Modern methods of non-drug treatment of osteoarthritis of the knee joint. Review of updated national clinical guidelines «Gonarthrosis 2024»

Objective . To present an analysis of the updated national clinical guidelines «Gonarthrosis (GA) 2024» with an emphasis on non-drug treatment methods. Results . The following have a high level of persuasiveness of recommendations and reliability of evidence for the effectiveness of non-drug therapy for GA: modification of sports/physical loads and unloading of the affected joint, application of methods of therapeutic physical training, aerobic exercises, weight correction, methods of knee joint orthosis, physiotherapeutic effects and manual therapy. New in the recommendations was the reliability of the effectiveness of shock wave therapy and the lack of such in acupuncture in the treatment of GA. Conclusions . Currently, the effectiveness of non-drug treatments for GA has a high evidence base combination with drug therapy. An important advantage of non-drug treatments for GA is their ability to reduce the need for analgesics, which can cause dangerous complications in patients with GA and comorbid conditions.