Osteoarthritis

Evidence-based, non-surgical management of osteoarthritis by a Specialist Sports and Exercise Physician in Melbourne CBD.

Osteoarthritis Treatment | Sports Medicine Melbourne CBD

What is Osteoarthritis?

Osteoarthritis (OA) is the most common form of arthritis and one of the leading causes of pain and disability worldwide. It is characterised by progressive changes in the joint — including cartilage loss, bony changes and low-grade inflammation — but it is far from the simple “wear and tear” it is often described as.

The joints most commonly affected in active patients are the knee, hip, shoulder and big toe. While there is no cure for osteoarthritis, symptoms, function and quality of life can be significantly improved with a structured, individualised management plan. Exercise, strength training and load management — not rest — are the cornerstones of modern OA care.

Frequently Asked Questions

Symptoms & Causes

Symptoms of Osteoarthritis

  • Joint pain that worsens with activity and settles with rest (in early stages)
  • Morning stiffness that typically resolves within 30 minutes
  • Reduced range of movement
  • Swelling or joint effusion after activity
  • Grinding, clicking or catching sensations (crepitus)
  • Difficulty with stairs, squatting, prolonged walking

Causes and Risk Factors

  • Previous joint injury — particularly ACL rupture, meniscal tears or intra-articular fractures
  • Genetic predisposition and age-related changes in cartilage and bone
  • Body weight — excess load increases symptoms and progression
  • Muscle weakness, particularly around the hip and knee
  • Joint malalignment or altered biomechanics
Sports Medicine Doctor Liam West completes a thorough medical assessment in a patient with complex hip pain

Do I need a referral?

A referral is not required but a referral from your GP or other medical practitioner entitles you to a Medicare rebate on your consultation.

Frequently Asked Questions

Diagnosis & Treatment

How Osteoarthritis is Diagnosed

Dr. Liam West makes the diagnosis of osteoarthritis based on your history, symptom pattern and physical examination. Imaging is not always required, as OA is primarily a clinical diagnosis. X-rays can confirm the diagnosis and grade severity.

Treatment Options

  • A progressive, individualised exercise and strength program — the single most effective treatment
  • Education about osteoarthritis and active pain management strategies
  • Weight optimisation where relevant, with support from our dietitian
  • Co-management with our physiotherapy team
  • Image-guided injections (corticosteroid or hyaluronic acid) in carefully selected cases
  • Referral to orthopaedic surgery when conservative management has been optimised but not successful

Take Control of Your Osteoarthritis

If knee, hip or shoulder arthritis is limiting your activity, book an appointment with Dr. Liam West, our Specialist Sports and Exercise Physician at Melbourne CBD Physiotherapy and Sports Medicine Clinic. You can also learn more about our complete Sports Medicine service.

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Meet Dr. Liam West — Specialist Sports and Exercise Physician

Dr Liam West is a Specialist Sport and Exercise Medicine (SEM) Physician and Head Doctor of Hawthorn Football Club. He brings extensive experience across AFL, Athletics (Track and Field) and Football (Soccer), with specialist expertise in bone, muscle, tendon and joint injuries. Liam served as Sports Doctor for the Australian Athletics Team at the 2018 & 2022 Commonwealth Games, and holds a Masters of Sports and Exercise Medicine and Fellowship of the Australasian College of Sport and Exercise Physicians.

Book with Dr. Liam West  |  Read Liam’s Full Biography

Related Conditions

Joint Injuries (Shoulder & Knee)  |  Ligament Injuries  |  Injections  |  Exercise for Chronic Medical Conditions

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MELBOURNE CBD PHYSIOTHERAPY AND SPORTS MEDICINE CLINIC

Our team look forward to working with you to help achieve your goals 

Frequently asked questions

Injections do not reverse osteoarthritis, but they can provide useful short- to medium-term pain relief in selected patients, often allowing more productive rehabilitation.

Most people with osteoarthritis will never need joint replacement. Surgery is usually considered only after an adequate trial of evidence-based conservative care has not adequately controlled symptoms.

Injections do not reverse osteoarthritis, but they can provide useful short- to medium-term pain relief in selected patients, often allowing more productive rehabilitation.

A referral is not required but a referral from your GP or other medical practitioner entitles you to a Medicare rebate on your consultation.

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