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| ==Overview== | | ==Overview== |
| ==Surgery== | | ==Surgery== |
| If the above management is ineffective, [[joint replacement]] [[surgery]] may be required. Individuals with very painful OA joints may require surgery such as fragment removal, repositioning bones, or fusing bone to increase stability and reduce pain.
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| ===Other approaches===
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| There are various other modalities in use for osteoarthritis:
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| ====Acupuncture====
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| A [[meta-analysis]] of [[randomized controlled trials]] of [[acupuncture]] for knee osteoarthritis concluded "clinically relevant benefits, some of which may be due to [[placebo]] or expectation effects".<ref name="pmid17577006">{{cite journal |author=Manheimer E, Linde K, Lao L, Bouter LM, Berman BM |title=Meta-analysis: acupuncture for osteoarthritis of the knee |journal=Ann. Intern. Med. |volume=146 |issue=12 |pages=868-77 |year=2007 |pmid=17577006 |doi=}}</ref>
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| ====Low level laser therapy====
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| Low level laser therapy ; this is a light wave based treatment that may reduce pain. The treatment is painless, inexpensive and without risks or side effects. Unfortunately, it may not actually have any real benefits.
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| ====Rotational Field Quantum Magnetic Resonance (“RFQMR”)====
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| Rotational Field Quantum Magnetic Resonance (“RFQMR”) has been claimed to be effective for regeneration of cartilage in the knee joints. A three-year trial of this method involving 500 patients has been conducted at the Indian Airforce's Institute of Aerospace Medicine, Bangalore (India). RFQMR Technology is claimed to utilize sub-radio and near-radio frequency electromagnetic radiation focused onto tissues to alter proton spin inside and outside cells, generating streaming voltage potentials resulting in stimulation of cartilage growth. The treatment is said to be painless and is claimed to be safe. Pre and post 3 months MRI showed significant increase in cartilage growth.
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| ====Radiosynoviorthesis====
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| Radiosynoviorthesis: A radioactive isotope (a beta-ray emitter with a brief half-life) is injected into the joint to soften the tissue. Due to the involvement of radioactive material, this is an elaborate and costly procedure, but it has a success rate of around 80%.
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| ==References== | | ==References== |
| {{reflist|2}} | | {{reflist|2}} |