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How Physiotherapy Eases Osteoarthritis Pain
- Priyanka Arlekar
- Apr 19, 2025
- 4 min read
Living with osteoarthritis (OA) can be a daily struggle—marked by stiffness, pain, and movement limitations. But there’s good news: physiotherapy offers one of the most effective, evidence-based approaches to managing OA and improving quality of life.
Despite the benefits, access to physiotherapy remains a challenge for many people as they don't know exactly what to expect. Let's explore how physiotherapy can help in alleviating pain, what physiotherapy should look like, and how we can break through barriers to ensure more people get the care they need and deserve.
🚧 Barriers to Physiotherapy: What’s Getting in the Way?
Access to physiotherapy for knee OA is often hindered by:
System-level issues like limited service provision, poorly located venues, and inconvenient appointment times
Patient factors like lack of interest, physical limitations, or financial burden
These barriers often result in poor uptake of treatment even when physiotherapy could significantly improve their symptoms.
✅ The Solution: Accessible, Empowering Care Models
Physiotherapy care is no longer limited to traditional in-clinic sessions. Accessible models, such as telerehabilitation, using phone calls, video calls, app-based monitoring, etc. can help patients manage their condition from home/work at their preferred times, reducing the burden of travel and higher costs and helps them to stay consistent with their programs.
These models are most effective when they:
Support behavior change
Foster self-management skills
Use tools like journals, tracking apps, or video-guided exercises
🧠 The Role of the Physiotherapist: More Than Just Exercises
A skilled physiotherapist offers more than just a set of exercises—they guide, educate, motivate, and support the patient throughout their journey.
In the first consultation, a physiotherapist will ideally :
Review your medical and pain history
Assess your physical limitations
Discuss your personal goals
From there, care should follow a person-centered approach, including:
Education about osteoarthritis and the power of exercise
Shared decision-making to develop a personalized plan
Support for behavior change and long-term adherence
🏋️♀️ What Does an Effective OA Exercise Program Look Like?
A well-designed physiotherapy plan should include both structured strengthening exercises and a physical activity plan, tailored to the individual’s needs and goals.
Strengthening Exercises (3x/week, 5–6 key exercises) targeting :
✅ Quadriceps (2 exercises)
✅ Hip abductors (1 exercise)
✅ Hamstrings (1 exercise)
✅ Calves (1 exercise)
✅ Optional: Additional supportive exercise
In addition, Dynamic Balance Training can also improve functional status and reduce fall risk.
Exercise delivery methods should be clear and supportive with written/verbal instructions, visual demonstrations, printouts, or videos that show correct exercise form and its progression. Exercise programs should be followed for at least 8–12 weeks to see meaningful improvements.
Physical Activity Plan should:
Be designed around the patient’s lifestyle and preferences
Aim to increase general physical activity levels
Encourage monitoring activities and tracking progress via journals or apps
🧭 Supporting Long-Term Success: Education, Goals, and Motivation
Adherence to Exercise Program and Physical activity plan is key.
Without consistency, even the best-designed program won’t deliver results. That’s exactly why patient education and emotional support are vital.
Physiotherapists help by:
Providing clear information on OA symptoms, risk factors, and treatment options
Explaining how exercise helps cartilage regeneration, reduce inflammation, and prevent joint deterioration
Supporting goal-setting, tracking progress, and adjusting plans as needed
Helping patients overcome setbacks and build confidence while self-managing their symptoms.
Conclusion
While physiotherapy can benefit everyone with Knee OA, research suggests that people with moderate pain levels often experience the greatest gains.
So whether you're dealing with early symptoms or managing a chronic condition, physiotherapy offers to relieve pain, improve joint function, and build a more active, independent life centered around your lifestyle and goals.
Physiotherapy is more than just treatment—it's empowerment. With the right support, tools, and care approach, people living with osteoarthritis can take control of their symptoms, move with confidence, and reduce their reliance on "quick fixes."
If you or someone you care about is struggling with osteoarthritis, consider physiotherapy not just as a solution, but as a partnership toward long-term joint health.
If you are struggling to stay physically active, you can access my Physical Activity Planner for free here
References
Abdel-aziem, A. A., Soliman, E. S., Mosaad, D. M., & Draz, A. H. (2018). Effect of a physiotherapy rehabilitation program on knee osteoarthritis in patients with different pain intensities. Journal of Physical Therapy Science, 30(2), 307–312. https://doi.org/10.1589/jpts.30.307
Cinthuja, P., Krishnamoorthy, N., & Shivapatham, G. (2022). Effective Interventions to Improve long-term Physiotherapy Exercise Adherence among Patients with Lower Limb osteoarthritis. a Systematic Review. BMC Musculoskeletal Disorders, 23(1). https://doi.org/10.1186/s12891-022-05050-0
Hinman R, Nelligan R, Bennell K, Delany C. “Sounds a bit crazy, but it was almost more personal”: a qualitative study of patient and clinician experiences of physical therapist-prescribed ex ercise for knee osteoarthritis via Skype™. Arthritis Care Res 2017;69(12):1834e44.
Holm, I., Pripp, A. H., & Risberg, M. A. (2020). The Active with OsteoArthritis (AktivA) Physiotherapy Implementation Model: A Patient Education, Supervised Exercise and Self-Management Program for Patients with Mild to Moderate Osteoarthritis of the Knee or Hip Joint. A National Register Study with a Two-Year Follow-Up. Journal of Clinical Medicine, 9(10), 3112. https://doi.org/10.3390/jcm9103112
Jorge, J. G., Cabral, A. L. C. e S., Moreira, V. M. P. S., Hattori, W. T., & Dionisio, V. C. (2021). Hyperalgesia affects muscle activity and knee range of motion during a single-limb mini squat in individuals with knee osteoarthritis: a cross-sectional study. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-03947-w
Lawford, B. J., Delany, C., Bennell, K. L., & Hinman, R. S. (2018). “I was really sceptical...But it worked really well”: a qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthritis and Cartilage, 26(6), 741–750. https://doi.org/10.1016/j.joca.2018.02.909
Lee, H.-G., An, J., & Lee, B.-H. (2021). The Effect of Progressive Dynamic Balance Training on Physical Function, The Ability to Balance and Quality of Life Among Elderly Women Who Underwent a Total Knee Arthroplasty: A Double-Blind Randomized Control Trial. International Journal of Environmental Research and Public Health, 18(5), 2513. https://doi.org/10.3390/ijerph18052513
Papandony MC, Chou L, Seneviwickrama M, Cicuttini FM, Lasserre K, Teichtahl AJ, et al. Patients' perceived health service needs for osteoarthritis care: a scoping systematic review. Osteoarthritis Cartilage 2017;25(7):1010e25.
Sandler, R. D., & Dunkley, L. (2018). Osteoarthritis and the inflammatory arthritides. Surgery (Oxford), 36(1), 21–26. https://doi.org/10.1016/j.mpsur.2017.10.004
Yetzer, T., & Disney, H. (2017). A biopsychosocial approach in physical therapy to treat a patient with chronic osteoarthritic associated knee pain. Trends in Medicine, 17(1). https://doi.org/10.15761/tim.1000113
Zeng, C.-Y., Zhang, Z.-R., Tang, Z.-M., & Hua, F.-Z. (2021). Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis. Frontiers in Physiology, 12(1). https://doi.org/10.3389/fphys.2021.794062
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