SeminarVolume 405, Issue 10472p71-85January 04, 2025

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Osteoarthritis

Prof Margreet Kloppenburg, MD PhD
Correspondence
Correspondence to: Prof Margreet Kloppenburg, Department of Rheumatology, Department of Clinical Epidemiology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands
Affiliations
Department of Rheumatology, Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands
a g.kloppenburg@lumc.nl
Mosedi Namane, FCFP[SA]
Affiliations
Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
b
Prof Flavia Cicuttini, MBBS PhD
Affiliations
School of Public Health and Preventive Medicine, Monash University, Department of Rheumatology, Alfred Hospital, Melbourne, VIC, Australia
c
Correction:
Errata
June 26, 2025

Summary

Osteoarthritis is a heterogeneous disorder that is increasingly prevalent largely due to aging and obesity, resulting in a major disease burden worldwide. Knowledge about the underlying aetiology has improved, with increased understanding of the role of genetic factors, the microbiome, and existence of different pain mechanisms. However, this knowledge has not yet been translated into new treatment options. New evidence has questioned the efficacy of recommended treatments, such as therapeutic exercise programmes and the focus on weight loss, but managing obesity and maintaining activity remain important for the prevention and management of osteoarthritis. Approaches should consider individual and cultural preferences and resource availability to increase patient and community engagement, and optimise outcomes worldwide. Most of the focus has been on established osteoarthritis where management is primarily directed at relieving symptoms. The search for the much needed effective treatments that improve both symptoms and structure, often referred to as disease-modifying osteoarthritic drugs, is ongoing. Promising data indicate that targeting inflammation is effective in hand osteoarthritis.

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