What is the first-line treatment for osteoarthritis in a 75-year-old patient?

In the management of osteoarthritis, especially in older patients, exercise is considered the first-line treatment. This approach is vital because engaging in regular physical activity helps to maintain joint function, improve strength, and reduce pain. Exercise can include a variety of forms such as low-impact aerobics, strength training, and flexibility exercises, tailored to the individual's capabilities and needs.

Exercise not only helps alleviate symptoms but also educates patients about their condition, promoting a more active lifestyle that contributes positively to overall health. It is often recommended before jumping to more invasive treatments like medication or surgery, especially for older adults who may have other comorbidities or concerns regarding the risks of certain pharmaceuticals or surgical interventions.

Medication therapy is also a common component of osteoarthritis management but is typically viewed as a secondary approach when conservative measures like exercise aren't sufficient to provide symptom relief. Physical therapy, while beneficial, often acts as an adjunct to exercise, focusing more specifically on rehabilitation and targeted treatment rather than broad management strategies. Surgery is generally reserved for cases where more conservative measures have failed and significant joint dysfunction remains.