
ALT New draft guidance places a greater emphasis on exercise and weight loss in patients with osteoarthritis, with painkillers such as paracetamol and strong opioids not advised. GPs should offer tailored therapeutic exercise, such as local muscle strengthening and general aerobic fitness, to all people with osteoarthritis, NICE says. Supervised exercise was likely to have greater benefit to people because it may increase adherence and social support. Long term adherence Patients should be advised that, although joint pain may increase when they start therapeutic exercise, it will be beneficial, and long term adherence to exercise increases its benefits. Patients who are overweight should also be helped to lose weight and advised that this will improve their quality of life and physical function and reduce pain, says NICE.






























