This summary of a Cochrane review presents what we know from research about the effect of interventions for osteoarthritis of the big toe joint.
The review shows that in people with osteoarthritis of the big toe joint:
A physical therapy program consisting of a standard physical therapy program (stretching and other exercises, ultrasound and electrical stimulation), plus extra mobilisation and gait training exercises, compared with a standard physical therapy program alone,
- May improve pain.
- Function was not measured.
- No harms or side effects occurred.
What is osteoarthritis and how is it treated?
Osteoarthritis (OA) is a disease of the joints. When your joint loses cartilage, the bone grows to try and repair the damage. Instead of making things better, however, the bone grows abnormally and makes things worse. For example, the bone can become misshapen and make the joint painful.
Doctors used to think that osteoarthritis was caused by wear and tear on the cartilage. However, it's now thought that osteoarthritis is a disease of the whole joint. Many factors may increase your risk of getting osteoarthritis in the big toe joint, such as particular foot structure, trauma, family history of the disease, joint disease, and gait abnormalities.
OA is one of the most common forms of arthritis and affects men and women equally. OA is one of the main causes of disability as people grow older.
Interventions such as physical therapy, including exercises aim to enhance or maintain muscle strength, physical fitness and overall health. People exercise for many different reasons including weight loss, strengthening muscles and to relieve the symptoms of OA.
Best estimate of what happens to people with osteoarthritis of the big toe joint:
Pain (higher scores mean worse pain)
- People who did a standard physical therapy program plus extra exercises rated their pain to be 3.8 points lower on a scale of 0 to 10 after 4 weeks, compared with people who did standard physical therapy alone (38% absolute improvement).
- People who did a standard physical therapy program plus extra exercises rated their pain to be 0.4 points on a scale of 0-10 after 4 weeks.
- People who did a standard physical therapy program alone rated their pain to be 4.2 on a scale of 0 to 10 after 4 weeks.
The review shows that in people with osteoarthritis of the big toe joint:
A physical therapy program consisting of a standard physical therapy program (stretching and other exercises, ultrasound and electrical stimulation), plus extra mobilisation and gait training exercises, compared with a standard physical therapy program alone,
- May improve pain.
- Function was not measured.
- No harms or side effects occurred.
What is osteoarthritis and how is it treated?
Osteoarthritis (OA) is a disease of the joints. When your joint loses cartilage, the bone grows to try and repair the damage. Instead of making things better, however, the bone grows abnormally and makes things worse. For example, the bone can become misshapen and make the joint painful.
Doctors used to think that osteoarthritis was caused by wear and tear on the cartilage. However, it's now thought that osteoarthritis is a disease of the whole joint. Many factors may increase your risk of getting osteoarthritis in the big toe joint, such as particular foot structure, trauma, family history of the disease, joint disease, and gait abnormalities.
OA is one of the most common forms of arthritis and affects men and women equally. OA is one of the main causes of disability as people grow older.
Interventions such as physical therapy, including exercises aim to enhance or maintain muscle strength, physical fitness and overall health. People exercise for many different reasons including weight loss, strengthening muscles and to relieve the symptoms of OA.
Best estimate of what happens to people with osteoarthritis of the big toe joint:
Pain (higher scores mean worse pain)
- People who did a standard physical therapy program plus extra exercises rated their pain to be 3.8 points lower on a scale of 0 to 10 after 4 weeks, compared with people who did standard physical therapy alone (38% absolute improvement).
- People who did a standard physical therapy program plus extra exercises rated their pain to be 0.4 points on a scale of 0-10 after 4 weeks.
- People who did a standard physical therapy program alone rated their pain to be 4.2 on a scale of 0 to 10 after 4 weeks.
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