Osteoarthritis
What is osteoarthritis?
Osteoarthritis is a disease of the joints in which the cartilage in the joints becomes thinner and less smooth. These changes to the cartilage in the joint are permanent. The joint may also swell due to inflammation, or extra bone may grow. It occurs in all joints, but most frequently in the hips and knees. Contributing causes of osteoarthritis include being overweight, a past trauma to the joint, performing heavy physical work for a long period, and a genetic predisposition. Contrary to popular belief, physical activity is not a causative factor in the development of osteoarthritis. Osteoarthritis is more common in older age and in women. Although the changes in the cartilage are irreversible, the extent to which people experience symptoms from osteoarthritis can be influenced.
When should you see a physiotherapist specializing in osteoarthritis complaints?
Research shows that exercise in osteoarthritis can improve the function of the joint and surrounding muscles, thereby breaking the vicious cycle and reducing symptoms. The patient plays an important role in this; continuing to exercise independently (or under supervision) despite osteoarthritis symptoms can lead to the postponement or cancellation of invasive care such as surgery for a new knee or hip.
How can the physiotherapist help you?
Staying active is, of course, the most important thing. However, by following the GLA:D exercise program under the guidance of a physiotherapist, you can actively exercise with the help of the physiotherapist to ensure that your symptoms decrease.
What is GLA:D?
GLA:D is a protocolled program designed to optimize joint mobility and muscle strength in the legs and core. After the intake interview, participants are sent an informational video explaining osteoarthritis. They also receive a booklet and a resistance band.
In the following weeks, the patient comes to the practice once a week to review the exercises and also practices independently once a week. As soon as the patient performs the exercises correctly, the frequency of treatments is gradually reduced. The intention is for the patient to continue practicing at home and visit the practice less frequently. The entire process takes approximately 12 weeks.
Is GLA:D reimbursed by the health insurer?
Yes, 12 treatments are reimbursed under the basic insurance (although the patient must always pay their deductible first). If necessary, supplementary insurance can be used afterwards.