The influential UK National Institute of Clinical Excellence (NICE) recently published its recommendations for managing osteo-arthritis and it fits beautifully into the physiotherapy model i.e.
1) Local muscle strengthening and aerobic fitness
2) Stretching
3) Manipulation / mobilisation – which is the way Physios are trained with “hands-on” techniques augmented by the homework of strengthening and stretching.
It is amazing what a joint will cope with once the load on it is shared by increased muscle strength.