilates Instructor<\/p>\n\n\n\n<p><strong>Chania Physiotherapy Clinic<\/strong><br>Chania \u2013 Kalyves \u2013 Palaiochora<br>\ud83c\udf10 <a href=\"https:\/\/www.chpc.gr\/\">www.chpc.gr<\/a> | \ud83d\udcde +30 28210 58711<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Zacharias Sifakis &amp; Charalampos Bolis Osteoarthritis (OA) is one of the most common and chronic joint conditions.It causes degeneration of the cartilage \u2014 the \u201ccushion\u201d that protects the bones and allows smooth, pain-free movement.It appears most often in the knees, hips, and hands, and affects more than 300 million people worldwide (Fransen et al., [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9959,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[35],"tags":[],"class_list":["post-9950","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-problems-advice-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/posts\/9950","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/comments?post=9950"}],"version-history":[{"count":5,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/posts\/9950\/revisions"}],"predecessor-version":[{"id":9981,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/posts\/9950\/revisions\/9981"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/media\/9959"}],"wp:attachment":[{"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/media?parent=9950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/categories?post=9950"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chpc.gr\/en\/wp-json\/wp\/v2\/tags?post=9950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}