What’s The Best Way To Treat Osteoarthritis Of The Hand? Do The Europeans Know Something We Don’t?
By Nathan Wei
Symptomatic osteoarthritis (OA) of the hand affects 20% of those people older than 55 years and has the potential for significantly affecting activities of daily living. Interference with grip and fine precision pinch and dissatisfaction with cosmetic appearance are major concerns.
Current evidence for the management of hand OA is currently based on either expert opinion or what appears to be effective for OA affecting other joints. However, the small size and accessibility of hand joints allow a different range of interventions than in large joint OA.
The European League Against Rheumatism (EULAR) is the American equivalent of the American College of Rheumatology. They formulated guidelines for OA of the hand at their annual meeting in June 2006.
The 11 recommendations were as follows:
– Optimal management of hand OA …