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Bosomworth NJ – Individuals without knee OA who opt to exercise will not have increased progression of joint degeneration as a result of their increased physical activity; indeed, they can expect reductions in knee pain and all–cause disability as the years progress. Vigorous sports and activity leading to trauma should be avoided. Externally imposed recommendations for exercise will not necessarily produce the same results, as these studies have not yet been done.

There is outstanding evidence for the benefit of exercise therapy in knee OA. Persons with knee OA who exercise to a moderate level can expect reduction in both knee pain and disability for the duration of their intervention. A long–term exercise program is unlikely to be harmful, but interventions of a longer duration have not been adequately studied. There is outstanding evidence for the benefit of exercise therapy in knee OA and some indication that it is underused as a treatment modality.

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