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New Models for Primary Care Are Needed for Osteoarthritis

K.S. Dziedzic, PhD, is Senior Lecturer in Physiotherapy, Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, Keele, Staffordshire ST5 5BG, United Kingdom.
J.C. Hill, PhD, is Lecturer in Physiotherapy, Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University.
M. Porcheret, MBBS, MPhil, is GP Research Fellow, Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University.
P.R. Croft, MD, is Professor of Primary Care Epidemiology, Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University.

Address all correspondence to Dr Dziedzic at: k.s.dziedzic{at}cphc.keele.ac.uk.

Musculoskeletal problems are the most common cause of restriction in daily life in most countries. Most health care for musculoskeletal problems is provided in primary care settings, and back pain and joint problems together represent the largest workload of cases of chronic disease seen and managed there. This article reflects on aspects of the occurrence, natural history, prognosis, and management of common joint problems in primary care. Although the biomedical model has contributed to major advances, a model that embraces chronic pain management and its psychological and social components is needed. In particular, primary care is the ideal arena to achieve high-impact secondary prevention of pain and disability in people with osteoarthritis. Physical therapists are in a crucial position in primary care to provide support for self-management of this condition, especially for interventions related to exercise and behavioral change.

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