American Board of Internal Medicine (ABIM) Certification Practice Exam

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Which is a common treatment strategy for patients with osteoarthritis?

  1. Hydrotherapy

  2. Joint replacement therapy

  3. Physical therapy

  4. Systemic steroids

The correct answer is: Physical therapy

Physical therapy is a common treatment strategy for patients with osteoarthritis because it focuses on improving joint function, reducing pain, and enhancing overall mobility. This approach typically involves tailored exercises that strengthen the muscles around the affected joints, which can help stabilize them and alleviate the burden on the cartilage. Additionally, physical therapy may include techniques such as manual therapy, stretching, and modalities like heat or cold therapy, all of which can contribute to pain relief and improved range of motion. While hydrotherapy, joint replacement therapy, and systemic steroids may be applicable in certain circumstances, they are not as universally recommended as initial treatments for osteoarthritis. Hydrotherapy can be beneficial for some patients but is not a primary or widely utilized treatment method. Joint replacement therapy is typically considered for severe cases where conservative measures have failed. Systemic steroids, while helpful in reducing inflammation, are generally not the first line of treatment for osteoarthritis due to their potential side effects and the lack of widespread efficacy for chronic management. Thus, physical therapy stands out as a foundational and effective approach for many patients with osteoarthritis.