Diet and osteoarthritis: Sharing strategies for reduced pain and improved function when the evidence is limited

Abstract

Osteoarthritis is a debilitating joint disease impacting millions of people around the world, but for which few effective treatments exist. It is influenced by both mechanical and systemic factors, each of which may be mitigated by appropriate dietary interventions. Unfortunately, few patients are given advice beyond, “lose some weight.” The effect of weight loss on pain and function are recognized, but less known is the evidence that diet quality may impact pain and function. In this article we discuss evidence-based weight-loss strategies and the potential role of an anti-inflammatory diet on both the progression and severity of osteoarthritis. We present a case from our family medicine practice to demonstrate how evidence-based medical nutrition therapy can be used to help patients with osteoarthritis achieve symptom relief.