TO YOUR GOOD HEALTH: How best to treat arthritis in knees

From tribtoday.com/life 

DEAR DR. ROACH: I have bad knee arthritis. My doctor is suggesting a genicular nerve block. Is this a good idea? Will it fix the problem?— P.O.V.

ANSWER: Chronic knee pain from osteoarthritis is a common problem in middle-aged and older adults. Before a person receives treatment, the diagnosis should be confirmed by an X-ray. First-line treatments are exercise and anti-inflammatory drugs, like naproxen (orally) or diclofenac (topically).

When first-line treatments are ineffective, there are other options. Knee injections with steroids have long been used, but recent studies cast doubt on their effectiveness and raise concern for damage to knee cartilage. Hyaluronic acid and plasma-rich platelet injections have been shown in recent trials to be only slightly better than saline injections, and they are much more expensive. Duloxetine, an antidepressant that has pain-relieving properties, is effective for some people but not everyone.

Before considering knee-replacement surgery, a nerve block or ablation of the nerves that carry pain information can be attempted when an expert is available. There is significant pain relief from this procedure, although the benefit is greatest within a few weeks and generally lessens after three to four months. About half of the people who got the procedure report being “much improved” or “very much improved” afterward. It is generally safe with a low risk of side effects.

https://www.tribtoday.com/life/lifecovers/2026/04/to-your-good-health-how-best-to-treat-arthritis-in-knees/

Staying active with osteoporosis – 6 simple exercises to strengthen bones

From restless.co.uk

According to NICE, osteoporosis is responsible for around 180,000 bone fractures every year in England and Wales. So, if you’ve been diagnosed, it’s natural to feel worried about exercising.

However, research shows that staying active and doing the right types of exercise is key to living well with osteoporosis and, if done correctly, may reduce your risk of falls and fractures.

Why is exercise important for bone health?

Bones are made of living tissue, so they get stronger the more we use them. Staying active helps keep our muscles and bones strong as we age, which can reduce our risk of fractures.

Meanwhile, staying active has been shown to strengthen bones and slow the rate of bone loss. Plus, since most bone fractures are caused by falls, taking time to improve your balance and build muscle strength can make all the difference.

What type of exercise is best for bone health?

The NHS advises adults to do 150 minutes of moderate-intensity exercise every week. This can include anything from dancing and power walking to gentle cycling and water aerobics.

However, when staying active with osteoporosis, certain forms of exercise have been found to be particularly beneficial. Specifically, the ROS says the best way to keep bones strong is to include a combination of strength training and weight-bearing exercises in your routine. We’ll explore these below.

Weight-bearing exercise for osteoporosis

Weight-bearing exercise is any type of exercise that involves being on your feet and adding an extra force or controlled jolt through your bones. Weight-bearing exercise can generally be categorised by three levels of impact – low, moderate, and high.

Examples of low-impact activities include walking and stair climbing. Jogging and running are considered moderate-impact. And star jumps, basketball, and track events are high-impact.

According to the ROS, higher-impact exercise is better for your bones. Moderate impact is considered sufficient for bone health and generally for those with osteoporosis, though there are a few exceptions. For example, if you’ve previously suffered from spinal fractures, broken several bones, or have a medical condition like painful arthritis in the knees, lower-impact exercise may be more suitable.

Some people find they’re able to build up to moderate-impact exercise over time. It’s a good idea to talk to your healthcare team before starting a new exercise programme, to ensure it’s right for you.

The ROS has further information on doing impact exercise with osteoporosis on their website, including how often you should do it.

Strength training for osteoporosis

Strength training involves moving your muscles against resistance to make them stronger. You can add resistance using a resistance band, weights, or your bodyweight.

Strength training is beneficial for bone health because it stimulates the production of bone-forming cells. When your muscles pull on your bones during exercise, the bones respond by renewing themselves, which maintains or improves their strength. As your muscles get stronger, they’ll pull on your bones harder, causing them to become stronger, too.

According to the ROS, four main groups of muscle-strengthening exercises are beneficial for bone strength: hinge, push, pull, and squat. They recommend focusing on one exercise from each group. We’ll cover some examples of these in greater detail below.

For best results, it’s important to progressively increase the amount of resistance – for example, by lifting heavier weights or increasing the number of exercise repetitions. However, these exercises must be performed correctly to avoid risking spinal fracture and other injuries, so be sure to take advice from a qualified exercise professional when getting started.

You can find more information about strength training for osteoporosis on the ROS website, including how often you should do it.

6 simple exercises to strengthen bones

Now we know the role of exercise in bone health, how can you apply this to your everyday life? Here, we’ll explore seven simple strength training and weight-bearing exercises you can add to your routine.

1. Jogging

Jogging is a moderate-impact exercise which research suggests may be beneficial for improving bone health.

Take this study, which found that distance running as a long-term habit was associated with healthier bones, especially among older runners. According to the ROS, short bursts of activity are particularly beneficial for bones – for example, running then jogging, or jogging then walking.

Check out our beginner’s guide to running if you’d like to get started.

2. Rowing

While not a weight-bearing exercise in the traditional sense, research has found that rowing provides a sufficient load to promote bone strength.

For example, some studies have linked rowing with increased bone strength in certain areas of the body, particularly the spine, which is a common area affected by osteoporosis.

Rowing is also a full-body workout that can help build muscle strength in both the lower and upper body. And, as a joint-friendly exercise, it can be suitable for those with osteoporosis.

When it comes to strength training, the ROS highlights row movements, such as single-arm dumbbell rows, as an effective exercise for building bone strength. Head over to their website for information on how to progress rowing movements.

3. Gardening

Exercising for bone health doesn’t always need to be traditional workouts. In fact, research has found that certain hobbies, like gardening, are great for strengthening bones.

One study even highlighted gardening as one of the best forms of exercise for maintaining bone health. It found that women over 50 who gardened at least once a week had higher bone density measurements than those who regularly did other forms of exercise.

The ROS has more information about gardening if you’ve previously had a fracture in their living with osteoporosis: out and about after fractures sheet. For inspiration, you can also find everything from gardening in small spaces to seasonal planting guides in our gardening section.

Note: It’s important to stretch before and after gardening, particularly your back, because gardening involves lots of bending over.

4. Dancing

The ROS says that exercise involving a variety of movements, in mixed directions and at different speeds, is beneficial for bone health. Dancing is a fantastic example of this, particularly those that include moderate-impact exercises like jumps and hops.

This study found that female dancers had significantly higher bone density compared to control groups, especially in the lower limbs and spine. Another study found that a 24-week aerobic dance programme improved bone density and muscle strength in postmenopausal women.

Back in 2008, the ROS teamed up with Strictly Come Dancing’s Craig Revel Horwood to launch their Boogie for your Bones campaign to highlight how great dancing is for your bones. Craig Revel Horwood says, “Dancing is a fantastic way to keep your bones strong. It’s invigorating, a great weight-bearing exercise and, above all else, is really fun.”

You can also find more information about dancing for bone health on the ROS website.

5. Wall push-ups

The ROS recommends strength training press exercises, such as wall and overhead press, and push-ups.

If you’re new to strength training, wall push-ups are a great place to start because they’re less strenuous than traditional floor push-ups and overhead press. You can always progress to more challenging variations once you’ve developed more strength.

Wall push-ups mainly work the muscles in your chest, arms, and shoulders and require you to support your body against gravity, which places force on your bones.

6. Squats

Squats strengthen various muscles, particularly in the lower body and have been found to improve bone health, reducing the risk of falls and fractures.

Studies show that progressive squat training, even at lower intensities, can improve bone health and potentially reduce the risk of fractures. And this study highlighted squat exercises as an effective intervention for people with low bone mass. Specifically, it found that when postmenopausal women with low bone density performed squat exercises three times a week for 12 weeks, their bone mass increased.

If you’re new to strength training, it’s best to start with lower-intensity squat variations and gradually move to higher-intensity ones as your strength improves. The ROS has guidance on how to progress squat exercises on their website.

Final thoughts…

If you’ve been diagnosed with osteoporosis, it’s natural to feel daunted by the thought of exercising. You may feel worried about placing too much stress on your body or that you’ll fall and fracture a bone.

However, research shows that staying active is a great way to start, and the good news is that specific types of exercise, like those listed above, may promote bone strength and reduce your risk of falls and broken bones.

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Is a Cure for Osteoarthritis on the Horizon? New Therapies Show Promise

From healthline.com

• A government agency says that several promising osteoarthritis treatments are in development.
• The new therapies aim to help joints heal rather than simply treating symptoms.
• Treatment methods include bone and cartilage regeneration and living knee implants, signaling a breakthrough for those who live with osteoarthritis.
• More research on the new therapies is still needed to verify safety and effectiveness in humans.

Osteoarthritis most often affects older adults and leads to varying degrees of pain and disability. As the most common form of arthritis, it is also notoriously difficult to treat.

A new initiative led by the Advanced Research Projects Agency for Health (ARPA-H) is poised to revolutionize the treatment of osteoarthritis (OA), a debilitating joint disease affecting an estimated 32 million Americans annually and costing over $132 billion.

The program, Novel Innovations for Tissue Regeneration in Osteoarthritis (NITRO), is a collaboration with researchers from Duke University, Columbia University, and the University of Colorado Boulder who are developing new therapies for osteoarthritis, which currently has no cure.

Unlike existing treatments for osteoarthritis, which are primarily aimed at relieving pain or replacing already damaged joints with artificial ones, the research program seeks to enable joints to heal themselves by regenerating bone and cartilage.

This breakthrough could transform the lives of millions who live with osteoarthritis by restoring natural joint function and eliminating the need for joint replacement surgeries.

Human trials are expected to begin within the next year, marking a potential turning point in osteoarthritis care.

New therapies for osteoarthritis could help joints heal and regenerate, rather than just treat symptoms. Luis Velasco/Stocksy

New osteoarthritis therapies may restore joint health

Osteoarthritis occurs when joint tissue is damaged due to aging, obesity, injury, or overuse. It can also be associated with congenital defects or a family history of the disease.

According to the National Institute of Arthritis and Musculoskeletal and Skin DiseasesTrusted Source, osteoarthritis can cause joint pain and stiffness, commonly in the hands, knees, hips, neck, and lower back.

The NITRO program focuses on helping joints heal themselves through three key approaches: regenerating bone, regenerating cartilage, and developing living knee implants made from human tissue.

Duke University has developed two injectable, time-released combination drug formulations that stimulate bone and cartilage regrowth in OA-damaged joints.

These injectable therapies can be used alone or together and are designed for infrequent administration — only once per year — to relieve pain and restore joint function.

The researchers created an intravenous time-release formulation to promote cartilage repair across multiple joints, reducing the need for multiple injections.

The University of Colorado Boulder has contributed two therapies that enable aging or damaged joints to repair themselves rapidly in animal studies.

One is a patented particle-delivery system injected into joints to deliver intermittent bursts of a repurposed regenerative drug over several months.

The other is an engineered protein cocktail injected arthroscopically and allowed to harden in place for precise repair of cartilage lesions.

Columbia University has engineered a living, 3D-printed human knee on a biodegradable scaffold infused with adult stem cells, either from the patient’s body or from a donor.

As the scaffold degrades, the stem cells regenerate natural cartilage and bone, creating a fully load-bearing, non-immunogenic implant that integrates with the body without any need for hardware.

Because it is designed to mirror current artificial joint structures, this innovation allows surgeons to use familiar techniques, which they hope will encourage more physicians to adopt this technique.

The NITRO program is further designed to ensure accessibility, with treatments priced affordably for all Americans regardless of their insurance status.

Additionally, clinical trials will include diverse populations most affected by OA, including women and Native American communities.

Why is osteoarthritis so difficult to treat?

Ryan Peterson, MD, a physician with NuView Treatment Center, told Healthline that treating osteoarthritis is currently more about “managing decline” rather than truly healing the condition. Peterson wasn’t involved in the new treatment initiative.

Treatments like physical therapy, weight management, NSAIDs, and injections such as corticosteroids or hyaluronic acid are used to help manage symptoms.

Some may also try treatments such as platelet-rich plasma (PRP), he said, but the results are inconsistent.

“When pain and function worsen, many ultimately need knee replacement surgery,” said Peterson.

Osteoarthritis can be difficult to treat, he added, because it’s a complex condition involving cartilage, bone, inflammation, and the mechanics of the joint.

“Cartilage also has very limited ability to heal, so once damage progresses, we don’t have great ways to reverse it,” said Peterson. “On top of that, pain doesn’t always match imaging, which makes treatment response unpredictable.”

Sergio Guiteau, MD, FAAFP, CAQSM, Medical Director of South Florida Advanced Rejuvenation, agreed with Peterson, adding that there are also degenerative changes affecting the bone underneath the cartilage, the fluid that lubricates the joints, and the ligaments that support the joint. Guiteau wasn’t involved in the new initiative.

“Many of the therapies … address the symptoms of this degeneration, but not the actual disease,” he said.

A potential game-changer for osteoarthritis

Guiteau had positive thoughts to share about these new developments.

“If even marginally successful, some of the new therapies through ARPA-H could be game-changing for many of us who take care of patients with OA and life changing for patients,” he said.

Guiteau went on to say that shifting OA treatment from symptom management to structural restoration would be the “holy grail” of OA management.

“If successful, interventions like regenerative injections, protein signaling therapies, or scaffold-based joint reconstruction could for the first time stimulate the body to rebuild cartilage and restore joint integrity,” he said.

According to Guiteau, this would allow millions of OA patients to regain at least some of their independence and achieve a better quality of life.

He did, however, stress that we should remain cautiously optimistic regarding these experimental new treatments.

“Animal studies do not always translate into successful human outcomes, and many companies and individuals are too often quick to capitalize off of the desperation and naivety of those suffering from OA,” he said.

Still, if proven safe and effective, the innovations could mark a long-awaited shift toward restoring joint health rather than simply managing symptoms, providing improved function and pain relief for millions of people who live with this condition.

https://www.healthline.com/health-news/new-osteoarthritis-therapies-heal-joints-research 

Scientists test new ways to regrow joints damaged by arthritis

From medicalxpress.com

Good news: Scientists may be closer to a new way to treat arthritis.

The Advanced Research Projects Agency for Health (ARPA-H) said several experimental treatments could help regrow cartilage and bone in folks with osteoarthritis.

The condition affects about 32 million Americans and happens when joints wear down over time.

Three research teams are working on new methods, mainly focused on knee osteoarthritis.

Two teams—one at Duke University and another at University of Colorado Boulder—are developing injections or infusions that may help rebuild cartilage and bone.

A third team at Columbia University is working on a more revolutionary idea: regrowing an entire knee using a 3D-printed "scaffolding" filled with bone and cartilage cells, The New York Times reported.

So far, these methods have only been tested in small animals. Results of animal studies often differ in humans.

Some treatments helped regrow cartilage in just a few months.

One method uses a drug that slowly releases in the joint and helps tissue repair itself over a certain amount of time.

Another method uses proteins that fill in damaged areas and trigger the body to regrow cartilage in spaces where it should be.

"It's hugely promising," Dr. Scott Rodeo, vice chair of orthopaedic research at the Hospital for Special Surgery in New York City, told The Times. He was not involved with the studies.

"Right now, everything we have just modifies symptoms," he added. Curing arthritis by regrowing cartilage and bone "would be a paradigm shift."

These new methods aim to fix the problem right at its source: damaged cartilage and bone.

Researchers are testing ways to help the body's own cells grow again.

"I tend to be very sceptical, but this surprised me," Dr. Benjamin Alman, a paediatric orthopaedic surgeon, told The Times.

Some treatments target cartilage, while others focus on remodelling bone or treating multiple joints at once.

Teams funded by ARPA-H are required to begin testing in patients within 18 months, The Times said.

The agency has invested tens of millions of dollars in the work, including more than $42 million for one team alone.

"For academic research, this is like pie-in-the-sky money," Nadeen Chahine, a leader on the Columbia University team, added.

If the treatments work, they must eventually be made available to patients and priced at no more than 25% of current treatment costs.

https://medicalxpress.com/news/2026-04-scientists-ways-regrow-joints-arthritis.html 

Osteoarthritis – symptoms, causes, and ways to cope

From restless.co.uk

Osteoarthritis is a condition that causes joint pain and stiffness. According to the NHS, it’s the most common type of arthritis in the UK and affects over 9 million people.

The condition can significantly affect a person’s mobility, mental wellbeing, and overall quality of life, so taking steps to prevent or manage symptoms can make a real difference.

Here, we’ll cover exactly what osteoarthritis is – including symptoms, causes, prevention, and tips for coping. We hope you find it useful.

What is osteoarthritis?

Osteoarthritis causes joints to become stiff and painful. It initially affects our joints’ smooth cartilage (which lines the surface and caps the ends of our bones), making it more difficult to move. Once the cartilage lining has begun to thin, tendons and ligaments have to work harder to move joints, which can cause them to swell and develop bony lumps (osteophytes).

Osteoarthritis can affect almost any joint in the body, but most commonly occurs in the hands, fingers, hips, knees, shoulders, and spine (typically the neck or lower back). While it can affect people of any age, it’s most common in older adults.

Osteoarthritis is often confused with osteoporosis because people can have both conditions simultaneously; however, each is distinct. While osteoarthritis causes pain in joints and reduces their function and mobility, osteoporosis is caused by a loss of bone mass, which increases a person’s risk of fractures and injuries.

The condition also differs from rheumatoid arthritis, which is another form of arthritis that causes the immune system to attack joints, often leading to pain and swelling.

What are the symptoms of osteoarthritis?

Joint pain, stiffness, and reduced joint mobility are some of the most common osteoarthritis symptoms.

Other symptoms can include swelling and tenderness, and grating, clicking, cracking, or popping sounds when joints are moved. Some people may also have extra lumps of bone in their joints, or find that their joints look slightly bigger or more ‘knobbly’ than usual.

The severity of symptoms can vary from person to person and differ between individual joints. For example, some people might find that their symptoms come and go, or are mild, while others may experience more severe, continuous symptoms that can make it difficult to carry out daily activities.

We’ll cover some of the main types of osteoarthritis below, along with their symptoms…

Osteoarthritis of the knee

Osteoarthritis of the knee can make walking painful, particularly when going up or down stairs or hills.

You may find it difficult to straighten your legs, hear grating sounds when you move the joint, or find that your knees feel as though they might ‘give way’ beneath you.

Osteoarthritis of the knee usually affects both knees over time – unless it’s the result of an injury or other condition that only affected one knee.

Osteoarthritis of the hand

Osteoarthritis tends to affect three main areas of the hand – the base of the thumb, the middle joints of the fingers, and the joints closest to the fingertips.

Symptoms include fingers becoming stiff, painful, swollen, and bending slightly sideways. Some people may also have bumps on their finger joints or painful cysts on the back of their fingers. In some cases, a bump can also develop where the base of the thumb joins to your wrist.

Osteoarthritis of the hand can make it difficult to perform manual tasks such as opening jars, writing, and turning keys.

Osteoarthritis of the hip

Osteoarthritis of the hip can impact the movement of the hip joints – for example, making it tricky to get in and out of a car or put on shoes.

It can also cause pain in the groin or outer hip, which can intensify when you move around.

What causes osteoarthritis?

Osteoarthritis is caused by joint damage. In part, this is a normal process of life as our joints are exposed to constant low-level damage – for example, through everyday activities such as running, repetitive motions like typing, and sitting in a cramped position for long periods.

In most cases, the body repairs itself, and you won’t experience symptoms. However, osteoarthritis occurs when the damage is more severe, and the protective cartilage at the end of bones breaks down.

Damage to the protective cartilage can progress over time, which is why age is a major risk factor for osteoarthritis. That said, the condition can occur at any point, and there are several other risk factors to consider. These include…

• Obesity – being obese places excess strain on the joints, particularly on those responsible for bearing most weight, such as the hips and knees.

• Previous injury – for example, dislocated joints, torn cartilage, or ligament injuries – and overusing a joint when it hasn’t had enough time to heal.

• Other health conditions – osteoarthritis can occur in joints that have been damaged by another condition, such as gout or rheumatoid arthritis. Diabetes has also been identified as a risk factor. In fact, according to experts, almost half of adults with diabetes also have arthritis.

• Family history – research suggests that osteoarthritis may run in families, although studies have yet to identify a single gene responsible for this.

• Gender – due to factors like menopause, which can cause loss of bone mass, women have a higher risk of developing osteoarthritis than men.

• Occupation – having a job that involves kneeling, heavy lifting, climbing, or other similar physical actions can increase the risk of osteoarthritis by placing strain on joints.

How is osteoarthritis diagnosed and treated?

There’s no definitive test used to diagnose osteoarthritis. Instead, diagnosis will typically involve your GP asking questions about your symptoms and examining your joints.

Further tests, such as blood tests or X-rays, aren’t often necessary but may be used to rule out other possible causes of symptoms, such as bone fractures or rheumatoid arthritis.

While there’s currently no cure for osteoarthritis, several treatments can help reduce symptoms. For example, painkillers or a structured exercise plan with a physiotherapist may be advised if your symptoms are more severe.

You can find out more about osteoarthritis treatment and support on the NHS website. However, you should always seek advice from your GP before taking any medication.

6 ways to manage symptoms and reduce your risk of developing osteoarthritis

Alongside medication and other professional treatments, lifestyle changes can also play a role in preventing osteoarthritis or managing symptoms.

We’ll cover some of these below.

1. Exercise regularly

Regular exercise is one of the most effective ways to keep joints healthy.

Research has shown that exercising regularly can help slow, manage, and, in some cases, prevent osteoarthritis. This is because it can relieve stiffness, reduce joint pain and fatigue, and increase bone and muscle strength (which reduces pressure on joints).

Low-impact exercises, such as resistance training, stretching, and walking, tend to be the most effective at keeping joints mobile while limiting strain. For ideas on how to get started, check out our articles: 15 low-impact exercise ideas and 7 low-impact exercises you can do at home.

2. Improve your posture

Working on your posture and avoiding staying in one position for too long can help reduce your risk of osteoarthritis.

This includes moving around regularly and ensuring that your chair is adjusted to the correct height if your job involves sitting at a desk for long periods.

If you’re looking to work on this, try these 5 exercises to help improve your posture.

3. Get enough rest

Exercise can help keep your joints healthy and manage osteoarthritis symptoms, but getting enough rest is just as important.

Research has found that prioritising sleep quality and getting adequate rest each night may help to reduce osteoarthritis pain. This is because our bodies recover during sleep.

If you struggle to get enough good-quality rest, check out the tips in our sleep and fatigue section. 

4. Maintain a healthy weight

Being overweight places stress on joints, which can speed up the deterioration of joint cartilage. This can either worsen existing osteoarthritis symptoms or increase your risk of developing the condition.

As well as exercising regularly, one of the most important steps you can take to maintain a healthy weight is to eat a balanced diet.

If you’d like help losing weight healthily and sustainably, head over to our diet and nutrition section. Here, you’ll find advice on everything from ways to cut back on added sugar to healthy and filling recipes.

5. Eat for joint health

Research has also revealed that some nutrients – such as calcium and vitamin D – are particularly beneficial for joint health.

Some joint-friendly foods include fatty fish, walnuts, ginger, broccoli, and olive oil. For example, research has found that omega-3 fatty acids in fish may decrease inflammation and slow osteoarthritis progression.

For more information on how to eat for joint health, check out our article: 10 best foods for healthy joints and which to avoid.

6. Maintain healthy blood sugar levels

Research has drawn a link between diabetes and an increased risk of developing osteoarthritis.

This is because high glucose levels can increase molecules that stiffen bone cartilage, while diabetes can cause inflammation, accelerating cartilage breakdown.

As a result, regulating blood glucose levels can help prevent the onset of osteoarthritis and manage symptoms. For more information, you might like to read our article: 12 science-backed ways to lower (or regulate) blood sugar levels.

Final thoughts…

Osteoarthritis can be a painful and frustrating condition to live with. While there’s currently no cure, several things can help manage symptoms and reduce your risk of developing the condition. Simple lifestyle habits, such as eating a joint-friendly diet and prioritising sleep, can make all the difference.

For further reading, check out our general health section. Here, you’ll find information on everything from gut and bladder health to important health checks and ways to boost longevity.

If you’d like to learn more about how bones work and change as we age, check out our Better Bones series running on Rest Less Events.

Find out more

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