Which of these is a non-pharmacologic recommendation for osteoarthritis management?

Weight loss is recognized as a key non-pharmacologic intervention in the management of osteoarthritis, particularly in weight-bearing joints like the knees and hips. Excess body weight contributes to increased mechanical stress on these joints, exacerbating pain and functional impairment associated with osteoarthritis. Evidence shows that even modest weight loss can result in significant improvements in symptoms and physical function, and it can also reduce the need for medications and potentially delay or prevent the need for surgical interventions.

In the context of osteoarthritis management, strategies like weight loss align with an overall approach aimed at lifestyle modification, enhancing physical function, and improving overall quality of life for patients. Strategies such as engaging in low-impact physical activity, maintaining mobility, and implementing dietary changes that support weight loss are integral to this management plan.

Other options may not align with best practices for osteoarthritis management. Continuous bed rest is generally discouraged as it can lead to increased stiffness and deconditioning. High-intensity strength training, while potentially beneficial for some, may not be suitable for all osteoarthritis patients and is not universally recommended as a first-line non-pharmacologic strategy. Consumption of anti-inflammatory supplements can vary widely in efficacy and is considered more of an adjunct rather than a foundational non-pharmacologic treatment.