"We advise physicians to start with non-pharmacological treatments such as physical therapy and exercise, weight loss to reduce stress on joints, and heat or cold therapy. If the non-pharmacologic approach does not provide enough pain relief or control of symptoms, we recommend stepped-care approach when it comes to prescribing drugs."
"This recommendation comes as no surprise to physical therapists," said Dr. Timothy Flynn from Regis University, Denver and President of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT). "Research has repeatedly shown the value of early physical therapy for patients with musculoskeletal conditions. We are glad to see that the AHA's recommendations of physical therapy as a safe and effective alternative to drugs are consistent with these findings. It only makes sense to see your physical therapist before trying drugs and surgery."
To read the AMA's scientific statement online, go to: http://www.americanheart.org/presenter.jhtml?identifier=3045689.